title: [Consensus on competencies for advanced nursing practice in Spain].
abstract: BACKGROUND
  There is a lack of international consensus on the exact definition and core competencies of advanced practice nursing (APN) roles, a problem particularly acute in our national context due to the lack of APN role development, which has a significantly short history in our country. The main objective of this paper was the delineation of the competence framework for Advanced Practice Nurses in our national context based on expert consensus through the Delphi method
  
  
  METHODS
  Based on a preliminary literature review process, a conglomerate of 17 domains of competence (clusters of related competencies) were identified. This initial set was revised, refined and validated by a group of expert panellists on the subject (clinicians, researchers, managers, and teachers) through successive rounds in search of a suitable consensus on each of the various proposed items
  
  
  RESULTS
  The results helped to establish a solid foundation in the form of a skills map that could identify those sets of more specific competencies for advanced practice roles, regardless of regulatory and professional practice context, identifying domains such as Research and Evidence Based Practice, Clinical and Professional Leadership, or Care Management
  
  
  CONCLUSIONS
  This set of skills related to advanced practice roles in our environment can delineate competency standards common to this level of nursing practice, and serve as a reference for policy development, a review of roles, or the establishment of academic profiles.
authors.affiliation: Departamento de Enfermería, Facultad de Enfermería y Fisioterapia, Universitat de les Illes Balears, Palma de Mallorca, España. Electronic address: p.sastre@uib.es.
authors.forename: Pedro
authors.initials: P
authors.lastname: Sastre-Fullana
authors.affiliation: Departamento de Enfermería, Facultad de Enfermería y Fisioterapia, Universitat de les Illes Balears, Palma de Mallorca, España.
authors.forename: Joan E
authors.initials: JE
authors.lastname: De Pedro-Gómez
authors.affiliation: Departamento de Enfermería, Facultad de Enfermería y Fisioterapia, Universitat de les Illes Balears, Palma de Mallorca, España.
authors.forename: Miquel
authors.initials: M
authors.lastname: Bennasar-Veny
authors.affiliation: Departamento de Fisioterapia, Facultad de Enfermería y Fisioterapia, Universitat de les Illes Balears, Palma de Mallorca, España.
authors.forename: Juan C
authors.initials: JC
authors.lastname: Fernández-Domínguez
authors.affiliation: Departamento de Psicología, Facultad de Psicología, Universitat de les Illes Balears, Palma de Mallorca, España.
authors.forename: Albert J
authors.initials: AJ
authors.lastname: Sesé-Abad
authors.affiliation: Departamento de Enfermería, Facultad de las Ciencias de la Salud,Universidad de Málaga, Málaga, España.
authors.forename: José M
authors.initials: JM
authors.lastname: Morales-Asencio
mesh_terms: D000328:Adult; D057179:Advanced Practice Nursing / Q000592:standards*; D002983:Clinical Competence; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D013030:Spain; D055815:Young Adult
keywords: Advanced practice nursing; Competencias profesionales; Consenso de expertos; Delphi method; Enfermería de práctica avanzada; Estándares profesionales; Expert consensus; Método Delphi; Professional competencies; Professional standards