SELF-PERCEIVED NURSE PRACTITIONER CORE COMPETENCIES AND INFLUENCE ON CRITICAL CARE -A NATIONWIDE STUDY
Keywords:
Nurse Practitioner, Critical care, Core competencies, InfluenceAbstract
Background: The demand for Nurse Practitioners in critical care is increasing due to rising
burden of critical illnesses, advancements in medicine and need for skillful, competent
workforce capable of managing complex patient cases. Their unique skill set empowered through
rigorous education and clinical training is vital in meeting the dynamic challenges of these high
intensity environments.
Objective: The study aimed to assess and compare the self-perceived core competencies of
Nurse Practitioners in critical care among the stakeholders and to assess the influence
of Nurse Practitioners on critical care.
Methods: A descriptive study was conducted in multiple settings with a sample size of 210
nationwide. The participants were recruited through non-probability consecutive sampling
technique. The data was collected using Researcher prepared rating scales to assess the
perception regarding self-perceived core competencies and perception related to influence of
Nurse Practitioners on critical care among the NPCC Stakeholders.
Results: More than 68% of the Stakeholders perceived confidence in Core competencies with
no statistically significant difference among NPCC stakeholders at 5% level (F= 2.521, p
= 0.083). More than 81% perceived positively regarding influence of Nurse Practitioners on
critical care with high significant differences noted among NPCC stakeholders at 5% level
(F= 15.49, p = 0.000).
Conclusion: From the perspective of the NPCC Stakeholders, the study highlights that they feel
confident in the core competencies of the Nurse Practitioners in Critical care and perceive
positively about their influence on critical care. The Nationwide acknowledgement of the NPCC
Stakeholders about the competencies and influence of Nurse Practitioners in critical care is a
testament to reinforce the importance of expanding Nurse Practitioner roles in critical care,
ensuring greater autonomy and integrating them into leadership positions. It also calls for
continued professional development, policy support and institutional backing to optimize the
impact of Nurse Practitioners in Critical care environments.
References
Gardner A, Hase S, Gardner G, Dunn SV, Carryer J. From competence to capability: a study
of nurse practitioners in clinical practice. Journal of Clinical Nursing [Internet]. 2007 Apr 5 [cited
Jul
;0(0):070621074500036-???
Available
from:
https://epubs.scu.edu.au/cgi/viewcontent.cgi?article=1066&context=gcm_pubs
. Jeffery N, Donald F, Martin-Misener R, Bryant-Lukosius D, Johansen EA, Egilsdottir HÖ,
et al. A Comparative Analysis of Teaching and Evaluation Methods in Nurse Practitioner
Education Programs in Australia, Canada, Finland, Norway, the Netherlands and USA.
International Journal of Nursing Education Scholarship. 2020 Jun 12;17(1).38
Wang Y, Chen Y, Liu H, Chen H, Liang Y. Evaluation of nurse practitioners’ roles and
competencies among rheumatology nurses: Results of a national survey. Medicine
[Internet].
Jan
;103(1):e36842.
Available
from:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10766217/pdf/medi-103- e36842.pdf
Schlunegger MC, Aeschlimann S, Palm R, Zumstein‐Shaha M. Competencies of nurse
practitioners in family practices: A scoping review. Journal of Clinical Nursing. 2022 May
;32(11-12).
Kodi MS, Sharma SK, Basu S. Perceptions of Implementing Nurse Practitioner Role in India.
The Journal for Nurse Practitioners. 2022 Oct;18(10).
Poghosyan L, Norful AA, Martsolf GR. Primary Care Nurse Practitioner Practice
Characteristics. Journal of Ambulatory Care Management [Internet]. 2017;40(1):77–86.
Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5484049/
Fry M. Literature review of the impact of nurse practitioners in critical care services. Nursing
in Critical Care. 2011 Feb 8;16(2):58–66.
Liang HY, Tang FI, Wang TF, Yu S. Evaluation of Nurse Practitioners’ Professional
Competence and Comparison of Assessments Using Multiple Methods: Self-Assessment,
Peer Assessment, and Supervisor Assessment. Asian Nursing Research. 2020 Nov;15(1).
Mangano E, Gonzalez Y, Kverno KS. Challenges Faced by New Psychiatric– Mental Health
Nurse Practitioner Prescribers. Journal of Psychosocial Nursing and Mental Health Services.
Oct 1;58(10):7–11.
Pirret AM. The role and effectiveness of a nurse practitioner led critical care outreach service.
Intensive and Critical Care Nursing. 2008 Dec;24(6):375–82.
Chan TE, Lockhart JS, Thomas A, Kronk R, Schreiber JB. An integrative review of nurse
practitioner practice and its relationship to the core competencies. Journal of Professional
Nursing. 2020 Nov;36(4).
Mori K, Tsukamoto Y, Makino S, Takabayashi T, Kurosawa M, Ohashi W, et al. Effect of
intensive care provided by nurse practitioners for postoperative patients: A retrospective
observational before-and-after study. Chen RJ, editor. PLOS ONE. 2022 Jan
;17(1):e0262605.
A.ter Maten-Speksnijder A, Grypdonck M, Pool A, Meurs P, van Staa AL. A literature review
of the Dutch debate on the nurse practitioner role: efficiency vs. professional development.
International Nursing Review. 2013 Dec 6;61(1):44–54.
Stanik-Hutt J, Newhouse RP, White KM, Johantgen M, Bass EB, Zangaro G, et al. The
Quality and Effectiveness of Care Provided by Nurse Practitioners. The Journal for Nurse
Practitioners
[Internet].
Sep;9(8):492-500.e13.
https://www.npjournal.org/article/S1555-4155(13)00410-8/abstract
