Abstract:
AIM:This study aimed to explore the role and impact of advanced practice nurses (APNs) in care of patients following fragility hip fracture by systematically reviewing the available evidence. REVIEW DESIGN:Systematic review. DATA SOURCES:A search of the databases Ovid Medline, CINAHL, Embase, Emcare, Cochrane Library, and Google Scholar was conducted from January-February 2019. METHOD:This systematic review adhered to The PRISMA Statement. Study selection was managed using the Covidence software platform and quality was assessed using JBI Critical appraisal tools. Studies included adults >18 years and described the role and impact of APNs in care of patients following fragility hip fracture on clinical and non-clinical outcomes. RESULTS:There were 19 papers identified that met the inclusion/exclusion criteria. Quality was graded as moderate to low risk of bias. Six characteristics of APNs were identified: (1) coordination; (2) collaboration; (3) education; (4) assessment, investigation and treatment recommendations; (5) discharge planning, support and follow up; and (6) documentation. Overall mortality and LOS improved when characteristics of the APN role were present. CONCLUSION:Key findings from this systematic review showed: (1) The APN title and role are not clearly defined, but characteristics of the APN role are evident; (2) characteristics of APNs promote the delivery of best practice hip fracture care and have a positive impact on mortality and LOS; and (3) innovative service delivery models involving APNs should be considered to address future projections of hip fracture rates and improve outcomes. IMPACT:This systematic review provides evidence of the role characteristics of APNs in fragility hip fracture and the impact of the role on outcomes. Findings from this research could be used to develop service delivery models using APNs to care for patients following fragility hip fracture and to inform practice where APN roles may improve outcomes for other patient cohorts.
journal_name
J Adv Nursjournal_title
Journal of advanced nursingauthors
Allsop S,Morphet J,Lee S,Cook Odoi
10.1111/jan.14692subject
Has Abstractpub_date
2020-12-15 00:00:00eissn
0309-2402issn
1365-2648pub_type
杂志文章,评审abstract::Problematic situations comprise a significant proportion of nurse administrators' practice. Reflective inquiry is recommended as a method for identifying the problem and its solution. This approach is consistent with pragmatic philosophy which recognizes the fallacy of basing one's action on an a priori conclusion. De...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1999.01134.x
更新日期:1999-09-01 00:00:00
abstract:AIM:This paper identifies the characteristics of Greek patients with acute myocardial infarction who have long prehospital delays and identifies the factors that are specifically associated with these delays. BACKGROUND:The time between the first appearance of symptoms until the hospitalization of the patient with myo...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,多中心研究
doi:10.1111/j.1365-2648.2010.05301.x
更新日期:2010-07-01 00:00:00
abstract:BACKGROUND AND AIM:User participation has been a widely researched and debated phenomenon in the formulation and implementation of health and social care policy and indeed wider public sector policy in the United Kingdom (UK), yet there remains a vast array of definitions of the term and great variety in the findings o...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2002.02389.x
更新日期:2002-11-01 00:00:00
abstract:AIMS:To evaluate the effectiveness of a tailored blood glucose control protocol for postoperative cardiac surgery patients treated in intensive care. DESIGN:Retrospective study. METHODS:Data for the control group (non-tailored protocol) were collected from medical records at a tertiary hospital in Seoul, Korea betwee...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.14592
更新日期:2020-10-05 00:00:00
abstract:BACKGROUND:Children's emergency hospital use is of concern internationally, but there has been little examination of home care by nurses. AIMS:To examine the care provided by community children's nurses during acute illness. DESIGN:Triangulation of findings from case studies of three Community Children's Nursing Team...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,多中心研究
doi:10.1111/jan.12141
更新日期:2013-11-01 00:00:00
abstract:AIM:To examine and describe disciplinary discourses conducted through professional policy and regulatory documents in nursing and midwifery in Ireland. BACKGROUND:A key tenet of discourse theory is that group identities are constructed in public discourses and these discursively constructed identities become social re...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.13723
更新日期:2018-05-23 00:00:00
