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Background <p>Advanced nursing practice (ANP) is becoming increasingly important in light of the growing complexity of care and rising demands in critical care. Despite being established internationally, the role of the advanced practice nurse (APN) has not yet been fully implemented in Germany.</p> Objective <p>To describe the introduction of an APN in an&#xa0;intensive care unit at a&#xa0;German university hospital and the conceptual and structural requirements necessary for this.</p> Approach <p>A&#xa0;job profile was developed based on a&#xa0;systematic literature search in the PubMed (U.S. National Library of Medicine, Bethesda, MD, USA), LIVIVIO (German National Library of Medicine, Cologne, Germany), and Cumulative Index to Nursing and Allied Health Literature (CINAHL, Elton B. Stephens Company [EBSCO] Information Services, Ipswich, MA, USA) databases. Implementation was structured and participatory, based on the PEPPA (<i>p</i>articipatory, <i>e</i>vidence-based, <i>p</i>atient-focused <i>p</i>rocess for the development, implementation and evaluation of <i>a</i>dvanced practice nursing) framework.</p> Results <p>The APN supported the further development of evidence-based nursing care, the qualification of the nursing team, and interprofessional collaboration. APN-led measures contributed to the improvement of knowledge structures, induction processes, and selected care procedures.</p> Conclusion <p>ANP can make a&#xa0;relevant contribution to the further development of (critical) care. This requires clear role profiles, suitable structural conditions, and strategically controlled implementation within the organization.</p>

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Advanced Nursing Practice (ANP) auf einer internistischen Intensivstation

  • 期刊论文

  • 发表日期：

    2026年4月8日

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  • Marina Ufelmann,
  • A. Ellermeyer,
  • C. Boldt

摘要

Background

Advanced nursing practice (ANP) is becoming increasingly important in light of the growing complexity of care and rising demands in critical care. Despite being established internationally, the role of the advanced practice nurse (APN) has not yet been fully implemented in Germany.

Objective

To describe the introduction of an APN in an intensive care unit at a German university hospital and the conceptual and structural requirements necessary for this.

Approach

A job profile was developed based on a systematic literature search in the PubMed (U.S. National Library of Medicine, Bethesda, MD, USA), LIVIVIO (German National Library of Medicine, Cologne, Germany), and Cumulative Index to Nursing and Allied Health Literature (CINAHL, Elton B. Stephens Company [EBSCO] Information Services, Ipswich, MA, USA) databases. Implementation was structured and participatory, based on the PEPPA (participatory, evidence-based, patient-focused process for the development, implementation and evaluation of advanced practice nursing) framework.

Results

The APN supported the further development of evidence-based nursing care, the qualification of the nursing team, and interprofessional collaboration. APN-led measures contributed to the improvement of knowledge structures, induction processes, and selected care procedures.

Conclusion

ANP can make a relevant contribution to the further development of (critical) care. This requires clear role profiles, suitable structural conditions, and strategically controlled implementation within the organization.