JOURNAL
Advanced practice nursing in pediatric rehabilitation: accreditation and international standards
About the Authors
Anar Nurpeissova – Senior nurse of the Admission Department, NJSC “National Center for Children's Rehabilitation”, Astana, Kazakhstan, This email address is being protected from spambots. You need JavaScript enabled to view it., https://orcid.org/0009-0004-9607-2216
Аbstract
This review article focuses on the role of Advanced Practice Nurses in pediatric rehabilitation, taking into account the requirements of the national accreditation system of the Republic of Kazakhstan and international quality standards of the Joint Commission International. The article examines recent open-access studies from Scopus and Web of Science databases, addressing the effectiveness of advanced nursing practice, the work of multidisciplinary teams, and the impact of expanded nursing competencies on pediatric treatment outcomes. The national accreditation of Kazakhstan emphasizes patient safety, process standardization, and assessment of nursing care quality. Joint Commission International standards highlight the importance of clinical protocols, team communication, and systematic professional development. Comparative analysis shows that integrating Advanced Practice Nurses practice into pediatric rehabilitation contributes to improved functional outcomes, increased family satisfaction, and optimization of physician workload. Systematic implementation of the Advanced Practice Nurses model requires adaptation of international requirements, strengthening educational programs, and developing mechanisms for competency assessment.
Keywords
Advanced practice nurse, pediatric rehabilitation, accreditation, international standards.
References
- International Council of Nurses (ICN). Guidelines on Advanced Practice Nursing. 2020. URL: https://www.icn.ch/system/files/documents/2020-04/ICN_APN%20Report_EN_WEB.pdf
- Профессиональный стандарт «Медицинская сестра расширенной практики». Национальная система квалификаций, РК. 2023. URL: https://career.enbek.kz/ru/professionalstandart/400/2957
Professionalʹnyy standart “Meditsinskaya sestra rasshirennoy praktiki” (Professional Standard “Advanced Practice Nurse”) [in Russian]. Natsionalʹnaya sistema kvalifikatsiy, RK. 2023. URL: https://career.enbek.kz/ru/professionalstandart/400/2957
- Приказ Министра здравоохранения Республики Казахстан от 7 апреля 2023 года № 65 «Об утверждении стандарта организации оказания медицинской реабилитации». URL:https://adilet.zan.kz/rus/docs/V2300032263
Prikaz Ministra zdravookhraneniya Respubliki Kazakhstan ot 7 aprelya 2023 goda № 65 “Ob utverzhdenii standarta organizatsii okazaniya meditsinskoy reabilitatsii” (Order of the Minister of Health of the Republic of Kazakhstan dated 7 April 2023 No. 65 “On Approval of the Standard for the Organization of Medical Rehabilitation”) [in Russian]. URL: https://adilet.zan.kz/rus/docs/V2300032263
- HAO “Национальный центр детской реабилитации”. JCI‑реаккредитация. URL: http://www.nccr.kz/index.php/ru/o-nas/about-ru/svidetelstvo-ob-akkreditatsii-i-litsenzii
NAO “Natsionalʹnyy tsentr detskoy reabilitatsii”. JCI reakkreditatsiya (NJSC “National Center for Children’s Rehabilitation”. JCI Reaccreditation) [in Russian]. URL: http://www.nccr.kz/index.php/ru/o-nas/about-ru/svidetelstvo-ob-akkreditatsii-i-litsenzii
- Институт качества и аккредитации в здравоохранении (ИКАЗ). URL: https://accreditation.kz/iec?lang=
Institut kachestva i akkreditatsii v zdravookhranenii (IKAZ). (Institute for Quality and Accreditation in Healthcare (IQAH)) [in Russian]. URL: https://accreditation.kz/iec?lang=
- Приказ Министра здравоохранения Республики Казахстан от 21 декабря 2020 года № ҚР ДСМ-305/2020 "Об утверждении номенклатуры специальностей и специализаций в области здравоохранения, номенклатуры и квалификационных характеристик должностей работников здравоохранения" (зарегистрирован в Реестре государственной регистрации нормативных правовых актов под № 21856). URL: https://adilet.zan.kz/rus/docs/V2000021856
Prikaz Ministra zdravookhraneniya Respubliki Kazakhstan ot 21 dekabrya 2020 goda № QR DSM-305/2020 “Ob utverzhdenii nomenklatury spetsialʹnostey i spetsializatsiy v oblasti zdravookhraneniya, nomenklatury i kvalifikatsionnykh kharakteristik dolzhnostey rabotnikov zdravookhraneniya” (Order of the Minister of Health of the Republic of Kazakhstan dated 21 December 2020 No. QR DSM-305/2020 “On Approval of the Nomenclature of Specialties and Specializations in Healthcare, and the Nomenclature and Qualification Characteristics of Healthcare Worker Positions”) [in Russian]. URL: https://adilet.zan.kz/rus/docs/V2000021856
- Hyde, R., MacVicar, S., & Humphrey, T. (2020). Advanced practice for children and young people: A systematic review with narrative summary. Journal of advanced nursing, 76(1), 135–146. https://doi.org/10.1111/jan.14243
- Martínez-González, N. A., Rosemann, T., Djalali, S., & Tandjung, R. (2015). Quality of primary care by advanced practice nurses: A systematic review. International Journal for Quality in Health Care, 27(5), 396–404. https://doi.org/10.1093/intqhc/mzv054
- Lee, H., Kim, D. J., & Han, J. W. (2024). An Exploratory Analysis of the Roles of Nurses on a Pediatric Rehabilitation Unit in South Korea Perceived by Pediatric Rehabilitation Professionals. Healthcare (Basel, Switzerland), 12(2), 177. https://doi.org/10.3390/healthcare12020177
- Kilpatrick, K., Savard, I., Audet, L. A., Kra-Friedman, A., Atallah, R., Jabbour, M., Zhou, W., Wheeler, K., Ladd, E., Gray, D. C., Henderson, C., Spies, L. A., McGrath, H., & Rogers, M. (2023). A global perspective of advanced practice nursing research: A review of systematic reviews protocol. PloS one, 18(1), e0280726. https://doi.org/10.1371/journal.pone.0280726
- Wheeler, K. J., Gray, M., & Donald, F. (2022). Advanced practice nursing roles, regulation, education, and practice climate: A global overview. Journal of Nursing Regulation, 13(2), 75–82. https://doi.org/10.1016/j.jnr.2022.04.006

