确定景观和贡献的高级护士从业人员在支持医疗保健提供在爱尔兰在21世纪：综合审查

IF 3.1 Q1 NURSING

International Journal of Nursing Studies Advances Pub Date : 2025-01-30 DOI:10.1016/j.ijnsa.2025.100304

Owen Doody , Margaret Graham , Orla Hegarty , Anne Marie Sloane , Pauline Walsh , Mary Synnott , Mary Russell , Trudy Dunworth , Jill Sheridan , Louise Murphy

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引用次数: 0

摘要

在爱尔兰，自2001年以来，高级执业护士的作用得到了显著发展。这种演变源于人们日益认识到需要高技能的护理专业人员来解决复杂的医疗保健需求并改善患者的治疗效果。目的探讨爱尔兰高级护士从业人员对医疗保健服务的影响。设计系统检索与护理卫生相关的8个学术数据库（CINAHL、Embase、PsycINFO、Scopus、Medline和academic search Complete、Cochrane、Web of Science）。参与者：提供护理的高级执业护士。方法对8个预设的学术数据库进行系统检索，由2名审稿人根据纳入标准对每项研究进行筛选。对符合纳入标准的论文的参考文献列表（后向链）和引文（前向链）进行额外的手工检索。利用混合方法评估工具和灰色文献评估的权威、准确性、覆盖率、客观性、日期、重要性清单，提取每篇论文的方法学细节，并对其质量和严谨性进行评估。将数据映射并分析到高级护士执业实践的六个领域，并根据系统评价和荟萃分析指南的首选报告项目进行报告。结果本综述中包含的所有论文跨越了近20年。共有45篇论文符合纳入标准：定量（n = 11）、定性（n = 15）、混合方法（n = 4）和讨论/临床病例（n = 15）。爱尔兰的高级护士从业人员对管理和团队能力、临床决策、领导力和专业奖学金、专业价值观和行为、沟通和人际关系能力、知识和认知能力领域产生了重大影响。爱尔兰的高级护士从业人员通过专业知识，协调和以患者为中心的方法提高医疗保健成果，强调他们在医疗保健服务和系统改进中的关键作用。结论高级护师在加强患者护理、改善管理和团队协作、促进专业学习等方面发挥了积极作用。这些见解为未来的研究和政策制定提供了基础，以优化高级护士执业者的作用。

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Identifying the landscape and contribution of advanced nurse practitioners in supporting healthcare provision in Ireland in the 21st century: An integrative review

Background

In Ireland the role of advanced nurse practitioner has developed significantly since 2001. This evolution is rooted in the growing recognition of the need for highly skilled nursing professionals to address complex healthcare demands and improve patient outcomes.

Objective

To scope the landscape and identify the effect of advanced nurse practitioners on healthcare provision in Ireland.

Design

A systematic search of eight academic databases (CINAHL, Embase, PsycINFO, Scopus, Medline and Academic Search Complete, Cochrane, Web of Science) relevant to nursing and health care were performed.

Setting(s)

Nursing care environment.

Participants

Advanced nurse practitioners delivering care.

Methods

A pre-defined systematic search of eight academic databases was conducted, and two reviewers screened each study against the inclusion criteria. Additional hand-searching of the reference lists (backward chaining) and citations (forward chaining) of papers that met the inclusion criteria was conducted. The methodological details of each paper were extracted and assessed for quality and rigour utilising the Mixed Methods Appraisal Tool and the Authority, Accuracy, Coverage, Objectivity, Date, Significance checklist for appraising grey literature. Data were mapped and analysed onto the six domains of advanced nurse practitioner practice, and the review was reported in line with Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines.

Results

All papers included in this review spanned across the last 20 years. In total, 45 papers met the inclusion criteria: quantitative (n = 11), qualitative (n = 15), mixed methods (n = 4), and discussion/clinical cases (n = 15) papers. Advanced nurse practitioners in Ireland contribute substantial impacts on management and team competence, clinical-decision making, leadership and professional scholarship, professional values and conduct, communication and interpersonal competence, and knowledge and cognitive competence domains. Advanced nurse practitioners in Ireland enhance healthcare outcomes through expertise, coordination, and patient-centred approaches, emphasising their critical role in healthcare delivery and system improvements.

Conclusions

We have highlighted the active role advanced nurse practitioners play in enhancing patient care, improving management and team coordination, and advancing professional scholarship. These insights have provided a foundation for future research and policy development to optimise the advanced nurse practitioner role.

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来源期刊

International Journal of Nursing Studies Advances Nursing-General Nursing

CiteScore

5.80

自引率

0.00%

发文量

审稿时长

81 days