Advanced Practice Nursing in the Health System: evolution, acceptance and recognition

Main Article Content

Erika Rosalía Bautista-Cabañas
<p>Instituto Mexicano del Seguro Social, Coordinaci&oacute;n de Programa de Sistema de Universidad Abierta y Educaci&oacute;n a Distancia (SUAYED). Puebla, Puebla, M&eacute;xico</p>
http://orcid.org/0009-0003-6579-2184
Iván Vivar-Ríos
<p>Instituto Mexicano del Seguro Social, Unidad de Medicina Familiar No. 20, Servicio de Medicina Familiar. Ciudad de M&eacute;xico, M&eacute;xico</p><p>&nbsp;</p>
http://orcid.org/0009-0006-1222-6690
Jorge Mendoza-Rendón
<p>Universidad Popular Aut&oacute;noma del Estado de Puebla, Departamento de Ciencias de la Salud, Divisi&oacute;n de Investigaci&oacute;n. Puebla, Puebla, M&eacute;xico</p>
http://orcid.org/0000-0002-3986-8259
Máximo Alejandro García-Flores
<p>Instituto Mexicano del Seguro Social, &Oacute;rgano de Operaci&oacute;n Administrativa Desconcentrada Estatal Puebla, Coordinaci&oacute;n Auxiliar M&eacute;dica de Educaci&oacute;n en Salud. Puebla, Puebla, M&eacute;xico</p>
http://orcid.org/0000-0002-5028-9178
Israel Aguilar-Cozátl
<p>Instituto Mexicano del Seguro Social, Hospital General de Zona No. 20, Coordinaci&oacute;n Cl&iacute;nica de Educaci&oacute;n e Investigaci&oacute;n en Salud. Puebla, Puebla, M&eacute;xico</p><p>&nbsp;</p>
http://orcid.org/0000-0002-5184-0523
Gabriel Guzmán-Díaz
<p>Universidad Popular Aut&oacute;noma del Estado de Puebla, Departamento de Ciencias Biol&oacute;gicas, Divisi&oacute;n de Investigaci&oacute;n. Puebla, Puebla, M&eacute;xico</p><p>&nbsp;</p>
http://orcid.org/0009-0007-9625-9808
Socorro Méndez-Martínez
<p>Instituto Mexicano del Seguro Social, &Oacute;rgano de Operaci&oacute;n Administrativa Desconcentrada Estatal Puebla, Coordinaci&oacute;n de Planeaci&oacute;n y Enlace Institucional. Puebla, Puebla, M&eacute;xico</p>
http://orcid.org/0000-0001-7463-0580

Keywords

Advanced Practice Nursing, Primary Care Nursing, Nursing Education, Specialized Nursing, Nursing Role

Abstract

Introduction: About 5.9 millions healthcare professionals lack across the world. The Advanced Practice Nursing (APN), has specific knowledge, competences, and clinical abilities to act in medical absence, taking care from acute illness until chronic diseases, preserving both mental and physical health.   

Objective: To determine the Advanced Practice Nursing (APN) performance in the Health Sector. 

Methods:  A systematic review about APN, including reviews and original articles from the period 2013-2022 in Spanish and English, about performance: evolution, acceptance and recognition. For the identification, screening, and inclusion of the articles the PRISMA 2020 model was used. 

Results: Of 838 total identified articles, 20 articles were included from the search and 7 from other sources such as citations and other websites, obtaining 27 total articles to be reviewed, which regard the evolution, acceptance and recognition. A qualitative analysis was performed. 

Conclusions: The APN performance arose because of demands for primary health care; several countries already have APN, providing care to inhabitants through their different specialties. APN is diverse and extensive, its professionalization must be continuous and permanent. In Mexico there is still some way to go to APN to take part in the multidisciplinary team.   

Keywords: Advanced Practice Nursing; Primary Care Nursing; Nursing Education; Specialized Nursing; Nursing Role

