Experience of being an advanced practice nurse within Australian acute care settings: A systematic review of qualitative evidence

Journal article


Ramis, Mary-Anne, Wu, Chiung-jung and Pearson, Alan. (2013) Experience of being an advanced practice nurse within Australian acute care settings: A systematic review of qualitative evidence. International Journal of Evidence-Based Healthcare. 11(3), pp. 161 - 180. https://doi.org/10.1111/1744-1609.12029
AuthorsRamis, Mary-Anne, Wu, Chiung-jung and Pearson, Alan
Abstract

Background Nationally and internationally, advanced practice nurses are working under various titles and in different contexts to address gaps within healthcare systems. Analysis of advanced practice roles in different countries has been undertaken, but due to variations in cultural, geographical and professional factors, it is difficult and perhaps ineffectual to compare roles between countries. Contextual factors may also affect the actual experience of being an advanced practice nurse. A systematic review was therefore undertaken of qualitative evidence on the experience of being an advanced practice nurse in Australia, to provide deeper understanding of the role in the defined context. Methods The review followed the method for qualitative synthesis as per the Joanna Briggs Institute. An extensive search was undertaken of databases and online resources to find published and unpublished studies. Papers from 1990 to October 2011 which met specified inclusion criteria were appraised using the Joanna Briggs Institute Qualitative Assessment and Review Instrument. Results Three published studies and one unpublished dissertation were included in the review. From these studies, 216 findings were extracted and these were formed into 18 categories. Six meta-syntheses grouped under the headings of expert knowledge, confidence, education, relationships, negative experiences and patient-centred experience were created. Organisational factors impact greatly on the experience, professionally and personally. Conclusions Heterogeneity of role titles makes synthesis a difficult process, but contextualising the population provides a pragmatic approach to informing the status of the advanced practice nurse discourse. The review identifies positive and negative experiences of being an advanced practice nurse in Aust

Keywordsadvanced practice; Australia; clinical nurse consultant; clinical nurse specialist; nurse practitioner; qualitative synthesis.
Year2013
JournalInternational Journal of Evidence-Based Healthcare
Journal citation11 (3), pp. 161 - 180
PublisherBlackwell Publishing Asia
ISSN1744-1595
Digital Object Identifier (DOI)https://doi.org/10.1111/1744-1609.12029
Scopus EID2-s2.0-84883392708
Page range161 - 180
Research GroupSchool of Nursing, Midwifery and Paramedicine
Publisher's version
File Access Level
Controlled
Place of publicationAustralia
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