https://doi.org/10.4081/scenario.2023.565

Advanced nursing competencies in critical care: education and evaluation tools. A narrative review

Vol. 40 No. 3 (2023)
Published: 17 October 2023
Advanced practice nursing, critical care, critical care nursing, nurse specialist
Abstract Views: 1293
PDF (Italiano): 509
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Authors

Michele Stellabotte
michelestellabotte@gmail.com
Pediatric Operating Block, Maternal and Child Department, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.
Floriana Pinto
Cardiothoracovascular Intensive Care Unit, Anaesthesia and Resuscitation Department, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.

Introduction: advanced nursing competencies refer to expanded and improved health care services and interventions delivered by nurses who, with advanced skills, influence clinical health outcomes and deliver direct health services to individuals, families, and communities. What distinguishes the critical care from other settings, where nurses can develop advanced skills, is its complexity and dynamism. The aim of this review is to outline the advanced skills in critical areas through training path description for their achievement and the tools used to evaluate them in the international context.

Materials and Methods: a narrative literature review has been performed. The main scientific databases were consulted (Medline/PubMed, CINAHL, Cochrane Library, EMBASE), selecting articles in English and Italian published in the last ten years, since the establishment of the working group for advanced skills of the European federation of Critical Care Nurses Association (EfCCNa). All the articles dealing with advanced skills in the critical area and the related evaluation tools were included.

Results: a total of thirtheen articles were selected, including two literature reviews.

Formal training programs for critical care nurses are present in 17 out of 24 European countries and critical care nursing has been recognized as a specialty in 13 of them. There are ten assessment tools for assessing advanced critical care skills.

Discussion: the educational status of critical care nurses in the EU is extremely varied and disomogeneus. Currently, the literature offers valid and reliable assessment tools for skills, but they are heterogeneous and not usable in every context.

Conclusions: it is necessary an institutional intervention at national and community level, aimed at regulating the training and recognition of nursing competencies in critical care also through a uniformity of evaluation tools.

