Key Elements of Professional Nursing Practice: A Scoping Review


  • Novita Kurnia Sari Department of Fundamental Nursing, Nursing Management School of Nursing, Faculty of Medicine and Health Sciences, Universitas Muhammadiyah Yogyakarta, Bantul, Indonesia; Student of Doctoral Program, Medical and Health Science, Faculty of Medicine, Public Health and Nursing, Gadjah Mada University, Yogyakarta, Indonesia
  • Titi Savitri Prihatiningsih Department of Medical Education, Faculty of Medicine, Public Health and Nursing, Gadjah Mada University, Yogyakarta, Indonesia
  • Lely Lusmilasari Department of Nursing, Faculty of Medicine, Public Health and Nursing, Gadjah Mada University Yogyakarta, Indonesia



Professional nursing practice, Nurse, Quality care, Scoping review


BACKGROUND: Professional nursing practice can be used as a standard reference for implementing nursing care to help nurses provide quality care in accordance with their authorities.

AIM: The review is purposed to synthesis the pieces of literature telling the development and / or application and / or assessment of a professional nursing practice to determine the crucial elements.

METHODS: This study was guided by the following framework for a scoping review, using electronic databases including ScienceDirect, EBSCO, ProQuest, Pubmed, and Google Scholar within keywords of professional nursing practice, model, nurse and conceptual framework.

RESULTS: Of a total of 2870 paper found, 28 papers were selected. This study seven key elements: health system competency, professional value, reward and performance evaluation, leadership, nursing care, professional development, and basic care competency. CONCLUSION: A professional nursing practice would provide the minimum standard of quality nursing practice.


Download data is not yet available.


Metrics Loading ...

Plum Analytics Artifact Widget Block


Poitras ME, Chouinard MC, Fortin M, Gallagher F. How to report professional practice in nursing? A scoping review. BMC Nurs. 2016;15:31. PMid:27231437 DOI:

Girard F, Linton N, Besner J. Professional practice in nursing: A framework. Nurs Leadersh. 2005;18(2):1. DOI:

American Nurses Association. Nursing Scope and Standards of Practice. 3rd ed. Maryland: Nursesbooks; 2015.

HossliSM, Start R, Murphy MP. Implementation and evaluation of an ambulatory care nurse clinical advancement system. Nurs Econ. 2018;36(3):149-55.

Dery J, Clarke S, D’Amour D, Blais R. Scope of nursing practice in a tertiary pediatric setting: Association with nurse and job characteristics and job satisfaction. J Nurs Scholarsh. 2018;50(1):56-64. DOI:

Kahya E, Oral N. Measurement of clinical nurse performance: Developing a tool including contextual items. J Nurs Educ Pract. 2018;8(6):112-23. DOI:

Hoffart N, Wood CQ. Elements of a nursing professional practice model. J Prof Nurs. 1996;12(6):354-64. PMid:8979639 DOI:

Ribeiro OM, da Silva Martins MM, Tronchin DM. Nursing professional practice models: An integrative literature review. J Nurs Ref. 2016;4(10):125-33. DOI:

Webster J, Cowart P. An innovative professional nursing practice model. Nurs Adm Q. 1999;23(3):11-6. PMid:10363015 DOI:

Joseph ML, Bogue RJ. A theory-based approach to nursing shared governance. Nurs Outlook. 2016;64(4):339-51. PMid:27005400 DOI:

Xing Q, Zhang M, Zhao F, Zhou Y, Mo Y, Yuan L. The development of a standardized framework for primary nurse specialists in Diabetes Care in China: A delphi study. J Nurs Res. 2019;27(6):e53. PMid:31162295 DOI:

Arskey H, O’Malley L. Scoping studies: Towards a methodological framework. Int J Soc Res Methodol. 2005;8(1):19-32. DOI:

Grant MJ, Booth A. A typology of reviews: An analysis of 14 review types and associated methodologies. Health Info Libr J. 2009;26(2):91-108. PMid:19490148 DOI:

Levac D, Colquhoun H, O’Brien KK. Scoping studies: Advancing the methodology. Implement Sci. 2010;5:69. PMid:20854677 DOI:

Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3(2):77-101. DOI:

Hodge MB, Campbell P, Tobar K. Engaging nurses in the development and implementation of a professional practice model through nursing salons. J Nurs Adm. 2016;46(9):425-7. PMid:27556650 DOI:

