Professional competence required in advanced practice nursing in critical care: An exploratory qualitative study
Solberg, Marianne Trygg; Pedersen, Ingunn; Mathisen, Cathrine; Finnstrøm, Inger Johanne; Lundin, Per Kristian; Nes, Andrea Aparecida Gonçalves
Peer reviewed, Journal article
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Date
2023Metadata
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Original version
Solberg, M. T., Pedersen, I., Mathisen, C., Finnstrøm, I. J., Lundin, P. K., & Nes, A. A. G. (2023). Professional competence required in advanced practice nursing in critical care: An exploratory qualitative study. Nursing Open, 10(12), 7839-7847. 10.1002/nop2.2032Abstract
Aim: To identify the required competencies of advanced practice nurses (APNs) working with patients in critical care units in Norway.
Design: An exploratory qualitative design.
Methods: Four focus group interviews were performed with 18 nurses who worked in critical care units. The data were examined by inductive content analysis following Graneheim and Lundman's approach.
Findings: Our study found that APNs in critical care require the following professional competencies to meet the needs of patients characterised by greater age, comorbidities and increased complexity: (1) intrapersonal skills as revealed in the subthemes of self-awareness; motivation and commitment; strong mental health and upholding ethical standards, (2) advanced clinical decision-making skills as identified in the subthemes of integration of theory and practice; complex practical and technical skills; dealing with increased delegated responsibility and taking the lead in managing increased practice complexity and (3) interpersonal skills, including peer guidance, practising collaboratively and the ability to position oneself.