目的 了解国内外开业护士（nurse practitioner，NP）核心能力的内容及发展现状，为明确NP角色定位、促进专业发展提供参考。方法 按照范围综述的研究范式，检索了CINAHL、Embase、PubMed等11个中英文数据库中NP核心能力的相关研究，检索时限2008年1月至2023年8月。依据美国NP核心能力框架的8个维度采用内容分析法对纳入文献进行范围综述，对超出能力框架的条目设置为其他维度。结果 最终纳入29篇文献，共提取出784条核心能力，包括患者护理263条（34%）、基于实践的学习和改进96条（12%）、基于系统的实践88条（11%）、多学科合作82条（10%）、专业性82条（10%）、人际关系和交流技巧65条（8%）、实践知识55条（7%）、个人与专业发展46条（6%）、其他维度7条（1%）。结论 各国NP核心能力存在差异，我国尚缺乏NP的核心能力框架，可借鉴国外的NP核心能力，制定符合我国国情的NP核心能力指标体系。

Objective To explore status quo of the core competence of Nurse Practitioner (NP) at home and abroad,so as to provide reference for defining the role of NP and promoting its professional development.Methods According to the research paradigm of scope review,the relevant researches on NP core competence in 11 Chinese and English databases such as CINAHL,Embase and PubMed were searched from January 2008 to August 2023.According to the 8 dimensions of the NP core competence framework of the United States,the scope of the included literature was reviewed by the content analysis method,and the items beyond the competence framework were set into other dimensions.Results A total of 29 literatures were included,with 784 core competencies extracted,including patient care 263(34%),practice-based learning and improvement 96(12%),systems-based practice 88(11%),multidisciplinary collaboration 82(10%),professionalism 82(10%),interpersonal and communication skills 65(8%),practical knowledge 55(7%),and personal and professional development 46(6%),and 7 other dimensions(1%).Conclusion There are differences in NP core competence among different countries,and China still lacks NP core competence framework.Experiences could be drawn from foreign NP core competence to develop NP core competence index system in line with our national conditions.

R47-05