Impact, scope of practice and competencies of Advanced Practice Nurses within APN-led models of care for young and middle-aged adult patients with multimorbidity and/or complex chronic conditions in hospital settings: a scoping review protocol
IntroductionThe increase of young and middle-aged adult patients with multimorbid and/or complex chronic conditions has created new challenges for healthcare systems and services. Advanced Practice Nurses (APNs) play an essential role in treating these patients because of their expertise and advance...
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Published in | BMJ open Vol. 13; no. 10; p. e077335 |
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Main Authors | , , , |
Format | Journal Article |
Language | English |
Published |
London
British Medical Journal Publishing Group
31.10.2023
BMJ Publishing Group LTD BMJ Publishing Group |
Series | Protocol |
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Abstract | IntroductionThe increase of young and middle-aged adult patients with multimorbid and/or complex chronic conditions has created new challenges for healthcare systems and services. Advanced Practice Nurses (APNs) play an essential role in treating these patients because of their expertise and advanced nursing skills. Little is known about competencies, scope of practice and impact of APNs within APN-led care models for young and middle-aged adult patients with multimorbidity and/or complex chronic conditions in hospital settings. The objective of this scoping review is to describe the impact, scope of practice and competencies of APNs within APN-led care models for young and middle-aged adult patients in hospital settings.Methods and analysisThis scoping review will be conducted using the methodological framework proffered by Arksey and O'Malley, incorporating the methodological enhancement of Levac et al. It will comply with the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) for Scoping Reviews’ guidelines of Tricco et al. Systematic research will be conducted in the databases MEDLINE (PubMed), CINAHL (EBSCO), EMBASE (Ovid), CENTRAL and PsycINFO (Ovid) using all recognised keywords, index terms and search strings. Grey literature will be scanned. Bibliography of all selected studies will be hand searched. Studies will be selected based on defined inclusion and exclusion criteria, screened by title and abstracts. Data from full-text articles meeting the inclusion criteria will be extracted independently by two authors. Disagreements in evaluation will be discussed and resolved by consensus. Results will be reported in the form of descriptive tables. Narrative summery is used to present the results of the review in the context of the study’s objectives and questions.Ethics and disseminationThis scoping review does not require ethics approval. The review will be handed in as part of a doctoral thesis and published in a peer-reviewed journal.Trial registration number OSF4PM38. |
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AbstractList | Introduction
The increase of young and middle-aged adult patients with multimorbid and/or complex chronic conditions has created new challenges for healthcare systems and services. Advanced Practice Nurses (APNs) play an essential role in treating these patients because of their expertise and advanced nursing skills. Little is known about competencies, scope of practice and impact of APNs within APN-led care models for young and middle-aged adult patients with multimorbidity and/or complex chronic conditions in hospital settings. The objective of this scoping review is to describe the impact, scope of practice and competencies of APNs within APN-led care models for young and middle-aged adult patients in hospital settings.
Methods and analysis
This scoping review will be conducted using the methodological framework proffered by Arksey and O'Malley, incorporating the methodological enhancement of Levac
et al
. It will comply with the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) for Scoping Reviews’ guidelines of Tricco
et al
. Systematic research will be conducted in the databases MEDLINE (PubMed), CINAHL (EBSCO), EMBASE (Ovid), CENTRAL and PsycINFO (Ovid) using all recognised keywords, index terms and search strings. Grey literature will be scanned. Bibliography of all selected studies will be hand searched. Studies will be selected based on defined inclusion and exclusion criteria, screened by title and abstracts. Data from full-text articles meeting the inclusion criteria will be extracted independently by two authors. Disagreements in evaluation will be discussed and resolved by consensus. Results will be reported in the form of descriptive tables. Narrative summery is used to present the results of the review in the context of the study’s objectives and questions.
Ethics and dissemination
This scoping review does not require ethics approval. The review will be handed in as part of a doctoral thesis and published in a peer-reviewed journal.
