School of Nursing and Midwifery, University of Galway, Ireland.
Cancer Center, Ghent University Hospital, Belgium; Department of Public Health and Primary Care, University Centre for Nursing and Midwifery, Ghent University, Ghent, Belgium and Ghent University Hospital, Centre for Nursing Expertise, Belgium.
Semin Oncol Nurs. 2024 Jun;40(3):151627. doi: 10.1016/j.soncn.2024.151627. Epub 2024 Mar 31.
Advanced practice nursing roles in cancer care are diverse and exist across the cancer care continuum. However, the titles used and the scope of practice differ across countries. This diversity is likely to be misleading to patients and influence nurses' contribution to health care. An understanding of the current state of advanced practice nursing roles in cancer care internationally is needed to inform opportunities for future role development and enhance cancer nursing career pathways.
This scoping review included a systematic search of four databases: MEDLINE, CINAHL, PsycINFO, and Academic Search Complete. Independent screening for papers meeting the review's inclusion criteria was undertaken using online screening software. Data extraction, coding, and mapping were undertaken in NVivo 12.
Of the 13,409 records identified, 108 met the review's inclusion criteria. A variety of roles in cancer care settings were described. The United States and the United Kingdom had the most titles for advanced practice nursing roles. Tumor-specific roles were described and integrated into different phases of the cancer care continuum. Trends in continuing professional development for advanced practice nurses in cancer care included the rise in Fellowship programs in the United States and practice-based education in the United Kingdom.
The differences in advanced practice nursing roles in cancer care allow regional and institutional variation to meet the needs of patient populations and health care system demands. However, a lack of clarity surrounding titles and roles results in confusion and underutilization of these nurses' highly specialized skill sets.
Incongruence in titles and scope of practice internationally will ultimately result in a merging of roles. There is a need for international agreement on education requirements for advanced practice nursing roles to promote career pathways.
癌症护理中高级实践护理角色多种多样，存在于癌症护理连续体的各个环节。然而，不同国家使用的称谓和实践范围有所不同。这种多样性可能会使患者感到困惑，并影响护士对医疗保健的贡献。了解国际上癌症护理中高级实践护理角色的现状，有助于为未来的角色发展提供信息，并加强癌症护理职业道路。
本范围综述包括对四个数据库的系统搜索：MEDLINE、CINAHL、PsycINFO 和 Academic Search Complete。使用在线筛选软件对符合审查纳入标准的论文进行独立筛选。在 NVivo 12 中进行数据提取、编码和映射。
在确定的 13409 条记录中，有 108 条符合审查纳入标准。描述了各种癌症护理环境中的角色。美国和英国拥有最多的高级实践护理角色称谓。描述了肿瘤特异性角色，并将其整合到癌症护理连续体的不同阶段。癌症护理中高级实践护士继续教育的趋势包括美国 Fellowship 计划的兴起和英国以实践为基础的教育。
癌症护理中高级实践护理角色的差异允许区域和机构的差异来满足患者群体和医疗保健系统需求。然而，称谓和角色缺乏明确性导致这些护士高度专业化技能的混淆和未充分利用。
国际上称谓和实践范围的不一致最终将导致角色融合。需要就高级实践护理角色的教育要求达成国际协议，以促进职业道路。
