ArticleInternational journal of nursing sciences2021
Examining advanced nursing practice in Hong Kong and Guangzhou.
Article in International journal of nursing sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05864339 (Efficacy of a Designed Empathy Course During Smoking Cessation Counseling Training for Nursing Students), which is not on this map. Cited by 7 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Efficacy of a Designed Empathy Course During Smoking Cessation Counseling Training for Nursing Students: A Randomized Controlled Trial
Who cites it
7 citing papers in PubMed, 9 citations in OpenAlex.
- 'Navigating the uncharted waters'- Transition experiences of novice advanced practice nurses in China: a descriptive phenomenological study.BMC nursing · 2026Article
- From 'quarterback' to 'coach': the policy implications of family physicians' evolving role in team-based care.BMC primary care · 2026Article
- Identifying High-Performance Advanced Practice Profile of Specialist Nurses in Mainland China: A Mixed-Methods Sequential Explanatory Study.Journal of nursing management · 2026Article
- Bridging the gap: a qualitative study of role ambiguity, educational misalignment, and systemic barriers in China's advanced practice nurse training.BMC nursing · 2025Article
- Pathway analysis of nursing interns' professional benefit perception and influencing factors: a cross-sectional study.Frontiers in medicine · 2025Article
- Impact of the COVID-19 pandemic on clinical care and patient-focused outcomes of advanced nursing practice: A cross-sectional study.PloS one · 2024Article
- Advanced practice role delineation within Hong Kong: A cross-sectional study.Nursing & health sciences · 2022Article
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThere were studies evaluating advanced nursing practice independently in the mainland and Hong Kong Special Administrative Region of China, but there was no attempt to make a comparison of practice between them. This study employed a case study method to examine and compare advanced nursing practice in Hong Kong and Guangzhou.
methodPurposive sampling method was used to recruit 24 advanced practice nurses (APN) who came from the specialty of medical, surgical and pediatric in Hong Kong and Guangzhou. A questionnaire survey and semi-structured interview were conducted to solicit quantitative and qualitative data for exploring the structure-process-outcome of advanced nursing practice. The structure component explored the factors influencing advanced nursing practice. The process part examined APN role components and illustrations of exemplary advanced nursing practice. The outcomes described outcome indicators that best reflected advanced nursing practice.
findingsFindings revealed that in the structure domain, APN education and career development, team approach in healthcare, and support from management, physicians and professional associations were important contextual factors for APN development in both cities. For the process domain, participants had at least 80% of their time practicing independently/interdependently and were engaged in APN activities including direct/indirect patient care, research/project work, initiation of staff and patient protocols. All participants demonstrated competencies with impacts on patient, service and profession in their description of exemplary practice. Participants from both cities ranked patient-related outcomes as top indicators for their advanced nursing practice.
conclusionThis study has revealed that APNs in Guangzhou and Hong Kong shared similar work involvement and impacts and their demonstrated competencies were on par with international counterparts. Continued efforts need to be put in establishing formal APN education, clear clinical career pathway and title protection to empower nurses to provide optimal care to the fullest extent that they are prepared for.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.