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Cited by 131Nursing Roles and PracticesGeriatric Care and Nursing HomesInterprofessional Education and Collaboration

The DOI matches its Crossref record; 65 of the 67 references it cites were found in a registry or an index.

A systematic review of the effectiveness and roles of advanced practice nursing in older people

Open access
Morilla-Herrera, Juan Carlos, Garcia-Mayor, Silvia, Martín-Santos, Francisco Javier, Kaknani Uttumchandani, Shakira, Leon Campos, Álvaro, Caro Bautista, Jorge, Morales-Asencio, José Miguel·2016·International Journal of Nursing Studies
DOI 10.1016/j.ijnurstu.2015.10.010
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Abstract

Objectives To identify, assess and summarize available scientific evidence about the effect of interventions deployed by advanced practice nurses when providing care to older people in different care settings, and to describe the roles and components of the interventions developed by these professionals.Background In older people, evidence of advanced practice roles remains dispersed along different contexts, approaches and settings; there is little synthesis of evidence, and it is not easy to visualize the different practice models, their components, and their impact.Design Systematic review.Data sources Sixteen electronic databases were consulted (1990-2014). The research also included screening of original studies in reviews and reports from Centers of Health Services Research and Health Technology Agencies.Review methods Studies were assessed by two reviewers with the Cochrane risk of bias tool. They were classified depending on the type of follow-up (long and short-term care) and the scope of the service (advanced practice nurses interventions focused on multimorbid patients, or focused on a specific disease).Results Fifteen studies were included. In long-term settings, integrative, multi-component and continuous advanced practice nursing care, reduced readmissions, and increased patients' and caregivers' satisfaction. Advanced practice nurses were integrated within multidisciplinary teams and the main interventions deployed were patient education, multidimensional assessments and coordination of multiple providers.Conclusion Positive results have been found in older people in long-term care settings, although it is difficult to discern the specific effect attributable to them because they are inserted in multidisciplinary teams. Further investigations are needed to evaluate the cost-effectiveness of the two modalities detected and to compare internationally the interventions developed by advanced practice nurses.

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Metadata

Authors
Morilla-Herrera, J. C., Garcia-Mayor, S., Martín-Santos, F. J., Kaknani Uttumchandani, S., Leon Campos, Á., Caro Bautista, J., & Morales-Asencio, J. M.
ORCID
Venue
International Journal of Nursing Studies
Publisher
Elsevier BV
Published
2016-01
Volume
53
Pages
290-307
ISSN
0020-7489 (ISSN-L)
DOI
10.1016/j.ijnurstu.2015.10.010
OpenAlex
W2172984476
Cited by
131
References
67
Citations by year
2026: 5 · 2025: 7 · 2024: 16 · 2023: 15 · 2022: 17 · 2021: 12 · 2020: 21 · 2019: 22 · 2018: 3 · 2017: 8 · 2016: 4
FWCI
0.90
Type
journal article
Language
en
Open access
Licence
Locations
  • International Journal of Nursing Studies (publishedVersion)
  • PubMed (publishedVersion)
  • Repositorio Institucional de la Universidad de Málaga (University of Málaga) (submittedVersion, other-oa)
Topics
  • Health Sciences › Health Professions › General Health Professions › Nursing Roles and Practices
  • Health Sciences › Medicine › Geriatrics and Gerontology › Geriatric Care and Nursing Homes
  • Health Sciences › Health Professions › General Health Professions › Interprofessional Education and Collaboration
Keywords
advanced practice nursing, older adults, long-term care, multidisciplinary team, multimorbidity, readmission prevention, patient satisfaction, caregiver satisfaction, patient education, care coordination, nursing interventions
MeSH terms
Aged, Geriatric Nursing, Humans, Long-Term Care, Advanced Practice Nursing

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