AimThis article appraises models and theories related to advanced nursing practice. It argues that while the role of the advanced nurse practitioner builds on and extends beyond traditional nursing, it remains firmly grounded in ‘caring’.BackgroundThe stereotype that nurses ‘care’ and doctors ‘cure’ is fading. Increasingly, nurses have crossed boundaries and conducted independent assessment, diagnosis, prescribing and consultation, which used to be the doctor's role. Confusion and argument have arisen due to the higher‐level practice of the advanced nurse practitioner, as many questions where these ‘doctor nurses’ stand.DesignA literature review.Data SourcesDatabases, including CINAHL, Medline and Google Scholar, were searched.MethodDatabases were searched, and relevant studies and review articles from 1970 to 2023 were identified using the following keywords: ‘advanced nurse practitioner’, ‘nurse practitioner’, ‘advanced nursing’, ‘advance practice’, ‘nurse practitioner’, ‘nursing theory’ and ‘nursing model’.ResultsAlthough advanced nurse practitioners identify themselves as nurses, there is limited use of nursing theory to conceptualize this new level of practice and to define their contribution to the multi‐disciplinary team. It is noted that a holistic approach to personalized patient care, based on therapeutic relationships and effective communication, may help us identify the unique contribution of the advanced nurse practitioner.ConclusionsThe development of advanced nursing theory needs to capture this holistic approach and its caring element to recognize the value and strengthen the identity allegiance of this hybrid role.Implications for the Profession and/or Patient CareHolistic approach and patient‐centred care, effective communication and the therapeutic relationship are strong characteristics relating to ANP practice, the latter of which is yet to be clearly defined and captured in nursing theories. Conceptualizing ANP practice and capturing their valuable nursing care will enable better understanding and clarity for the role to realize its full potential.

中文翻译：

---

什么是高级护理实践中的护理？将理论和模型应用于高级护理实践——话语回顾

目的本文评估与高级护理实践相关的模型和理论。它认为，虽然高级执业护士的角色建立在传统护理的基础上并超越了传统护理，但它仍然牢牢扎根于“护理”。背景护士“护理”和医生“治疗”的刻板印象正在消失。护士越来越多地跨越界限，进行独立的评估、诊断、处方和咨询，而这曾经是医生的职责。由于高级执业护士的较高水平的实践，这些“医生护士”所面临的许多问题，引起了混乱和争论。设计文献综述。数据来源检索了数据库，包括CINAHL、Medline和Google Scholar。方法检索了数据库，并使用以下关键词识别 1970 年至 2023 年的相关研究和评论文章：“高级护士执业者”、“护士执业者”、“高级护理”、“高级实践”、“护士执业者”、“护理理论”和“结果尽管高级执业护士将自己定位为护士，但他们很少使用护理理论来概念化这种新的实践水平并定义他们对多学科团队的贡献。值得注意的是，基于治疗关系和有效沟通的个性化患者护理的整体方法可以帮助我们识别高级执业护士的独特贡献。结论高级护理理论的发展需要捕捉这种整体方法及其护理要素认识到这种混合角色的价值并加强身份忠诚度。对专业和/或患者护理的影响整体方法和以患者为中心的护理、有效的沟通和治疗关系是与 ANP 实践相关的强烈特征，后者尚未得到证实。在护理理论中得到明确的定义和体现。概念化 ANP 实践并捕捉他们宝贵的护理护理将有助于更好地理解和明确该角色，以充分发挥其潜力。