Advanced nursing practice: Policy, education and role development
Advanced nursing practice: Policy, education and role development
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DOI：
10.1111/j.1365-2702.2005.01220.x
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发表时间：
2005-10-01
影响因子：
4.2
通讯作者：
Smith, R
中科院分区：
文献类型：
--
作者：
Furlong, E;Smith, R
目的和目标。本文旨在探讨高级护理实践在政策、教育和角色发展方面的关键要素，以突出临床实践的最佳结构。背景。高级护理实践的发展受到医疗保健服务、财务限制和消费者需求变化的影响。然而，高级护士执业角色的出现存在很大的分歧和变化。为了成功地制定和实施这一角色，需要政策、教育和监管标准。结论。本文强调了指导高级护理实践发展的政策的价值。教育课程需要灵活且富有远见，为高级执业护士做好实践准备。高级护理实践角色的核心理念是：临床实践自主权、开拓性专业和临床领导力、专家从业者和研究者。为了实现这些核心概念，高级执业护士必须发展先进的理论和临床技能，满足客户、家庭和社区的需求。与临床实践的相关性。在快速变化的以人为本的医疗保健环境中，高级执业护士可以为医疗保健服务做出重要贡献。未来的挑战很多，因为高级执业护士需要政策和适当的教育准备才能进行高级实践。这将使高级从业者能够阐明自己的角色，提供专家客户服务，并量化他们在结果研究中对医疗保健的贡献。
Aims and objectives. This paper aims to explore the critical elements of advanced nursing practice in relation to policy, education and role development in order to highlight an optimal structure for clinical practice.Background. The evolution of advanced nursing practice has been influenced by changes in healthcare delivery, financial constraints and consumer demand. However, there has been wide divergence and variations in the emergence of the advanced nurse practitioner role. For the successful development and implementation of the role, policy, educational and regulatory standards are required.Conclusion. The paper highlights the value of a policy to guide the development of advanced nursing practice. Educational curricula need to be flexible and visionary to prepare the advanced nurse practitioner for practice. The core concepts for the advanced nursing practice role are: autonomy in clinical practice, pioneering professional and clinical leadership, expert practitioner and researcher. To achieve these core concepts the advanced nurse practitioner must develop advanced theoretical and clinical skills, meet the needs of the client, family and the community.Relevance to clinical practice. In a rapidly changing people-centred healthcare environment the advanced nurse practitioner can make an important contribution to healthcare delivery. The challenges ahead are many, as the advanced nurse practitioner requires policy and appropriate educational preparation to practice at advanced level. This will enable the advanced practitioner articulate the role, to provide expert client care and to quantify their contribution to health care in outcomes research.