{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T19:38:27Z","timestamp":1780601907746,"version":"3.54.1"},"reference-count":45,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2023,3,12]],"date-time":"2023-03-12T00:00:00Z","timestamp":1678579200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100002809","name":"Generalitat de Catalunya","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100002809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Renal Care"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To explore the presence of specialist outpatient nursing activity in care for kidney transplant recipients in Spain and to determine the level of competence development of this activity according to the Advanced Practice Nurse model.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Descriptive, cross\u2010sectional study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants and Measurements<\/jats:title><jats:p>All outpatient nurses specialising in renal transplantation in the 39 transplant hospitals in Spain were included. To fulfil the study objectives, an ad hoc questionnaire and the \u2018Advanced Practice Nurse Role Definition Instrument (IDREPA)\u2019\u00a0were administered to assess the nurses' level of competence development.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the facilities included in the study, 25 (64.1%) had posttransplant nursing activity, 13 (33.3%) had pretransplant nursing activity\u00a0and 11 (28.2%) had nursing activity involving kidney donor candidates. Twenty\u2010seven specialist nurse's offices were identified. The results of the IDREPA reflect the presence of advanced practice in the domains of \u2018expert care planning\u2019 and \u2018comprehensive care\u2019. Three (11.1%) nurses met all criteria for advanced nursing practice.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The results on specialised outpatient nursing activity at the 39 transplantation facilities in Spain indicate a low presence of this type of activity, with an even lower presence of advanced practice nurses.<\/jats:p><\/jats:sec><jats:sec><jats:title>Implications for Clinical Practice<\/jats:title><jats:p>Management teams should consider investing in the quality of care provided by advanced nurse practice to ensure that suitable treatment is provided and better clinical outcomes are obtained.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jorc.12463","type":"journal-article","created":{"date-parts":[[2023,3,12]],"date-time":"2023-03-12T10:35:17Z","timestamp":1678617317000},"page":"168-175","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Nurse\u2010led clinical activity in kidney transplantation care in Spain: A cross\u2010sectional observational study"],"prefix":"10.1111","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6180-4059","authenticated-orcid":false,"given":"Guillermo","family":"Pedreira\u2010Robles","sequence":"first","affiliation":[{"name":"Nephrology Department Hospital del Mar Barcelona Spain"},{"name":"ESIMar (Mar Nursing School), Parc de Salut Mar Universitat Pompeu Fabra affiliated Barcelona Spain"},{"name":"SDHEd (Social Determinants and Health Education Research Group) IMIM (Hospital del Mar Medical Research Institute) Barcelona Spain"},{"name":"Nursing and Health PhD Programme University of Barcelona Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5758-6933","authenticated-orcid":false,"given":"Paloma","family":"Garcimart\u00edn","sequence":"additional","affiliation":[{"name":"Nursing direction Hospital del Mar Barcelona Spain"},{"name":"Department of Biomedical Research in Heart Diseases Hospital del Mar Institute for Medical Research (IMIM) Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1322-8907","authenticated-orcid":false,"given":"Sonia","family":"Sevilla\u2010Guerra","sequence":"additional","affiliation":[{"name":"Ger\u00e8ncia de Processos Integrats de Salut, \u00c0rea Assistencial Catalan Health System Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0571-6131","authenticated-orcid":false,"given":"Anna","family":"Bach\u2010Pascual","sequence":"additional","affiliation":[{"name":"Nephrology Department Hospital del Mar Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0866-789X","authenticated-orcid":false,"given":"Marta","family":"Garc\u00eda\u2010Mart\u00ednez","sequence":"additional","affiliation":[{"name":"National Transplant Organisation Spanish Healthcare System Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7800-8091","authenticated-orcid":false,"given":"Victoria","family":"Mor\u00edn\u2010Fraile","sequence":"additional","affiliation":[{"name":"Department of Public Health, Mental and Maternal and Child Health, Nursing School University of Barcelona Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,3,12]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/TP.0000000000002748"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12882-019-1300-7"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/ctr.12068"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nephro.2021.03.005"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1681\/ASN.2015050542"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/jorc.12277"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.34067\/KID.0002502021"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/ijn.12050"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2007.11.008"},{"issue":"6","key":"e_1_2_9_11_1","first-page":"577","article-title":"The shortage of expert nephrology nurses in hemodialysis: a literature review","volume":"46","author":"Gaietto K.J.","year":"2019","journal-title":"Nephrology Nursing Journal"},{"key":"e_1_2_9_12_1","unstructured":"Global Observatory on Donation and Transplantation (GODT). (2021) Organ Donation and Transplantation Activities 2019 Report. Available from:http:\/\/www.transplant-observatory.org\/wp-content\/uploads\/2021\/06\/GODT2019-data_web_updated-June-2021.pdf[Accessed 7th December 2021]."