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Experience of Healthcare Providers in the Advanced Practice Nurse System

전문간호사제도에 대한 의료인의 경험

  • Kim, Min Young (College of Nursing.Health and Nursing Research Institute, Jeju National University) ;
  • Jeon, Mi-Kyeong (Department of Nursing, Changwon National University) ;
  • Choi, Su Jung (Graduate School of Clinical Nursing Science, Sungkyunkwan University) ;
  • Kim, Jeong Hye (Department of Clinical Nursing, University of Ulsan) ;
  • Kim, Heeyoung (Department of Nursing, Asan Medical Center) ;
  • Leem, Cho Sun (Department of Nursing, Seoul National University Bundang Hospital)
  • Received : 2021.05.07
  • Accepted : 2021.06.10
  • Published : 2021.06.30

Abstract

Purpose : The purpose of this study was to understand and describe the experiences of the advanced nurse practitioner (APN) system used by healthcare providers including APNs, doctors who worked with APNs, and APN master's course professors at a graduate school. Methods : Qualitative data were collected via snowball sampling. The participants were nine APNs, six doctors, and three professors. They were divided into three focus groups, each of which consisted of all three types of healthcare providers. Data were collected via interviews with the three focus groups conducted from September to October 2019. All interviews were audiotaped and transcribed verbatim. The transcribed data then underwent qualitative content analysis. Results : Based on the data, we extracted four themes and 14 categories. The themes were "Role and system of APNs started according to healthcare environment changes", "Optimal healthcare provider to ensure quality of care", "Confused role and system of APNs due to incomplete medical law", and "Tasks for the stable operation of the APN system." Conclusion : For quality treatment and safety of patients, a legal basis must be established for the APN system. For its stable operation, social consensus regarding legislation about APNs' scope of practice is required. Finally, a discussion is necessary about the integration of APNs' 13 fields.

