Collegian最新文献

{"title":"Defining registered nurse competence: A contemporary concept analysis","authors":"Leisa M. Swift ,&nbsp;Lauren N. Kearney ,&nbsp;Areum Hyun ,&nbsp;Tracy L. Levett-Jones ,&nbsp;Fiona E. Bogossian","doi":"10.1016/j.colegn.2025.06.004","DOIUrl":"10.1016/j.colegn.2025.06.004","url":null,"abstract":"<div><h3>Background</h3><div>A robust methodological process to define registered nurse competence is limited across the literature.</div></div><div><h3>Aim</h3><div>This study aims to identify the defining attributes, antecedents, and consequences of the concept of registered nurse competence, and to construct and validate a contemporary definition of competence for the registered nurse.</div></div><div><h3>Methods</h3><div>This concept analysis is guided by Walker and Avant (2019). The search strategy used terms derived from ‘competence’, ‘nursing’, and ‘definition’ in publications from January 2000 to November 2023. Following article screening, 81 manuscripts met the eligibility criteria. Definitions of the construct of competence were manually extracted from eligible articles. Data analysis utilised Leximancer software.</div></div><div><h3>Findings</h3><div>The antecedent to competence for the registered nurse is registration or licensure. The defining attributes are knowledge, skills, capability, and professionalism, while the consequences are safe practice, quality nursing care, and optimal patient outcomes. These terms supported the construction of a contemporary definition of registered nurse competence: <em>A nurse with attainment of full registration who demonstrates the knowledge, skills, capability, and professional attributes to provide safe and quality nursing care that ensures optimal patient outcomes.</em> The definition was validated using contrary and model cases in the Australian context.</div></div><div><h3>Conclusion</h3><div>The methodological approach used in this concept analysis to define registered nurse competence is a novel and contemporary innovation that distinguishes this definition from others with less rigour in formulation. The identification of the defining attributes and the constructed definition may be used to inform future practice, education, and research. The validation process provides a template to validate the definition of registered nurse competence in other contexts.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"32 4","pages":"Pages 258-265"},"PeriodicalIF":1.6,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144633708","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge and perceptions of modifiable ischaemic heart disease risk among Indians: Scoping review","authors":"Kunwar Kaur ,&nbsp;Ma’en Zaid Abu-Qamar ,&nbsp;Amineh Rashidi ,&nbsp;Nilufeur McKay ,&nbsp;Rosemary Saunders","doi":"10.1016/j.colegn.2025.06.005","DOIUrl":"10.1016/j.colegn.2025.06.005","url":null,"abstract":"<div><h3>Background</h3><div>Ischaemic heart disease (IHD) causes a significant number of deaths globally. India has the highest IHD burden, with cases up 138% since 1990. Individuals of Indian descent face a greater risk of early IHD and poorer long-term outcomes. Indian people typically develop IHD a decade earlier than other populations, with 52% of IHD-related deaths occurring before the age of 70, compared to 23% in Western populations.</div></div><div><h3>Aims</h3><div>This review aims to synthesise evidence on the Indian population’s knowledge and perceptions of modifiable IHD risk factors and identify literature gaps.</div></div><div><h3>Methods</h3><div>Joanna Briggs Institute (JBI) methodology and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Extension for Scoping Reviews was followed. The Population, Concept, Context (PCC) framework (Indian people; knowledge and perceptions of modifiable IHD risks; Indian population globally) guided the search strategy. The database search was limited to papers published in English language from the year 2010 to 2024.</div></div><div><h3>Results</h3><div>Twenty-three studies were included. Most were conducted in India and reported low knowledge of IHD risk factors, while some international studies showed higher knowledge. Perceptions of the risk of developing IHD were low both domestically and internationally. A major misconception was the belief that individuals have no control over the progression and prevention of IHD.</div></div><div><h3>Conclusion</h3><div>This review highlights the limited knowledge and prevalent misconceptions of Indian people about the risk of IHD and the importance of modifiable risk factors. Additionally, it provides important information for nurses to consider when providing health education interventions for patients at risk of heart disease.