Advanced practice nurses' evidence‐based healthcare competence and associated factors: A systematic review

Author:

Ylimäki Saija12ORCID,Oikarinen Anne13ORCID,Kääriäinen Maria1345ORCID,Pölkki Tarja134ORCID,Mikkonen Kristina1ORCID,Holopainen Arja467ORCID,Kaakinen Pirjo1ORCID,Kanste Outi1ORCID,Meriläinen Merja135ORCID,Jansson Miia1ORCID,Immonen Kati18ORCID,Tuomikoski Anna‐Maria1345ORCID

Affiliation:

1. Research Unit of Health Sciences and Technology, Faculty of Medicine University of Oulu Oulu Finland

2. Wellbeing Services County of North Ostrobothnia Oulaskangas Hospital Oulainen Finland

3. Medical Research Center Oulu Oulu University Hospital and University of Oulu Oulu Finland

4. The Finnish Centre for Evidence‐Based Health Care: A Joanna Briggs Institute Centre of Excellence Helsinki Finland

5. Wellbeing Services County of North Ostrobothnia Oulu University Hospital Oulu Finland

6. Nursing Research Foundation Helsinki Finland

7. WHO Collaborating Centre for Nursing Helsinki Finland

8. 2M‐IT Oy Turku Finland

Abstract

AbstractBackgroundEvidence‐based healthcare (EBHC) enables consistent and effective healthcare that prioritises patient safety. The competencies of advanced practice nurses (APNs) are essential for implementing EBHC because their professional duties include promoting EBHC.AimTo identify, critically appraise, and synthesise the best available evidence concerning the EBHC competence of APNs and associated factors.DesignA systematic review.Data SourcesCINAHL, PubMed, Scopus, Medic, ProQuest, and MedNar.MethodsDatabases were searched for studies (until 19 September 2023) that examined the EBHC competence and associated factors of APNs were included. Quantitative studies published in English, Swedish and Finnish were included. We followed the JBI methodology for systematic review and performed a narrative synthesis.ResultsThe review included 12 quantitative studies, using 15 different instruments, and involved 3163 participants. The quality of the studies was fair. The APNs' EBHC competence areas were categorised into five segments according to the JBI EBHC model. The strongest areas of competencies were in global health as a goal, transferring and implementing evidence, while the weakest were generating and synthesising evidence. Evidence on factors influencing APNs' EBHC competencies was contradictory, but higher levels of education and the presence of an organisational research council may be positively associated with APNs' EBHC competencies.ConclusionThe development of EBHC competencies for APNs should prioritise evidence generation and synthesis. Elevating the education level of APNs and establishing a Research Council within the organisation can potentially enhance the EBHC competence of APNs.Implications for the ProfessionWe should consider weaknesses in EBHC competence when developing education and practical exercises for APNs. This approach will promote the development of APNs' EBHC competence and EBHC implementation in nursing practice.Registration, and Reporting ChecklistThe review was registered in PROSPERO (CRD42021226578), and reporting followed the PRISMA checklist.Patient/Public ContributionNone.

Publisher

Wiley

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