Competences of specialist nurses and advanced practice nurses.

Autor: Gutiérrez-Rodríguez L; Hospital Regional Universitario de Málaga, Málaga, España., García Mayor S; Departamento de Enfermería, Facultad de Ciencias de la Salud, Universidad de Málaga, Málaga, España; Instituto de Investigación Biomédica de Málaga (IBIMA), Málaga, España., Cuesta Lozano D; Facultad de Medicina y Ciencias de la Salud, Universidad de Alcalá de Henares, Alcalá de Henares, Madrid, España., Burgos-Fuentes E; Institut Catalá de la Salut, Barcelona, España., Rodríguez-Gómez S; Estrategia de Cuidados de Andalucía, Servicio Andaluz de Salud, Consejería de Salud y Familia, Junta de Andalucía, Sevilla, España., Sastre-Fullana P; Hospital Son Llàtzer, Palma de Mallorca, España., de Pedro-Gómez JE; Facultat d'Infermeria i Fisioterapia, Universitat de les Illes Balears, Palma de Mallorca, España., Higuero-Macías JC; Agencia Sanitaria Costa del Sol, Marbella, Málaga, España., Pérez-Ardanaz B; Facultad de Ciencias de la Salud, Universidad de Granada, Granada, España., Morales-Asencio JM; Departamento de Enfermería, Facultad de Ciencias de la Salud, Universidad de Málaga, Málaga, España; Instituto de Investigación Biomédica de Málaga (IBIMA), Málaga, España. Electronic address: jmmasen@uma.es.
Jazyk: English; Spanish; Castilian
Zdroj: Enfermeria clinica (English Edition) [Enferm Clin (Engl Ed)] 2019 Nov - Dec; Vol. 29 (6), pp. 328-335. Date of Electronic Publication: 2019 Oct 19.
DOI: 10.1016/j.enfcli.2019.10.001
Abstrakt: Objective: To analyse the distribution of advanced competences in specialist nurses and advanced practice nurses and to evaluate their association with some characteristics of their professional profile.
Method: Multicentre analytical cross-sectional study. Nurses who worked as advanced practice nurses and specialist nurses were included. Their level of perceived advanced competences was measured, as well as sociodemographic and professional characterization variables.
Results: A total of 277 nurses participated (149 practised as advanced practice nurses and 128 as specialists), with an average of 13.88 (11.05) years as a specialist and 10.48 (5.32) years as an advanced practice nurse. In the sample, 28.8% had a master's or doctorate level qualification, 50.2% worked in Primary Care, 24.9% in hospitals and 22.7% in Mental Health. The self-perceived global level was high in the different competences, the lowest dimensions being research, evidence-based practice, quality and safety management and leadership and consulting. The advanced practice nurses obtained a higher level of competence globally and in the dimensions of leadership and consulting, interprofessional relations, care management, and health promotion. There were no differences based on experience or possession of a master's degree or doctorate. In the advanced practice nurses, the practice context did not influence competence levels, although in the specialist nurses it did, in favour of those practicing in Mental Health.
Conclusions: Specialist and advanced practice nurses have different competences that should be adequately managed for the development of advanced and specialist nursing services.
(Copyright © 2019 Elsevier España, S.L.U. All rights reserved.)
Databáze: MEDLINE
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