Evidence map›Paper›PMID 39831576›Full record

ArticleJournal of clinical nursing2025

Development and Validation of the Family and Community Nursing Advanced Practice Scale.

John Unsworth, Crystal Oldman, Joanne Atkinson, Dania Comparcini, Valentina Simonetti, Giancarlo Cicolini, Kristina Mikkonen, Marco Tomietto

Abstract readValidation Study
In one paragraph

Article in Journal of clinical nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

John UnsworthDepartment of Nursing, Midwifery and Health, Faculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne, UK.ORCID 0000-0002-4150-6513
Crystal OldmanThe Queen's Nursing Institute, London, UK.ORCID 0000-0001-7135-658X
Joanne AtkinsonDepartment of Social Work, Education and Community Wellbeing, Faculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne, UK.ORCID 0000-0003-0823-0110
Dania ComparciniSection of Nursing, Interdisciplinary Department of Medicine, "Aldo Moro" University of Bari, Bari, Italy.ORCID 0000-0003-3622-6370
Valentina SimonettiDepartment of Innovative Technologies in Medicine & Dentistry, "G.d'Annunzio" University of Chieti, Pescara, Italy.ORCID 0000-0002-7185-4850
Giancarlo CicoliniDepartment of Nursing, Midwifery and Health, Faculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne, UK.ORCID 0000-0002-2736-1792
Kristina MikkonenDepartment of Nursing, Midwifery and Health, Faculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne, UK.ORCID 0000-0002-4355-3428
Marco TomiettoDepartment of Nursing, Midwifery and Health, Faculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne, UK.ORCID 0000-0002-3813-1490

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo develop and test a Family and Community Nursing-Advanced Practice Scale.

designA cross-sectional and methodological scale validation design, following classical test theory.

methodsThree phases, the first of which involved scale development, including item generation. Phase two assessed the content validity index. The third phase involved a cross-sectional survey to establish construct validity, content validity, internal consistency reliability, and exploratory factor analysis.

resultsThe Family and Community Nursing Advanced Practice Scale has good construct validity, with the final scale consisting of 5 domains and 27 items. This was confirmed by both the exploratory and confirmatory factor analysis. The Cronbach's Alpha is very good, suggesting that the scale is reliable. When comparing family practice advanced practice nurses with those working in the community, the results show that scores are similar except for clinical reasoning and health promotion, which consistently showed statistically significant higher scores among the family practice nurses. While community nurses scored higher on items in the leading practice domain reflecting their role in a wider team of nurses.

conclusionThis study developed and psychometrically tested the Family and Community Nursing-Advanced Practice Scale. The scale has good reliability, and analysis of the construct validity reveals five domains of advanced practice among this practitioner group. IMPLICATIONS FOR THE PROFESSION: The study suggests that advanced practice nurses working in community roles perform similar activities to those working in family practice in the United Kingdom. However, activity related to research was less evident. IMPACT: The study examined the scope of the advanced practice nurse role in family and community nursing. The study illustrated practice across five domains: clinical care, leading practice, clinical reasoning, health promotion, and ethics. The family practice and wider community roles were largely homogenous, with only two items showing a statistically significant difference in scores. REPORTING

methodSTROBE guidelines for cross-sectional studies. PATIENT OR PUBLIC CONTRIBUTION: No patient or public contribution.

Indexed as

Advanced Practice NursingCommunity Health NursingFamily NursingAdultCross-Sectional StudiesFemaleHumansMaleMiddle AgedPsychometricsReproducibility of ResultsSurveys and Questionnairesadvanced practice nursingcommunityfamily nursingrolesscope of practice

Identifiers

PMID39831576
PMCPMC12409209

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.