AimsThe aim of the study was to develop a comprehensive competency framework for advanced practice nurses in Belgium.DesignA co‐design development process was conducted.MethodsThis study consisted of two consecutive stages (November 2020–December 2021): (1) developing a competency framework for advanced practice nurses in Belgium by the research team, based on literature and (2) group discussions or interviews with and written feedback from key stakeholders. 11 group discussions and seven individual interviews were conducted with various stakeholder groups with a total of 117 participants.ResultsA comprehensive competency framework containing 31 key competencies and 120 enabling competencies was developed based on the Canadian Medical Education Directions for Specialists Competency Framework. These competencies were grouped into seven roles: clinical expert and therapist, organizer of quality care and leader in innovation, professional and clinical leader, collaborator, researcher, communicator and health promoter.ConclusionThe developed competency framework has resemblance to other international frameworks. This framework emphasized the independent role of the advanced practice nurse and provided guidance in a clear task division and delegation to other professionals. It can provide a solid foundation for delivering high‐quality, patient‐centred care by advanced practice nurses in the years to come.Implications for the professionThis competency framework can guide further development of advanced practice nursing education in Belgium and represents a starting point for future evaluation of its feasibility and usability in education and clinical practice. Advanced practice nurses and healthcare managers can also use the framework as an instrument for personal and professional development, performance appraisal, and further alignment of these function profiles in clinical practice. Finally, this framework can inform and guide policymakers towards legal recognition of advanced practice nursing in Belgium and inspire the development of advanced practice nursing profiles in countries where these profiles are still emerging.ImpactWhat problem did the study address? The absence of a detailed competency framework for advanced practice nurses complicates legal recognition, role clarification and implementation in practice in Belgium. A rigorously developed competency framework could clarify which competencies to integrate in future advanced practice nursing education, mentorship programs and practice. What were the main findings? The competency framework outlined seven roles for advanced practice nurses: clinical expert and therapist, organizer of quality care and leader in innovation, professional and clinical leader, collaborator, researcher, communicator, and health promoter. Differentiation from other expert nursing profiles and clinical autonomy of advanced practice nurses were pivotal. Where and on whom will the research have impact? The comprehensive competency framework for advanced practice nurses and the collaborative methodology used can inspire other countries where these profiles are still emerging. The competency framework can be used as an instrument for role clarification, performance appraisals, continuous professional development, and professional (e‐)portfolios. The competency framework can guide policymakers when establishing Belgian’s legal framework for advanced practice nurses. Reporting methodThe authors have adhered to CONFERD‐HP: recommendations for reporting COmpeteNcy FramEwoRk Development in health professions.Patient or public contributionNo patient or public contribution in the design of the study. A patient advisory panel commented on the developed competency framework.

中文翻译：

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高级执业护士能力框架的开发：协同设计过程

目的本研究的目的是为比利时的高级执业护士开发一个全面的能力框架。设计进行了协同设计开发过程。方法本研究由两个连续阶段组成（2020年11月至2021年12月）：（1）开发能力框架研究团队根据文献和 (2) 小组讨论或访谈以及关键利益相关者的书面反馈，为比利时的高级执业护士提供了培训。与不同利益相关者群体共 117 名参与者进行了 11 次小组讨论和 7 次个人访谈。 结果 根据加拿大医学教育专家能力框架，制定了包含 31 项关键能力和 120 项赋能能力的综合能力框架。这些能力分为七个角色：临床专家和治疗师、优质护理的组织者和创新领导者、专业和临床领导者、合作者、研究员、沟通者和健康促进者。结论所制定的能力框架与其他国际框架相似。该框架强调了高级执业护士的独立作用，并为明确的任务分工和向其他专业人员的授权提供了指导。它可以为未来几年高级实践护士提供高质量、以患者为中心的护理奠定坚实的基础。对专业的影响该能力框架可以指导比利时高级实践护理教育的进一步发展，并代表了未来的起点评估其在教育和临床实践中的可行性和可用性。高级执业护士和医疗保健管理人员还可以使用该框架作为个人和专业发展、绩效评估以及在临床实践中进一步调整这些功能概况的工具。最后，该框架可以为政策制定者提供信息和指导，以在比利时对高级实践护理进行法律认可，并激励高级实践护理概况在这些概况仍在出现的国家的发展。影响 该研究解决了哪些问题？ 由于缺乏针对高级执业护士的详细能力框架，使得比利时的法律认可、角色澄清和实践实施变得复杂。 严格制定的能力框架可以明确将哪些能力纳入未来的高级实践护理教育、指导计划和实践中。 主要发现是什么？ 能力框架概述了高级执业护士的七种角色：临床专家和治疗师、优质护理的组织者和创新领导者、专业和临床领导者、合作者、研究员、沟通者和健康促进者。 与其他专家护理人员的区别和高级执业护士的临床自主权至关重要。 研究将在哪里以及对谁产生影响？ 高级执业护士的综合能力框架和所使用的协作方法可以激励其他仍在新兴的国家。 能力框架可用作角色澄清、绩效评估、持续专业发展和专业（电子）组合的工具。 能力框架可以指导政策制定者建立比利时高级执业护士的法律框架。 报告方法作者遵循 CONFERD-HP：报告卫生专业能力框架发展的建议。患者或公众贡献 研究设计中没有患者或公众贡献。患者咨询小组对制定的能力框架进行了评论。