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"32 4","pages":"Pages 266-280"},"PeriodicalIF":1.6,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144633709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nurses' perceptions of the effectiveness of handover practices, influencing factors and perceived barriers: A descriptive cross-sectional study of medical and surgical nurses","authors":"İpek Köse Tosunöz ,&nbsp;Ayşe Aydınlı","doi":"10.1016/j.colegn.2025.06.002","DOIUrl":"10.1016/j.colegn.2025.06.002","url":null,"abstract":"<div><h3>Background</h3><div>Ineffective handover may lead to patient harm.</div></div><div><h3>Aim</h3><div>The purpose of this study is to determine nurses’ perceptions of the effectiveness of the handover process and the factors that influence handover effectiveness and perceived barriers.</div></div><div><h3>Methods</h3><div>A single-centre descriptive cross-sectional design was used. The study was completed with 249 nurses working in the medical and surgical units of a city hospital in the Mediterranean region of Turkey. Data were collected with the ‘Personal Information Form’ and ‘Handover Evaluation Scale (HES)’ between July and October 2023. The generalised linear model (GLM) analysis with gamma distribution and log link function was used. The STROBE guidelines were followed in the study.</div></div><div><h3>Findings</h3><div>The HES total mean score was 56.0 ± 6.9. According to the multivariable GLM analysis, female nurses (Exp(B)=1.062), those who received handover training (Exp(B)=1.055), and those who used handover tools such as forms, inpatient lists, or records (Exp(B)=1.077) had significantly higher HES scores (<em>p</em>&lt;.05 for all). Noise, workload, and tiredness were the most frequently reported barriers to effective handover.</div></div><div><h3>Discussion</h3><div>Nurses’ perceptions of handover effectiveness were high, with a total mean score on the HES of 80% (56.0/70). Sex, receiving handover training, and using forms, records, or lists were associated with nurses’ perceptions of handover effectiveness. Noise was the most frequent negative influencing factor. The findings may be useful for further studies on the handover effectiveness and strategies to maintain and improve effectiveness.</div></div><div><h3>Conclusion</h3><div>The high perceptions of handover effectiveness are important for patient safety and care continuity. This study showed the importance of training and standardisation in handover effectiveness and the need to control factors that negatively affect the handover process.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"32 4","pages":"Pages 242-249"},"PeriodicalIF":1.6,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144633677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acute care nurses' perspectives on end-of-life dreams and visions: An interview study","authors":"Alison Hession ,&nbsp;Tim Luckett ,&nbsp;David Currow ,&nbsp;Michael Barbato","doi":"10.1016/j.colegn.2025.06.003","DOIUrl":"10.1016/j.colegn.2025.06.003","url":null,"abstract":"<div><h3>Aim</h3><div>This study aimed to explore perspectives on end-of-life dreams and visions (ELDVs) of acute care nurses with experience in caring for dying patients.</div></div><div><h3>Design</h3><div>This study used a qualitative design, with face-to-face semistructured interviews and a reflexive thematic analysis. It was conducted from November 2023 to March 2024.</div></div><div><h3>Setting/participants</h3><div>Participants were medical and surgical nurses from a 200-bed acute care hospital in metropolitan Australia.</div></div><div><h3>Findings</h3><div>Eighteen nurses participated. Five main themes were generated:<ul><li><span>1)</span><span><div>Assessment and response evolve with repeated exposure, with subthemes:<ul><li><span>−</span><span><div>Is it a delirium?,</div></span></li><li><span>−</span><span><div>To medicate or not medicate?, and</div></span></li><li><span>−</span><span><div>Moving from task-oriented to holistic care;</div></span></li></ul></div></span></li></ul><ul><li><span>2)</span><span><div>Hesitant conversations;</div></span></li><li><span>3)</span><span><div>A positive personal experience;</div></span></li><li><span>4)</span><span><div>Education and training need to better equip nurses to provide holistic end-of-life care, and</div></span></li><li><span>5)</span><span><div>The acute care setting predisposes to missed opportunities with subthemes<ul><li><span>–</span><span><div>Speed of transition from active care to end-of-life care; and</div></span></li><li><span>–</span><span><div>Competing demands on nurse time.</div></span></li></ul></div></span></li></ul></div></div><div><h3>Conclusions</h3><div>Development and feasibility of consensus-based guidelines to enable those providing end-of-life care, regardless of setting, to distinguish between an ELDV and a delirium, and practice guidelines to support patients and families, should be important inclusions to end-of-life education.