Abstract
Aim: To critically appraise and synthesise the current evidence related to the advanced practice nurse (APN) in the children and young people's healthcare setting.
Background: A complex landscape of demand and change has influenced the healthcare delivery for children and young people. In the United Kingdom and internationally,
governments have endorsed the need for workforce innovation with APN roles introduced to counter these challenges. However, little is known about the impact of these
initiatives in the context of children and young people's health care.
Design: Systematic review and narrative summary.
Data sources: CINAHL, MEDLINE, DARE, PubMed, Prospero and Cochrane Database
of Systematic Reviews were searched for studies published in English language from July
1998 to 2018. Studies were selected based on key search terms and eligibility criteria.
Review methods: The selected studies were appraised using the Effective Public
Health Practice Project for quantitative studies. An adapted version of the JBI data
extraction tool for experimental/observational studies was used to extract the relevant key findings. This was conducted independently by two researchers.
Results: Nine studies were included in the review. The review demonstrated roles
were comparable in their clinical practice to medics yet offered higher levels of
patient satisfaction, role modelling for staff and led practice initiatives to improve
health literacy.
Conclusion: This review demonstrates that APN roles in children and young people's health care provide clinical, organizational and professional benefits, with added
value to organizations and patients, acting as role models and educators.
Impact: The findings from this review indicate further research is required to ascertain contextual issues that may influence the implementation of APNs. This research
will impact APNs working with children and young people. Equally, it supports the
evidence base for service commissioners outlining areas for future research.
KEYWORDS
advanced practice nurse, children and young people, impact, narrative summary, nurse
practitioner, paediatric nurse practitioner, systematic review
Background: A complex landscape of demand and change has influenced the healthcare delivery for children and young people. In the United Kingdom and internationally,
governments have endorsed the need for workforce innovation with APN roles introduced to counter these challenges. However, little is known about the impact of these
initiatives in the context of children and young people's health care.
Design: Systematic review and narrative summary.
Data sources: CINAHL, MEDLINE, DARE, PubMed, Prospero and Cochrane Database
of Systematic Reviews were searched for studies published in English language from July
1998 to 2018. Studies were selected based on key search terms and eligibility criteria.
Review methods: The selected studies were appraised using the Effective Public
Health Practice Project for quantitative studies. An adapted version of the JBI data
extraction tool for experimental/observational studies was used to extract the relevant key findings. This was conducted independently by two researchers.
Results: Nine studies were included in the review. The review demonstrated roles
were comparable in their clinical practice to medics yet offered higher levels of
patient satisfaction, role modelling for staff and led practice initiatives to improve
health literacy.
Conclusion: This review demonstrates that APN roles in children and young people's health care provide clinical, organizational and professional benefits, with added
value to organizations and patients, acting as role models and educators.
Impact: The findings from this review indicate further research is required to ascertain contextual issues that may influence the implementation of APNs. This research
will impact APNs working with children and young people. Equally, it supports the
evidence base for service commissioners outlining areas for future research.
KEYWORDS
advanced practice nurse, children and young people, impact, narrative summary, nurse
practitioner, paediatric nurse practitioner, systematic review
| Original language | English |
|---|---|
| Pages (from-to) | 135-146 |
| Number of pages | 12 |
| Journal | Journal of Advanced Nursing |
| Volume | 76 |
| Issue number | 1 |
| Early online date | 23 Oct 2019 |
| DOIs | |
| Publication status | Published - 1 Jan 2020 |
| Externally published | Yes |
Keywords
- advanced practice nurse
- children and young people
- impact
- narrative summary
- nurse practitioner
- paediatric nurse practitioner
- systematic review
