Aug 2026· Journal of Nursing Scholarship· Vol 58 5, pp.
e70127
· 0 citations· 67 references
Medicine
TL;DR
Understanding patients' lived experiences of advanced practice nursing can help nurses and healthcare organizations strengthen patient-centred care and highlight the importance of protecting time for listening, supporting clear and individualized communication, building trustful partnerships, encouraging patient participation, and recognizing APNs' role in coordinating care across complex healthcare systems.
Abstract
Aims
This review aims to synthesize qualitative evidence on patients' lived experiences of advanced practice nursing.
Design
Qualitative systematic review.
DATA SOURCES
The studies included in this review were sourced from PubMed, Web of Science, The Cochrane Library, Embase, and CINAHL. Studies were limited to those published from database inception to March 5, 2026.
REVIEW
Methods
The review adhered to the Enhancing Transparency in Reporting the Synthesis of Qualitative Research (ENTREQ) guidelines. Two independent reviewers screened titles, abstracts, and full-text articles to assess eligibility for inclusion. Data were extracted and analyzed using thematic synthesis. Confidence in findings was assessed using the CERQual approach.
Results
Thirty-seven studies were included. Five themes emerged from patients' accounts: (1) feeling seen and heard through therapeutic presence; (2) understanding illness through explanation and dialogue; (3) building trust through competence and respect; (4) gaining confidence and agency in self-management; and (5) experiencing coherent and coordinated care across services.
Conclusions
Patients experienced advanced practice nursing as a relational, educational, and coordinating form of care. APNs were valued not only for their advanced clinical expertise but also for the way they listened, explained, built trust, supported patient agency, and helped patients navigate fragmented healthcare systems. These findings suggest that the effectiveness of APN care is closely linked to relational continuity, individualized communication, and system-level coordination.
CLINICAL RELEVANCE
Understanding patients' lived experiences of advanced practice nursing can help nurses and healthcare organizations strengthen patient-centred care. The findings highlight the importance of protecting time for listening, supporting clear and individualized communication, building trustful partnerships, encouraging patient participation, and recognizing APNs' role in coordinating care across complex healthcare systems.
This review shows that developing CNS expertise from novice to expert requires education, clinical experience, and continuous professional support, while further research on support strategies and competencies is needed.
Sanna Marika Imeläinen, T. Kvist, Meagan Wright et al.· Scandinavian Journal of Cari...· 0 citations
Abstract Objectives To appraise and synthesise the literature on patient and clinician experiences with hospital-based virtual care services. Methods We searched Medline, Embase, CINAHL and PsycINFO (via Ovid) in October 2023. An updated search was performed in January 2025, with alerts maintained until May 2025. We included qualitative or mixed-methods studies evaluating patient or clinician experiences of hospital-based virtual care. Results Out of 15 434 identified articles, 19 studies involving 514 clinicians and 215 patients were included. The majority of the studies were from high-income countries. Our analysis identified five themes influencing virtual hospital care experiences: perceived value, confidence and readiness, digital and health literacy, therapeutic relationships, and infrastructure and system support. Discussion The potential of virtual care services is mediated by a complex relationship between personal, interpersonal and systemic factors. The acceptability of virtual hospital care is highly dependent on tailoring services to meet the individual needs of both patients and clinicians. The findings of this review demonstrate the need to improve clinician capacity and confidence through validated virtual tools and ongoing training. Conclusion To ensure virtual hospital care is successful and equitable, the virtual health model must be co-designed with its end-users. In addition to addressing systemic barriers, emphasis must be placed on refining care delivery to support the needs of diverse patients and professions. Further research, particularly in low- and middle-income countries and through longitudinal studies, is critical for informing future health policy.
Riyaas A Mohamed, M. R. Franco, Stephanie Mathieson et al.· BMJ Health & Care Informatic...· 0 citations
AIM
To explore Practice Development interventions and associated contextual factors to understand their impact on patient and staff outcomes and experiences in healthcare settings.
DESIGN
Systematic review.
METHODS
Preferred Reporting Items for Systematic Reviews and Meta-analysis informed design, conduct and management. A systematic approach was taken, utilising multiple reviewers and consensus methods. Mixed Methods Appraisal Tool informed quality appraisal. Qualitative findings were analysed using Reflexive Thematic Analysis. Quantitative results are presented as a narrative summary.
DATA SOURCES
CINAHL; MEDLINE; PubMed; Scopus; ScienceDirect; Nursing and Allied Health; Cochrane Library; Internurse.com; The Kings Fund; GOV.UK and Trip Database were searched between 1st January 1980 to 5th January 2026.
RESULTS
Twenty-nine studies were included. Eighteen studies met all quality assessment criteria. Limited quantitative data was available, and inconsistent outcome measures constrained quantitative analysis. Qualitative analysis generated three themes: (1) Shaping Practice: the interplay of organisational context, culture, and structure, (2) Enablers and constraints in Practice Development, (3) Collective empowerment.
CONCLUSION
Across diverse study designs, the majority of studies indicate that PD contributes positively to staff working environments and the contexts in which patient care is delivered. However, current findings do not demonstrate consistent improvements in clinical outcomes or quality of life.
IMPLICATIONS FOR PRACTICE
Practice Development may contribute to improvements in care environments for patients and staff, respectively. This review highlights knowledge gaps in the generalisability and transferability of Practice Development that would benefit from further exploration.
