Lee, Cho & Bakken(1313. Lee NJ, Cho E, Bakken S. Identification of hypertension management-related errors in a personal digital assistant-based clinical log for nurses in advanced practice nurse training [Korean Soc Nurs Sci]. Asian Nurs Res (Korean Soc Nurs Sci). 2010;4(1):19–31.)(2010) - USA |
Identification of Hypertension Management-related Errors in a Personal Digital Assistant-based Clinical Log for Nurses in Advanced Practice Nurse Training |
Asian Nurs Res (Korean Soc Nurs Sci) |
Develop a taxonomy for detection of errors related to hypertension management and to apply the taxonomy to retrospectively analyze the documentation of nurses in Advanced Practice Nurse (APN) training |
Quantitative and observational approach |
The results provide an initial understanding of the nature of the errors associated with the diagnosis of hypertension and the management of nurses in APN training. |
Area III |
Support to develop educational interventions that promote the general skills of APN for patient safety. |
Jones et al.(1616. Jones N, Long L, Zeitz K. The role of the nurse sedationist. Collegian. 2011;18(3):115–23.)(2011) - Australia |
The role of the nurse sedationist |
Collegian |
Identify the benefits and the level of satisfaction for the role of nurse sedationists. |
Qualitative and quantitative approach – interviews with and a questionnaire answered by patients and nurses |
The results indicate the introduction of the role of nurse sedationist was positive, as it increases patient safety, generating a more collaborative approach to patient care, improving the work environment and strengthening multidisciplinary relationships. Patients also indicated a very high level of satisfaction with the service. |
Area I |
Increased ability to ensure standards of anesthetic practice, improving team relationships, patient satisfaction, and safety. |
Schnall et al.(1414. Schnall R, Cook S, John RM, Larson E, Stone PW, Sullivan C, et al. Patient safety issues in advanced practice nursing students’ care settings. J Nurs Care Qual. 2012;27(2):132–8.)(2012) - USA |
Patient safety issues in advanced practice nursing students’ care settings |
Journal of Nursing Care Quality |
Identify and characterize patient safety issues across advanced practice nursing (APN) care settings including ambulatory care visits. |
Quantitative approach – questionnaire answered by 162 nurses from an APN training course. |
The adoption of information technology can help improve patient safety issues in the APN settings. |
Area I |
Implementation of improvements in the information system to enhance communication and coordination of care so that patient care is safely performed. |
Walton-Moss et al.(1717. Walton-Moss B, O’Neill S, Holland W, Hull R, Marineau L. Advanced practice nursing students: pilot test of a simulation scenario. Collegian. 2012;19(3):171–6.)(2012) - USA |
Advanced practice nursing students: Pilot test of a simulation scenario |
Collegian |
Develop a simulation scenario for APN students from a graduate health assessment course - Use of realistic simulation in an APN training course. |
Quantitative approach - simulation |
Clinical simulations with high fidelity human patient simulators provide APN students with opportunities to demonstrate clinical skills and judgment in a safe supportive environment. |
Area III |
Improved clinical skills and judgment of AP students to ensure safe care. |
Schnall e al.(1515. Schnall R, Larson E, Stone PW, John RM, Bakken S. Advanced practice nursing students’ identification of patient safety issues in ambulatory care. J Nurs Care Qual. 2013;28(2):169–75.)(2013) - USA |
Advanced practice nursing students’ identification of patient safety issues in ambulatory care |
J Nurs Care Qual |
Identify and characterize patient safety and explore the predictive factors of patient safety in the perspective of nurses enrolled in an educational institution of APN. |
Quantitative approach – questionnaire answered by 172 nurses from an APN training course. |
EPA education nurses identified a large number of issues related to patient safety in the outpatient environment. Greater complexity of patients was a significant predictor of the identification of a diagnosis or treatment problem. |
Area I |
Introduction of improvements in the information system to increase the communication ability between the teams and proper entries in medical records to ensure a safe diagnosis. |
Alexandrou et al.(1818. Alexandrou E, Spencer TR, Frost SA, Mifflin N, Davidson PM, Hillman KM. Central venous catheter placement by advanced practice nurses demonstrates low procedural complication and infection rates—a report from 13 years of service. Crit Care Med. 2014;42(3):536–43.)(2014) - Australia |
Central Venous Catheter Placement by Advanced Practice Nurses Demonstrates Low Procedural Complication and Infection Rates-A Report From 13 Years of Service |
Critical Care Medicine |