Trial registration number OSF
4PM38. Introduction The increase of young and middle-aged adult patients with multimorbid and/or complex chronic conditions has created new challenges for healthcare systems and services. Advanced Practice Nurses (APNs) play an essential role in treating these patients because of their expertise and advanced nursing skills. Little is known about competencies, scope of practice and impact of APNs within APN-led care models for young and middle-aged adult patients with multimorbidity and/or complex chronic conditions in hospital settings. The objective of this scoping review is to describe the impact, scope of practice and competencies of APNs within APN-led care models for young and middle-aged adult patients in hospital settings.Methods and analysis This scoping review will be conducted using the methodological framework proffered by Arksey and O'Malley, incorporating the methodological enhancement of Levac et al. It will comply with the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) for Scoping Reviews’ guidelines of Tricco et al. Systematic research will be conducted in the databases MEDLINE (PubMed), CINAHL (EBSCO), EMBASE (Ovid), CENTRAL and PsycINFO (Ovid) using all recognised keywords, index terms and search strings. Grey literature will be scanned. Bibliography of all selected studies will be hand searched. Studies will be selected based on defined inclusion and exclusion criteria, screened by title and abstracts. Data from full-text articles meeting the inclusion criteria will be extracted independently by two authors. Disagreements in evaluation will be discussed and resolved by consensus. Results will be reported in the form of descriptive tables. Narrative summery is used to present the results of the review in the context of the study’s objectives and questions.Ethics and dissemination This scoping review does not require ethics approval. The review will be handed in as part of a doctoral thesis and published in a peer-reviewed journal.Trial registration number OSF 4PM38. INTRODUCTIONThe increase of young and middle-aged adult patients with multimorbid and/or complex chronic conditions has created new challenges for healthcare systems and services. Advanced Practice Nurses (APNs) play an essential role in treating these patients because of their expertise and advanced nursing skills. Little is known about competencies, scope of practice and impact of APNs within APN-led care models for young and middle-aged adult patients with multimorbidity and/or complex chronic conditions in hospital settings. The objective of this scoping review is to describe the impact, scope of practice and competencies of APNs within APN-led care models for young and middle-aged adult patients in hospital settings.METHODS AND ANALYSISThis scoping review will be conducted using the methodological framework proffered by Arksey and O'Malley, incorporating the methodological enhancement of Levac et al. It will comply with the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) for Scoping Reviews' guidelines of Tricco et al. Systematic research will be conducted in the databases MEDLINE (PubMed), CINAHL (EBSCO), EMBASE (Ovid), CENTRAL and PsycINFO (Ovid) using all recognised keywords, index terms and search strings. Grey literature will be scanned. Bibliography of all selected studies will be hand searched. Studies will be selected based on defined inclusion and exclusion criteria, screened by title and abstracts. Data from full-text articles meeting the inclusion criteria will be extracted independently by two authors. Disagreements in evaluation will be discussed and resolved by consensus. Results will be reported in the form of descriptive tables. Narrative summery is used to present the results of the review in the context of the study's objectives and questions.ETHICS AND DISSEMINATIONThis scoping review does not require ethics approval. The review will be handed in as part of a doctoral thesis and published in a peer-reviewed journal.TRIAL REGISTRATION NUMBER OSF4PM38. |
Author | Kressig, Reto W Hasemann, Wolfgang Bales, Gabriele Mayer, Hanna |
AuthorAffiliation | 1 University Department of Geriatric Medicine , FELIX PLATTER , Basel , Switzerland 4 Department of General Health Studies, Division Nursing Science with focus on Person-Centered-Care-Research , Karl Landsteiner University of Health Sciences , Krems , Austria 2 Faculty of Social Sciences, Department of Nursing Science , University of Vienna , Vienna , Austria 3 Medical Faculty , University of Basel , Basel , Switzerland |
