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.


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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 2022 Dec. 6];9(T4):253-60. Available from: