Benefits of Advanced Practice Nursing for Its Expansion in the Spanish Context

María Begoña Sánchez-Gómez, Sara Ramos-Santana, Juan Gómez-Salgado, Francisca Sánchez-Nicolás, Carlos Moreno-Garriga and Gonzalo Duarte-Clíments
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María Begoña Sánchez-Gómez: Nursing School Nuestra Señora de Candelaria, University of La Laguna, 38010 Santa Cruz de Tenerife, Spain
Sara Ramos-Santana: Primary Care Management of Tenerife, Canary Islands Health Service, 38200 San Cristóbal de La Laguna, Spain
Juan Gómez-Salgado: Nursing Department, University of Huelva, 21007 Huelva, Spain
Francisca Sánchez-Nicolás: Primary Care Management of Tenerife, Canary Islands Health Service, 38200 San Cristóbal de La Laguna, Spain
Carlos Moreno-Garriga: Primary Care Management of Tenerife, Canary Islands Health Service, 38200 San Cristóbal de La Laguna, Spain
Gonzalo Duarte-Clíments: Nursing School Nuestra Señora de Candelaria, University of La Laguna, 38010 Santa Cruz de Tenerife, Spain

IJERPH, 2019, vol. 16, issue 5, 1-15

Abstract: The objective of this study is to describe the impact of the Advanced Practice Nurse role on the clinical practice and patient benefit, as well as to provide reasons for its implementation and expansion in Spain. Through the scoping review method, this study has been carried out according to five thematic blocks: life quality, cost-effectiveness, health results, satisfaction, and accessibility. The critical appraisal was performed with the Critical Appraisal Skills Programme (CASP) tool and the level of evidence and strength of recommendation have been analysed following the Oxford Centre for Evidence-Based Medicine (OCEBM) system. The results show that it is possible to formally implement advanced practice nursing in the Spanish context. The analysis of the Spanish regulatory framework reveals that the generalisation of the Case Manager Nurse is the starting point for the development of advanced practice nursing in Spain. This implementation would have a positive impact on patients in terms of health results, satisfaction, and life quality, given that the advanced practice nurse performs a more effective follow-up of chronic patients with a better control of risk factors, symptoms and health outcomes, and an earlier detection of complications. Considering these results, regional governments should promote the role of the Advanced Practice Nurse to contribute to its expansion.

Keywords: advanced practice nursing; evidence-based practice; managed care; nursing practice; quality of care; research utilisation (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2019
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (3)

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