Report procedural characteristics and outcomes from a central venous catheter placement service operated by advanced practice nurses. |
Quantitative - Observational approach |
The results suggest that a service provided by APNs can be beneficial, potentially improving patient safety and promoting organizational efficiency. |
Area I |
Reduction of risks in the placement of peripherally inserted central catheters performed by APNs. |
Powell-Cope et al.(1919. Powell-Cope G, Quigley P, Besterman-Dahan K, Smith M, Stewart J, Melillo C, et al. A qualitative understanding of patient falls in inpatient mental health units. J Am Psychiatr Nurses Assoc. 2014;20(5):328–39.)(2014) - USA |
A qualitative understanding of patient falls in inpatient mental health units |
J Am Psychiatr Nurses Assoc |
Determine market segment-specific recommendations for prevention of falls in acute inpatient psychiatry. |
Qualitative – Focus groups and interviews with 22 APNs, two physicians and one physical therapist. |
Selling fall injury prevention to staff in psychiatric settings is similar to selling fall injury prevention to staff in other health care settings. Appealing to the larger construct of patient safety will motivate staff in psychiatric settings to implement best practices and customize these to account for unique characteristics of population needs. |
Area I |
Implementation of fall reduction measures for psychiatric patients, improving their safety. |
Kirk et al.(2020. Kirk AP, McGlinsey A, Beckett A, Rudd P, Arbour R. Restraint reduction, restraint elimination, and best practice: role of the clinical nurse specialist in patient safety. Clin Nurse Spec. 2015;29(6):321–8.)(2015) - USA |
Restraint Reduction, Restraint Elimination, and Best Practice: Role of the Clinical Nurse Specialist in Patient Safety |
Clin Nurse Spec |
Describe effective evidence-based data to reduce injuries and falls with the use of monitored mechanical restraint with frequent evaluations and reevaluations. |
Quantitative approach - Experiment |
APN management of the causes of agitation reduces the need for patient restraint, protecting patients from injury and increasing patient satisfaction. |
Area I |
Implementation of protective actions to reduce patient fall and restraint, contributing to patient safety. |
Chan, Adamson & Chow(2121. Chan WF, Bond TG, Adamson B, Chow M. Identifying core competencies of infection control nurse specialists in Hong Kong. Clin Nurse Spec. 2016;30(1):E1–9.)(2016) - Hong Kong |
Identifying Core Competencies of Infection Control Nurse Specialists in Hong Kong |
Clinical Nurse Specialist |
Confirm a core competency scale for Hong Kong infection control nurses at the level of advanced practice nursing. |
Quantitative approach – Questionnaire answered by 112 infection control nurses. |
Essential core competency items of advanced practice for infection control nurses in Hong Kong were identified based on the measurement criteria of the Rasch model. |
Area I |
Identification of key APN competencies in infection control to reduce the risk of infection and ensure safe care. |
Gore & Thomson(2222. Gore T, Thomson W. Use of simulation in undergraduate and graduate education. AACN Adv Crit Care. 2016;27(1):86–95.)(2016) - USA |
Use of Simulation in Undergraduate and Graduate Education |
AACN Advanced Critical Care |
Provide an overview of the use of simulation in undergraduate and graduate nursing education. |
Quantitative approach - Simulation |
High-quality simulation can increase opportunities for immersion and student learning. |
Area III |
Differentiated learning of AP students to develop skills for safer care. |
Hsueh & Dorcy(2323. Hsueh M, Dorcy K. Improving Transitions of care with an advanced practice nurse: a pilot study. Clin J Oncol Nurs. 2016;20(3):240–3.)(2016) - USA |
Improving Transitions of Care With an Advanced Practice Nurse: A Pilot Study |
Clinical Journal of Oncology Nursing |
Analyze the role of the APNs to reduce the length of stay, readmission rates, delays and treatment gaps during transitions of oncologic patients from hospitalization to outpatient care. |
Quantitative approach - Experiment |
Coordination of APN care can minimize transition gaps, improve patient safety, and increase the quality of care delivery with effectiveness and efficiency. The pilot program reduced the length of stay and infection rates. |
Area I |
Reduced gaps in care transition, improving patient safety. |
Gray-Miceli , Mazzia & Crane(2424. Gray-Miceli D, Mazzia L, Crane G. Advanced practice nurse-led statewide collaborative to reduce falls in hospitals. J Nurs Care Qual. 2017;32(2):120–5.)(2017) - USA |
Advanced Practice Nurse-Led Statewide Collaborative to Reduce Falls in Hospitals |
Journal of Nursing Care Quality |
Develop initiatives of advanced practices to reduce falls. |
Quantitative approach - Experiment |
A significant reduction was observed in patient fall rates. |
Area I |
Implementation of effective measures to reduce falls with a significant improvement in care safety. |