• Title, Summary, Keyword: Advanced practice nursing

Search Result 120, Processing Time 0.054 seconds

Korean Critical Care Advanced Practice Nurses' Work Experience: A Focus Group Study (중환자전문간호사들의 실무경험: 포커스 그룹 연구)

  • Kim, Keum-Soon;Kim, Bok-Ja;Yi, Young-Hee;Kang, Ji-Yeon
    • Journal of Korean Critical Care Nursing
    • /
    • v.4 no.2
    • /
    • pp.1-14
    • /
    • 2011
  • Purpose: This study was aimed to understand and describe the Korean critical care advanced practice nurses' work experience. Methods: Data was collected through 2 focus group interviews that were held in two different university hospitals in Seoul, Korea. All interviews were recorded and transcribed, and data were analysed using modified qualitative content analysis. Results: Ten themes were drawn from data analysis. They are "Various and complex tasks", "Excellency of advanced nursing practice", "Pressure and responsibility accompanied with pride", "Role identity confusion", "Role conflict", "Leaping and evolving role", "Gap between role and outcome evaluation", "Underestimated outcomes", "Where are my outcomes?" "Searching for outcomes: publicize the role". Conclusion: The results of this study help to understand the role of Korean critical care advanced practice nurses and to guide to outcome evaluation of their role effectiveness. Developing qualitative outcome indicators, cost-effectiveness ananlysis of Korean critical care advanced practice nurses' role, and accumulation of evidences through researches on outcome evaluation will be needed to successfully settle down advanced practice nursing in Korea.

  • PDF

Advance Directives and the Roles of Advanced Practice Nurses (사전의사결정 제도에 있어서의 전문간호사 역할)

  • Koh, Chin-Kang
    • Journal of Korean Critical Care Nursing
    • /
    • v.3 no.2
    • /
    • pp.91-99
    • /
    • 2010
  • Purpose: The purpose of this literature review was to describe the roles of advanced practice nurses related to advance directives. Methods: A comprehensive literature review was conducted utilizing Pubmed, Ovid, and CINAHL. The key words for search were 'advance directives', 'living wills', 'durable power of attorney', 'advanced practice nursing', 'advanced practice nurse', 'nurse practitioner', and 'nurse specialist'. Research articles published between January 1990 and September 2010 and written in English were included. Review papers and expert's opinion were excluded. Results: Five articles were yielded and analyzed. Among them, two focused on the advanced practice nurses' role during the process of advance directives. The other three presented the outcomes depending on the type of nurses' involvement in each health care delivery system. Conclusion: Recently, Korea established advance directives and expanded to diverse sites. Advanced practice nurses' role in the advance directive decision-making process should be examined and developed in research and practice.

  • PDF

Advanced Practice Nurse System and Unlicensed Medical Practice (전문간호사 제도와 무면허 의료행위 - 대법원 2010.3.25. 선고, 2008도590 판결 중심으로 -)

  • Kim, Kyoung-Reay
    • The Korean Society of Law and Medicine
    • /
    • v.11 no.1
    • /
    • pp.173-198
    • /
    • 2010
  • There is a system in Korea named "Advanced Practice Nurse System" qualified by the Minister of Health, Welfare and Family Affairs for Advanced Practice Nurse besides nurse licence. Medical practice is, in today's medical law, understood as a general concept colligating medical practice, nursing practice and midwife practice and so on, for it is defined as a deed of medical technique practiced by medical personnel. Referring to the fact that the Supreme Court recognizes medical personnel as people who have medical expert knowledge, nursing practice can be recognized as a region of medical business and therefore it is not necessary to prescribe nursing practice separately from the definition of medical practice on a precedent, because nurse belongs to medical personnel. According to the precedent regarding 'Unlicensed Medical Practice of Advanced Practice Nurse for Anesthesia' recently sentenced by the Supreme Court, the medical practice is only allowed a doctor because it is 'in need of special knowledge and experience because of high danger on human body' and it is judged to be an unlicensed medical practice prohibited in medical law if it is to be done by a nurse. When considering the actual situation that System for Advanced Practice Nurse for Anesthesia is established under the circumstance that an anesthetist is in want and therefore the operation has not been performed on time, and that it is being expected an anesthetist to be in need, it is necessary to legislate for the range of medical practice of Advanced Practice Nurse so that Advanced Practice Nurse System can be practically legalized, for the role of Advanced Practice Nurse has the great possibility of shrinking because the precedent has considered Advanced Practice Nurse for Anesthesia doing anesthetic operation in clinic today as a potential wrongdoer.

