{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T22:00:48Z","timestamp":1790373648420,"version":"4.1.0"},"reference-count":23,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T00:00:00Z","timestamp":1789516800000},"content-version":"vor","delay-in-days":15,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["International Nursing Review"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To explore the learning experiences of Chinese Master of Nursing Specialist (MNS) students as expressed in reflection reports produced in response to an Advanced Practice Nursing course; to clarify their understanding of the roles played by, the core competencies of, and the career development prospects of Advanced Practice Nurses (APNs).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Health systems both in China and worldwide are increasingly facing pressure from ageing populations and the growing burden of chronic diseases. Given the shortage of skilled nurses, APNs are critical for optimizing care. High\u2010quality education underpins role standardization, professional identity and innovation in practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A qualitative descriptive design was adopted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We analysed the course reflection reports produced by 43 first\u2010year MNS students to explore their learning experiences and perceptions of professional identity and career development through semantic network and qualitative content analyses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The core words revealed by the semantic network analysis included \u2018nursing\u2019, \u2018practice\u2019, \u2018specialty\u2019 and \u2018nurses\u2019. Four themes and nine subthemes were extracted from the reflection reports.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>MNS students grasp partial APN core competencies and prefer clinical specialization but lack sufficient understanding of coaching\u2013consultation, ethical decision\u2010making and evidence\u2010based practice. Curriculum optimization using Gibbs's reflective cycle and improved cross\u2010curriculum assessment can remedy such deficits. It is essential to strengthen the synergy between clinical research and practice, foster international collaboration and expand the APN practice scope. Equally important is the development of a localized APN training pathway through a multifaceted care network adapted to the Chinese context.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for Nursing<\/jats:title>\n                    <jats:p>Educators could integrate Gibbs's reflective cycle into the curriculum of APN and establish long\u2010term university\u2013hospital partnerships to develop the professional capabilities of APNs, particularly their capacity to address the complex health needs of ageing populations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/inr.70242","type":"journal-article","created":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T09:26:53Z","timestamp":1789550813000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Reflections of Master of Nursing Specialist Students in an Advanced Practice Nursing Course: A Qualitative Research Study"],"prefix":"10.1111","volume":"73","author":[{"given":"Jian\u2010bin","family":"Lin","sequence":"first","affiliation":[{"name":"School of Nursing Fujian Medical University  Fujian China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jin\u2010cheng","family":"Zhang","sequence":"additional","affiliation":[{"name":"School of Nursing Fujian Medical University  Fujian China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meng\u2010meng","family":"Fan","sequence":"additional","affiliation":[{"name":"School of Nursing Fujian Medical University  Fujian China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-8455-6415","authenticated-orcid":false,"given":"Yan\u2010ting","family":"Lou","sequence":"additional","affiliation":[{"name":"School of Nursing Fujian Medical University  Fujian China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2086-5234","authenticated-orcid":false,"given":"Dun","family":"Liu","sequence":"additional","affiliation":[{"name":"School of Nursing Fujian Medical University  Fujian China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,16]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.12927\/cjnl.2021.26686"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.5582\/bst.2022.01068"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.aorn.2008.12.023"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.enfie.2024.06.005"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCC.0000000000000253"},{"key":"e_1_2_12_7_1","volume-title":"Guidelines on Advanced Practice Nursing","author":"International Council of Nurses","year":"2020"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bulcan.2024.06.002"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1051\/medsci\/2024136"},{"issue":"4","key":"e_1_2_12_10_1","first-page":"15","article-title":"Practice and Niches of Advanced Practice Nurses (APNs) in Psychiatric and Mental Health Care","volume":"70","author":"Lin C. 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