Journal of Korean Critical Care Nursing (중환자간호학회지)

Korean Society of Critical Care Nursing (한국중환자간호학회)
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Common Scope of Practice for Advanced Practice Nurses in Korea Derived from Expert Agreement

전문가 합의로 도출된 한국 전문간호사의 공통 업무범위

  • Leem, Cho Sun (Department of Nursing, Seoul National University Bundang Hospital) ;
  • Choi, Su Jung (Department of Nursing, Samsung Medical Center, Graduate School of Clinical Nursing Science, Sungkyunkwan University School of Medicine) ;
  • Lim, Kyung-Choon (School of Nursing, College of Nursing, Sungshin University) ;
  • Yi, Young Hee (Graduate School of Clinical Nursing Science, Sungkyunkwan University) ;
  • Jeong, Jae Sim (Department of Clinical Nursing, University of Ulsan Graduate School of Industry) ;
  • Shin, Yong Ae (Korea Human Resource Development Institute for Health and Welfare) ;
  • Kang, Young-ah (Department of Nursing, Asan Medical Center) ;
  • Park, Hayoung (Department of Nursing, Severance Hospital) ;
  • Kim, Eun Mi (Korean Accreditation Board of Nursing Education)
  • 임초선 (분당서울대병원 전담간호파트) ;
  • 최수정 (삼성서울병원.성균관대학교 임상간호대학원) ;
  • 임경춘 (성신여자대학교 간호대학 간호학과) ;
  • 이영희 (성균관대학교 임상간호대학원) ;
  • 정재심 (울산대학교 산업대학원 임상전문간호학) ;
  • 신용애 (한국보건복지인력개발원) ;
  • 강영아 (서울아산병원) ;
  • 박하영 (세브란스병원) ;
  • 김은미 (한국간호교육평가원)
  • Received : 2019.08.28
  • Accepted : 2019.10.04
  • Published : 2019.10.31
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Abstract

Purpose : This study aimed to propose a common scope of practice (SOP) for 13 specialties of Advanced Practice Nurses (APNs) in Korea. Methods : The first draft of a common SOP was extracted from domestic and international laws with a literature review by 17 experts from the Korean Association of Advanced Practice Nurses (KAAPN). Then, the common SOP was finalized after comparing the activities of APNs in clinical settings. Results : A total of 70 duties were identified and six categories were suggested for the common SOP. The SOP proposed by the KAAPN featured the following: 1) identification of and discrimination between health problems; 2) prescription and implementation of diagnostic tests; 3) treatment of injuries and diseases while implementing measures to prevent exacerbation; 4) prescription of medicinal products in line with 1) to 3); 5) referral and consultation; and 6) education and counseling. It was then confirmed that the proposed six categories in the common SOP reflected all the duties performed by APNs in clinical practice, including all 40 activities. Conclusion : The results of this study can be used as evidence for the legalization of a common SOP for APNs. Given the increasing multidisciplinary team approach adopted in Korean hospitals, it may be desirable to establish a broader SOP to reflect the diverse duties of APNs.

