Denise Bryant-Lukosius1, Elisabeth Spichiger2, Jacqueline Martin3, Hansruedi Stoll4, Sabine Degen Kellerhals5, Monica Fliedner6, Florian Grossmann7, Morag Henry8, Luzia Herrmann9, Antje Koller10, René Schwendimann11, Anja Ulrich12, Lukas Weibel13, Betty Callens14, Sabina De Geest15. 1. Associate Professor, School of Nursing and Department of Oncology, Co-Director, Canadian Centre for Advanced Practice Nursing Research, McMaster University, Canada. 2. Scientific Collaborator, Department of Nursing Development, Directorate of Nursing, Medical-Technical and Medical-Therapeutical Areas, Bern University Hospital and Lecturer, Institute of Nursing Science, University Basel, Switzerland. 3. Executive Head, Department of Nursing and Allied Health Professions, University Hospital Basel, Basel, Switzerland. 4. Clinical Nurse Specialist, Cancer Care, University Hospital Basel, Basel, Switzerland. 5. Advanced Practice Nurse, Haematology Care, University Hospital Basel, Basel, Switzerland. 6. Advanced Practice Nurse, Palliative Care, Co-Director of the University Centre for Palliative Care and Scientific Collaborator, Department of Nursing Development, Directorate of Nursing, Medical-Technical and Medical-Therapeutical Areas, Inselspital Bern University Hospital, Bern, Switzerland. 7. Clinical Nurse Specialist, Emergency Department, University Hospital Basel, Basel, Switzerland. 8. Nurse Practitioner, Program Leader, Institute of Nursing Science, Faculty of Medicine, University of Basel, Basel, Switzerland. 9. Head of Nursing Development, Directorate of Nursing, Medical-Technical and Medical-Therapeutical Areas, Inselspital Bern University Hospital, Basel, Switzerland. 10. Advanced Practice Nurse, Departments of Internal Medicine and Palliative Care, Medical Center, University of Freiburg, Freiburg, Germany. 11. Director of Education, Institute of Nursing Science, Faculty of Medicine, University of Basel, Basel, Switzerland. 12. Clinical Nurse Specialist, Geriatric Care, Head of Nursing, Department of Medicine, University Hospital Basel, Basel, Switzerland. 13. Clinical Nurse Specialist, Cardiology Care, University Hospital Basel, Basel, Switzerland. 14. Nurse Practitioner, Family Medicine Center at California Hospital, Los Angeles, CA, USA. 15. Professor and Director of the Institute of Nursing Science, Faculty of Medicine, University of Basel, Basel, Switzerland and Professor, Academic Centre for Nursing and Midwifery, Faculty of Medicine, KU Leuven, Leuven, Belgium.
Abstract
PURPOSE: To address the gap in evidence-based information required to support the development of advanced practice nursing (APN) roles in Switzerland, stakeholders identified the need for guidance to generate strategic evaluation data. This article describes an evaluation framework developed to inform decisions about the effective utilization of APN roles across the country. APPROACH: A participatory approach was used by an international group of stakeholders. Published literature and an evidenced-based framework for introducing APN roles were analyzed and applied to define the purpose, target audiences, and essential elements of the evaluation framework. Through subsequent meetings and review by an expert panel, the framework was developed and refined. FINDINGS: A framework to evaluate different types of APN roles as they evolve to meet dynamic population health, practice setting, and health system needs was created. It includes a matrix of key concepts to guide evaluations across three stages of APN role development: introduction, implementation, and long-term sustainability. For each stage, evaluation objectives and questions examining APN role structures, processes, and outcomes from different perspectives (e.g., patients, providers, managers, policy-makers) were identified. CONCLUSIONS: A practical, robust framework based on well-established evaluation concepts and current understanding of APN roles can be used to conduct systematic evaluations. CLINICAL RELEVANCE: The evaluation framework is sufficiently generic to allow application in developed countries globally, both for evaluation as well as research purposes.
PURPOSE: To address the gap in evidence-based information required to support the development of advanced practice nursing (APN) roles in Switzerland, stakeholders identified the need for guidance to generate strategic evaluation data. This article describes an evaluation framework developed to inform decisions about the effective utilization of APN roles across the country. APPROACH: A participatory approach was used by an international group of stakeholders. Published literature and an evidenced-based framework for introducing APN roles were analyzed and applied to define the purpose, target audiences, and essential elements of the evaluation framework. Through subsequent meetings and review by an expert panel, the framework was developed and refined. FINDINGS: A framework to evaluate different types of APN roles as they evolve to meet dynamic population health, practice setting, and health system needs was created. It includes a matrix of key concepts to guide evaluations across three stages of APN role development: introduction, implementation, and long-term sustainability. For each stage, evaluation objectives and questions examining APN role structures, processes, and outcomes from different perspectives (e.g., patients, providers, managers, policy-makers) were identified. CONCLUSIONS: A practical, robust framework based on well-established evaluation concepts and current understanding of APN roles can be used to conduct systematic evaluations. CLINICAL RELEVANCE: The evaluation framework is sufficiently generic to allow application in developed countries globally, both for evaluation as well as research purposes.
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