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Citations

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Google Scholar
Europe PMC
Zoppini L, Scala C, Gulizia D, Cipolla CA, Alberti BMB, Stellabotte M et al. Nursing workload in a Covid-free ICU: a retrospective descriptive study. Scenario 2021;38:21-25
Associazione Nazionale Infermieri di Area Critica (ANIARTI). Schema di approccio al nursing di routine per il paziente in Terapia Intensiva. 2020. Disponibile da www.aniarti.it
International Council of Nurses (ICN). Guidelines on Advanced Practice Nursing 2020. 2020. Disponibile da www.icn.ch
Monguzzi B. Advanced practice nurse: from the ICN framework to the Italian reality. Ital J Nurs 2020;34:2.
Eropean Federation of Nurses. EFN workforce matrix 3+1. 2017. Disponibile da www.efn.eu
Associazione Nazionale Infermieri di Area Critica (ANIARTI), Aniarti: i primi quarant’anni. Dal 1981 oltre 40 anni di Area Critica. 2022. Disponibile da www.aniarti.it
European federation of Critical Care Nursing associations (EfCCNa). EfCCNa Competencies for European Critical Care Nurses. 2013. Disponibile da https://www.efccna.org
Henriksen KF, Hansen BS, Wøien H, Tønnessen S. The core qualities and competencies of the intensive and critical care nurse, a meta‐ethnography. J Adv Nurs 2021;77:4693–710.
Grant MJ, Booth A. A typology of reviews: an analysis of 14 review types and associated methodologies. Health Information Libraries J 2009;26:91-108.
Baethge C, Goldbeck-Wood S, Mertens. SANRA—a scale for the quality assessment of narrative review articles. Res Integrity Peer Rev 2019;4:1-7.
Egerod I, Kaldan G, Nordentoft S, et al. Skills, competencies, and policies for advanced practice critical care nursing in Europe: A scoping review. Nurse Educ Pract 2021;54:103142.
Endacott R, Jones C, Bloomer MJ, et al. The state of critical care nursing education in Europe: an international survey. Intensive Care Med 2015;41:2237–40.
Imbrìaco G, Sebastiani S. Critical care nurse specialist: a descriptive study on the educational implications of Critical Care master’s degrees. Scenario 2015;32:5-18.
Øvrebø LJ, Dyrstad DN, Hansen BS. Assessment methods and tools to evaluate postgraduate critical care nursing students’ competence in clinical placement. An integrative review. Nurse Educ Pract 2022;58:103258.
Gill FJ, Leslie GD, Grech C, et al. Development of Australian clinical practice outcome standards for graduates of critical care nurse education. J Clin Nurs 2015;24:486–99.
Gill FJ, Leslie GD, Grech C, et al. Developing and testing the standard of practice and evaluation of critical-care-nursing tool (SPECT) for critical care nursing practice. J Contin Educ Nurs 2014;45:312–320.
Hadjibalassi M, Papastavrou E, Lambrinou E, et al Development of an instrument to determine competencies of postgraduate ICU nurses in Cyprus. Nurs Critical Care 2012;17:255–64.
Lakanmaa RL, Suominen T, Ritmala-Castrén M, et al. Basic Competence of Intensive Care Unit Nurses: Cross-Sectional Survey Study. BioMed Res Int 2015;2015:1–12.
Gill FJ, Leslie GD, Sotherland K, Evaluation of a clinical performance assessment tool (CPAT) within a critical care context. Australian Critical Care 2006;19:105-1131.
Endacott R, Scholes J, Jones C, et al. Development of competencies for advanced nursing practice in intensive care units across Europe: A modified e-Delphi study. Intensive Critical Care Nurs 2022;71:103239.
Collins S, Hewer I. The impact of the Bologna process on nursing higher education in Europe: A review. Int J Nurs Studies 2014;51:150–6.
Conley P. Certified and Advanced Degree Critical Care Nurses Improve Patient Outcomes. Dimensions Crit Care Nurs 2019;38:108–12.
Woo BFY, Lee JXY, Tam WWS. The impact of the advanced practice nursing role on quality of care, clinical outcomes, patient satisfaction, and cost in the emergency and critical care settings: a systematic review. Hum Resour Health 2017;15:63.
Federazione Nazionale Collegi IPASVI. Evoluzione delle Competenze Infermieristiche. Documento approvato dal Comitato Centrale della Federazione Nazionale Collegi IPASVI con delibera n. 79 del 25 aprile 2015. 2015. Disponibile da www.quotidianosanità.it
Agenzia per la Rappresentanza Negoziale delle Pubbliche Amministrazioni. Contratto Collettivo Nazionale di Lavoro comparto Sanità 2016-2018. 2018. Disponibile da www.aranagenzia.it
Agenzia per la Rappresentanza Negoziale delle Pubbliche Amministrazioni. Contratto Collettivo Nazionale di Lavoro comparto Sanità 2019-2021. Disponibile da www.aranagenzia.it
Mattson J, Stevens L. Development of an individual assessment instrument for critical care nursing students. MedEdPublish 2016;5:1-10
Mårtensson G, Lind V, Edin K, et al. Development and validation of a clinical assessment tool for postgraduate nursing education: a consensus-group study. Nurse Educ Pract 2020;44.
De Caro W. Competenze infermieristiche avanzate: se non ora quando. Professioni Infermieristiche 2019;72.
Baid H. The objective structured clinical examination within intensive care nursing education. Nurs Crit Care 2011;16:99–105.
Ebadi A, Tabanejad Z, Pazokian M, Yasser S. Designing and psychometric evaluation of the competency inventory for postgraduate students of intensive care nursing. Nurs Midwifery Stud 2016;5.
Hanley E, Higgins A. Asssessment of practice in intensive care: students’ perceptions of a clinical competence assessment tool. Intensive Crit Care Nurs 2005;21.
Lovegrove J, Hatfield D. The use of skills inventories to assess and grade practice: Part 1 – design and implementation. Nurse Educ Pract 2012;12:127–132.

How to Cite

Stellabotte, M., & Pinto, F. (2023). Advanced nursing competencies in critical care: education and evaluation tools. A narrative review. Scenario® - Il Nursing Nella Sopravvivenza, 40(3). https://doi.org/10.4081/scenario.2023.565
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