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In response to the need for high-quality care for elderly patients with bronchial cancer, the pneumology and oncogeriatrics units have developed an integrative care pathway. It is the result of collaboration between the advanced practice nurse in oncopneumology, the coordinating nurse and the oncogeriatric physician., (Copyright © 2024. Published by Elsevier Masson SAS.)

The discovery of a cancer for which there is no immediate curative option is a frequent occurrence in the elderly. This article describes two well-identified pathways coordinated by advanced practice nurses at our facility: the oncogeriatric pathway and the early palliative pathway, as well as the link between these pathways., (Copyright © 2024. Published by Elsevier Masson SAS.)

Ten advanced practice nurses are already working at the Guillaume-Régnier hospital in Rennes. As part of an internship at this facility, students in the second year of the IPA master's degree in psychiatry and mental health at the University of Rennes were interested in the dynamics surrounding this still recent profession, the diversity of the missions performed, and inter-professional collaboration. An online survey was distributed to IPAs, and four interviews were conducted with healthcare professionals working with them., (Copyright © 2024 Elsevier Masson SAS. All rights reserved.)

In the post-Covid context, which is unstable and changing, what is the role of the team when it is reduced to operating with a growing number of temporary staff? The medical desertification that is gradually taking hold in certain regions is a cause for concern, as is the growing disaffection of nurses throughout France. It is essential to draw up a map that incorporates survival oases, in order to meet the essential need to provide care anyway, while at the same time perpetuating the process of improving care. Advanced practice nursing faces many challenges., (Copyright © 2024 Elsevier Masson SAS. All rights reserved.)

Thanks to their guidance and coaching skills, advanced practice nurses (APNs) support teams on a daily basis in improving their practices and developing their reflexivity. Their leadership enables caregivers to question themselves, exchange ideas and think about care from a different angle. Situational analysis sessions provide a space for them to step back, debate and innovate. This meaningful support enabled a newly-qualified IPA to find her place among the teams. Here's a testimonial., (Copyright © 2024 Elsevier Masson SAS. All rights reserved.)

Suicide prevention is a major public health issue, both nationally and internationally. The management of suicidal patients leaving emergency departments is crucial to preventing the risk of suicidal recurrence. Advanced practice nurses in psychiatry and mental health can provide real added value thanks to their specialist training, their ability to carry out a comprehensive and detailed clinical assessment, their mastery of medicinal and non-medicinal therapeutic interventions, their skills in coordinating the various players involved in the care pathway, their commitment to prevention and their skills in supporting the development of the skills of care and research teams., (Copyright © 2024 Elsevier Masson SAS. All rights reserved.)

Medication iatrogenia is a real public health problem. Elderly people are particularly at risk, due to their multiple pathologies, including heart failure; residents of residential care facilities for the dependent elderly (Ehpad) are no exception. Studies show that this risk is avoidable in 60% of cases, and that advanced practice nurses (APNs) can play a pivotal role in preventive measures. How would the role of the APN be perceived by other healthcare professionals working with these heart failure patients institutionalized in Ehpad?, (Copyright © 2024 Elsevier Masson SAS. All rights reserved.)

In France, the supply of healthcare services remains insufficient to meet the growing needs of the population, which has prompted the legislator to authorize direct access to certain professionals, in particular advanced practice nurses (APNs) working in coordinated practice structures. This article details an innovative multi-professional pathway in a nursing home, where the APN takes direct charge of people without a general practitioner, with the aim of improving their access to care and reintegrating them into the healthcare system., (Copyright © 2024 Elsevier Masson SAS. All rights reserved.)

The institutionalization of the nursing discipline within French universities can take a number of different paths, but must not ignore a fundamentally diverse practical reality. Heterogeneity is also evident in the abundance of theories available and mobilized to address objects of nursing interest. This text emphasizes this mobilization and presents a rhizomic nursing discipline that departs from a classical, vertical and hierarchical academic discipline. It draws on multiple theoretical contributions to address the encounter with cared-for bodies, and on critical perspectives to question the future of advanced practice nurses as a caring corps., (Copyright © 2024 Elsevier Masson SAS. All rights reserved.)

