Perspectives in Nursing Science

The Research Institute of Nursing Science Seoul National University (서울대학교 간호과학연구소)
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Current Status and Vitalizing Strategies of Advanced Practice Nurses in Korea

한국 전문간호사제도의 현황과 활성화 전략

  • Seol, Miee (Department of Hematology, Asan Medical Center) ;
  • Shin, Yong Ae (Korea Human Resource Development Institute for Health and Welfare) ;
  • Lim, Kyung Choon (College of Nursing, Sungshin Women's University) ;
  • Leem, Chosun (Department of Pulmonary Medicine, Seoul National University Bundang Hospital) ;
  • Choi, Jeong Hwa (Infection Control Team, Konkuk University Medical Center) ;
  • Jeong, Jae Sim (Department of Nursing, College of Medicine, University of Ulsan)
  • 설미이 (서울아산병원 종양전문) ;
  • 신용애 (한국보건복지인력개발원) ;
  • 임경춘 (성신여자대학교 간호대학) ;
  • 임초선 (분당서울대학교병원) ;
  • 최정화 (건국대학교병원 감염관리) ;
  • 정재심 (울산대학교 의과대학 간호학과)
  • Received : 2017.04.10
  • Accepted : 2017.04.13
  • Published : 2017.04.30
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Abstract

Purpose: This study aimed to provide information on the developmental process and current status of Advanced Practice Nurses (APN) and to suggest ways for activating APN roles in Korea. Methods: We reviewed literatures to explore domestic and international trends related to the roles, practice settings, scope of practice, regulatory policies, and political environment of APN. Results: Interest in the APN role has been gaining ground worldwide. While the roles of APN in the USA, Taiwan and Japan have been changed in terms of legislation and institutional regulations, the role of APN in 12 fields except for APN in home care has not been legislated since qualification was specified in Korean Medical Law. Many problems were found in vitalizing APN roles: absence of legal regulations on the scope of practice or health insurance coverage for APN, increase the number of medical support staffs who are not qualified, and a disagreement regarding the qualification field and practical field. Conclusion: This study presents snapshots and vitalizing strategies of practice, and regulation for APN to develop their unique roles in Korea. The tasks and duties of APN should be identified specifically to fulfill their roles. In terms of national health insurance policy APN's Nursing care should be reimbursed just as nursing care of APN in home care.

Keywords

References

  1. Yun SN. Legal institutionalization of advanced practice nurses. The Korean Nurse. 1997;35(5):5-12.
  2. Kim JH. Demand-supply of advanced practice nurse (APN) and alternative benefit strategies in the national health insurance. Persp Nurs Sci. 2010;7(1):23-35.
  3. Kim CJ. Introduction and significance of advanced practice nurses. The Korean Nurse. 2005;44(5):14-6.
  4. Regulations for Qualification of Advanced Practice Nurses [Internet]. Sejong: National Law Information Center; 2006 Jul [cited 2017 April 10]. Available from: http://http://tip.daum.net/openknow/40491422
  5. Seol ME, Lim KC, Shin YA, Leem CS, Jeong JS, & Choi JH. Status and issues of Korean advanced practice nurses; Internal records; 2017 Feb 3-90; Korea. Seoul: Korean advanced practice nurses association; 2017.
  6. Kim MW. Discussion about the development of institutionalization of advanced practice nursing and its future development. J Nurs Query. 2006;15(2):35-67.
  7. kabone.or.kr [Internet]. Seoul: Korean accreditation board of nursing education; [cited 2017 March 10]. Available from: http://kabone.or.kr/kabon04/index03.php
  8. international.aanp.org [Internet]. Definition and characteristics of the role; [cited 2017 March 10]; Available from: https://international.aanp.org/Practice/APNRoles
  9. korea-ana.co.kr [Internet]. Nurse anesthesia history; [cited 2017 March 10]. Available from: http://www.korea-ana.co.kr/v3/sub2_01.php
  10. Kim ES. The activities of nurse practitioners in other countries; U.S.A., Philippines & Japan. The Korean Nurse. 1982;21(3):12-5.
  11. Kim HJ. Role of the public health nurses in health center. The Korean Nurse. 1989;28(1):23-6.
  12. kpmhna.or.kr [Internet]. History of advanced practice nurse on psychiatric nursing; [cited 2017 March 30]. Available from: http://www.kpmhna.or.kr/sub1/1_2.php
  13. Korean Accreditation Board of Nursing Education. 2016 Korean advanced practice nurse annual report. 2016.
  14. Hospital Nurses Association. Survey on the status of nursing staff placement. 2016.
  15. Suh SR. A study on the status and survey of Korean advanced practice nurses: policy research report. 2014;24-61.
  16. aanp.org [Internet]. NP Fact Sheet; [cited 2017 April 10]. Available from: https://www.aanp.org/all-about-nps/np-fact-sheet
  17. American Association of Nurse Practitioners. AANP national nurse practitioner database, 2016.
  18. American Association of Nurse Practitioners. 2016 AANP national nurse practitioner sample survey report.
  19. Chao Y. Nursing education in Taiwan. In: nursing care in Taiwan. Department of health (ROC); 2008:24-34. [cited 2007 Mar 30]; Available from: http://www.mohw.gov.tw/EN/Ministry/DM2_P.aspx?f_list_no=475&fod_list_no=862&doc_no=29952&rn=1456223381
  20. Tsay SL, Kuo SZ. Advanced nursing practice. In: nursing care in Taiwan. Department of health (ROC); 2008:177-184. [cited 2017 Mar 30]. Available from: http://www.mohw.gov.tw/EN/Ministry/DM2_P.aspx?f_list_no=475&fod_list_no=862&doc_no=29952&rn=1456223381
  21. Ching-Wen W, Heng-Hsin T. Nurse practitioners in Taiwan: today and tomorrow. J Am Acad Nurse Practitioners. 2012;24: 138-42. https://doi.org/10.1111/j.1745-7599.2011.00707.x
  22. Hui-Ju C, Shiow-Luan T, Heng-Hsin T. Scope of practice and legislation for nurse practitioners in Taiwan. J Am Assoc Nurse Practitioners. 2015;27:497-500. https://doi.org/10.1002/2327-6924.12248
  23. Rosemary G. The nurse partitioner/advanced practice role in Taiwan; 2012 [cited 2017 Mar 30]. Available from: http://www.npjournal.org/article/S1555-4155(12)00482-5/pdf
  24. Hospital Nurse Association. Survey on the role of medical support staffs. 2017.
  25. Korean Academy of Medical Science. Survey of actual situation of physician assistant and foreign policy study. 2011.
  26. Hospital Nurses Association. Survey on the status of nursing staff placement. 2010.
  27. Kwak CY, Park JA. Current roles and administrative facts of the Korean physician assistant. J Korea Contents Soc. 2014; 583-95.
  28. Kim JH. Estimation of a resource-based relative value scale and its conversion factor for advanced nursing practices in the national health insurance, with economic evaluation of its costeffectiveness [Internet]. 2014; 1-12. [cited 2017 Mar 30]. Available from: http://www.ndsl.kr/ndsl/search/detail/report/reportSearchResultDetail.do?cn=TRKO201400028699

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