Advanced Practice Nursing Titles and Roles in Cancer Care: A Scoping Review

IF 4.6 Q2 MATERIALS SCIENCE, BIOMATERIALS ACS Applied Bio Materials Pub Date : 2024-06-01 DOI:10.1016/j.soncn.2024.151627
Maura Dowling , Eva Pape , Franziska Geese , Ann Van Hecke , Denise Bryant-Lukosius , M. Consuelo Cerón , Paz Fernández-Ortega , Francisca Marquez-Doren , Ashleigh Ward , Cherith Semple , Tracy King , Manela Glarcher , Amanda Drury
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引用次数: 0

Abstract

Objectives

Advanced practice nursing roles in cancer care are diverse and exist across the cancer care continuum. However, the titles used and the scope of practice differ across countries. This diversity is likely to be misleading to patients and influence nurses’ contribution to health care. An understanding of the current state of advanced practice nursing roles in cancer care internationally is needed to inform opportunities for future role development and enhance cancer nursing career pathways.

Methods

This scoping review included a systematic search of four databases: MEDLINE, CINAHL, PsycINFO, and Academic Search Complete. Independent screening for papers meeting the review's inclusion criteria was undertaken using online screening software. Data extraction, coding, and mapping were undertaken in NVivo 12.

Results

Of the 13,409 records identified, 108 met the review's inclusion criteria. A variety of roles in cancer care settings were described. The United States and the United Kingdom had the most titles for advanced practice nursing roles. Tumor-specific roles were described and integrated into different phases of the cancer care continuum. Trends in continuing professional development for advanced practice nurses in cancer care included the rise in Fellowship programs in the United States and practice-based education in the United Kingdom.

Conclusions

The differences in advanced practice nursing roles in cancer care allow regional and institutional variation to meet the needs of patient populations and health care system demands. However, a lack of clarity surrounding titles and roles results in confusion and underutilization of these nurses’ highly specialized skill sets.

Implications for Nursing Practice

Incongruence in titles and scope of practice internationally will ultimately result in a merging of roles. There is a need for international agreement on education requirements for advanced practice nursing roles to promote career pathways.

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癌症护理中的高级实践护理职称和角色:范围审查。
目标:癌症护理中的高级实践护理角色多种多样,存在于整个癌症护理过程中。然而,各国使用的称谓和实践范围各不相同。这种多样性可能会误导患者,影响护士对医疗保健的贡献。我们需要了解国际上癌症护理中高级实践护理角色的现状,以便为未来的角色发展提供信息,并加强癌症护理的职业发展途径:本次范围界定综述包括对四个数据库的系统检索:方法:本范围综述包括对四个数据库的系统检索:MEDLINE、CINAHL、PsycINFO 和 Academic Search Complete。使用在线筛选软件对符合综述纳入标准的论文进行独立筛选。使用 NVivo 12 进行数据提取、编码和绘图:结果:在已确定的 13,409 条记录中,有 108 条符合综述的纳入标准。这些记录描述了癌症护理环境中的各种角色。美国和英国的高级实践护理角色最多。对特定肿瘤的角色进行了描述,并将其纳入癌症护理的不同阶段。癌症护理中高级实践护士的持续专业发展的趋势包括美国研究员计划的增加和英国以实践为基础的教育:癌症护理中高级实践护士角色的差异允许地区和机构的差异,以满足患者群体的需求和医疗保健系统的要求。然而,由于职称和角色不明确,导致这些护士的高度专业化技能组合被混淆和利用不足:对护理实践的影响:国际上职称和执业范围的不一致最终将导致角色的合并。国际社会有必要就高级实践护理角色的教育要求达成一致,以促进职业发展途径。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
ACS Applied Bio Materials
ACS Applied Bio Materials Chemistry-Chemistry (all)
CiteScore
9.40
自引率
2.10%
发文量
464
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