Laura Gutiérrez-Rodríguez1, Silvia García Mayor2, Daniel Cuesta Lozano3, Eva Burgos-Fuentes4, Susana Rodríguez-Gómez5, Pedro Sastre-Fullana6, Joan Ernest de Pedro-Gómez7, Juan Carlos Higuero-Macías8, Bibiana Pérez-Ardanaz9, José Miguel Morales-Asencio10. 1. Hospital Regional Universitario de Málaga, Málaga, España. 2. Departamento de Enfermería, Facultad de Ciencias de la Salud, Universidad de Málaga, Málaga, España; Instituto de Investigación Biomédica de Málaga (IBIMA), Málaga, España. 3. Facultad de Medicina y Ciencias de la Salud, Universidad de Alcalá de Henares, Alcalá de Henares, Madrid, España. 4. Institut Catalá de la Salut, Barcelona, España. 5. Estrategia de Cuidados de Andalucía, Servicio Andaluz de Salud, Consejería de Salud y Familia, Junta de Andalucía, Sevilla, España. 6. Hospital Son Llàtzer, Palma de Mallorca, España. 7. Facultat d'Infermeria i Fisioterapia, Universitat de les Illes Balears, Palma de Mallorca, España. 8. Agencia Sanitaria Costa del Sol, Marbella, Málaga, España. 9. Facultad de Ciencias de la Salud, Universidad de Granada, Granada, España. 10. 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.
Abstract
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.
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.
Authors: Laura Gutiérrez-Rodríguez; Silvia García-Mayor; Álvaro León-Campos; Alberto José Gómez-González; Bibiana Pérez-Ardanaz; Susana Rodríguez-Gómez; Marta Fajardo-Samper; Juan Carlos Morilla-Herrera; José Miguel Morales-Asencio Journal: Int J Environ Res Public Health Date: 2022-07-09 Impact factor: 4.614
Authors: María Guadalupe Casales-Hernández; Virginia Molina-Cuevas; Laura Elena Gloria-Hernández; Miguel Angel Díaz-Aguilera; Hugo Miguel Malo-Serrano Journal: Rev Panam Salud Publica Date: 2022-09-16