ArticleBMJ open2025
Scope of practice, competencies and impact of advanced practice nurses within APN-led models of care for young and middle-aged adult patients with multimorbidity and/or complex chronic conditions in hospital settings: a scoping review.
Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The Patient's Voice in Advanced Practice Nursing: A Qualitative Systematic Review of Lived Experiences.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · 2026Pooled it
- Roles and Outcomes of Advanced Practice Nurses in Thailand: A Systematic Review.Healthcare (Basel, Switzerland) · 2026Review
- The Role of Advanced Practice Nurses in the Care of Multimorbid and Complex Chronically Ill Young and Middle-Aged Adults in Hospital Settings-Perspectives on Experience of APNs: A Qualitative Study.Healthcare (Basel, Switzerland) · 2026Article
- Article
- The value of advanced practice nursing in Danish primary care: a case study of communicative and integrative mechanisms in community-based care.BMC primary care · 2026Article
- Article
- Impact of an algorithm-based postoperative pain management in patients undergoing abdominal surgery-A prospective interventional study.Journal of education and health promotion · 2026Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe number of young and middle-aged adult patients with multimorbid and/or complex chronic conditions is rising, presenting challenges for healthcare systems. Advanced practice nurses (APNs) are crucial in treating these patients due to their expertise and advanced nursing skills. The article outlines the scope of practice (SOP), competencies and impact of APNs in APN-led models of care for this patient group in hospital settings.
objectivesDescription of the SOP, competencies and impact of APNs within APN-led care models for young and middle-aged adult patients in hospital settings.
designScoping review based on the methodological framework by Arksey and O'Malley, incorporating the methodological enhancement of Levac and collegues, complying with the Preferred Reporting Items for Systematic Reviews and Meta-analysis extension for Scoping Reviews guidelines of Tricco and collegues ELIGIBILITY CRITERIA: Studies of APN-led models of care in hospitals were included if they involved adult participants aged 18-64 years with multimorbidity (two or more chronic conditions) and/or complex chronic conditions and provided information on SOP, competencies or impact. DATA EXTRACTIONS AND SYNTHESIS: Data from full-text articles meeting the inclusion criteria were extracted independently by two reviewers, and a narrative summary was developed to present the results related to the objectives and questions of the study.
resultsA total of 2119 records were retrieved, with five studies ultimately included. The results included predischarge, postdischarge and bridging transition SOP. The competencies of APNs varied in both form and intensity, due to the heterogeneity of the APN-led models. Direct clinical practice competencies were most frequently described, especially regarding nursing or medical tasks, and shaped and influenced competencies in leadership, collaboration, guidance and coaching, and evidence-based practice. Indirect care activities were often mentioned. These studies indicated that APNs in APN-led care models positively impact clinical and patient outcomes, although high-intensity integrated care did not lead to cost reductions.
conclusionThe review aims to highlight the heterogeneity and current state of knowledge about the potential role of APNs in the integrated care of this increasing patient group in hospitals. The findings emphasise the significance of focusing on the unique needs of this patient population and may serve as a foundation for developing an APN-led model of care for this group in the clinical setting. However, further research is necessary to better elucidate the role of APNs within APN-led care models in relation to the care needs of this patient group. TRIAL REGISTRATION NUMBER: OSF 4PM38.
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