Advanced practice nursing interventions promoting capacity-workload balance in adults with multiple chronic conditions: A scoping review - PubMed

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Advanced practice nursing interventions aim to balance capacity and workload for adults with multiple chronic conditions.
The review uses the Cumulative Complexity Model and Advanced Practice Role Delineation tool to analyze interventions.
Most interventions were delivered at home, individually, face-to-face, and over 12 months.
Common components included care coordination, coaching, regular clinical follow-up, and individualised care planning.
Over half of the interventions aligned with the principles of the Cumulative Complexity Model.
The dominant advanced nursing practice domain for interventions was direct comprehensive care.
Outcomes focused on patient- and system-level indicators like health improvement, quality of life, and healthcare utilization.
A conceptual framework was developed to guide future interventions and evaluations.
The review highlights the role of advanced practice nurses in managing complex chronic conditions.

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