Cordo J, Hill-Rodriguez D. The evolution of a nurse professional practice model through leadership support of clinical nurse engagement, empowerment, and shared decision making. Nurse Lead. 2017;15(5):325-30. DOI:

DeMarco K, Pasadino F. Transforming a nurse practice advancement program for the new millenium. Nurse Lead. 2018;16(4):234-9. DOI:

Keyko K, Cummings GG, Yonge O, Wong CA. Work employee in professional nursing practice: A systematic review. Int J Nurs Stud. 2016;61:142-64. PMid:27351831 DOI:

Ribeiro O, Martins MM, Tronchin DM, da Silva JM. Professional nursing practice grounded in the theoretical framework of the discipline: Reality or utopia. Rev Enferm Ref. 2018;4(19):39-48. DOI:

Shear K, Shakir A. The patient caring touch system: A framework for positive practice environment. Med Surg Nurs. 2017;26(3):215-8.

Hermida EY, Sanchez-Herrera B. Nursing care with a human approach: A model for practice with service excellence. Aquichan. 2018;18(2):149-59. DOI:

Dimitroff LJ, Tydings DM, Nickoley S, Nichols LW, Krenzer ME. From blank canvas to masterwork: Creating a professional practice model at a magnet hospital. Nurs Res Pract. 2016;2016:8783594. PMid:28097022 DOI:

Kim YH, Jung YS, Min J, Song EY, Ok JH, Lim C, et al. Development and validation of a nursing professionalism evaluation model in a career ladder system. PLoS One. 2017;12(10):e0186310. PMid:29023537 DOI:

Mensik JS, Martin DM, Johnson KL, Clark CM, Trifanoff CM. Embedding a professional practice model across a system. J Nurs Adm. 2017;47(9):421-5. PMid:28834803 DOI:

Ribeiro OM, Martins MM, Tronchin DM, da Silva JM. Explanatory approach to the grounding of the professional nursing practice. Supl Digits Rev ROL Enferm. 2018;41(11-12):173-80.

Heydari A, Kareshki H, Armat MR. Is nurses’ professional competence related to their personality and emotional intelligence? A cross-sectional study. J Caring Sci. 2016;5(2):121-32. PMid:27354976 DOI:

Zelenikova R, Jarosova D, Plenova I, Janikova E. Nurses’ perceptions of professional practice environment and its relation to missed nursing care and nurse satisfaction. Int J Environ Res Public Health. 2020;17(11):3805. PMid:32471133 DOI:

Reed FM, Fitzgerals L, Bish MR. A practice model for rural district nursing success in end-of-life advocacy care. Scand J Caring Sci. 2018;32:746-55. PMid:28840608 DOI:

Braithwaite SE. Measuring Scope of Practice Enactment among Primary Care Registered Nurses in Ontario, Queen’s Graduate Theses and Dissertations School Nursing; 2016.

Weis D, Schank MJ. Development and psychometric evaluation of the nurses professional values scale-3. J Nurs Meas. 2017;25(3):400-10. PMid:29268825 DOI:

Raghubir AE. Emotional intelligence in professional nursing practice: A concept review using Rodgers’s evolutionary analysis approach. Int J Nurs Sci. 2018;5:126-30. PMid:31497624 DOI:

Kaya A, Boz I. The development of the professional values model in nursing. Nurs Ethics. 2016;26(3):914-23. PMid:28929939 DOI:

Mensik JS, Martin DM, Scott KA, Horton K. Development of a professional nursing framework: The journey toward nursing excellence. J Nurs Adm. 2011;41(6):259-64. PMid:21610480 DOI:

Davidson P, Rushton CH, Kurtz M, Wise B, Jackson D, Beaman A, et al. A social-ecological framework: A model for addressing ethical practice in nursing. J Clin Nurs. 2018;27(5-6):1233-41. DOI:

Meehan TC, Timmins F, Burke J. Fundamental care guided by the careful nursing philosophy and professional practice model. J Clin Nurs. 2018;27(11-12):2260-73. PMid:29399916 DOI:

Porter-O’Grady T, Clavelle JT. The structural framework for nursing professional governance: Foundation for empowerment. Nurse Lead. 2020;18(2):181-9. DOI:

Twigg DE, Davis SM, Slatyer S, Coventry LL. From 27th International Nursing Research Conggress: Identifying Key Components of Professional Practice Models for Nursing: A Synthesis of Literature; 2016.