AuthorAffiliation_xml | – name: 4 Department of General Health Studies, Division Nursing Science with focus on Person-Centered-Care-Research , Karl Landsteiner University of Health Sciences , Krems , Austria – name: 2 Faculty of Social Sciences, Department of Nursing Science , University of Vienna , Vienna , Austria – name: 3 Medical Faculty , University of Basel , Basel , Switzerland – name: 1 University Department of Geriatric Medicine , FELIX PLATTER , Basel , Switzerland |
Author_xml | – sequence: 1 givenname: Gabriele orcidid: 0000-0001-9190-191X surname: Bales fullname: Bales, Gabriele email: gabriele.bales@felixplatter.ch organization: Faculty of Social Sciences, Department of Nursing Science, University of Vienna, Vienna, Austria – sequence: 2 givenname: Wolfgang surname: Hasemann fullname: Hasemann, Wolfgang organization: University Department of Geriatric Medicine, FELIX PLATTER, Basel, Switzerland – sequence: 3 givenname: Reto W surname: Kressig fullname: Kressig, Reto W organization: Medical Faculty, University of Basel, Basel, Switzerland – sequence: 4 givenname: Hanna surname: Mayer fullname: Mayer, Hanna organization: Department of General Health Studies, Division Nursing Science with focus on Person-Centered-Care-Research, Karl Landsteiner University of Health Sciences, Krems, Austria |
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Struckmann – volume: 78 start-page: 3930 year: 2022 ident: 2023103110551846000_13.10.e077335.54 article-title: A Mixed‐Methods systematic review of Nurse‐Led interventions for people with Multimorbidity publication-title: J Adv Nurs doi: 10.1111/jan.15427 contributor: fullname: McParland – ident: 2023103110551846000_13.10.e077335.17 doi: 10.1016/S0895-4356(00)00363-2 – ident: 2023103110551846000_13.10.e077335.11 – ident: 2023103110551846000_13.10.e077335.16 doi: 10.3399/bjgp12X636146 – ident: 2023103110551846000_13.10.e077335.42 – volume: 30 start-page: 1960 year: 2022 ident: 2023103110551846000_13.10.e077335.53 article-title: Nurse‐Led care management models for patients with Multimorbidity in hospital settings: A Scoping review publication-title: J Nurs Manag doi: 10.1111/jonm.13621 contributor: fullname: Gonçalves – volume: 2 start-page: 1 year: 2012 ident: 2023103110551846000_13.10.e077335.23 article-title: A Scoping review and thematic classification of patient complexity: offering a unifying framework publication-title: J Comorb doi: 10.15256/joc.2012.2.15 contributor: fullname: Schaink – volume: 77 start-page: 2166 year: 2021 ident: 2023103110551846000_13.10.e077335.50 article-title: Exploring the roles of advanced practice nurses in the care of patients following fragility hip fracture: A systematic review publication-title: J Adv Nurs doi: 10.1111/jan.14692 contributor: fullname: Allsop – volume: 10 start-page: 2235042X19900451 year: 2020 ident: 2023103110551846000_13.10.e077335.5 article-title: An integrated hospital-to-home transitional care intervention for older adults with stroke and Multimorbidity: A feasibility study publication-title: J Comorb doi: 10.1177/2235042X19900451 contributor: fullname: Markle-Reid |
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Snippet | IntroductionThe increase of young and middle-aged adult patients with multimorbid and/or complex chronic conditions has created new challenges for healthcare... Introduction The increase of young and middle-aged adult patients with multimorbid and/or complex chronic conditions has created new challenges for healthcare... INTRODUCTIONThe increase of young and middle-aged adult patients with multimorbid and/or complex chronic conditions has created new challenges for healthcare... Introduction The increase of young and middle-aged adult patients with multimorbid and/or complex chronic conditions has created new challenges for healthcare... |
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SubjectTerms | Adults Advanced practice nurses Chronic illnesses Clinical medicine Collaboration Comorbidity Evidence-based nursing Hospitals Integrated delivery systems Knowledge literature Mental health Middle age Nursing nursing care Older people Oncology Patients Roles Scope of practice Socioeconomic factors |
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Title | Impact, scope of practice and competencies of Advanced Practice Nurses within APN-led models of care for young and middle-aged adult patients with multimorbidity and/or complex chronic conditions in hospital settings: a scoping review protocol |
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