Nahari Ahmed, Alhamed Arwa, Moafa Hamza, Aboshaiqah Ahmad, Almotairy Monir
Department of Medical-Surgical Nursing, College of Nursing, King Saud University, Riyadh, Saudi Arabia.
College of Nursing, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
J Adv Nurs. 2024 Jan;80(1):366-376. doi: 10.1111/jan.15797. Epub 2023 Jul 14.
To identify the roles and activities of nurses, including advanced practice nursing (APN), and to determine nursing practice patterns across health facilities in Saudi Arabia.
A descriptive cross-sectional design was used to collect data from 207 nurses working in the Saudi health sector between November 2021 and March 2022 through an online questionnaire. The Advanced Practice Role Delineation tool was used to measure and delineate nursing practice patterns and activities. Data were analysed using descriptive statistics and analysis of variance. The study followed the Strengthening the Reporting of Observational Studies in Epidemiology reporting guidelines.
Findings showed that participants, regardless of their current role, reported high scores across all domains of practice. The highest average score was obtained for the Clinical Care domain. Except for the leadership domain, findings showed that those reported working as advanced practice nurses had higher average scores across all domains than those working as staff nurses or being in managerial/administrative positions. There were significant differences in the average Clinical Care scores between advanced practice nurses and staff nurses.
Advanced practice nursing roles and activities are being practised in Saudi Arabia; however, there is no clear delineation of these roles and activities according to a unified and national-level APN scope of practice.
Advanced practice nursing roles are evolving in Saudi Arabia; however, no study has examined the existing patterns of APN activities in Saudi Arabia. This study highlights the practice patterns of advanced practice nurses and adds to the international evidence base on the need for delineating APN activities under a unified scope of practice. The findings of this study are beneficial to practitioners, researchers, and stakeholders as well as the legislative and regulatory bodies.
No patient or public contribution.
确定护士（包括高级实践护士）的角色和活动，并确定沙特阿拉伯各医疗机构的护理实践模式。
采用描述性横断面设计，于2021年11月至2022年3月通过在线问卷从沙特卫生部门工作的207名护士中收集数据。使用高级实践角色界定工具来测量和界定护理实践模式及活动。采用描述性统计和方差分析对数据进行分析。本研究遵循《加强流行病学观察性研究报告》的报告指南。
研究结果表明，无论参与者目前的角色如何，他们在所有实践领域的得分都很高。临床护理领域的平均得分最高。除领导领域外，研究结果显示，那些报告担任高级实践护士的人员在所有领域的平均得分高于担任普通护士或管理/行政职位的人员。高级实践护士和普通护士在临床护理平均得分上存在显著差异。
沙特阿拉伯正在开展高级实践护理角色和活动；然而，根据统一的国家级高级实践护士执业范围，这些角色和活动尚无明确界定。
沙特阿拉伯的高级实践护理角色正在演变；然而，尚无研究考察沙特阿拉伯高级实践护士活动的现有模式。本研究突出了高级实践护士的实践模式，并为在统一执业范围内界定高级实践护士活动的必要性增添了国际证据基础。本研究结果对从业者、研究人员、利益相关者以及立法和监管机构均有益处。
无患者或公众参与。