},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nefro.2018.04.004"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.enfcle.2019.10.003"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.12921118"},{"key":"e_1_2_9_16_1","unstructured":"International Council of Nurses. (2020) Guidelines on Advanced Practice Nursing 2020. Available from:https:\/\/www.icn.ch\/system\/files\/documents\/2020-04\/ICN_APN%20Report_EN_WEB.pdf[Accessed 14th March 2022]."},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-016-0198-7"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1442-2018.2012.00704.x"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/TP.0000000000003136"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/TP.0000000000001769"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-6143.2009.02834.x"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/MNH.0000000000000548"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.exger.2016.02.003"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-0012.2010.01336.x"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2021.05.007"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2017.04.012"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfu204"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1002\/lt.25466"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-030-56890-0_47"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajt.14104"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1067\/mhl.2000.106936"},{"key":"e_1_2_9_32_1","doi-asserted-by":"publisher","DOI":"10.1038\/ki.2015.230"},{"key":"e_1_2_9_33_1","doi-asserted-by":"publisher","DOI":"10.7326\/M17-1235"},{"key":"e_1_2_9_34_1","unstructured":"Organitzaci\u00f3 Catalana de Trasplantaments (OCATT). (2021) Registre de malalts renals de Catalunya informe estad\u00edstic 2019. [Register of kidney patients in Catalonia statistical report 2019]. Barcelona. Departament de Salut Generalitat de Catalunya."},{"key":"e_1_2_9_35_1","unstructured":"Organizaci\u00f3n Nacional de Trasplantes (ONT). (2022) Memorias de actividad de Donaci\u00f3n y Trasplante. [Donation and Transplant activity reports] Available from:http:\/\/www.ont.es\/infesp\/Paginas\/DatosdeDonacionyTrasplante.aspx[Accessed 30th January 2022]."},{"key":"e_1_2_9_36_1","doi-asserted-by":"publisher","DOI":"10.3265\/Nefrologia.pre2009.Dic.5732"},{"key":"e_1_2_9_37_1","doi-asserted-by":"publisher","DOI":"10.1111\/ctr.12821"},{"key":"e_1_2_9_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nefroe.2021.08.003"},{"key":"e_1_2_9_39_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jash.2018.04.010"},{"key":"e_1_2_9_40_1","doi-asserted-by":"publisher","DOI":"10.1590\/0034-7167-2020-0392"},{"key":"e_1_2_9_41_1","doi-asserted-by":"publisher","DOI":"10.1177\/152692481102100410"},{"key":"e_1_2_9_42_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2017.10.018"},{"key":"e_1_2_9_43_1","doi-asserted-by":"publisher","DOI":"10.1111\/ijn.12635"},{"key":"e_1_2_9_44_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nefro.2021.03.008"},{"key":"e_1_2_9_45_1","unstructured":"Vargas\u2010Marcos F.(2015).Documento Marco sobre Enfermedad Renal Cr\u00f3nica (ERC) dentro de la Estrategia de Abordaje a la Cronicidad en el SNS. [Framework Document on Chronic Kidney Disease (CKD) within the Strategy for Addressing Chronicity in the SNS]. Espa\u00f1a: Misisterio de Sanidad Servicios Sociales e Igualdad."},{"key":"e_1_2_9_46_1","unstructured":"World Health Organisation (WHO). (2021) The global health observatory. Life expectancy at birth (years). Available from:https:\/\/www.who.int\/data\/gho\/data\/indicators\/indicator-details\/GHO\/life-expectancy-at-birth-(years)[Accessed 7th December 2021]."}],"container-title":["Journal of Renal Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jorc.12463","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jorc.12463","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jorc.12463","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,21]],"date-time":"2024-05-21T10:51:29Z","timestamp":1716288689000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jorc.12463"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,3,12]]},"references-count":45,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2024,6]]}},"alternative-id":["10.1111\/jorc.12463"],"URL":"https:\/\/doi.org\/10.1111\/jorc.12463","archive":["Portico"],"relation":{},"ISSN":["1755-6678","1755-6686"],"issn-type":[{"value":"1755-6678","type":"print"},{"value":"1755-6686","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,3,12]]},"assertion":[{"value":"2022-12-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-02-25","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-03-12","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}