The rapid increase in the number of Parkinson's patients in the population is raising questions about the organization of expert resources. The creation of advanced practice nurses is likely to have an impact on this public health issue, as is the implementation of multi-level care gradation and the prospects for paramedical development., (Copyright © 2023 Elsevier Masson SAS. All rights reserved.)

Many elderly people live well and at home, but some require somatic and psychiatric care. Mobile psychiatric teams for the elderly are called upon to intervene with people aged 65-70 and over who are experiencing psychological distress. Among senior citizens, addictive disorders are very common, and are associated with psychiatric and geriatric co-morbidities. Alcohol, tobacco and benzodiazepine use disorders require holistic, individualized care, based on identification, prevention and referral, as well as training and coordination of professionals and caregivers., (Copyright © 2024 Elsevier Masson SAS. All rights reserved.)

In a medical-social setting, the work of addiction care providers is somewhat unusual. Drawing on the teachings of Carl Rogers and his person-centred approach, and Hildegard Peplau and her theory of care based on the interpersonal relationship, this article explores the possibilities of welcoming a user to an addictology care, support and prevention center that is trying to rethink its operations at a time when advanced practice nurses are being deployed., (Copyright © 2024 Elsevier Masson SAS. All rights reserved.)

A survey was conducted in June 2022 among the graduate RPNs in the field of psychiatry and mental health. 48 people responded and gave their views on their implementation and job satisfaction. The results were generally positive., (Copyright © 2023 Elsevier Masson SAS. All rights reserved.)

The prevalence of haematological malignancies increases in elderly patients. The complexity of therapeutic management makes it necessary to evaluate them using a global approach, namely bio-psycho-environmental. Identifying and assessing their weaknesses are part of the roles of advanced practice nurse (APN). Various tools are used to do this, including the G8 questionnaire, which directs patients towards a comprehensive geriatric assessment, or the Geriatric core dataset, designed to be used during clinical trials and which is more detailed and faster. Could an APN use the latter?, (Copyright © 2023 Elsevier Masson SAS. All rights reserved.)

Transition is a complex process that enables a young person living with a chronic illness to become an adult. It begins early in adolescence and ends once the transfer to the adult service is complete. The high risk of disruption during this transition calls for coordinated care focused on the patient and his or her life course. Many programs are dedicated to this delicate stage, including Jump, developed within the neurology department of a Paris hospital., (Copyright © 2023 Elsevier Masson SAS. All rights reserved.)

Remote professional practices or telehealth have been adopted by most healthcare professions around the world. Telehealth is now part of the means available to health professionals to strengthen the quality of pathways. Telehealth is not a substitute for face-to-face exercise but complements it. The relevance of a use of telehealth is the responsibility of the health professional. In this article, we specify the place of telehealth in the professional practice of an advanced practice nurse, whether in private practice or salaried by a care institution., (Copyright © 2023 Elsevier Masson SAS. All rights reserved.)

Advanced practice nursing is intended for children, adolescents, adults and the elderly. In the field of mental health, this population-based approach allows advanced practice nurses to apply all of their skills for individualized and adapted care. Whether these professionals work in child and adolescent psychiatry or in psychiatry for the elderly, their practices have many similarities., (Copyright © 2023 Elsevier Masson SAS. All rights reserved.)

An advanced practice nurse from the Bretonneau-Bichat (AP-HP) hospitals' mobile geriatric outpatient team works in the emergency department (SAU). Its mission is to facilitate the identification, evaluation and referral of frail elderly patients discharged home after a visit to the emergency department. Description of the implementation of this project, its progress, and one-year assessment., (Copyright © 2023 Elsevier Masson SAS. All rights reserved.)

Since September 2021, at the Paris Psychiatry and Neurosciences University Hospital Group, an advanced practice nurse has been providing post-emergency consultations for people who were initially seen in the emergency department, for whom an indication for outpatient care was given and who had problems accessing care. Collaboration with the nursing team is an important element not to be neglected in the implementation of this new profession., (Copyright © 2023 Elsevier Masson SAS. All rights reserved.)