  • PDF

Education, Role, and Prospects of Advanced Practice Nurses in Hospice and Palliative Care in South Korea

  • Kwon, So-Hi;Park, Myung-Hee;Kim, Hyun Sook
    • Journal of Hospice and Palliative Care
    • /
    • v.24 no.1
    • /
    • pp.1-12
    • /
    • 2021
  • Hospice palliative care refers to holistic care provided by an interdisciplinary team aimed at improving the quality of life of patients suffering from life-threatening diseases and their families. Among interdisciplinary team members, hospice advanced practice nurses (APNs) trained as master's-level advanced nursing professionals are leaders who play an important role in providing patient-centered care and improving the quality of services. The Medical Service Act revised in 2018 requires the scope of practice of APNs in each field to be specified in the Ordinance of the Ministry of Health and Welfare. Accordingly, discussions on the role and scope of practice of hospice APNs are actively underway. In this review, the curriculum of hospice APNs, their work responsibilities and roles, and their current status are reviewed, and the future direction of the hospice APN system is also discussed.

Analysis on Performance and New Classification of Advanced Practices by Critical Care Nurse Practitioners (중환자실 전문간호사의 전문간호행위 분류와 수행분석)

  • Kim, Jin-Hyun;Kim, Myung-Ae;Kim, Mi-Won;Kim, Kyung-Sook;Yoo, Cheong-Suk;Lee, Eun-Hee
    • Journal of Korean Academy of Nursing Administration
    • /
    • v.15 no.4
    • /
    • pp.527-538
    • /
    • 2009
  • 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.

  • PDF

Relationship between Critical Thinking Disposition and Clinical Decision-Making Abilities in Home Health Advanced Practice Nurses (가정전문간호사의 비판적 사고성향과 임상의사결정능력과의 관계)

  • Choi, Seong Mee;Lee, Mi Kyoung
    • Journal of Korean Academic Society of Home Health Care Nursing
    • /
    • v.21 no.2
    • /
    • pp.147-155
    • /
    • 2014
  • Purpose: Clinical decision-making carried out by nurses is a complex process that influences the quality of care provided and various patient outcomes. This study examined the relationship between critical thinking disposition and clinical decision-making abilities in home health advanced practice nurses. Method: The study had a non-experimental correlational design. Data were collected from 100 home health advanced practice nurses in 20 hospitals. Results: The mean critical thinking disposition score was $3.69{\pm}.39$ out of 5 and the mean score for clinical decision-making abilities was $3.48{\pm}.22$ out of 5. In this correlation analysis, a significant positive correlation (r=.58, p<.001) was found between critical thinking disposition and clinical decision-making abilities of home health advanced practice nurses. Conclusion: In order to improve the clinical decision-making ability of home health advanced practice nurses, we need to improve their critical thinking disposition. In order to make this change, appropriate training program are needed to increase the critical thinking disposition and clinical decision-making abilities of home health advanced practice nurses.

