title: [Experience on the implementation of the advanced clinical nursing practice in an oncology unit].
abstract: BACKGROUND
  Social and political changes have created an increased in the demand of health care enabling the emergence of diverse professional profiles under the term Advanced Practice Nurse (APN). The APN is a nurse who has acquired a basis of expert knowledge, skills for decision making, and clinical competencies for an extended practice. In Spain, due to the Bologna process and the changes within university, such as postgraduate training, these profiles have begun to emerge.
  
  
  OBJECTIVE
  To describe the experience on the implementation of the advanced clinical nursing role in an inpatient oncology unit.
  
  
  METHODS
  Through the nine stages of the model known as Participatory, Evidence-Based Patient-Focused Process for Advanced Practice Nursing (PEPPA) the process of implementation of the Advanced Practice Nursing (APN) in an Oncology unit is described. For this purpose, the change project "Design of a care program for patients carrying a permanent draining catheter for malign ascitis and pleural effusion" was implemented. The project was grounded on the evidence-based theory and practice, and focused on the patient and the family. Its implementation has enabled the development of competences by the APN and the identification of barriers and facilitators.
  
  
  CONCLUSIONS
  The changes that have taken place in society favor the development of new nursing profiles, which have a positive impact on the institutions, nursing practitioners, patients and families.
authors: Clínica Universidad de Navarra. ebeortegui@unav.es
authors: Elena
authors: E
authors: Beortegui Urdánoz
authors: Cristina G
authors: CG
authors: Vivar
authors: Navidad
authors: N
authors: Canga Armayor
authors: Cristina
authors: C
authors: Oroviogoicechea Ortega
authors: Anan
authors: A
authors: Canga Armayor
authors: Sagrario
authors: S
authors: Ibarrola Izura
mesh_terms: D057179:Advanced Practice Nursing / Q000592:standards*; D006801:Humans; D009369:Neoplasms / Q000451:nursing*; D009859:Oncology Nursing / Q000592:standards*