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"32 4","pages":"Pages 250-257"},"PeriodicalIF":1.6,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144633678","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"“A game changer” – Educators’ and managers’ perspectives of a Clinical Practice Mentor model","authors":"Jenny Fereday ,&nbsp;Lachlan Darch ,&nbsp;Greg Sharplin ,&nbsp;Rachael Vernon ,&nbsp;Kim Neylon ,&nbsp;Gavin Pead-Ferenczi ,&nbsp;Jenny Hurley ,&nbsp;Marion Eckert","doi":"10.1016/j.colegn.2025.06.001","DOIUrl":"10.1016/j.colegn.2025.06.001","url":null,"abstract":"<div><h3>Background</h3><div>Amid a worldwide nursing and midwifery workforce shortage, recruiting and retaining graduates has become a priority in a competitive market. In 2023, to support a significant increase in graduates undertaking a Transition to Professional Practice Program, the role of the ‘Working with Wisdom’ Clinical Practice Mentor was implemented to provide clinical support across public acute and community health facilities.</div></div><div><h3>Purpose</h3><div>To explore the experience of the new Clinical Practice Mentor role with Transition Program managers and educators.</div></div><div><h3>Method</h3><div>A qualitative descriptive design was used to understand the experience of implementing and establishing the new role. Educators and managers involved in the Transition Program participated in individual interviews and focus groups. A process of inductive and deductive thematic analysis was used to analyse the interviews with managers and educators.</div></div><div><h3>Result</h3><div>Educators and managers (n = 169) participated in individual interviews and focus groups.</div><div>The most valued components of the new role were being supernumerary and working at the point of care. The role was flexible in the level of support they could provide graduates and the working hours of mentors. It was a job opportunity for experienced staff who were considering resignation or retirement. Participants highlighted the new model as an important recruitment and retention strategy for graduates and reduced pressure on senior staff often supervising a high number of less experienced staff.</div></div><div><h3>Conclusion</h3><div>The participants described that the model had set a new standard of support, and funding should continue to ensure the attraction and retention of graduates.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"32 4","pages":"Pages 235-241"},"PeriodicalIF":1.6,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144633031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Using AI to improve English language skills in health students","authors":"Jane Frost ,&nbsp;Paul Glew ,&nbsp;Irmina Nahon ,&nbsp;Thomas Bevitt ,&nbsp;Mary Bushell ,&nbsp;John Taylor","doi":"10.1016/j.colegn.2025.05.004","DOIUrl":"10.1016/j.colegn.2025.05.004","url":null,"abstract":"<div><h3>Background</h3><div>Effective communication skills are essential for patient-centred care and safety. Teaching verbal communication can be difficult and expensive. Complexity can increase when teaching students with English as an additional language (EAAL). The use of artificial intelligence (AI) in developing verbal communication is an innovative solution to a contemporary issue.</div></div><div><h3>Sample</h3><div>Six undergraduate health students from three disciplines who self-identified EAAL.</div></div><div><h3>Method</h3><div>A pre–post intervention study was conducted. The Coherence, Lexical, Grammatical, Pronunciation (CLIP) assessment was conducted pre- and post-intervention. Students completed a debrief to explore their perceptions of the intervention.</div></div><div><h3>Results</h3><div>Improved English language was noted in two criteria of the CLIP. Students reported that the intervention assisted their conversational skills; however, its effectiveness was limited as it was not human.</div></div><div><h3>Conclusion</h3><div>AI software may support students in developing conversational English skills; however, it should be used to complement, not replace, traditional teaching methods. Briefing and Debriefing should be facilitated to optimise student learning.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"32 4","pages":"Pages 228-234"},"PeriodicalIF":1.6,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144633662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Short-term and long-term post-bariatric surgery patients' challenges and sources of support: A two-stage qualitative study","authors":"Adi Finkelstein ,&nbsp;Ram M. Spira ,&nbsp;Ahuva Spitz","doi":"10.1016/j.colegn.2025.05.003","DOIUrl":"10.1016/j.colegn.2025.05.003","url":null,"abstract":"<div><h3>Background</h3><div>Bariatric surgery, while recognised as an effective intervention for morbid obesity and related comorbidities, presents significant challenges that impact patients. Despite the challenges, it is currently considered a safe and effective treatment option to treat obesity after conservative treatments have proven ineffective.