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    Development and establishment of new APN roles is a complex process2 that has resulted from a wide variety of reasons,3 although a key component is role definition, competency map delineation and role evaluation.4It is noticeable both the heterogeneity of definitions, methodological difficulties through the different attempts at designing competency assessment methods in nursing,5 8 plus the difficulties in defining competence attributes.9 Reviews regarding the development of competencies in nursing do exist but none of them is specifically devoted to advanced practice.10–12The progressive worldwide implementation of these advanced roles has led to a growing development of standards of practice and competency maps,13 but with many different conceptual approaches.14 Some recent efforts have been proposed to establish competency frameworks as a background to develop new APN roles15 16 or reviewing existing ones,17 essentially based on competency mapping and role delineation.18 Consequently, this new scenario needs to validate specific tools for APN competency assessment.

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