Sguanci Marco, Mancin Stefano, Carù Viviana, Simonelli Niccolò, Cangelosi Giovanni, Morales Palomares Sara, Ferrara Gaetano, Lo Cascio Alessio
Polyclinic San Martino Hospital, Genoa, Italy.
IRCCS Humanitas Research Hospital, Rozzano, Milan, Italy.
Int Nurs Rev. 2025 Sep;72(3):e70054. doi: 10.1111/inr.70054.
To analyze the role of advanced practice nursing (APN) in the cardiology context in outpatient and inpatient settings, detailing their roles, competencies, and responsibilities. It also provides an overview of the main degrees and postgraduate training programs for specialization in cardiology management in major Western countries.
The increasing complexity of the healthcare sector requires an evolution in nursing education and clinical competencies to effectively manage care in complex and interdisciplinary contexts such as cardiology settings.
This scoping review followed the Joanna Briggs Institute framework. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) was used to ensure rigorous and transparent reporting.
Among the 647 records analyzed, 15 were included in this review. In the cardiology setting, the APN plays a critical role in clinical care, education, and research, providing both direct and indirect support to patients at all stages, across outpatient and inpatient settings. Thanks to the advanced skills acquired through specific paths, it also acts as a link between the healthcare team and patients, improving the provision of care through personalized and coordinated actions and promoting continuous training and research in the field.
APN enhances cardiac care by offering in-depth clinical assessments, education, and support throughout the treatment process. However, the lack of standardized regulatory frameworks in some countries limits the autonomy of cardiology APNs within the healthcare system, compromising their ability to address unmet healthcare needs and collaborate internationally.
分析高级实践护理（APN）在门诊和住院环境下心内科领域的作用，详细阐述其角色、能力和职责。本文还概述了西方国家主要的心脏病管理专业的主要学位和研究生培训项目。
医疗保健领域日益复杂，这就要求护理教育和临床能力不断发展，以便在诸如心脏病学环境等复杂的跨学科环境中有效地管理护理工作。
本综述性研究遵循乔安娜·布里格斯研究所框架。采用系统评价和Meta分析扩展版的范围综述报告规范（PRISMA-ScR）来确保严谨且透明的报告。
在分析的647条记录中，本综述纳入了15条。在心脏病学环境中，APN在临床护理、教育和研究中发挥着关键作用，在门诊和住院环境的各个阶段为患者提供直接和间接支持。由于通过特定途径获得了先进技能，APN还充当医疗团队与患者之间的纽带，通过个性化和协调的行动改善护理服务，并促进该领域的持续培训和研究。
APN通过在整个治疗过程中提供深入的临床评估、教育和支持来加强心脏护理。然而，一些国家缺乏标准化的监管框架，限制了心脏病学APN在医疗系统中的自主权，损害了他们满足未满足的医疗需求和开展国际合作的能力。