Abstract 23 | PDF (Spanish) Downloads 29 DOI (Spanish) Downloads 0

References

  1. Cassiani SHDB, Munar Jimenez EF, Umpiérrez Ferreira A, Peduzzi M, Leija Hernández C. La situación de la enfermería en el mundo y la Región de las Américas en tiempos de la pandemia de COVID-19. Rev Panam Salud Publica [Internet]. 2020;44:e64. Disponible en: http://dx.doi.org/10.26633/RPSP.2020.64
  2. INEGI. [Counicado de Prensa Núm. 254/22].; 2022. Available from: https://www.inegi.org.mx/contenidos/saladeprensa/aproposito/2022/EAP_ENFERMERA22.pdf.
  3. Schober M, Lehwaldt D, Rogers M, Steinke M, Turale S, Pulcini J, et al. Guideline On Advanced Practice Nursing 2020 [Internet]. 2020. Disponible en: https://www.icn.ch/system/files/documents/2020-04/ICN_APN%20Report_EN_WEB.pdf
  4. Ayala RA, Pariseau-Legault P. Enfermería de práctica avanzada: praxis, políticas y profesión. Gerenc Políticas Salud [Internet]. 2021;20. Disponible en: http://dx.doi.org/10.11144/javeriana.rgps20-40.epap
  5. Kaasalainen S, Martin-Misener R, Kilpatrick K, Harbman P, Bryant-Lukosius D, Donald F, et al. A historical overview of the development of advanced practice nursing roles in Canada. Nurs Leadersh (Tor Ont) [Internet]. 2010;23 Spec No 2010:35–60. Disponible en: http://dx.doi.org/10.12927/cjnl.2010.22268
  6. OPS/OMS. OPS insta a ampliar el rol de las enfermeras en la atención primaria de salud [Internet]. Organización Panamericana de la Salud. 2018. Disponible en: https://www3.paho.org/hq/index.php?option=com_content&view=article&id=14325:paho-calls-on-the-role-of-nurses-in-primary-health-care-to-be-expanded&Itemid=0&lang=es#gsc.tab=0
  7. Ampliación del rol de las enfermeras y enfermeros en la atención primaria de salud [Internet]. Organización Panamericana de la Salud; 2018. Disponible en: http://dx.doi.org/10.37774/9789275320037  
  8. Gray A. Advanced or advancing nursing practice: what is the future direction for nursing? Br J Nurs [Internet]. 2016;25(1):8, 10, 12–3. Disponible en: http://dx.doi.org/10.12968/bjon.2016.25.1.8
  9. Encalada Campos GE, Yancha Moreta CA, Guerrero Lapo GE, Daquilema Sánchez MC, Morán Almendáriz BV. Situación de enfermería en América, frente a la pandemia Covid-19. Revista Salud y Bienestar Colectivo [Internet]. 2020;4(3). Disponible en: https://revistasaludybienestarcolectivo.com/index.php/resbic/article/view/106/103
  10. Matthews J, Whitehead P, Ward C, Kyner M, Crowder T. Florence Nightingale: Visionary for the role of clinical nurse specialist. Online J Issues Nurs [Internet]. 2020;25(2). Disponible en: http://dx.doi.org/10.3912/ojin.vol25no02man01
  11. Zychowicz ME. A day in the life: Advanced practice nurses providing care to patients with musculoskeletal conditions: Preparation, role, and impact. Nurs Clin North Am [Internet]. 2020;55(2):163–74. Disponible en: http://dx.doi.org/10.1016/j.cnur.2020.02.001
  12. Glarcher M, Lex KM. Advanced Nursing Practice in Austria under consideration of outcome measurement. Z Evid Fortbild Qual Gesundhwes [Internet]. 2020;155:11–6. Disponible en: http://dx.doi.org/10.1016/j.zefq.2020.06.012
  13. Heinen M, van Oostveen C, Peters J, Vermeulen H, Huis A. An integrative review of leadership competencies and attributes in advanced nursing practice. J Adv Nurs [Internet]. 2019;75(11):2378–92. Disponible en: http://dx.doi.org/10.1111/jan.14092
  14. Bergström P, Lindh V. Developing the role of Swedish advanced practice nurse (APN) through a blended learning master’s program: Consequences of knowledge organisation. Nurse Educ Pract [Internet]. 2018;28:196–201. Disponible en: http://dx.doi.org/10.1016/j.nepr.2017.10.030
  15. American Association of Nurse Practitioners. NPs: Rising to Meet the Needs of Patients [Internet]. 2022. Disponible en: https://storage.aanp.org/www/documents/2022_NP_Week_Resource_Guide.pdf
