Background With the rise of the Advanced Practice Nurse (APN) role, the assessment of patient experience has become a major issue in the quality of care. Existing measurement tools (PREMs) are often considered inadequate to capture the specificity of APN practice. Purpose This review therefore aims to map the instruments used in the literature to measure the experience of patients followed by an APN. Method A scoping review was conducted across several databases, following JBI and PRISMA-ScR standards. Quantitative or mixed-methods studies from the last 10 years measuring the experience of patients followed by an APN were included. Study selection and data extraction were performed by two independent researchers. Discussion Forty studies were included, identifying 30 validated tools and 11 non-validated ones. The main findings show heterogeneous tools: generic surveys, specific scales, or custom-made questionnaires. The measured dimensions of the patient experience primarily assess general perception, accessibility and continuity, shared decision-making, and patient empowerment. Although some tools are relevant, the review highlights the absence of a standardized and universal tool to assess the patient experience of patients followed by an APN. Conclusion Currently, there is no single tool that encompasses all the key dimensions of advanced practice and all the dimensions of the patient experience. The development of multiple case studies integrating one or more existing tools appears to be of interest. This type of project would make it possible to objectify the impact of APNs, improve care, and support the evolution of the profession.
Background Disaster risk is increasing globally, placing growing pressure on health systems. In geographically isolated territories, seismovolcanic crises rapidly disrupt healthcare delivery. Despite the central role of nurses in disaster response, qualitative evidence describing their experiences in isolated contexts remains limited. Purpose To analyze the perceptions and experiences of nurses deployed to respond to a seismovolcanic crisis on an island without a hospital. Methods A descriptive qualitative study was conducted between March 2024 and November 2025. Twelve nurses involved in the response participated in semi-structured interviews. Data were analyzed using interpretive qualitative content analysis supported by WebQDA software. Discussion Nurses operated under sustained uncertainty, limited situational awareness, and reliance on evacuation pathways. Their roles extended beyond clinical care to coordination, community mediation, and integration into emergency command structures. Conclusion The findings suggest that clearer deployment governance, disaster-specific competency development, and recognition of nursing leadership may support preparedness and health system resilience in geographically vulnerable island settings.