abstract::For the past two decades authors have discussed the lack of research-based nursing practice. Many explanations are afforded but few focus on the way in which the researcher plans to involve staff in each stage of the process. The desire by practitioners to become researchers has been confounded in the main by increasi...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1990.tb01862.x
更新日期:1990-05-01 00:00:00
abstract::A meta-analysis of randomized controlled trials (RCTs) assessing the effectiveness of a non-pharmacological intervention on the management of pain was conducted. Forty-nine relevant primary studies were identified and retrieved. Individual mean pain scores from these studies were converted to standardized effect sizes...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,meta分析
doi:10.1111/j.1365-2648.1996.tb01020.x
更新日期:1996-12-01 00:00:00
abstract:AIM:This paper is a report of a study to determine: (a) Spanish nurses' level of knowledge of existing guidelines for pressure ulcer prevention and treatment, (b) the level of implementation of this knowledge in clinical practice and (c) the professional and educational factors that influence knowledge and practice. B...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,多中心研究
doi:10.1111/j.1365-2648.2007.04236.x
更新日期:2007-05-01 00:00:00
abstract::Whilst ethics is now commonplace on nursing curricula in the United Kingdom there remains doubt as to how and what to teach. This doubt has its origins in interlinked uncertainties within nursing, ethics and education. In nursing there are uncertainties about whether we are teaching ethics to professionalize or becaus...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1995.22020374.x
更新日期:1995-08-01 00:00:00
abstract::The paper focuses on a significant nursing initiative for staff development undertaken in South Australia. The initiative arose out of Health Commission funded consultancy which sought to develop a staff development model for registered nurses. The outcome of this consultancy was the development of a multi-generationa...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1993.18010144.x
更新日期:1993-01-01 00:00:00
abstract::The purpose of this paper is to increase the awareness of gerontological nurse researchers about methodological, theoretical and ethical issues that are unique and critical to the study of frail elderly people. Discussion focuses on: (a) sampling, recruitment, informed consent and retention of subjects; (b) selection ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1993.18060873.x
更新日期:1993-06-01 00:00:00
abstract:AIMS:To report an analysis of the concept of rest; to determine the conceptual maturity (consistent use and meaning) of rest in the current scientific literature and to present a theoretical definition of rest, providing a strong basis for research and practice. BACKGROUND:Rest is a physical, mental and spiritual huma...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1111/jan.12910
更新日期:2016-05-01 00:00:00
abstract::This study explores the meaning of excellence in nursing care held by nurses. Qualitative data were collected from 156 undergraduate and postgraduate nurses by means of an open-ended questionnaire. Respondents were asked to reflect on practice which enabled a clear understanding of the meanings given to excellence in ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1996.25921.x
更新日期:1996-10-01 00:00:00
abstract:AIM:This paper reports a study examining how nursing home staff experienced working with residents' families. BACKGROUND:Working collaboratively with the family in residential aged care to provide care is consistent with nursing philosophy. The quality of the experience, however, is frequently fraught with problems fo...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2006.03789.x
更新日期:2006-04-01 00:00:00
abstract:AIM:This paper is a report of a study of the views of prisoners about health services provided in prisons. BACKGROUND:Prison provides an opportunity for a 'hard to reach' group to access health services, primarily those provided by nurses. Prisoners typically have high health and social needs, but the views and experi...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2007.04221.x
更新日期:2007-05-01 00:00:00
abstract:AIM:This paper reports a study to test the hypothesis that day surgery patients who listen to music during their preoperative wait will have statistically significantly lower levels of anxiety than patients who receive routine care. BACKGROUND:Although previous day surgery research suggests that music effectively redu...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,随机对照试验
doi:10.1111/j.1365-2648.2005.03563.x
更新日期:2005-10-01 00:00:00
abstract::The natural sciences have an influential effect on society, contemporary world-views, and other scientific disciplines. A brief history of the major advances in the natural sciences and the associated philosophies provides a platform for scholarly discourse regarding the subsequent influence on nursing epistemology. T...