  16. Casey M, O’Connor L, Cashin A, Smith R, O’Brien D, Nicholson E, et al. An overview of the outcomes and impact of specialist and advanced nursing and midwifery practice, on quality of care, cost and access to services: A narrative review. Nurse Educ Today [Internet]. 2017;56:35–40. Disponible en: http://dx.doi.org/10.1016/j.nedt.2017.06.004
  17. Rubio Domínguez S. Profesionalización de Enfermería en México. Revista Mexicana de Enfermer [Internet]. 2010;18(1–2):4–6. Disponible en: https://www.medigraphic.com/pdfs/enfe/en-2010/en101_2a.pdf
  18. Monroy Rojas A, Ramírez Posada ES. La esencia de la educación en enfermería. Rev Enferm Inst Mex Seguro Soc [Internet]. 2015;23(2):61–2. Disponible en: https://www.medigraphic.com/pdfs/enfermeriaimss/eim-2015/eim152a.pdf
  19. Lee GA, Aristizabal P, Walters G, Zárate-Grajales RA, Nigenda G. Advanced practice nursing roles: A comparison between Mexico and the United Kingdom. J Nurs Regul [Internet]. 2022;13(1):27–34. Disponible en: http://dx.doi.org/10.1016/S2155-8256(22)00031-X
  20. Metropolitana UA. [Plan de Estudios]. Available from: https://consejoacademico.xoc.uam.mx/sites/default/files/archivos/DocumentacionAnexa/1_21/Punto3_1.pdf 
  21. Bryant-Lukosius D. Future leadership: Advanced practice nursing. Investig Enferm Imagen Desarro [Internet]. 2022; Disponible en: http://dx.doi.org/10.11144/javeriana.ie24.flap
  22. Torrens C, Campbell P, Hoskins G, Strachan H, Wells M, Cunningham M, et al. Barriers and facilitators to the implementation of the advanced nurse practitioner role in primary care settings: A scoping review. Int J Nurs Stud [Internet]. 2020;104(103443):103443. Disponible en: http://dx.doi.org/10.1016/j.ijnurstu.2019.103443
  23. Schober M. Desarrollo de la Enfermería de Práctica Avanzada: contexto internacional. Enferm Clín (Engl Ed) [Internet]. 2019;29(2):63–6. Disponible en: http://dx.doi.org/10.1016/j.enfcli.2018.08.002
  24. Furlong E, Smith R. Advanced nursing practice: policy, education and role development. J Clin Nurs [Internet]. 2005;14(9):1059–66. Disponible en: http://dx.doi.org/10.1111/j.1365-2702.2005.01220.x
  25. Hankins A, Palokas M, Christian R. Advanced practice nurse professional advancement programs: a scoping review protocol: A scoping review protocol. JBI Evid Synth [Internet]. 2020;18(1):108–14. Disponible en: http://dx.doi.org/10.11124/jbisrir-d-19-00020
  26. Neto JC, Santos PSP dos, Oliveira CJ de, Silva KVLG da, Oliveira JD de, Cavalcante TF. Contributions of advanced practice nursing to primary health care: A scoping review. Aquichan [Internet]. 2023;23(1):1–19. Disponible en: http://dx.doi.org/10.5294/aqui.2023.23.1.5
  27. Casey M, O’ Connor L. Advanced practice nursing: Should research be the icing on the cake? Nurs Open [Internet]. 2022;9(1):8–10. Disponible en: http://dx.doi.org/10.1002/nop2.1122
  28. Gutiérrez-Rodríguez L, García Mayor S, Cuesta Lozano D, Burgos-Fuentes E, Rodríguez-Gómez S, Sastre-Fullana P, et al. Competencias en enfermeras Especialistas y en Enfermeras de Práctica Avanzada. Enferm Clín (Engl Ed) [Internet]. 2019;29(6):328–35. Disponible en: http://dx.doi.org/10.1016/j.enfcli.2019.10.001
  29. Sánchez-Gómez MB, Ramos-Santana S, Gómez-Salgado J, Sánchez-Nicolás F, Moreno-Garriga C, Duarte-Clíments G. Benefits of advanced practice nursing for its expansion in the Spanish context. Int J Environ Res Public Health [Internet]. 2019;16(5):680. Disponible en: http://dx.doi.org/10.3390/ijerph16050680
 

 

Article Sidebar

PDF (Spanish) DOI (Spanish)
Published
December 26 2023
DOI: https://doi.org/10.24875/10372088
Issue
Vol. 32 No. 1 (2024): Enero-marzo
Section
Revisión

How to Cite

1.
Bautista-Cabañas ER, Vivar-Ríos I, Mendoza-Rendón J, García-Flores MA, Aguilar-Cozátl I, Guzmán-Díaz G, et al. Advanced Practice Nursing in the Health System: evolution, acceptance and recognition. Rev Enferm Inst Mex Seguro Soc [Internet]. 2023 Dec. 26 [cited 2025 Aug. 26];32(1):e1405. Available from: https://revistaenfermeria.imss.gob.mx/index.php/revista_enfermeria/article/view/1405