Analysis of Nursing Services of Oncology Advanced Practice Nurses from the View Point of Structure and Process (종양전문간호사가 제공한 간호서비스의 구조.과정적 측면의 분석)

  • Kim, Min-Young
    • Journal of Korean Academy of Nursing Administration
    • /
    • v.14 no.3
    • /
    • pp.352-363
    • /
    • 2008
  • Purpose: The purpose of this study was to investigate nursing services of Oncology Advanced Practice Nurses(OAPNs) from the view point of structure and process. Methods: Roles and practices of OAPNs for cancer patients on chemotherapy were investigated by semi-structured interview and survey. Subjects were 14 OAPNs in 3 hospitals. Results: OAPNs had high level of education and certification than registered nurses. Most subjects of OAPNs were patients on chemotherapy and OAPNs used most of their time in education and expert nursing practice. 57.1% of OAPNs used delegated order. They were satisfied with their job in general, but satisfaction in communication with nurse manager or resident doctor was low. Conclusion: These results will be the concrete explanation for the nursing services of OAPNs. On the basis of theses results, more study about effects of OAPNs will be needed.

  • PDF

Model of The Korea Regulatory Body of Advanced Practice Registered Nurse (전문간호사 자격관리 전문기관의 조직 및 운영(안))

  • Cho, Jae-Hyun;Kim, Ki-Kyong
    • Journal of Korean Academy of Nursing Administration
    • /
    • v.10 no.4
    • /
    • pp.437-448
    • /
    • 2004
  • Purpose: The study was done to develop the model of regulatory body of advanced practice registered nurse. Method: This was a descriptive study adopted a method of comparison and construction of laws. Result: The type of partnership of government and people were privatization, negotiated rule-making, standard-setting authority, self-regulation. The pattern of partnership were applied to the regulatory body's role; administration of certification and examination, setting standards for nursing education programs and approval nursing programs. The regulatory body of advanced practice registered nurse was organized according to it's role. Conclusions: It is needed to proceed to self-regulation step by step.

  • PDF

Publicity of Certification of Advanced Practice Nurse in Korea (전문간호사 자격인정의 공공성)

  • Kim, Ki-Kyong;Cho, Jae-Hyun
    • The Korean Society of Law and Medicine
    • /
    • v.6 no.2
    • /
    • pp.291-310
    • /
    • 2005
  • Most of all countries have a governmental system for regulating the certification of nursing. In Korea, certification of advanced practice nurse(APN) is statuary regulation under supervision of government. In this article, the writers discuss the legal characters and effects of certification and regulatory body for certification and suggest the new regulatory system. The advanced practitioner may be recognize "new" health provider in the future. The nursing specialist have right to use title and practice expanded role. It's different things with physicians certification. The regulatory body is important because certification protected the title and empower APN authorize of expanded role. The certification of nursing is closely connected with public interest. The Korea government delegate power of national examination to private institute. To improve utility and publicity of certification system, we suggest that statutory empower the certification authority to public institute which composed with nursing professionals.

  • PDF

Survey on the Students' Evaluation and the Administrational Status of Biological Nursing Science Subjects in Advanced Practice Nursing Programs (전문간호사 과정의 기초간호과학 교과목 교육에 대한 실태조사 - 병태생리학, 약리학을 중심으로 -)

  • Yi, Yeo-Jin;Cho, Kyung-Sook
    • Journal of Korean Biological Nursing Science
    • /
    • v.13 no.3
    • /
    • pp.193-203
    • /
    • 2011
  • Purpose: The purpose of this study was to investigate and compare the level of importance, difficulty, satisfaction, and needs of biological nursing science courses-pathophysiology and pharmacology- among students of Advanced Practice Nursing Programs. Methods: A cross-sectional descriptive study using a self-report questionnaire has been adopted. Participants in this survey were 436 graduate students enrolled in an Advanced Practice Nursing Program. Using SPSS WIN 18.0 program, descriptive statistics, chi-square test, and t-test were conducted. Results: In a pathophysiology course, the students taught by nurse lecturers presented a higher level of importance and satisfaction than those were taught by non-nurse lecturers, but the difference was not significant statistically. In a pharmacology course, the students were taught by nurse lecturers expressed a higher level of satisfaction than those were taught by non-nurse lecturers, but the difference was not significant statistically. The students wanted to improve the quality of courses. Conclusion: According to the findings of this study, we should try to improve the quality of classes and to increase the number of courses taught by nurse-lecturers.