Keywords

Acknowledgement

본 연구는 2019년 병원간호사회에서 연구비를 지원받아 진행한 연구임

References

  1. Korea Ministry of Government Legislation. Rules on the certification of advanced practice nurses [Internet]. Sejong: Korea Ministry of Government Legislation; 2018 [cited 2020 December 12]. Available from: http://www.law.go.kr/law/medical law
  2. Korean Accreditaion board of Nursing Education. Educational Institution for Korean advanced practice nurse 2021 [Internet]. Seoul: Korean Accreditaion board of Nursing Education; 2021 [cited 2021 February 02]. Available from: http://www.kabone.or.kr/
  3. Korean Accreditation Board of Nursing Education. Korean advanced practice nurse annual report 2019 [Internet]. Seoul: Korean Accreditaion board of Nursing Education; 2021 [cited 2021 February 20]. Available from: http://www.kabone.or.kr/HyAdmin/upload/goodFile/120200130115549.pdf.
  4. Martin B, Alexander M. The economic burden and practice restrictions associated with collaborative practice agreements: a national survey of advanced practice registered nurses. Journal of Nursing Regulation. 2019;9(4):22-30. https://doi.org/10.1016/s2155-8256(19)30012-2
  5. Gardner A, Gardner G, Coyer F, Henderson AJ, Gosby H, Lenson S. Educating nurse practitioners: advanced speciality competencies, clinical learning and governance-final Report 2014. Sydney: Australian Government Department of Education and Training; 2014. p. 1-95.
  6. Landsperger JS, Semler MW, Wang L, Byrne DW, Wheeler AP. Outcomes of nurse practitioner-delivered critical care: a prospective cohort study. Chest. 2016; 149(5):1146-54. https://doi.org/10.1016/j.chest.2015.12.015
  7. Kang Y-A, Lim K-C, Kim JH, Jeoung JS, Han JE. Experiences of health-care providers about advanced practice nurses: focusing on the perspectives of physicians and advanced practice nurses. Journal of Muscle and Joint Health. 2019;26(3):290-306. https://doi.org/10.5953/JMJH.2019.26.3.290
  8. Kim N, Jang MJ, Choi N, Choi JY, Kim MK, Choi SJ. Clinical outcomes of direct interhospital transfers of patients with acute aortic syndrome led by advanced practice nurses. Journal of Korean Critical Care Nursing. 2020;13(2):12-23. https://doi.org/10.34250/jkccn.2020.13.2.12
  9. Kim MY, Choi SJ, Seol M, Kim JH, Kim HY, Byun SJ. The current status of professional medical support staffs in medical institutions with over 500 beds. Journal of Korean Clinical Nursing Research. 2017;23(2):131-41. https://doi.org/10.22650/JKCNR.2017.23.2.131
  10. Jeon M-K, Kim MY, Choi SJ, Seol M, Kim HY, Kim JH. The current status of professional medical support staffs in general hospitals less than 500 beds-focusing on nursing saffs. Journal of Korean Clinical Nursing Research. 2018;24(2):197-208. https://doi.org/10.22650/JKCNR.2018.24.2.197
  11. Leem CS, Choi SJ, Lim KC, Yi YH, Jeong JS, Shin Y, et al. Common scope of practice for advanced practice nurses in Korea derived from expert agreement. Journal of Korean Critical Care Nursing. 2019; 12(3):35-49. https://doi.org/10.34250/jkccn.2019.12.3.35
  12. Seol M, Shin YA, Lim KC, Leem C, Choi JH, Jeong JS. Current status and vitalizing strategies of advanced practice nurses in Korea. Perspectives in Nursing Science. 2017;14(1):37-44. https://doi.org/10.16952/pns.2017.14.1.37
  13. Kim YS, Yoo MS, Son YJ, Park J. Analysis and direction of domestic and overseas legislation for advanced practice nurses. Seoul: Korean Nurse Association; 2014. p. 1-25.
  14. Choi AJ, Choi SJ, Kim ES, Park JH, Won SY. Job performance of advanced practice nurses, perceived difficulty and importance, and willingness to legally delegate clinical practices to advanced practice nurses by healthcare professionals. Journal of Korean Clinical Nursing Research. 2020;26(2):217-31. https://doi.org/10.22650/JKCNR.2020.26.2.217
  15. Kim SJ, K HJ, Lee KJ, Lee SO. Focus group method. Seoul: Hyunmoon; 2000; p. 1-174.
  16. Hsieh H-F, Shannon SE. Three approaches to qualitative content analysis. Qualitative Health Research. 2005;15(9):1277-88. https://doi.org/10.1177/1049732305276687
  17. Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Education Today. 2004;24(2):105-12. https://doi.org/10.1016/j.nedt.2003.10.001
  18. Krueger RA, Casey MA. Focus groups: a practical guide for applied research. 5th ed. California: Sage publications; 2014. p. 1-250.
  19. Son H-m. Understanding and application of qualitative content analysis. Journal of Korean Association for Qualitative Research. 2017;2:56-63. https://doi.org/10.48000/KAQRKR.2017.2.56
  20. Elo S, Kyngas H. The qualitative content analysis process. Journal of Advanced Nursing. 2008;62(1): 107-15. https://doi.org/10.1111/j.1365-2648.2007.04569.x
  21. Sandelowski M. The problem of rigor in qualitative research. Advances in Nursing Science. 1986;8(3): 27-37. https://doi.org/10.1097/00012272-198604000-00005
  22. Organisation for Economic Co-operation and Development. Health-OECD data; health care resources 2020 [Internet]. Paris: Organisation for Economic Co-operation and Development; 2020 [cited 2021 April 26]. Available from: https://stats.oecd.org/#
  23. Stanik-Hutt J, Newhouse RP, White KM, Johantgen M, Bass EB, Zangaro G, et al. The quality and effectiveness of care provided by nurse practitioners. The Journal for Nurse Practitioners. 2013;9(8):492-500. https://doi.org/10.1016/j.nurpra.2013.07.004
  24. Newhouse RP, Stanik-Hutt J, White KM, Johantgen M, Bass EB, Zangaro G, et al. Advanced practice nurse outcomes 1990-2008: a systematic review. Nursing Economics. 2011;29(5):230-50.
  25. Choi EJ, Jang IS, Hwang JH, Kang Y-A, Kim S, Nho J-H, et al. Patient satisfaction with advanced practice nurse in a tertiary hospital. Journal of Korean Clinical Nursing Research. 2015;21(3):335-46. https://doi.org/10.22650/JKCNR.2015.21.3.335