The Paul-Guiraud Hospital Group has three advanced practice nurses (APNs) specializing in psychiatry and mental health who work in different medical-psychological centers. Supported by the institution, each APN project has been thought out by a multi-professional team within the structures, according to their specific needs., (Copyright © 2023 Elsevier Masson SAS. All rights reserved.)

The introduction of an advanced practice nurse in psychiatry and mental health (APN) at the University Hospital of Nîmes has made it possible to improve the quality and safety of care while controlling costs and ensuring the satisfaction of patients, partners and care teams. A favorable institutional policy, the involvement of the management, psychiatrists and the IPA PSM facilitated the acceptance of this new profession by the care teams and other professionals, despite the existence of statutory and logistical obstacles., (Copyright © 2023 Elsevier Masson SAS. All rights reserved.)

While our health care system is compartmentalized by specialty, the implementation of an advanced practice nurse mentioning stabilized chronic pathologies in a public mental health institution may seem ambitious. However, it is interesting, for patients suffering from a mental pathology, for caregivers practicing in psychiatry and for the institution, to integrate it into the care pathway., (Copyright © 2023 Elsevier Masson SAS. All rights reserved.)

The frail elderly population will most certainly continue to grow in the coming years. Consequently, the number of hospitalizations and the iatrogenic dependence linked to them will increase. In this context, it seems interesting to question frailty. Indeed, accompanying, in ambulatory care, these patients towards a resilient behavior is one of the roles of advanced practice nurses, which it would be judicious to deepen in order to decrease the recourse to hospitalization., (Copyright © 2023 Elsevier Masson SAS. All rights reserved.)

Advanced nursing practice is one of the avenues proposed by politicians to meet the new needs of people being cared for in a rapidly changing healthcare system. It is therefore interesting to conceptualize the theoretical foundations of these new practices, in order to reveal their meaning. To do this, we will discuss some of the missions of the advanced practice nurse, whose primary objective is to provide high-quality care. We will then demonstrate that the evolution of nursing care, which allows professionals to deploy their skills and gain in responsibility, is indeed at the service of the cared-for person., (Copyright © 2022 Elsevier Masson SAS. All rights reserved.)

Two advanced practice nurses (APNs) who graduated in France propose a feasibility perspective on their future multiprofessional practice in primary care. A retrospective exploratory study of 9 physicians was carried out on 396 consultations according to reasons and patient profiles. Slightly more than 22% of the consultations could be oriented strictly towards IPA. Approximately 60% of IPA consultations would fall under the heading of parallel therapeutic education., (Copyright © 2022 Elsevier Masson SAS. All rights reserved.)

Nurses play an essential role in the People's Republic of China. In particular, they are essential to meet the challenges of an aging population. While there has been little change in their situation for many years, change is now underway. The National Health Commission of the People's Republic of China has announced the upcoming implementation of strategies essential to the development of the profession., (Copyright © 2022. Published by Elsevier Masson SAS.)

Cancer management is changing rapidly. Changes in practices are not all transferable to the elderly population, which is heterogeneous. The description of the intrinsic toxicity of anti-cancer treatments is insufficient in the elderly. Recent studies dedicated to the elderly incorporate composite evaluation criteria combining efficacy and toxicity with a broad definition including, among other things, loss of functional autonomy. These new data acquired, as well as new organisations integrating the new profession of advanced practice nurse in oncogeriatrics will enable us to better respond to the challenge of caring for elderly patients in the future., (Copyright © 2020 Elsevier Masson SAS. All rights reserved.)

Nurses will soon be able to develop advanced practice in mental health through a state certified diploma. This new role will see caregivers acquire other competencies, such as prescribing, and marks a development of the profession through the growth of nursing sciences. The evolution of practices and the clinical approach in care would gain from collaboration between advanced practice nurses undergoing training and qualified clinical nurse specialists. Based on feedback from nurses in the field, perspectives for collaboration and organisation are assessed in terms of the health challenges facing our society., (Copyright © 2019 Elsevier Masson SAS. All rights reserved.)