Keywords

References

  1. American Academy of Nurse Practitioners. (2018). State practice environment. Retrieved May 20, 2018, from https://www.aanp.org/advocacy/state/state-practice-environment
  2. California Board of Registerd Nursing. (2018). General information: Nurse practitioner practice. Retrieved May 1, 2018, from https://www.rn.ca.gov/pdfs/regulations/npr-b-23.pdf
  3. Coombs, L. A. (2015). The growing nurse practitioner workforce in specialty care. The Jouranl for Nurse Practitioners, 11(9), 907-909. https://doi.org/10.1016/j.nurpra.2015.06.014
  4. Council of the Association of Registered Nurses of Newfoundland and Labrador. (2013). Newfoundland and Labrador regulation. Retrieved May 1, 2018, from https://assembly.nl.ca/Legislation/sr/regulations/rc130066.htm
  5. Han, W. J. (2015). Development of healthcare services industries and hospital management in Korea. Korean Journal of Hospital Management, 2015 (Supp), 116-129.
  6. International Council of Nurses. (2009). ICN framework of competencies for the nurse specialist. Geneva: International Council of Nurses.
  7. Kim, K. S., Kang, S. Y., Yi, Y. H., & Lim, K. C. (2014). Development of core competency of advanced practice nurses. Seoul: Korean Nurses Association.
  8. Kim, H. N., & Kim, K. H. (2016). Legal review on physician assistnats. Beobhangnonchong, 36(3), 331-352.
  9. Kim, K. R. (2010). Advanced practice nurse system and unlicensed medical practice. The Korean Society of Law and Medicine, 11(1), 173-198.
  10. Kim, M. Y., Choi, S. J., Seol, M., Kim, J. H., Kim, H. Y., & Byun, S. J. (2018). The frequency of job performance of the Korean professional medical support staff at medical insititutions over 500 beds. Journal of Korean Critical Care Nursing, 11(1), 15-27.
  11. Kim, M., Kim, I., & Lee, Y. (2018). A study on legal coherence of legislations related to nursing services: Focusing on registered nurse, midwife, advanced practice nurse and nurse assistant. Health and Social Welfare Review, 38(3), 420-457. https://doi.org/10.15709/hswr.2018.38.3.420
  12. Kim, M., Kim, Y. K., & Sin, S. (2014). Job performance by advanced practice nurses in Korea. Korean Journal of Adult Nursing, 26(6), 630-641. https://doi.org/10.7475/kjan.2014.26.6.630
  13. Kim, Y. S., Yoo, M. S., Son, Y. J., & Park, J. A. (2014). Analysis and direction of domestic and overseas legislation for advanced practice nurses. Seoul: Korean Nurses Association.
  14. Korean Accreditation Board of Nursing Education. (2005). Core compentency of advanced practice nurses and job performance of each branches of advanced practice nurse. Seoul: Korean Accreditation Board of Nursing Education.
  15. Korean Accreditation Board of Nursing Education. (2009). Job description and job specification of advanced practice nurses. Seoul: Korean Accreditation Board of Nursing Education.
  16. Korean Accreditation Board of Nursing Education. (2015). Presentation of common core competency and improving examination criteria of Korean advanced practice nurses. Seoul: Korean Accreditation Board of Nursing Education.
  17. Korean Accreditation Board of Nursing Education. (2019). Korean advanced practice nurse annual report. Seoul: Korean Accreditation Board of Nursing Education.
  18. Korea Nurse Association. (n.d.). Becoming an advanced practice nurse. Retrieved August 03, 2018, from http://www.koreanurse.or.kr/resources/be_specialist.php
  19. Kringos, D. S., Boerma, W. G. W., Hutchinson, A., & Saltman, R. B. (2015). Building primary care in a changing Europe. Copenhagen: World Health Organization.
  20. Landsperger, J. S., Semler, M. W., Wang, L., Byrne, D. W., & Wheeler, A. P. (2016). Outcomes of nurse practitioner-delivered critical care: A prospective cohort study. Chest, 149(5), 1146-1154. https://doi.org/10.1016/j.chest.2015.12.015
  21. Maryland Board of Nursing. (2016). Advanced practice registered nursing. Retrieved May 01, 2018, from https://mbon.maryland.gov/Pages/nurse-practice-act.aspx
  22. Markowitz, S., Adams, E. K., Lewitt, M. J., & Dunlop, A. L. (2017). Competitive effect of scope of practice restriction: Public health or public harms? Journal of Health Economics, 55, 201-218. https://doi.org/10.1016/j.jhealeco.2017.07.004
  23. Ministry of Government Legislation. (n.d.). National law information center. Retrieved May 01, 2018, from https://law.go.kr
  24. Moon, S. H. (2012). Review on nursing bill: With focus on bill for promotion of nationals nursing and improvement of nurses position. Bio-medical and Law, 7, 63-96.
  25. National Council of State Boards of Nursing. (2012). Changes in healthcare professions' scope of practice: Legislative considerations. Chicago: National Council of State Boards of Nursing.
  26. Nieminen, A., Mannevaara, B., & Fagerstrom, L. (2011). Advanced practice nurses' scope of practice: A qualitative study of advanced clinical competencies. Scandinavian Journal of Caring Sciences, 25(4), 661-670. https://doi.org/10.1111/j.1471-6712.2011.00876.x
  27. Organisation for Economic Co-operation and Development. (2019). OECD health statistics 2019. Retrieved August 01, 2019, from http://www.oecd.org/health/health-data.htm
  28. Seol, M., Shin, Y. A., Lim, K. C., Choi, J. H., & Jeoun, J. S. (2017). Current status and vitalizing strategies of advanced practice nurses in Korea. Perspectives in Nursing Science, 14(1), 37-44. https://doi.org/10.16952/pns.2017.14.1.37
  29. Taiwan Nurses Association. (2014). Regulations governing specialties and examination of nurse practitioner. Retrieved May 1, 2018, from http://www.ngo.etwna.org.tw/nursing_policy_3.php
  30. Xue, Y., Ye, Z., Brewer, C., & Spetz, J. (2016). Impact of state nurse practitioner scope-of-practice regulation on health care delivery: Systematic review. Nursing Outlook, 64(1), 71-85. https://doi.org/10.1016/j.outlook.2015.08.005

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