Journal of Korean Academy of Nursing Administration (간호행정학회지)

Korean Academy of Nursing Administration (한국간호행정학회)
권호 표지

Analysis on Performance and New Classification of Advanced Practices by Critical Care Nurse Practitioners

중환자실 전문간호사의 전문간호행위 분류와 수행분석

  • Published : 2009.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of this study was to reclassify the advanced nursing practices of critical care nurse practitioners(CCNPs) in intensive care unit and measure the time and frequency of CCNP's activities. Method: Practices of ICU nurses are divided into RN's and CCNP's practices by a panel of ICU nursing experts. Each practice of CCNP is defined and CCNP's working time and service frequencies are monitored in general hospitals. Result: Practices of CCNP were classified into 4 domains and 32 practices. Fourteen practices by CCNPs were completed in 10 minutes and the other 12 practices consumed 10-30 minutes. A priority of practice in respiratory therapy was given to artificial airway management, management of tracheostomy patient, lower respiratory care, and the priority of CRRT was management of anticoagulation. Conclusions: Advanced nursing practices of CCNPs were recognized from those of RNs. A further research of CCNPs practices should be extended to other advanced practices and it is required to evaluate economic value of advanced nursing practice in the national health insurance system.

Keywords

References

  1. Boyle, D. M. (1996). The clinical nurse specialist. In: Hamric A, Spross J, Hanson C, eds. Advanced nursing practice: an integrative approach, 299-336, Philadelphia: Saunders.
  2. Choi, J. G. (2000, June). Resource-based relative value scales in the Korean classification of procedures in medicine. The 39th Autumn Academic Conference of the Korean Society of Neuclear Medicine.
  3. Davis, E. A. (1994). Factors influencing the implementation of the CNS role in a private practice. Clin Nurse Spec, 8, 42-46. https://doi.org/10.1097/00002800-199401000-00015
  4. Glass, B. C. (1993). The role of the nurse in advanced practice in bereavement care. Clin Nurse Spec, 7, 62-66. https://doi.org/10.1097/00002800-199303000-00005
  5. Hamric, A. B. (1995). Advanced practice: the future is now. Oncol Nurse Forum, 22, 547-553.
  6. Health Insurance Review & Assessment Service. (2004). Briefs on relative value scales and report progress. Workshop for Relative Value Scales.
  7. Hilderley, L. J. (1991). Nurse-physician collaborative practice: the clinical nurse specialist in a radiation oncology private practice. Oncol Nurse Forum, 18, 585-591.
  8. Jones, M. L. (2005). Role development and effective practice in specialist and advanced practice roles in acute hospital settings: systematic review and meta-synthesis. J Adv Nurs, 49(2), 191–209 https://doi.org/10.1111/j.1365-2648.2004.03279.x
  9. Kim, M. W. (2005). For successing landing of advanced practice nurses. NURSEZINE, 23-26
  10. Kleinpell, R. M., Ely, E. W., & Grabenkort, R. (2008). Nurse practitioners and physician assistants in the intensive care unit: An evidence-based review. Critil Care Med, 36(10), 2888-97. https://doi.org/10.1097/CCM.0b013e318186ba8c
  11. Korea Accreditation Board of Nursing (2005). Core competencies of advanced practice nurses and job performance of each brances of APNs.
  12. Korean Accreditation Board of Nursing (2008). 2008, Doing result report.
  13. Korean Hospital Nurses Association (2006). Standard nursing practice time of the reference nursing activities. Policy Report.
  14. Korea Health Industry Development Institute (2004). A study on projected manpower and development of management system.
  15. Korean Nurse Association (2001). Result report of progress processing on Advanced Nurse system.
  16. Kwon, I. K., Kim, Y. H., Hwang, K. J., Kim, H. S., Lee, B. S., Lee, H. S., & Choi, W. J. (2003). A study on the Role and Present State of Advanced Practice Nurses in Korea. J of Korean Clinical Nursing Research, 9(1), 55-75.
  17. Lee, C. H., Sung, Y. H., Yi, Y. H., Cho, Y. A., & Kwon, I. G. (2007). The role analysis of intensive care unit nurse and critical care advanced practice nurse. J of Korean Clinical Nursing Research, 13(3), 93-108.
  18. Lincoln, P. E. (2000). Comparing CNS and NP role Activities: A Replication. Clin Nurse Spec, 14(6), 269-277. https://doi.org/10.1097/00002800-200011000-00010
  19. Nuccio, S. A, Costa-Lieberthal K. M, Gunta K. E., Mackus, M, L., Riesch, S. K., Schmanski, K. M., & Westen, B. A. (1993). A Survey of 636 staff nurses: Perceptions and factors influencing the CNS role. Clin Nurse Spec, 7(3), 121-128 https://doi.org/10.1097/00002800-199305000-00005
  20. Park, K. J. (2008). Present and challenge in system of advanced practice nurses, workshop how to obtain methods of application of APNs, Korean Accreditation Board of Nursing.
  21. Park, K. O., Kim, J. K., & Jeong, J. S. (2007). An analysis of role nurse specialists in the general hospital. J Jorean Academy Socience Nurse Education, 13(2), 246-256.
  22. Park, J. H., Sung, Y. H., Park, K. O., Kim, Y. M., Nam, H. K., & Kim, K. S. (2006). Measurement and analysis of the standard nursing practice times of the reference nursing activities. J of Korean Clinical Nursing Research, 12(2), 17-29.
  23. Pirret, A. M. (2008). The role and effectiveness of a nurse practitioner led critical care outreach service. Intensive Critic Care Nurs, 24(6), 375-382 https://doi.org/10.1016/j.iccn.2008.04.007
  24. Scahill, L., & Sipple, B. (1993). What have you been called lately. J Child Adole Psychiatr Ment Health Nurs, 6, 36-37 https://doi.org/10.1111/j.1744-6171.1993.tb00157.x
  25. Schull, D. E, Tosch, P. K., & Wood, M. (1992). Clinical nurse specialist, as collaborative care manager. Nurse Management, 23(3), 30-33.
  26. Scott, R. A. (1999). A description of the roles, activities, and skills of Clinical Nurse Specialists in the United States. Clin Nurse Spec, 13, 183-190. https://doi.org/10.1097/00002800-199907000-00010
  27. Sidani, S., Doran, D., Porter H., LeFort, S., O'Brienn-Pallas L. L., Zahn, C., & Sarkissian, S. (2007). Outcomes of nurse practitioners in acute care: An exploration. Internet J of Advan Nurs Prac, 8(1), 15p
  28. Sole, M., Klein, G., & Moseley, M. (2005). Introduction to critical nursing(4th ed). st. Louis : Elsevier Saunders.
  29. Song, Y. H. (2002). Resource-based relative value scales for dental service of temporomandibular joint disorders. Unpublished dissertation, Dankuk University, Seou
  30. Williams, C. A., & Valdivieso, G. C. (1994). Advanced practice models: A comparison of clinical nurse specialist and nurse practitioner activities. Clin Nurse Spec, 8, 311-318 https://doi.org/10.1097/00002800-199411000-00007