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Experiences of Health-care Providers about Advanced Practice Nurses: Focusing on the Perspectives of Physicians and Advanced Practice Nurses

전문간호사 업무에 대한 의료인의 경험: 전문의와 전문간호사를 중심으로

  • Kang, Young-Ah (Department of Nursing, Asan Medical Center) ;
  • Lim, Kyung-Choon (College of Nursing, Sungshin University) ;
  • Kim, Joo Hyun (Department of Nursing, College of Nursing, Kangwon National University at Chuncheon) ;
  • Jeoung, Jae Sim (Department of Clinical Nursing, University of Ulsan Graduate School of Industry) ;
  • Han, Ji Eun (Department of Thoracic and Cardiovascular Surgery, Seoul National University Bundang Hospital)
  • 강영아 (서울아산병원) ;
  • 임경춘 (성신여자대학교 간호대학) ;
  • 김주현 (국립강원대학교(춘천) 간호대학 간호학과) ;
  • 정재심 (울산대학교 산업대학 임상전문간호학) ;
  • 한지은 (분당서울대학교병원)
  • Received : 2019.11.01
  • Accepted : 2019.12.06
  • Published : 2019.12.31

Abstract

Purpose: This study aimed to describe the experiences of health-care providers about advanced practice nurses (APNs) focusing on the perspectives of physicians and APNs in Korea. Methods: Qualitative data were collected with snowball sampling. Six physicians and 13 APNs participated in this study through in-depth interviews or a focus-group interview. Qualitative content analysis was employed. Results: Three themes and seven categories were emerged. Three themes were 1) challenging start and attempts to settle down on unfamiliar system, 2) being positioned as an APN at clinical settings, 3) long journey for social recognition and legal institutionalization of APNs' role. Seven categories were 1) challenges to new area, 2) introduction and conflict of APN system, 3) driving force for stepping toward becoming APNs, 4) dedication and commitment to role development, 5) efforts to prove APNs' competency, 6) approaches to guarantee legal APNs' activities, and 7) filling the gap in health-care service. Conclusion: The findings suggest that health-care providers who have collaborated with APNs are aware of the needs to operate APN system more stably through the legislation of APNs' scope of practices. Further research is needed to provide the evidences of APNs' practice outcomes such as health care quality, patient safety, reduction of medical expenses, etc.

Keywords

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