Process of Emergence and Implementation of Advanced Practice Nursing in France
ConditionNurse's Role
Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorAssistance Publique - Hôpitaux de Paris
About this trial
Longitudinal, observational research with a mixed quantitative (by questionnaires) and qualitative (by interviews and observations) approach, multidisciplinary, among Advanced Practice Nurses (APNs) already graduated and 3 consecutive classes of advanced practice students who will be followed annually during their implementation as APN until the last year of the study. The questionnaires will focus on APN scope of practice evolution, economical analysis and geographical distribution of APN. The ethnographical approach will assess APN settlements and relation with healthcare colleagues and patients.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
be enrolled in the 2nd year (semester 3 or 4) in one of the 24 universities offering the State Diploma of Advanced Practice Nursing, regardless of the mention between 2024 and 2026
be the holder of the state APN diploma at the beginning of the study (year 2024)
Disqualifiers
None
Trial population
700 participants recruited among graduate APNs 900 participants recruited during the 2nd year of training from 3 consecutive student classes i.e. 1600 participants in total
Trial design
Design model
Other
Time perspective
Prospective
Treatments tested in this trial
Not listed
Trial groups
1,600 Participants
are grouped into 2 trial groupsGroup A: Graduate APNs
Group B: 3 consecutive classes of advanced practice students
Trial outcomes
Primary outcomes
1
Factors influencing the effective implementation of advanced practice nursing in France in primary care and health facilities
The explanatory variables to be studied will be selected from data from the literature related to the implementation of advanced practice and the obstacles and levers identified internationally.
Time frame
48 monthsSecondary outcomes
1
Mapping of APNs in France with socio-demographic data
Socio-demographic data includes : seniority, professional background, training path, motivations and expectations, access to training, financing studies, diplomas, mode and place of practice, position held, mention, quantification of activity in advanced practice (patients, number of physicians who have signed the organizational protocols, remuneration) and scope of practice / missions carried out (clinical, education, research, leadership, professional development, consultation).
Time frame
48 months2
Definition by the APN of its role and missions
Time frame
48 months3
Implementation and dissemination of the APN practice in the territory according to the context of practice (community care, hospital)
Assessement of the APN scope of practice with an approach internationally validated and used
Time frame
48 months4
Identification of potential impact dimensions of Advanced Practice Nursing
Formulation of hypotheses on the extent of these impacts in the following main directions: quality of care and services provided for patients (screening, prevention, follow-up), efficiency of care pathways (medical, specialized and hospital recourse), productivity according to modes and structures of practice.
Time frame
48 monthsSponsors and contacts
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Source ClinicalTrials.gov