School of Nursing, University of Mississippi Medical Center, Jackson, MS, USA.
Mississippi Centre for Evidence Based Practice: A JBI Centre of Excellence, Jackson, MS, USA.
JBI Evid Synth. 2021 Apr;19(4):842-866. doi: 10.11124/JBIES-20-00153.
The objective of this review was to explore existing literature related to advanced practice nurse professional advancement programs, to examine and map the evidence, and to identify any gaps in the literature.
Internationally, there is literature regarding the implementation and benefits of professional advancement programs for staff nurses, but there is scant literature addressing professional advancement programs for advanced practice nurses. Professional advancement programs may enhance workplace engagement and foster retention by empowering employees to grow and excel.
This scoping review considered studies that included advanced practice nurses in direct patient care roles participating in professional advancement programs. The concept of the review was advanced practice nurse professional advancement programs and related criteria and characteristics (eg, length of service, performance review, educational preparation) and outcomes (eg, improved recruitment, retention, employee satisfaction). Studies conducted in any setting and geographical location where advanced practice nurses were employed were included.
Studies published in English from 1965 to search date were included. The databases searched included PubMed, CINAHL, Embase, Scopus, and PsycINFO. The search for unpublished evidence and gray literature included ProQuest Dissertations and Theses, MedNar, and various hospital websites. Retrieval of full-text studies and data extraction was performed independently by two reviewers. The extracted data is presented in diagrammatic or tabular form with an accompanying narrative summary.
Nine descriptive studies were included in this review. All nine studies detailed the names of advancement programs, and provided characteristics and criteria for advancement for those participating in the programs. In addition, six studies described benefits of advancement, two studies described outcomes associated with advancement, and two studies described outcomes and benefits.
There are few advanced practice nurse professional advancement programs discussed in the literature. In the included studies detailing these programs, there were wide variations in the names, criteria, and characteristics. There is also limited data available regarding outcomes associated with advanced practice nurse professional advancement programs.
本次综述的目的是探讨与高级实践护士专业发展计划相关的现有文献，审查并绘制证据图谱，并确定文献中的空白。
在国际上，有关于实施和员工护士专业发展计划的益处的文献，但关于高级实践护士专业发展计划的文献很少。专业发展计划可以通过赋予员工成长和卓越的能力来增强工作场所的参与度并促进保留。
本范围综述考虑了包括直接参与患者护理角色的高级实践护士在内的研究，这些护士参与了专业发展计划。综述的概念是高级实践护士的专业发展计划以及相关的标准和特征（例如，服务年限、绩效评估、教育准备）和结果（例如，改善招聘、保留、员工满意度）。包括在任何设置和地理位置中雇用高级实践护士的研究。
纳入了从 1965 年至搜索日期发表的英语研究。搜索的数据库包括 PubMed、CINAHL、Embase、Scopus 和 PsycINFO。未发表的证据和灰色文献的搜索包括 ProQuest Dissertations and Theses、MedNar 和各种医院网站。两名审查员独立检索全文研究和提取数据。提取的数据以图表或表格形式呈现，并附有叙述性摘要。
本综述纳入了 9 项描述性研究。这 9 项研究都详细说明了晋升计划的名称，并为参与计划的人员提供了晋升的特征和标准。此外，有 6 项研究描述了晋升的益处，2 项研究描述了与晋升相关的结果，2 项研究描述了结果和益处。
文献中讨论的高级实践护士专业发展计划很少。在详细描述这些计划的纳入研究中，名称、标准和特征差异很大。关于高级实践护士专业发展计划相关结果的可用数据也有限。
