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Effectiveness of advanced practice nursing interventions in older people: protocol for a systematic review and qualitative study
Author(s) -
MorillaHerrera Juan Carlos,
MoralesAsencio José Miguel,
MartínSantos Francisco Javier,
GarciaMayor Silvia,
RodríguezBouza Mónica,
GonzálezPosadas Fernando
Publication year - 2013
Publication title -
journal of advanced nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.948
H-Index - 155
eISSN - 1365-2648
pISSN - 0309-2402
DOI - 10.1111/jan.12030
Subject(s) - psychological intervention , delphi method , protocol (science) , nursing , systematic review , medicine , categorization , comparability , qualitative research , nursing interventions classification , health care , medline , evidence based practice , nursing outcomes classification , best practice , nursing research , alternative medicine , team nursing , computer science , social science , mathematics , law , economic growth , pathology , sociology , management , political science , combinatorics , economics , artificial intelligence
Aims This protocol outlines a review and qualitative study to determine the models and effectiveness of Advanced Practice Nursing developed for the health care of people over 65 years in different settings (hospital care, home care, outpatients' care, and nursing homes) and to identify the ingredients of the interventions developed by Advanced Practice Nursing in the field of geriatric care. Background Numbers of nurses in advanced roles have increased internationally in conjunction with research to determine their effectiveness. Nevertheless, in older people, evidence of advanced practice roles remains scattered, and there is little synthesis of evidence, and therefore it is not easy to visualize the different practice models, their components, and their impact. Design Study protocol with two phases: a systematic review and a qualitative study. Methods First phase: Depending on comparability of studies, meta‐analysis will be undertaken. If so, results will be summarized in relative and absolute measures or mean difference, depending on the type of outcome. Sensitivity and heterogeneity analyses will be performed. Second phase: a content analysis will be carried out of the interventions identified in the systematic review, and they will be contrasted with the contents of the Nursing Interventions Classification. Finally, this matching will be submitted to expert consensus using a Delphi technique. Approval from the Ethics Committee was obtained in July 2010 and funding was obtained in March 2011. Conclusion The identification of components of Advanced Practice Nursing models and evidence of their effectiveness will contribute to designing more grounded nursing services for older people. Additionally, the categorization of Advanced Practice Nursing interventions through Nursing Interventions Classification would permit comparisons to be made between settings or between healthcare systems.