Browsing by Subject "Advanced Practice Nursing"

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    Enfermería de Práctica Avanzada en México: Revisión de alcance y perspectiva para su implementación
    (Universidad de Murcia : servicio de publicaciones, 2026) Casales-Hernández, Maria Guadalupe; Gonzalez Garcia, Sergio Diego; Delgado Cruz, Jessica Pamela; Covarrubias López, Esmeralda Soledad; Ramírez Villegas, Raquel María; Hernández Zavala, Margarita; Sin departamento asociado
    Objective: To analyze the scientific and normative evidence available on the conceptualization, domains, and competencies of Advanced Practice Nursing in the Mexican context. Materials and methods: A scoping review was conducted following the PRISMA 2020 statement as a guideline for reporting the search and selection process. The research question was structured using the SPIDER format. Studies published in Spanish and English between January 2015, and June 2025 were included from PubMed, SciELO, BVS, national normative sources, and Google Scholar. Study selection was conducted independently by the researchers, and discrepancies were resolved by consensus. Results: Forty-three studies were included, 67.4% conducted in Mexico. The conceptualization of APN was heterogeneous: 27.9% closely matched the International Council of Nurses (ICN) definition, 41.9% partially, and 30.2% recovered only fragmented elements. The most frequent domains were research, care management, interprofessional collaboration, and clinical quality/safety (>88%), while cultural competence and advocacy were rarely addressed (<30%). Only 44.2% of the documents included a master's degree as a requirement. PHC appeared only marginally as a central conceptual axis of APN. Conclusions:The conceptualization of APN in Mexico is diverse and fragmented. These findings enabled the proposal of a context-adapted definition as an academic contribution to strengthen the understanding of the role and provide evidence to guide its design, regulation, and implementation with an emphasis on Primary Health Care