Slatyer S, Conventry LL, Twigg D, Davis S. Professional practice models for nursing: A review of the literature and synthesis of key components. J Nurs Manag. 2016;24(2):139-50. PMid:25975609 DOI:

American Nurses Association, Health Policy; 2020. Available from: https// [Last accessed on 2020 May 16].

American Nurses Association, Recognition of a Nursing Specialty, Approval of a Specialty Nursing Scope of Practice Statement, Acknowledgment of Specialty Nursing Standards of Practice, and Affirmation of Focused Practice Competencies; 2017. DOI:

Wilson L, Moran L, Zarate R, Warren N, Ventura CA, Tamí-Maury I, et al. Qualitative description of global health nursing competencies by nursing faculty in Africa and the Americas. Rev Lat Am Enfermagem. 2016;24:e2697. PMid:27276020 DOI:

Wilson L, Harper DC, Tami-Maury I, Zarate R, Salas S, Farley J, et al. Global health competencies for nurses in the Americas. J Prof Nurs. 2012;28(4):213-22. PMid:22818191 DOI:

Erkus G, Dinc L. Turkish nurses’ perceptions of professional values. J Prof Nurs. 2018;34(3):226-32. PMid:29929805 DOI:

Kantek F, Kaya A, Gezer N. The effects of nursing education on professional values: A longitudinal study. Nurse Educ Today. 2017;58:43-6. PMid:28866254 DOI:

Elliot AM. Identifying professional values in nursing: An integrative review. Teach Learn Nurs. 2017;12(3):201-16. DOI:

Cempakasari AR, Nopiyani NM, Duarsa DP. Association between nursing care performance with perception of financial rewards, career development and supervision. Public Health Prev Med Arch. 2019;7(1):3-7. DOI:

Moradi T, Mehraban MA, Moeini M. Comparison of the perceptions of managers and nursing staff toward performance appraisal. Iran J Nurs Midwifery Res. 2017;22(2):128-34. PMid:28584551 DOI:

Ferreira CA, Neto MT, Vasconcelos FC, Souki GQ. Motivation and rewards to health professionals. Rev Gest Planej. 2016;17(1):41-58. DOI:

Maziero VG, Bernandes A, Righetti EA, Spiri WC, Gabriel CS. Positive aspects of authentic leadership in nursing work: Integrative review. Rev Bras Enferm. 2020;73(6):e20190118. PMid:32785461 DOI:

de Moura AA, Bernardes A, Balsanelli AP, Zanetti AC, Gabriel CS. Leadership and nursing work satisfaction: An integrative review. Acta Paul Enferm. 2017;30(4):442-50. DOI:

Heinen M, van Oostveen C, Peters J, Vermeulen H, Huis A. An integrative review of leadership competencies and attributes in advance nursing practice. J Adv Nurs. 2019;75(11):2378-92. PMid:31162695 DOI:

Connolly D, Wright F. The nursing quality indicator framework tool. Int J Health Care Qual Assur. 2017;30(7):603-16. PMid:28809586 DOI:

Martins A, Manley K. Developing standards for an integrated approach to workplace facilitation for interprofessional teams in health and social care contexts: A delphi study. J Interprof Care. 2018;32(1):41-51. PMid:29058564 DOI:

Cooper E, Spilsbury K, McCaughan D, Thompson C, Butterworth T, Hanratty B. Priorities for the professional development of registered nurses in nursing homes: A delphi study. Age Aging. 2017;46(1):39-45. PMid:28181630 DOI:

Price S, Reichert C. The importance of continuing professional development to career satisfaction and patient care: Meeting the needs of novice to mid-to late-career nurses through their career span. Adm Sci. 2017;7(17):1-13. DOI:

Kihnula N. Learning Clinical Competence with Mobile Technology in Nursing Education: A Descriptive Literature, Helsinki Metropolia University of Applied Science; 2017.

Melnyk BM, Gallagher-Ford L, Zellefrow C, Tucker S, Thomas B, Sinnott LT, et al. The first US study on nurses’ evidence-based practice competencies indicates major deficits that threaten healthcare quality, safety, and patient outcomes. Worldviews Evid Based Nurs. 2018;15(1):16-25. PMid:29278664 DOI:




How to Cite

Sari NK, Prihatiningsih TS, Lusmilasari L. Key Elements of Professional Nursing Practice: A Scoping Review. Open Access Maced J Med Sci [Internet]. 2021 Apr. 29 [cited 2023 Dec. 6];9(T4):253-60. Available from: