International Journal of Nursing Sciences · Published 2025-12-15 · DOI 10.1016/j.ijnss.2025.12.006
Objectives: This study aimed to explore the current status of advanced nursing practice among blood purification specialist nurses in China, providing insights into their roles and contributions in clinical practice, education, and research. Methods: This study employed a cross-sectional survey using the convenience sampling method to explore the advanced nursing practice of blood purification specialist nurses in China from August 10 to September 10, 2022. A total of 1,919 blood purification specialist nurses from 882 hospitals in China were surveyed using a self-designed questionnaire. Results: The blood purification specialist nurses in China had a wide-ranging involvement in clinical nursing practice, teaching, and research. The most frequently performed advanced nursing practice among participants in clinical settings was nutritional management, including assessment (1,597 cases, 83.2 %) and education (1,828 cases, 95.3 %) of patients’ diets and nutritional status. The least performed advanced nursing practices were attending nursing clinics (93 cases, 4.8 %) and inter-hospital nursing consultations (123 cases, 6.4 %). Participants with varying work experience in blood purification, educational levels, professional titles, and from different hospital levels demonstrated different performance rates in various advanced nursing practice items. Working years in blood purification, professional titles, and position were independent factors influencing the practices of nursing clinics, consultations, or both. Conclusions: The scope of advanced nursing practice for Chinese blood purification specialist nurses was relatively extensive, and they demonstrate their value in many aspects of specialized nursing. Their working experience in blood purification, professional titles, and position might affect their involvement in the key activities of advanced practice.
Abstract from DOAJ. Public domain (CC0 1.0).
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