IMPACT
Practice Development may enhance healthcare environments, but further research is needed to determine if these benefits impact upon clinical outcomes.
REPORTING METHOD
Preferred Reporting Items for Systematic reviews and Meta-Analyses.
NO PATIENT OR PUBLIC INVOLVEMENT
No patient or public contribution.
TRIAL REGISTRATION
PROSPERO registration number: CRD42024557949.
H. Smith, Vanda Carter, Charlotte Phillips et al.· Journal of Advanced Nursing· 0 citations
Qualitative evidence suggests that registered nurses perceive GAI as a potentially supportive tool for improving efficiency, assisting clinical and research decision-making, and promoting professional development.
Yan Deng, Yidan Zhu, Jiaqi Li et al.· Frontiers in Public Health· 0 citations
AIM
To map existing scientific evidence on the relationship between clinical supervision and burnout and burnout-related outcomes among nurses in clinical practice.
DESIGN
Scoping review.
METHODS
The review followed the Joanna Briggs Institute methodology for scoping reviews. A total of 1396 records were identified and imported into Rayyan for screening. Data were synthesised descriptively using absolute and relative frequencies and presented in narrative and tabular form.
DATA SOURCES
Searches were conducted in February 2025 in CINAHL Complete, Nursing & Allied Health Collection: Comprehensive, MedicLatina, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, PubMed, and Web of Science Core Collection. Grey literature was searched in OpenGrey and the Portuguese Open Access Scientific Repository (RCAAP). No time or language restrictions were applied.
RESULTS
Twenty studies were included. The evidence base was heterogeneous and predominantly cross-sectional. Clinical supervision in Nursing (CSN) was mainly delivered face-to-face and most frequently in group formats, with considerable variability in frequency, duration and theoretical grounding. Burnout was primarily assessed using validated instruments, particularly the Maslach Burnout Inventory. Nine studies reported inverse statistical associations between CSN and burnout or burnout-related outcomes.
CONCLUSION
Clinical supervision is frequently associated with burnout and burnout-related indicators among nurses. Clearer intervention reporting, stronger theoretical grounding, and research designs capable of exploring temporal and contextual dynamics are needed to advance the field.
IMPLICATIONS FOR HEALTHCARE MANAGEMENT
Clinical supervision may represent a context-sensitive organisational support strategy within broader workforce well-being frameworks, particularly when structurally defined and supported by leadership.
IMPACT
This review clarifies how clinical supervision has been conceptualised and evaluated, identifying reporting gaps and priorities for future research.
REPORTING METHOD
The Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Review.
PATIENT OR PUBLIC CONTRIBUTION
No stakeholder consultation was undertaken. Future research should consider involving practising nurses and supervisors to define core CSN components.
TRIAL REGISTRATION
The protocol was registered in the Open Science Framework.
C. Rodrigues, Sandra Rocha, Salomé Trigo et al.· Journal of Advanced Nursing· 0 citations
AIM
To understand nurses' perceptions of non-technical skills in recognising and responding to clinical deterioration in hospital settings.
DESIGN
A mixed methods systematic review was undertaken, guided by the Joanna Briggs Institute Manual for Evidence Synthesis.
METHODS
A systematic search of the primary research literature published between 2012 and October 2025 was undertaken. A convergent integrated approach to synthesis, without meta-analysis, was undertaken.
DATA SOURCES
The MEDLINE, CINAHL, Scopus, PsychInfo and Embase electronic databases were searched. Reference lists of full-text articles retrieved were reviewed for additional data sources.
RESULTS
Twenty-four primary studies were included. Narrative synthesis resulted in six main themes: (1) situational awareness, (2) effective teamwork and communication, (3) leadership and culture, (4) intuition, (5) level of experience and (6) fear of retribution. Across studies, supportive team culture and strong communication facilitated recognition and escalation, whereas inexperience and fear of criticism delayed action.
CONCLUSIONS
Early recognition and response to a clinical deterioration is beyond simply detecting physiological parameters. The process of recognition and response to a deterioration is enabled due to non-technical skills. In situations where the team has effective and positive team culture, where there is psychological safety, where all levels of expertise are given a voice without fear of retribution, everyone is safe to raise the alarm. Strengthening these skills and supporting junior nurses may improve escalation practice.
IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE
The implementation of early warning scores or rapid response systems is a well-developed mechanism to improve outcomes for deteriorating patients. Unfortunately, there has been less emphasis and value placed on development of non-technical skills in the recognition and response to clinical deterioration. Organisations and professions need to mitigate barriers to the implementation of nurses' non-technical skills to improve patient outcomes.
IMPACT
What problem did the study address? ○ A lack of current synthesised evidence of nurses' non-technical skills in the recognition of, and response to, clinical deterioration. What were the main findings? ○ Organisational cultures that devalue less experienced nurses and non-technical skills, risk delays in recognition and response to clinical deterioration. Where and on whom will the research have an impact? ○ Patients, health care professionals and health care delivery may benefit from integration of non-technical skills into deterioration response frameworks, implemented within psychologically safe organisational cultures. Reporting Method Preferred Reporting Items for Systematic Reviews and Meta-Analyses (2020). Patient or Public Contribution No patient or public contribution. This review received no financial support. Trial Registration The protocol for this review was registered with PROSPERO (CRD42022327788) (crd.york.ac.uk/PROSPERO/display_record.php?RecordID=327788).
D. Archer, Amineh Rashidi, Rajbeer Kaur et al.· Journal of Clinical Nursing· 0 citations