Exploring the competencies of nephrology nurses: A comprehensive scoping review.

Serenella Savini, Desirèe Andreoli, Mauro Parozzi, Marco Sguanci, Domenica Gazineo, Lea Godino, Addolorata Palmisano, Giovanni Cangelosi, Stefano Mancin, Sara Morales Palomares, Giuliano Anastasi, Salvatore Alessio Angileri, Mattia Ricco

Journal: International nursing review 2024;72(1):e13085

PMID: 39741113

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Abstract

BACKGROUND

Chronic kidney disease (CKD) presents a significant global health challenge. Nephrology nurses, possessing specialized competencies, play an essential role in providing high-quality care to CKD patients.

AIM

This scoping review aims to comprehensively map and synthesize literature on the competencies of nephrology nurses worldwide.

METHODS

A scoping review was reported using the PRISMA-ScR framework and aligned with the Joanna Briggs Institute (JBI) methodology. The population, concept, and context (PCC) model was employed to formulate the research question. The search was conducted between June and July 2023 across five databases:Medline, Scopus, Cochrane Library, ASSIA, and CINAHL, with additional consultation of gray literature sources. Screening of articles, data extraction, and quality appraisal were independently performed by two authors. Critical appraisal was conducted using JBI critical appraisal tools. Data were analyzed using descriptive analysis.

RESULTS

Of the 8786 records identified, 25 were included. The included articles predominantly consisted of position papers published between 2000 and 2022, with studies conducted across all continents. Core competencies for nephrology nurses were identified, along with advanced competencies encompassing advanced clinical practice, education, leadership and management, and research.

CONCLUSION

The review of competencies among nephrology nurses worldwide reveals a comprehensive and diverse set of skills required to address the complexities of CKD. As the field of nephrology continues to evolve, ongoing efforts should be directed toward refining and expanding the competencies of nephrology nurses in individual national contexts as well as defining, in the light of a systematic mapping of skills, homogeneous training paths.

IMPLICATIONS FOR NURSING

This scoping review aims to synthesize global literature on nephrology nurses' core and advanced skills, providing a foundation for defining competencies at both national and institutional levels.

Address: Azienda Ospedaliera Santa Maria della Misericordia, Perugia, Italy.; Department of Pharmacy, Health and Nutritional Sciences (DFSSN), University of Calabria, Rende, Italy.; IRCCS Humanitas Research Hospital, Rozzano, Milan, Italy.; University of Milan, School of Nursing, "San Paolo" Campus, Asst Santi Paolo e Carlo, Milan, Italy.; Governo clinico e qualità, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.; UO Nefrologia e Dialisi, Ospedali Riuniti Padova Sud "Madre Teresa di Calcutta,", Monselice, Padova, Italy.; Azienda Ospedaliera Universitaria Meyer, Firenze, Italy.; Department of Medical and Surgical Sciences (DIMEC), University of Bologna, Bologna, Italy.; Department of Trauma, AOU G. Martino University Hospital, Messina, Italy.; Department of Health and Social Professions, Asl Rome 4, Civitavecchia, Rome, Italy.; Units of Diabetology, ASUR Marche, Fermo, Italy.; Medical Genetics Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.; Department of Medicine and Surgery, Research Unit of Nursing Science, Università Campus Bio-Medico di Roma, Roma, Italy.

DOI: 10.1111/inr.13085

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MeSH Terms: Humans, Clinical Competence, Nephrology Nursing, Renal Insufficiency, Chronic, Nurse's Role