Pilar Serrano-Gallardo

Competency frameworks for advanced practice nursing: a literature review

AIM This paper describes a literature review that identified common traits in advanced practice nursing that are specific to competency development worldwide. BACKGROUND There is a lack of international agreement on the definition of advanced practice nursing and its core competencies. Despite the lack of consensus, there is an ongoing process worldwide to establish and outline the standards and competencies for advanced practice nursing roles. INTRODUCTION International agencies, such as the International Council of Nurses, have provided general definitions for advanced practice nursing. Additionally, a set of competency standards for this aim has been developed. METHODS A literature review and a directed search of institutional websites were performed to identify specific developments in advanced practice nursing competencies and standards of practice. To determine a competency map specific to international advanced practice nursing, key documents were analysed using a qualitative approach based on content analysis to identify common traits among documents and countries. RESULTS The review process identified 119 relevant journal articles related to advanced practice nursing competencies. Additionally, 97 documents from grey literature that were related to advanced practice nursing competency mapping were identified. From the text analysis, 17 worldwide transversal competency domains emerged. CONCLUSIONS Despite the variety of patterns in international advanced practice nursing development, essential competency domains can be found in most national frameworks for the role development of international advanced practice nursing. These 17 core competencies can be used to further develop instruments that assess the perceived competency of advanced practice nurses. IMPLICATIONS FOR NURSING AND HEALTH POLICY The results of this review can help policy developers and researchers develop instruments to compare advanced practice nursing services in various contexts and to examine their association with related outcomes.

Análisis del portafolio como herramienta evaluativa de las prácticas clínicas de enfermería comunitaria en estudiantes de pregrado

Objetivos. Analizar la implementacion y la utilidad del por-tafolio como herramienta evaluativa de las practicas clinicas en enfermeria comunitaria en la Escuela de Enfermeria Puer-ta de Hierro de la Universidad Autonoma de Madrid (UAM) y valorar la influencia de variables sociodemograficas y acade-micas en el proceso de evaluacion continua del portafolio. Sujetos y metodos. Estudio descriptivo en el marco de un proyecto de innovacion docente financiado por la UAM. La poblacion objeto de estudio fueron estudiantes de segun-do y tercer curso de enfermeria de la escuela Puerta de Hie -rro (UAM), que realizaron sus practicas clinicas de enfermeria comunitaria en el medio de la atencion primaria de salud (

Impact of primary care nursing workforce characteristics on the control of high-blood pressure: a multilevel analysis.

Objective To determine the impact of Primary Health Care (PHC) nursing workforce characteristics and of the clinical practice environment (CPE) perceived by nurses on the control of high-blood pressure (HBP). Design Cross-sectional analytical study. Setting Administrative and clinical registries of hypertensive patients from PHC information systems and questionnaire from PHC nurses. Participants 76 797 hypertensive patients in two health zones within the Community of Madrid, North-West Zone (NWZ) with a higher socioeconomic situation and South-West Zone (SWZ) with a lower socioeconomic situation, and 442 reference nurses. Segmented analyses by area were made due to their different socioeconomic characteristics. Primary outcome measure: Poor HBP control (adequate figures below the value 140/90 mm Hg) associated with the characteristics of the nursing workforce and self-perceived CPE. Results The prevalence of poor HBP control, estimated by an empty multilevel model, was 33.5% (95% CI 31.5% to 35.6%). In the multilevel multivariate regression models, the perception of a more favourable CPE was associated with a reduction in poor control in NWZ men and SWZ women (OR=0.99 (95% CI 0.98 to 0.99)); the economic immigration conditions increased poor control in NWZ women (OR=1.53 (95% CI 1.24 to 1.89)) and in SWZ, both men (OR=1.89 (95% CI 1.43 to 2.51)) and women (OR=1.39 (95% CI 1.09 to 1.76)). In all four models, increasing the annual number of patient consultations was associated with a reduction in poor control (NWZ women: OR=0.98 (95% CI0.98 to 0.99); NWZ men: OR=0.98 (95% CI 0.97 to 0.99); SWZ women: OR=0.98 (95% CI 0.97 to 0.99); SWZ men: OR=0.99 (95% CI 0.97 to 0.99). Conclusions A CPE, perceived by PHC nurses as more favourable, and more patient–nurse consultations, contribute to better HBP control. Economic immigration condition is a risk factor for poor HBP control. Health policies oriented towards promoting positive environments for nursing practice are needed.

Factors associated to clinical learning in nursing students in primary health care: an analytical cross-sectional study

Serrano-Gallardo P, Martínez-Marcos M, Espejo-Matorrales F, Arakawa T, Magnabosco GT, Pinto IC. Factors associated to clinical learning in nursing students in primary health care: an analytical cross-sectional study. Rev. Latino-Am. Enfermagem. 2016;24:e2803. [Access ___ __ ____]; Available in: ____________________. DOI: http://dx.doi.org/10.1590/1518-8345.0327.2803. dia mês ano URL Artigo Original

Diseño y validación de un cuestionario sobre competencia enfermera en la notificación de incidentes por medicamentos

AIM To design and perform a face and content validation of a questionnaire to measure the competence of hospital RN to report medication incidents. METHODS Content and face questionnaire validation descriptive study. A review of the literature was performed for the creation of ítems. A panel of six experts assessed the relevance of the inclusion of each ítem in the questionnaire by calculating the position index; ítems with position index >0.70 were selected. The questionnaire was piloted by 59 RN. Finally, a meeting was convened with experts, in order to reduce the length of the piloted questionnaire through review, discussion and decision by consensus on each item. RESULTS From the literature review, a battery of 151 ítems grouped into three elements of competence: attitudes, knowledge and skills was created. 52.9% (n=80) of the ítems received a position index > 0.70. The response rate in the pilot study was 40.65%. The median time to complete the questionnaire was 23:35minutes. After reduction by the experts, the final questionnaire comprised 45 ítems grouped into 32 questions. CONCLUSIONS The NORMA questionnaire, designed to explore the competence of hospital RN to report medication incidents, has adequate face and content validity and is easy to administer, enabling its institutional implementation.

Fatores associados à aprendizagem clínica dos alunos de enfermagem nos cuidados de saúde primários: um estudo analítico transversal

Serrano-Gallardo P, Martínez-Marcos M, Espejo-Matorrales F, Arakawa T, Magnabosco GT, Pinto IC. Factors associated to clinical learning in nursing students in primary health care: an analytical cross-sectional study. Rev. Latino-Am. Enfermagem. 2016;24:e2803. [Access ___ __ ____]; Available in: ____________________. DOI: http://dx.doi.org/10.1590/1518-8345.0327.2803. dia mês ano URL Artigo Original

Factores asociados al aprendizaje clínico de los estudiantes de enfermería en la atención primaria de salud: un estudio transversal analítico

Serrano-Gallardo P, Martínez-Marcos M, Espejo-Matorrales F, Arakawa T, Magnabosco GT, Pinto IC. Factors associated to clinical learning in nursing students in primary health care: an analytical cross-sectional study. Rev. Latino-Am. Enfermagem. 2016;24:e2803. [Access ___ __ ____]; Available in: ____________________. DOI: http://dx.doi.org/10.1590/1518-8345.0327.2803. dia mês ano URL Artigo Original