Process of Emergence and Implementation of Advanced Practice Nursing in France

NCT06355505 | Recruiting

• 1 other identifier: PREPS-21-0098
• Study Type: observational
• Target: 1,600
• Locations: 1 country
• Sites: 1

Brief Summary

Longitudinal, observational research with a mixed quantitative (by questionnaires) and qualitative (by interviews and observations) approach, multidisciplinary, among Advanced Practice Nurses (APNs) already graduated and 3 consecutive classes of advanced practice students who will be followed annually during their implementation as APN until the last year of the study. The questionnaires will focus on APN scope of practice evolution, economical analysis and geographical distribution of APN. The ethnographical approach will assess APN settlements and relation with healthcare colleagues and patients.

Conditions

Nurse's Role

Keywords

advanced practice nursing

Outcome Measures

Primary Outcomes (1)

• Factors influencing the effective implementation of advanced practice nursing in France in primary care and health facilities

  The explanatory variables to be studied will be selected from data from the literature related to the implementation of advanced practice and the obstacles and levers identified internationally.

  48 months

Secondary Outcomes (4)

• Mapping of APNs in France with socio-demographic data

  48 months

• Definition by the APN of its role and missions

  48 months

• Implementation and dissemination of the APN practice in the territory according to the context of practice (community care, hospital)

  48 months

• Identification of potential impact dimensions of Advanced Practice Nursing

  48 months

Study Arms (2)

Graduate APNs

700 participants who hold the state diploma of advanced practice nurse and have been practising for more than 6 months as an APN in a hospital structure, in a health establishment in primary care or via a liberal activity in primary care

3 consecutive classes of advanced practice students

900 participants recruited during the 2nd year of training from 3 consecutive classes of students

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

700 participants recruited among graduate APNs 900 participants recruited during the 2nd year of training from 3 consecutive student classes i.e. 1600 participants in total

You may qualify if:

• For the questionnaires :
• be enrolled in the 2nd year (semester 3 or 4) in one of the 24 universities offering the State Diploma of Advanced Practice Nursing, regardless of the mention between 2024 and 2026
• be the holder of the state APN diploma at the beginning of the study (year 2024)
• For case studies:
• \- hold the state diploma of Advanced Practice Nurse and have been practicing for more than 6 months as an APN in a hospital structure, in a health facility in primary care or via a liberal activity in primary care

Sponsors & Collaborators

• Assistance Publique - Hôpitaux de Paris: lead

Study Sites (1)

Beaujon hospital

Clichy, France, 92110, France

RECRUITING

Study Officials

• Julie Devictor, PhD

  Assistance Publique Hopitaux de Paris

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Julie Devictor, PhD

CONTACT

06 64 71 26 75; julie.devictor@aphp.fr

Anne Leclercq, PhD

CONTACT

033 7 62 70 58 05; anne.leclercq2@aphp.fr

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: March 25, 2024
• First Posted: April 9, 2024
• Study Start: March 1, 2024
• Primary Completion (Estimated): January 1, 2028
• Study Completion (Estimated): March 1, 2028
• Last Updated: April 1, 2026

Record last verified: 2026-03

Data Sharing

• IPD Sharing: Will not share

Locations

FR (1)