</div></div><div><h3>Aim</h3><div>A qualitative phenomenology study aimed to explore the short- and long-term challenges and sources of support for patients undergoing bariatric surgery.</div></div><div><h3>Methods</h3><div>Thirteen semi-structured, open-ended interviews were conducted with patients six months post-surgery, and twelve follow-up interviews with the same cohort at two years post-surgery, employing Braun and Clarke thematic analysis guidelines.</div></div><div><h3>Findings</h3><div>Three main themes emerged. In both first- and second-stage interviews, participants expressed satisfaction with their decision to undergo bariatric surgery.</div><div>However, the conflict between the loss of appetite and the continued craving for food was a significant burden for participants, especially in social gatherings. Some participants described continuously struggling with controlling portion sizes and timing, alongside unhealthy practices such as self-induced vomiting. Participants appreciated support from healthcare professionals, family, friends, and support groups.</div></div><div><h3>Discussion</h3><div>Our study shows that bariatric surgery should be viewed as the medical component of a broader process that includes significant educational and support elements aimed at transforming unhealthy eating habits into positive, health-promoting behaviours.</div></div><div><h3>Conclusion</h3><div>Patients undergoing bariatric surgery face ongoing emotional and behavioural challenges in adapting to proper eating habits, even two years post-surgery. By offering compassionate care and continuous education, healthcare professionals, especially nurses, can empower these patients to achieve long-term optimal health outcomes and quality of life in their weight-loss journey.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"32 4","pages":"Pages 220-227"},"PeriodicalIF":1.6,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144633030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Academic support strategies for nursing students with a disability at university — An integrative review","authors":"Lucie M. Ramjan ,&nbsp;Gina Richards ,&nbsp;David Roach ,&nbsp;Belinda McGrath ,&nbsp;Peta Drury ,&nbsp;Clare Walters ,&nbsp;Manela Glarcher ,&nbsp;Ruth Crawford ,&nbsp;Peter Wall ,&nbsp;Yenna Salamonson","doi":"10.1016/j.colegn.2025.05.001","DOIUrl":"10.1016/j.colegn.2025.05.001","url":null,"abstract":"<div><h3>Background</h3><div>Nursing students with reported disabilities are increasing. Adjustments and accommodations within the classroom and clinical environment should be considered to promote inclusion and academic success.</div></div><div><h3>Aim</h3><div>To synthesise the evidence from published research on academic support structures or interventions for nursing students with a disability.</div></div><div><h3>Design</h3><div>An integrative review was undertaken.</div></div><div><h3>Methods</h3><div>A systematic search of six electronic databases (CINAHL, APA PsycINFO, Education Research Complete, ERIC, ProQuest Central, and Scopus) was undertaken from 1984 to October 2024. Nine articles met the inclusion criteria for this integrative review, with two additional papers identified by forward and backward hand-searching. The final 11 identified articles were quality appraised. The integrative review was conducted in accordance with PRISMA.</div></div><div><h3>Findings</h3><div>Results identified a range of support interventions or structures to promote inclusion and academic success. However, students and staff reported a lack of standardised guidance from universities, registration authorities, and the legislation relating to interventions and support for students with a disability. The challenges reported focused mainly on difficulties in adjusting to university tasks (e.g., writing skills) or performing their role within the clinical environment.</div></div><div><h3>Discussion</h3><div>Adjustments and accommodations should be considered to promote inclusion and academic success of nursing students with a disability. Higher education and healthcare organisations need to identify ways to support students with a disability in nursing programs. Regulatory bodies should introduce guidance to address any potential discrepancies between access to study and fitness to nursing practice.</div></div><div><h3>Conclusion</h3><div>Early identification of students with disabilities is important and needs to be centred on students’ ability rather than disability.