journal_title:Journal of advanced nursing
pub_type: 历史文章,杂志文章
doi:10.1046/j.1365-2648.1999.01206.x
更新日期:1999-11-01 00:00:00
abstract:AIMS:To report a study of patients' views of patient-centred care. The study aimed to explore patients' understanding and conceptualization of patient-centred care and link it to existing literature on the topic. BACKGROUND:Patient-centred care currently lacks a widely accepted definition, with much of the literature ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2012.05965.x
更新日期:2012-12-01 00:00:00
abstract:AIM:To report literature search strategies for the purpose of conducting knowledge-building and theory-generating qualitative systematic reviews. BACKGROUND:Qualitative systematic reviews lie on a continuum from knowledge-building and theory-generating to aggregating and summarizing. Different types of literature sear...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2012.06037.x
更新日期:2013-01-01 00:00:00
abstract:AIM:This paper is a report of a study to describe how treatment fidelity is being enhanced and monitored, using a model from the National Institutes of Health Behavior Change Consortium. BACKGROUND:The objective of treatment fidelity is to minimize errors in interpreting research trial outcomes, and to ascribe those o...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,随机对照试验
doi:10.1111/j.1365-2648.2007.04386.x
更新日期:2007-11-01 00:00:00
abstract::This paper summarizes a 12-month evaluation of an emergency assessment and community care psychiatric nursing service to demonstrate the possibility and desirability of health service providers evaluating their own service provision. The radical question central to such an assessment is: 'What would have been the case...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1994.tb01083.x
更新日期:1994-02-01 00:00:00
abstract::There is no published research on coping with muscular dystrophy among adults. In the present study, two questionnaires, the Reaction to the Diagnosis of Cancer Questionnaire (RDCQ) and the Mental Adjustment to Cancer scale (MAC), were modified in order to measure coping with muscular dystrophy (MD). A total of 60 peo...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1994.20020314.x
更新日期:1994-08-01 00:00:00
abstract:AIM:To evaluate the effectiveness of the application of topical heat, high pressure or a combination of both on antebrachial venous cannulation. DESIGN:A cross-over clinical trial blinded for haemolysis analysis. METHODS:This cross-over clinical trial with two periods was performed in the Clinical Trial Unit of Hospi...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.14655
更新日期:2020-11-20 00:00:00
abstract:AIM:To synthesize evidence on the use of social media in nursing and midwifery education. BACKGROUND:Social media is one type of online platform that is being explored to determine if there is value in using interactive, digital communication tools to support how nurses and midwives learn in a variety of settings. DE...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.13310
更新日期:2017-08-01 00:00:00
abstract:AIMS:To explore functional exercise adherence, coping styles, and illness perception and to examine the relationships between functional exercise adherence and coping styles with illness perception among Chinese breast cancer survivors. BACKGROUND:Although the relationships between functional exercise adherence with c...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.13832
更新日期:2019-01-01 00:00:00
abstract::One hundred female patients undergoing major reconstructive plastic or gynaecological surgery were randomized to either receive subcutaneous patient-controlled analgesia (PCA) (bolus dose 2.5 mg diamorphine in 1 ml with a 20-minute lockout) or intravenous PCA (bolus dose 0.5 mg diamorphine in 1 ml with a 5-minute lock...
journal_title:Journal of advanced nursing
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1046/j.1365-2648.1999.01161.x
更新日期:1999-10-01 00:00:00
abstract:AIM:To examine how home nurses' turnover intentions are affected by the quality and frequency of supervisory feedback and by their own self-efficacy. BACKGROUND:Little is known about effective retention strategies for the growing home healthcare sector that struggles to retain an adequate workforce. While the work env...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.12747
更新日期:2015-12-01 00:00:00
abstract::A process may be seen as that which has purpose, organization and structure, facilitating an act of moving forward. Thus, a process reflects Bruner's view of education as facilitating cognitive growth and as a way in which individuals explore and gain mastery over a complex world. A process approach is not without its...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1992.tb02823.x
更新日期:1992-12-01 00:00:00
abstract:AIM:To report an analysis of the concept of youth physical activity self-efficacy. BACKGROUND:Physical activity self-efficacy is a concept that has been frequently examined as a key variable in research aimed at increasing physical activity among youth. Different conceptual definitions and empirical measures indicate ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.12658
更新日期:2015-09-01 00:00:00