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| Themes | Subthemes | Codes | Subcodes |
|
| Unique characteristics of advanced practice nursing | Specialized | Depth in knowledge and experience in a specific area | Cardiac, oncology, midwifery, |
| Advanced | Education | A postgraduate diploma |
| A master’s degree, doctorate in nursing practice |
| Training | Clinical training |
| Skills | Diagnoses, health assessment, ordering diagnostic tests, and prescribe medications |
| Autonomous | Run their own clinics, practice independently, privileges | |
| A link between physicians and nurses | |
| Distinct role | Not replacing physicians |
|
| Impacts of advanced practice nursing in nursing profession | Access to care and reduced waiting time | Emergency room, outpatient | |
| Patient satisfaction and experience | |
| Patient safety | |
| Holistic care and efficiency | Patient-provider relationship |
| | Adequate health education |
| | Follow-up |
| Relief physicians | Focus on critical cases and subspecialties |
| Cost-effective | APN are paid less than physicians APNs will be revenue makers |
| | Do not provide low-quality care |
| | Do not abuse the role |
| Fill gaps in care | Primary, rural, school health, chronic disease management |
| Expand nursing career pathways | Retain and attract nurses |
| | Concerns regarding worsening shortage of registered nurses |
|
| Challenges to utilize the advanced practice nursing roles | Regulatory | | |
| Professional | Resistance from physicians and nurses |
| Academic | Lack of programs |
| | Existing programs lack clinical training |
| Cultural | Resistance from patients |
|
| Opportunities to foster the proper implementation of advanced practice nursing | Saudi Vision 2030 | Enhance the quality and quantity nursing profession | |
| | Existing gaps in care |
| | Privatization |
| North American models | Training |
| | Hospital accreditation |
| COVID-19 pandemic | |
|