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"32 4","pages":"Pages 195-211"},"PeriodicalIF":1.6,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144633675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of speaking-up climate on Korean nurses’ voice and silence: Focusing on nurses’ clinical career stages","authors":"Eunhee Lee ,&nbsp;Hyunjeong Kwon","doi":"10.1016/j.colegn.2025.05.002","DOIUrl":"10.1016/j.colegn.2025.05.002","url":null,"abstract":"<div><h3>Background</h3><div>Patient safety is a global concern, but healthcare setting complexity frequently causes communication failures. To improve safety, promoting nurses’ speaking-up behaviour has been considered.</div></div><div><h3>Aim</h3><div>To identify nurses’ speaking-up-related behaviour regarding patient safety, particularly focusing on nurses’ clinical career stages, and investigate the factors influencing their speaking‐up and silence</div></div><div><h3>Methods</h3><div>This cross-sectional survey, involving 359 hospital nurses from three hospitals in Korea, employed the Speaking-Up about Patient Safety Questionnaire (SUPS-Q). We conducted a multiple regression analysis to investigate factors influencing their speaking-up behaviours and silence.</div></div><div><h3>Findings</h3><div>Novice nurses, having less than one year of clinical experience, demonstrated lower speaking-up behaviour than more experienced nurses. Several nurses experienced speaking-up-related obstacles because of their uncertainty about the risk level in a given situation. Nurses with less than 3 years of clinical experience are more likely to experience uncertainty than more experienced nurses. In contrast, nurses with over five years of clinical experience more frequently reported barriers associated with the ineffectiveness of speaking‐up. Psychological safety was effective in decreasing nurses’ silence but was not significant in increasing nurses’ voices. Encouraging environments played a crucial role in improving nurses’ voice behaviour.</div></div><div><h3>Discussion</h3><div>Nurse managers and hospitals should support and encourage nurses’ speaking-up behaviour to strengthen the patient safety culture. To address career-specific barriers to speaking-up, career-tailored education and training need to be implemented.</div></div><div><h3>Conclusions</h3><div>Speaking-up is crucial for patient safety; however, nurses frequently fail to adequately express their patient safety concerns. This issue is particularly prevalent among novice nurses who hesitate to speak up. Encouraging a proactive culture empowers nurses to voice their concerns more effectively.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"32 4","pages":"Pages 212-219"},"PeriodicalIF":1.6,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144633676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Metrics used by nurse practitioners to evaluate the impact of their role: A scoping review","authors":"John Thompson ,&nbsp;Dianne Crellin ,&nbsp;Sharon Kinney ,&nbsp;Sue Matthews ,&nbsp;Marie Gerdtz","doi":"10.1016/j.colegn.2025.04.004","DOIUrl":"10.1016/j.colegn.2025.04.004","url":null,"abstract":"<div><h3>Background</h3><div>The link between the care provided by nurse practitioners and its impact on patient outcomes is not clear.</div></div><div><h3>Aim</h3><div>To identify what metrics are currently being used by nurse practitioners to evaluate their practice.</div></div><div><h3>Design</h3><div>Scoping review guided by Joanna Briggs Institute methodology.</div></div><div><h3>Methods</h3><div>The population, concept, and context framework was used to guide keyword and index terms used. Metrics used to evaluate nurse practitioner practice and methods used in quantitative and qualitative studies, published in English between 2017 and 2023, were included. A content analysis was performed to identify metrics common to all nurse practitioners.</div></div><div><h3>Data sources</h3><div>Medline, CINAHL, Embase, and the Joanna Briggs Institute Evidence-Based Practice Database were searched in July 2024. Grey literature was identified by searching Open Dissertations and Google Scholar.</div></div><div><h3>Results</h3><div>Of the 2742 articles identified, 83 met the aim of this review. Most publications originated from the United States (n=46). No studies indicated consumer involvement in study design. Data analysis of the 294 metrics identified 17 themes. All themes were aligned to Donabedian’s categories of <em>structure</em> (n=2), <em>process</em> (n=9), and <em>outcome</em> (n=6).</div></div><div><h3>Conclusions</h3><div>Nurse practitioners are evaluating their specialty practice using a variety of metrics via quality assurance and observational design where the comparator is medicine. A lack of consumer involvement in practice evaluation was noted in this review. Metrics, co-designed with consumers, that measure nurse practitioner practice regardless of specialty is lacking throughout the literature and is desperately needed.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"32 4","pages":"Pages 183-194"},"PeriodicalIF":1.6,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144633666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}