ROLE OF ADVANCED PRACTICE NURSING IN THE ICU. LITERATURE REVIEW
Keywords:
Advanced practice nursing, Nurse's role, Intensive care units, Professional competence, Professional roleAbstract
Objective: To identify the role of advanced practice nursing (APN) in intensive care units (ICUs). APN requires advanced academic training and decision-making autonomy. Method: An integrative literature review was applied, applying the IOP strategy and selecting articles published since 2010 that addressed the role of APN in the ICU. They were evaluated for scientific rigor, and the findings were organized into deductive categories. Results: Of 865 records, 7 articles that met eligibility criteria were selected. The results indicate that APN has proven effective in improving clinical outcomes and patient satisfaction in countries where it has been implemented. In Colombia, the lack of formal recognition of APN limits its development, despite the growing need to optimize resources in ICUs. Key competencies of APNs include advanced skills in diagnosis, leadership, and evidence-based practice. Conclusions: Integrating APN in the ICU can significantly improve patient care and clinical outcomes. It is urgent to implement a regulatory framework that recognizes their role and develop educational programs that strengthen their skills, adapting to the needs of the Colombian health system.
Downloads
References
Bryant‐Lukosius, D., Spichiger, E., Martin, J., Stoll, H., Kellerhals, S. D., Fliedner, M., Grossmann, F., Henry, M., Herrmann, L., Koller, A., Schwendimann, R., Ulrich, A., Weibel, L., Callens, B., & De Geest, S. (2016). Framework for Evaluating the Impact of Advanced Practice Nursing Roles. Journal of Nursing Scholarship, 48(2), 201-209. https://doi.org/10.1111/jnu.12199
Chambergo-Michilot, D., Diaz-Barrera, M. E., & Benites-Zapata, V. A. (2021). Revisiones de alcance, revisiones paraguas y síntesis enfocada en revisión de mapas: Aspectos metodológicos y aplicaciones. Revista peruana de medicina experimental y salud publica, 38, 136-142. https://doi.org/10.17843/rpmesp.2021.381.6501
de Bortoli Cassiani, S. H., & Zug, K. E. (2015). The advanced practice nursing role in Latin America: Challenges, opportunities and implications for universal health coverage. Investigación en Enfermería: Imagen y Desarrollo, 17(1), 9-11. https://doi.org/doi:10.11144/Javeriana.IE17-1.apnr
Fuentealba-Torres, M., Lagos Sánchez, Z., Püschel, V. A. de A., & Cartagena-Ramos, D. (2021). Systematic reviews to strengthen evidence-based nursing practice. Aquichan, 21(4). https://doi.org/10.5294/aqui.2021.21.4.5
Hamric, A. B., Hanson, C. M., Tracy, M. F., & O’Grady, E. T. (2013). Advanced practice nursing: An integrative approach. Elsevier Health Sciences.
Hayes, S. A., Zive, D., Ferrell, B., & Tolle, S. W. (2017a). The Role of Advanced Practice Registered Nurses in the Completion of Physician Orders for Life-Sustaining Treatment. Journal of Palliative Medicine, 20(4), 415-419. https://doi.org/10.1089/jpm.2016.0228
Hayes, S. A., Zive, D., Ferrell, B., & Tolle, S. W. (2017b). The Role of Advanced Practice Registered Nurses in the Completion of Physician Orders for Life-Sustaining Treatment. Journal of Palliative Medicine, 20(4), 415-419. https://doi.org/10.1089/jpm.2016.0228
Jafari Pour, F., Watson, R., Jafaripour, E., & Jafarian, R. (2024). The roles and responsibilities of advanced practice nurses in intensive care units: A scoping review. Enfermeria Intensiva, 35(4), e31-e40. https://doi.org/10.1016/j.enfie.2024.06.002
Jordan, J., Layton, S. S., Wilson, C. M., Crooks, E. A., & Smith, T. (2024). Diversity, Equity, and Inclusion Competencies for a Graduate Nursing Program. Journal of Nursing Education, 1-5. https://doi.org/10.3928/01484834-20240513-04
Karanikola, M. N., Giannakopoulou, M., Mpouzika, M., Nicolaou, C., Tsiaousis, G., Vouzavali, F., Koutroubas, A., & Papathanassoglou, E. D. (2017). Perceptions of critical and emergency department nurses regarding changes in their professional role. Revista da Escola de Enfermagem da USP, 51, e03287. https://doi.org/10.1590%2FS1980-220X2017014403287
Kerr, L., & Macaskill, A. (2020). Advanced Nurse Practitioners’ (Emergency) perceptions of their role, positionality and professional identity: A narrative inquiry. Journal of Advanced Nursing, 76(5), 1201-1210. https://doi.org/10.1111/jan.14314
King, R., Sanders, T., & Tod, A. (2021). Shortcuts in knowledge mobilization: An ethnographic study of advanced nurse practitioner discharge decision‐making in the emergency department. Journal of Advanced Nursing, 77(7), 3156-3167. https://doi.org/10.1111/jan.14834
Laurant, M., van der Biezen, M., Wijers, N., Watananirun, K., Kontopantelis, E., & van Vught, A. J. (2018). Nurses as substitutes for doctors in primary care. Cochrane database of systematic reviews, 7. https://doi.org/10.1002/14651858.CD001271.pub3
Ministry of Health and Social Protection. (2023). https://www.minsalud.gov.co/English/Paginas/inicio.aspx
Püschel, V. A. de A., & Lockwood, C. (2018). Translating knowledge: Joanna Briggs Institute’s expertise. En Revista da Escola de Enfermagem da USP (Vol. 52, p. e03344). SciELO Brasil. https://www.scielo.br/j/reeusp/a/M3jwQgsktXsgbFFKsc3j5FS/?lang=en
Schober, M. (2019). Desarrollo de la Enfermería de Práctica Avanzada: Contexto internacional. Enferm. clín.(Ed. impr.), 63-66. https://pesquisa.bvsalud.org/portal/resource/pt/ibc-182594
Silva Galleguillos, A., Beneit Montesinos, J. V., Velasco Sanz, T. R., & Rayón Valpuesta, E. (2021). Enfermería basada en la evidencia: Revisión de alcance. Ciencia y enfermería, 27. https://doi.org/10.29393/CE27-42EBAE40042
Transforming and scaling up health professionals’ education and training. (2013). https://www.who.int/publications/i/item/transforming-and-scaling-up-health-professionals’-education-and-training
Wei, W., Niu, Y., & Ge, X. (2019). Core competencies for nurses in Chinese intensive care units: A cross‐sectional study. Nursing in Critical Care, 24(5), 276-282. https://doi.org/10.1111/nicc.12398
Whitfield, M. M., Bleah, P., Bachynski, J. C., Macdonald, D., Klein, T., Ross-White, A., Mimirinis, M., & Wilson, R. (2024). Capability as a concept in advanced practice nursing and education: A scoping review. JBI Evidence Synthesis, 22(9), 1789-1849. https://doi.org/10.11124/JBIES-23-00201
Wilkes, L., Mannix, J., & Jackson, D. (2013). Practicing nurses perspectives of clinical scholarship: A qualitative study. BMC Nursing, 12(1), 21. https://doi.org/10.1186/1472-6955-12-21
Wood, C. (2021). Leadership and management for nurses working at an advanced level. British Journal of Nursing, 30(5), 282-286. https://doi.org/10.12968/bjon.2021.30.5.282
Downloads
Published
Issue
Section
Categories
License
Copyright (c) 2026 RECIE FEC-UAS Revista de educación y cuidado integral en enfermería Facultad Enfermería Culiacán
This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License.
