The Hospice and Palliative Care Advanced Practice Registered Nurse Workforce: Results of a National Survey
The Hospice and Palliative Care Advanced Practice Registered Nurse Workforce: Results of a National Survey
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DOI：
10.1097/njh.0000000000000449
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发表时间：
2018-08-01
影响因子：
1.8
通讯作者：
Ersek, Mary
中科院分区：
文献类型：
--
作者：
Pawlow, Patricia;Dahlin, Constance;Ersek, Mary
缓和疗护持续成长的一个障碍是缺乏合格的安宁疗护和缓和疗护临床医师。高级执业注册护士是跨学科姑息治疗团队的重要组成部分，加强这一队伍可以帮助缓解临床医生的短缺，提高获得高质量姑息治疗的机会。然而，关于这一劳动力的信息缺乏。本研究的目的是描述当前安宁疗护及缓和疗护高级执业注册护士的劳动力、教育需求及执业障碍。调查人员在2016年10月至2017年1月期间进行了在线调查，收到了556份回复。63%的人有超过20年的注册护士经验，但作为临终关怀和姑息治疗高级实践护士的经验较新，53.8%的人在这个角色上有0到5年的经验。41%的人表示，传统的研究生教育准备不足以让他们为自己的专业角色做好准备。大多数人表示，他们在目前的职位上没有遇到障碍，但7.3%的人认为存在重大问题。这些结果可以为未来的专业、教育和监管工作提供信息，以支持和发展姑息治疗高级执业注册护士队伍。
One barrier to continued growth of palliative care is the shortage of qualified hospice and palliative care clinicians. Advanced practice registered nurses are an important part of the interdisciplinary palliative care team, and strengthening this workforce can help alleviate the shortage of clinicians and improve access to quality palliative care. However, there is a dearth of information about this workforce. The purpose of this study was to describe the current hospice and palliative care advanced practice registered nurse workforce, their educational needs, and barriers to practice. The investigators distributed an online survey between October 2016 and January 2017 and received 556 responses. Sixty-three percent had more than 20 years of experience as a registered nurse yet were newer to practice as a hospice and palliative care advanced practice nurse, with 53.8% having 0 to 5 years of experience in this role. Forty-one percent indicated that their traditional graduate educational preparation was insufficient in preparing them for their specialty role. Most indicated that they did not experience barriers to practice in their current position, but 7.3% identified significant issues. These results can inform future professional, educational, and regulatory efforts to support and develop the palliative care advanced practice registered nurse workforce.