Have a personal or library account? Click to login
Challenges and prospects of introducing advanced nursing practice in Morocco: a systematic literature review Cover

Challenges and prospects of introducing advanced nursing practice in Morocco: a systematic literature review

Open Access
|Jan 2026

Figures & Tables

Figure 1.

Keywords used for the selection of relevant studies.
Keywords used for the selection of relevant studies.

Figure 2.

Flow chart of the results of the review search.
Flow chart of the results of the review search.

Characteristics of the reviews included in this study_

TitleAuthorsPublication yearStudy typeAimConsensus points
1. A systematic review of experiences of advanced practice nursing in general practiceJakimowicz et al.132017Systematic reviewDescribe the experiences of IPAs in general practiceANP features, strengthen the relationship between GPs and APNs, and boost the self-confidence and self-esteem of APNs
2. Capability as a concept in advanced practice nursing and education: a scoping review protocolWhitfield et al.142022Scoping reviewDescribe the term “capability” in Advanced practice nursing and educationDefinition, skills, and competencies that allow APNs to deliver appropriate care for patients
3. The impact of the advanced practice nursing role on quality of care, clinical outcomes, patient satisfaction, and cost in the emergency and critical care settings: a systematic reviewWoo et al.72017Systematic reviewIdentify and synthesize the relevant studies on the quality of care provided by APNs, and the impact of advanced practice nursing on clinical outcomes, patient satisfaction, and cost in emergency and critical care settingsAPN definition, APN roles, NP, APN competencies, the impact of advanced practice nursing in emergency and critical care on same rates, namely, the length of stay, cost savings, time to consultation/treatment, mortality, and patient satisfaction
4. Advanced practice nursing roles in Arab countries in the Eastern Mediterranean region: a scoping review protocolAlmukhaini et al.152021Scoping reviewExplore and summarize evidence related to advanced practice nursing roles in Arab countries in the Eastern Mediterranean regionAPN definition, characteristics, outcomes, and the entry-level of education, globally and in the Eastern Mediterranean region
5. The costs, resource use, and cost effectiveness of clinical nurse specialistled interventions for patients with palliative care needs: A systematic review of international evidenceSalamanca-Balen et al.162018Systematic reviewPresent international data from interesting studies on the cost-effectiveness and use of resources in interventions carried out by CNSs with patients requiring palliative careAPN definition, the efficiency of a CNS in reducing specific resource use such as hospitalizations/rehospitalizations/admissions, length of stay, and health care costs
6. The roles of physician associates and advanced nurse practitioners in the National Health Service in the UK: a scoping review and narrative synthesisWang et al.172022A scoping review and narrative synthesisExamine, on one hand, the career advancement, perceptions, competencies, effectiveness, and regulation of advanced NPs and physician associates. On the other hand, understand ways to adequately incorporate mid-level practitioners into the NHS labor forceHistory of ANP, competencies, career, effectiveness, perceptions, regulations, and roles
7. Effectiveness of the Advanced Practice Nursing interventions in the patient with heart failure: A systematic reviewOrdóñez-Piedra et al.182021Systematic reviewBy referring to the four PICO questions (Patients, Interventions, Comparison, and Outcomes), the study seeks to update the available knowledge on the effectiveness of APN interventions in patients suffering from heart failureAdvanced practice nursing definition, APN roles, competencies, and cost-effectiveness ratio of advanced practice nursing
8. The outcomes of nurse practitioners (NP)-Provided home visits: A systematic reviewOsakwe et al.192020Systematic reviewInvestigate the available evidence on health and health care delivery outcomes related to NP-home visitsRoles of APN, competencies of NP, and impact of NP on the quality of care provided
9. Physician assistants and nurse practitioners in primary care plus: A systematic reviewVan ERP et al.32021Systematic reviewTo have an overview of the primary care provided by medical assistants or NPs to become accustomed toANP definition, career, quality of care provided by NP “role of APN,” facilitators and barriers of implementation of NP in a service, and efficiency of NPs
10. Impact of state nurse practitioner scope-of-practice regulation on health care delivery: Systematic reviewXue et al.12016Systematic reviewAssess the impact of state legislation on the NP workforce, access to and use of health care, and health care costsRole of APN: NP, the impact of the state of scope practice regulation on NP workforce, competencies of NP, and efficiency and effectiveness of the quality of health care provided by the NP
11. Nurse practitioners and physician assistants working in ambulance care: A systematic reviewvan Vliet et al.202020Systematic reviewOutline tasks of NPs and physician assistants in ambulance care settings. As well as, examine the effect of these tasks on costs, care process, and patient and provider outcomesANP definition, its history, activities of NP “role of APN,” and the effects of these activities
12. The essence, opportunities, and threats to Advanced Practice Nursing in Sub-Saharan Africa: A scoping review.Christmals and Armstrong22019Scoping reviewExamine the need, opportunities, and cautions of establishing an ANP program in sub-Saharan AfricaAPN efficiency, ANP program, opportunities, and cautions of the establishment and its effects on the health care system
13. The association between advanced practice nursing roles and outcomes in adults following cardiac surgery: A systematic review of randomized controlled trialsAudet et al.212021Systematic reviewTwo main objectives:
  • -

    Analyze patient and organizational outcomes of advanced practice nursing roles in postoperative cardiac surgery

  • -

    Summarize the obvious roles of APNs in postoperative cardiac surgery to guarantee a better quality of care

ANP implementation, outcomes of ANP, APN roles, aims, and competencies of APN
14. Tasks and activities of APNs in the psychiatric and mental health care context: A systematic review and thematic analysisScheydt and Hegedüs222020Systematic reviewStudy, analyze, and summarize the remit of APNs working in psychiatric mental healthDefinition of APN, ANP roles, competencies, and characteristics, and a description of the contents of ANP

Inclusion and exclusion criteria_

ItemsInclusion criteriaExclusion criteria
Types of studiesSystematic reviews, meta-analysis, and scoping reviewsOther types of studies
Fields of interventionStudies focusing on the following axes:
  • -

    ANP

  • -

    APN

  • -

    Issues and prospects of the establishment

Studies not covering the 3 selected axes
Publication yearAll studies published between 2016 and 2023Studies published before 2016 and after 2023
Data sourcesStudies published in PubMed, Cochrane Library, ScienceDirect, and Web of ScienceStudies not published in the mentioned databases
AccessOpen access articlesArticles not available on open access
DOI: https://doi.org/10.2478/fon-2025-0050 | Journal eISSN: 2544-8994 | Journal ISSN: 2097-5368
Language: English
Page range: 453 - 463
Submitted on: Dec 12, 2024
|
Accepted on: Jan 26, 2025
|
Published on: Jan 27, 2026
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2026 Khaoula Jounaidi, Meryem Hamdoune, Khaoula El barbi, Asmaa Ghafili, Zakaria Lahsini, Abdellah Gantare, published by Shanxi Medical Periodical Press
This work is licensed under the Creative Commons Attribution 4.0 License.