The Patient's Voice in Advanced Practice Nursing: A Qualitative Systematic Review of Lived Experiences

IF 3.9 3区医学 Q1 NURSING

Journal of Nursing Scholarship Pub Date : 2026-08-10 DOI:10.1111/jnu.70127

Qin Hu, Wei Tan, Shanshan Liu, Li Tang, Yan Jiang

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引用次数: 0

Abstract

Aims

This review aims to synthesize qualitative evidence on patients' lived experiences of advanced practice nursing.

Design

Qualitative systematic review.

Data Sources

The studies included in this review were sourced from PubMed, Web of Science, The Cochrane Library, Embase, and CINAHL. Studies were limited to those published from database inception to March 5, 2026.

Review Methods

The review adhered to the Enhancing Transparency in Reporting the Synthesis of Qualitative Research (ENTREQ) guidelines. Two independent reviewers screened titles, abstracts, and full-text articles to assess eligibility for inclusion. Data were extracted and analyzed using thematic synthesis. Confidence in findings was assessed using the CERQual approach.

Results

Thirty-seven studies were included. Five themes emerged from patients' accounts: (1) feeling seen and heard through therapeutic presence; (2) understanding illness through explanation and dialogue; (3) building trust through competence and respect; (4) gaining confidence and agency in self-management; and (5) experiencing coherent and coordinated care across services.

Conclusions

Patients experienced advanced practice nursing as a relational, educational, and coordinating form of care. APNs were valued not only for their advanced clinical expertise but also for the way they listened, explained, built trust, supported patient agency, and helped patients navigate fragmented healthcare systems. These findings suggest that the effectiveness of APN care is closely linked to relational continuity, individualized communication, and system-level coordination.

Clinical Relevance

Understanding patients' lived experiences of advanced practice nursing can help nurses and healthcare organizations strengthen patient-centred care. The findings highlight the importance of protecting time for listening, supporting clear and individualized communication, building trustful partnerships, encouraging patient participation, and recognizing APNs' role in coordinating care across complex healthcare systems.

查看原文本刊更多论文

病人的声音在高级护理实践：生活经验的定性系统评价。

目的：本综述旨在综合有关高级护理实践患者生活经历的定性证据。设计：定性系统评价。数据来源：本综述纳入的研究来源于PubMed、Web of Science、Cochrane Library、Embase和CINAHL。研究限于从数据库建立到2026年3月5日发表的研究。综述方法：本综述遵循提高定性研究综合报告透明度（ENTREQ）指南。两名独立审稿人筛选标题、摘要和全文文章，以评估纳入的资格。数据提取和分析采用专题综合。使用CERQual方法评估调查结果的可信度。结果：纳入37项研究。从患者的叙述中出现了五个主题：(1)通过治疗在场感受到被看到和被听到；(2)通过讲解和对话了解疾病；(3)通过能力和尊重建立信任；(4)获得自我管理的信心和能动性；(5)体验连贯和协调的跨服务护理。结论：患者经历了高级实践护理作为一种关系，教育和协调形式的护理。apn的价值不仅在于他们先进的临床专业知识，还在于他们倾听、解释、建立信任、支持患者代理和帮助患者驾驭分散的医疗保健系统的方式。这些发现表明，APN护理的有效性与关系连续性、个性化沟通和系统级协调密切相关。临床相关性：了解患者对高级护理实践的生活经验可以帮助护士和医疗机构加强以患者为中心的护理。研究结果强调了保护倾听时间的重要性，支持清晰和个性化的沟通，建立信任的伙伴关系，鼓励患者参与，并认识到apn在协调复杂医疗保健系统中的作用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Nursing Scholarship 医学-护理

CiteScore

6.30

自引率

5.90%

发文量

审稿时长

6-12 weeks

期刊介绍： This widely read and respected journal features peer-reviewed, thought-provoking articles representing research by some of the world’s leading nurse researchers. Reaching health professionals, faculty and students in 103 countries, the Journal of Nursing Scholarship is focused on health of people throughout the world. It is the official journal of Sigma Theta Tau International and it reflects the society’s dedication to providing the tools necessary to improve nursing care around the world.