Department of Nursing, Yamagata Tokushukai Hospital, Yamagata, Yamagata, Japan.
Graduate School of Medicine, Nagoya University, Nagoya, Aichi, Japan.
PLoS One. 2024 Apr 4;19(4):e0301676. doi: 10.1371/journal.pone.0301676. eCollection 2024.
The number of patients with chronic kidney disease is increasing worldwide; previous studies have suggested that advanced practice nurses, including nurse practitioners and clinical nurse specialists, with expert practice skills can provide high-quality care and solve complex healthcare problems. In general, nurse practitioners are generalist nurses who work as autonomous clinicians with whole personal care. Clinical nurse specialists, in contrast, are nurses with advanced nursing knowledge and skills for individuals or specific populations. Their roles are independent and different; however, similarities exist in their role in potentially improving healthcare outcomes. Although two previous studies described the role of nephrology nurse practitioners, they were systematic reviews, and their outcomes were limited. To clarify the overall aspect of advanced practice nurses' role, it is necessary to extract the studies illustrating advanced practice nurses' practices for patients with chronic kidney disease.
This study aims to map the literature describing the role of advanced practice nurses in improving healthcare outcomes for patients with chronic kidney disease.
This scoping review will be conducted using the Joanna Briggs Institute methodology for scoping review. Online databases will be searched across MEDLINE (PubMed), CINAHL (EBSCOhost), Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, and Web of Science. Only studies published in English will be included, and no date limit will be set. Chronic kidney disease, renal replacement therapy, and advanced practice nurses as keywords and related search terms will be used. Two independent reviewers will screen the title and abstract/full-text; in case of discrepancy, a third reviewer will make the final decision. The results will be extracted and presented following the review question concerning the study characteristics, patients' characteristics, condition of chronic kidney disease, and role of advanced practice nurses.
全球慢性肾脏病患者人数不断增加；既往研究表明，拥有专业实践技能的高级执业护士（包括执业护师和临床护理专家）可以提供高质量的护理并解决复杂的医疗保健问题。一般来说，执业护师是作为自主临床医生提供全面个人护理的通科护士。相比之下，临床护理专家则是拥有高级护理知识和技能，专注于个体或特定人群的护士。虽然两者的角色独立且不同，但在潜在改善医疗保健结果方面存在相似之处。虽然之前有两项研究描述了肾脏病执业护师的角色，但它们都是系统评价，结果有限。为了更全面地阐明高级执业护士的角色，有必要提取描述慢性肾脏病患者高级执业护士实践的研究。
本研究旨在绘制文献，描述高级执业护士在改善慢性肾脏病患者医疗保健结果方面的作用。
本范围综述将采用乔安娜·布里格斯研究所（Joanna Briggs Institute）的范围综述方法进行。将在在线数据库中搜索 MEDLINE（PubMed）、CINAHL（EBSCOhost）、考科兰数据库的系统评价、考科兰中心对照试验注册库和 Web of Science。仅纳入发表于英文文献的研究，且不设置时间限制。慢性肾脏病、肾脏替代治疗和高级执业护士将作为关键词和相关检索词使用。两名独立评审员将筛选标题和摘要/全文；如有分歧，将由第三名评审员做出最终决定。结果将按照研究特征、患者特征、慢性肾脏病状况和高级执业护士作用等问题进行提取和呈现。
