To identify evidence reporting on nurse practitioners working in aged care in Australia and to categorise the reported factors found to be barriers or facilitators to operation in terms of establishment, sustainability, and expansion. Nurse practitioners work in a variety of aged care contexts throughout Australia but are underutilised and uncommon. Despite evidence for their effectiveness, it is unclear what barriers or enabling factors contribute to the successful and sustainable implementation of nurse practitioners working in this sector. Based on an a-priori protocol the JBI methodology for scoping reviews was used and the review reported against the PRISMA extension for scoping reviews (PRISMA-ScR). Databases searched included MEDLINE, Embase, Emcare, Web of Science, and Scopus. Peer reviewed and grey literature describing the role of Australian nurse practitioners in aged care were included. Of 2968 retrieved sources, 18 were included representing studies of a variety of designs from all Australian states and territories. Residential care and in-home care contexts as well as metropolitan, regional, and remote locations were represented. Overall, 123 individual barriers and facilitators were identified across seven inductively derived categories: staff/individual, organisational, system, operational, resource, data, and consumers/clients/residents. In many cases, factors appeared across both positive (facilitators) and negative (barriers) categories. Nurse practitioners can improve the quality of care being provided to older people accessing aged care in Australia. When establishing or maintaining nurse practitioner roles in aged care knowledge users should have a comprehensive understanding of the range of factors potentially contributing to or limiting success or sustainability. As implementation is highly contextual, various types of organisational and sectoral factors as well as individual and overarching factors related to the regulation of nurse practitioners practice should be considered.

中文翻译：

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澳大利亚老年护理行业执业护士的推动因素和障碍：范围界定审查


确定有关澳大利亚从事老年护理工作的执业护士的证据报告，并对所报告的在建立、可持续性和扩张方面阻碍或促进运营的因素进行分类。执业护士在澳大利亚各地的各种老年护理环境中工作，但利用率不足且不常见。尽管有证据证明其有效性，但尚不清楚哪些障碍或有利因素有助于在该部门工作的执​​业护士的成功和可持续实施。根据先验协议，使用 JBI 方法进行范围界定审查，并根据 PRISMA 范围界定审查扩展 (PRISMA-ScR) 报告审查。检索的数据库包括 MEDLINE、Embase、Emcare、Web of Science 和 Scopus。其中包括描述澳大利亚执业护士在老年护理中的作用的同行评审和灰色文献。在 2968 个检索到的来源中，有 18 个代表了对澳大利亚所有州和地区的各种设计的研究。住宅护理和家庭护理环境以及大都市、地区和偏远地区都有代表。总体而言，在七个归纳派生类别中确定了 123 个个人障碍和促进因素：员工/个人、组织、系统、运营、资源、数据和消费者/客户/居民。在许多情况下，因素同时出现在积极（促进因素）和消极（障碍）类别中。执业护士可以提高为澳大利亚老年护理人员提供的护理质量。 在建立或维持老年护理中的执业护士角色时，知识使用者应该全面了解可能有助于或限制成功或可持续性的一系列因素。由于实施具有高度的背景性，因此应考虑各种类型的组织和部门因素以及与护士从业人员实践监管相关的个人和总体因素。