Oral chemotherapy is a therapy which is increasingly prescribed in outpatient care but which should not be trivialised. The patient must be given information and education to ensure compliance and awareness of the side effects to share with the care team as soon as they appear., (Copyright © 2019 Elsevier Masson SAS. All rights reserved.)

In many countries, health systems are facing major difficulties in maintaining the quality, continuity and safety of the care provision. That is why healthcare systems are being reformed across the world. These reforms are redefining the boundaries between medical and paramedical professions, and have resulted in the emergence of advanced practices, notably in nursing. The field of oncology is not immune from these issues. It must deal with the evolution of techniques and technologies, the increase in knowledge as well as an evolution in the needs of patients with cancer. In France, advanced practice nurses appear to have found their place in oncology as they can take an active part in the priorities fixed by the different national cancer plans, notably through the prevention role which is one of the objectives., (Copyright © 2019 Elsevier Masson SAS. All rights reserved.)

Clinical leadership is expected of advanced practice nurses with regard to their scope of competencies. The effective implementation of this competency within the teams requires management support. It is a first step towards the reinforcement of clinical leadership in France., (Copyright © 2019. Published by Elsevier Masson SAS.)

While the profession of advanced practice nurse has finally been codified, this new regulation raises issues. Today, nursing is no longer subject to altruistic ideology. Advanced practice nurses have real expertise which has consequences on their responsibility. It is essential to be fully aware of the legal framework in which they practise., (Copyright © 2019 Elsevier Masson SAS. All rights reserved.)

THE STRATEGIES FOR DEPLOYING THE ROLE OF ADVANCED PRACTICE NURSE IN HOSPITALS.: Advanced practice is developing in France and is a real opportunity for patients, health professionals and for the health system as a whole. Advanced practice nurses will bring real added value in this context. The director of nursing has a key role to play in terms of communication and supporting the teams with the deployment of these new professionals on the wards., (Copyright © 2019 Elsevier Masson SAS. All rights reserved.)

The introduction of advanced nursing practice in France is a necessity but also constitutes a challenge. The French National Order of Nurses has been a key player in this project. This experience has shown that the profession needs to mobilise itself and acquire the codes and skills needed to tackle the difficulties and obstacles. It must develop its ability to negotiate with stakeholders and with its leadership to move the profession forwards., (Copyright © 2019. Published by Elsevier Masson SAS.)

An assessment of the impact of advanced practice will be presented to the French parliament in 2021. Advanced practice nurses must make use of this opportunity. Indeed, this assessment is likely to come with major challenges in terms of the reorganisation of the healthcare provision following the implementation of this new function. The definition of adapted indicators is essential., (Copyright © 2019. Published by Elsevier Masson SAS.)

Advanced Practice Nurses, the Patients' Perspective: The recognition of advanced nursing practice is being met with great optimisim among patients. The care relationship will be enhanced by the creation of different partnerships between health professionals, patients and carers, which will ensure a better quality of initial and follow-up care. The patient will now be able to rely on the advanced practice nurse to guide them along a more global healthcare pathway. As a result, the care and support relationship will feel more human., (Copyright © 2019 Elsevier Masson SAS. All rights reserved.)

Managing the Transition From Nurse to Advanced Practice Nurse: Qualified nurses who go on to undertake further training often find the transition difficult. This phenomenon has been studied more specifically in the field of advanced practice nursing. As France prepares to train and deploy state registered advanced practice nurses, it is essential to incorporate the learnings arising from research, in order to facilitate their training programme and their integration into their first role. Taking these elements into account will have a direct impact on the clinical results for which they will be accountable and their quality of working life., (Copyright © 2018. Published by Elsevier Masson SAS.)

The saturation of emergency departments due to inappropriate attendance by patients is becoming increasingly commonplace. It often leads to the discontent of users, due to long waiting times, and stretches the hospital staff physically, mentally and psychologically. Innovative organisation models have been developed abroad. They draw on the skills of advanced practice nurses in emergency departments. The impact of these models has been assessed very positively in numerous studies. They improve the quality and safety of care as well as the satisfaction of users., (Copyright © 2018. Published by Elsevier Masson SAS.)