임상간호연구 (Journal of Korean Clinical Nursing Research)

  • 제26권2호
  • /
  • Pages.240-253
  • /
  • 2020
  • /
  • 1598-9186(pISSN)
  • /
  • 2287-3694(eISSN)
병원간호사회 (Hospital Nurses Association)
권호 표지
DOI QR코드

DOI QR Code

한국 전문간호사의 분야 체계화 관련 연구

Study on Systematization of Advanced Practice Nursing in Korea

  • Kim, Min Young (College of Nursing, Jeju National University) ;
  • Choi, Su Jung (Department of Nursing, Samsung Medical Center) ;
  • Jeon, Mi-Kyeong (Department of Nursing, Changwon National 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)
  • 투고 : 2020.04.24
  • 심사 : 2020.06.23
  • 발행 : 2020.08.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose: This study was conducted to provide basic data for the systematization of 13 areas related to Advanced Practice Nurses (APN). Methods: The three-phase study was conducted as follows. 1) review of APN system and curriculum, 2) Focus Group Interviews (FGI) with 9 APNs, 6 physicians, and 3 nursing professors on the APN system, 3) analysis of clinical practice of the 13 APN areas, and of the accreditation and certification system for APNs, medical board, and medical subspecialty board. Based on the above data, a systematic plan was drawn. Results: The 13 APN areas could be divided into 7 groups based on a review of the APN system and curriculum for the 13 areas. Analysis based on clinical practice showed that the 13 APN areas could be divided into 4 groups. Two themes and seven categories emerged in FGI. The two themes were 1) 13 APN areas that need to be discussed, 2) improving the curriculum for APN. Considering these themes from FGI and the system of the medical subspecialty board, results could be integrated into 2 groups - clinical area and non-clinical area. Conclusion: The 13 APN areas need to be integrated in order to activate the APN system. For that, further discussions on improvements and a standard curriculum according to legislation related to APN should be carried out.

키워드

참고문헌

  1. Seol M, Shin YA, Lim KC, Choi JH, Jeoung 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
  2. Korean Accreditation Board of Nursing Education. Korean advanced practice nurse annual report 2019. Seoul: Korean Accreditation Board of Nursing Education; 2020.
  3. Hospital Nurses Association. 2019 Survey on the status of hospital nursing staff placement [Internet]. Seoul: Hospital Nurses Association; 2020 [cited 2020 Mar 02]. Available from: https://khna.or.kr/home/pds/utilities.php.
  4. 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):131-141. https://doi.org/10.22650/JKCNR.2017.23.2.131
  5. International Council of Nurse. ICN nurse practitioner/advanced practice nursing network [Internet]. Geneve: International Council of nurse; 2019 [cited 2019 Jan 11]. Available from: https://international.aanp.org/.
  6. Korean Accreditation Board of Nursing Education. Presentation of common core competency and improving examination criteria of Korean advanced practice nurses. Seoul: Korean Accreditation Board of Nursing Education; 2015.
  7. Morgan DL. Focus groups as qualitative research. 2nd ed. Kim SJ, Oh SE, Eun Y, Son HM, Lee MS, translators. Seoul: Koonja; 2007.
  8. Elo S, Kyngas H. The qualitative content analysis process. Journal of Advanced Nursing. 2008;62(1):107-115. https://doi.org/10.1111/j.1365-2648.2007.04569.x
  9. American Association of Nurse Practitioners. AAPN advocacy: Championing the NP role and amplifying the NP voice [Internet]. Austin(TX): American Association of Nurse Practitioners; 2020 [cited 2020 Mar 19]. Available from: https://www.aanp.org/advocacy.
  10. National Council of State Boards of Nursing (US). Changes in healthcare professions' scope of practice: Legislative considerations [Internet]. Chicago: National Council of State Boards of Nursing; 2012. [cited 2019 Dec 15]. Available from: https://www.ncsbn.org/Scope_of_Practice_2012.pdf
  11. Camal Sanchez CA. Current status of fellowship programs for advanced practice registered nurses in the nurse practitioner role. Nurse Educator. 2018;43(1):42-44. https://doi.org/10.1097/NNE.0000000000000392
  12. Chaney AJ, Yataco ML. The emerging role of nurse practitioners and physician assistants in liver transplantation. Liver Transplantation. 2019;25(7):1105-1109. https://doi.org/10.1002/lt.25474
  13. Woo BFY, Lee JXY, Tam WWS. The impact of the advanced practice nursing role on quality of care, clinical outcomes, patient satisfaction, and cost in the emergency and critical care settings: A systematic review. Human Resources for Health. 2017;15(1):63[22 p]. https://doi.org/10.1186/s12960-017-0237-9
  14. Nursing and Midwifery Board of Australia. Nursing and Midwifery Board of Australia Registrant data [Internet]. Barton (AU): Nursing and Midwifery Board of Australia; 2020 Mar [cited 2020 Apr 04]. Available from: https://www.nursingmidwiferyboard.gov.au/About/Statistics.aspx.
  15. Gardner A, Gardner G, Coyer F, Henderson A, Gosby H, Lenson S. Educating nurse practitioners: Advanced specialty competence, clinical learning and governance [Internet]. Sydney: Department of Education(AU). Office for Learning & Teaching; 2014[cited 2020 Mar 20]. Available from: https://ltr.edu.au/resources/ID12-2182_Gardner_Report_2014.pdf.
  16. Chiarella M, Thoms D, Lau C, McInnes E. An overview of the competency movement in nursing and midwifery. Collegian. 2008;15(2):45-53. https://doi.org/10.1016/j.colegn.2008.02.001
  17. Ayre TC, Bee TS. Advanced practice nursing in Singapore. Proceedings of Singapore Helthcare. 2014;23(4):269-270. https://doi.org/10.1177/201010581402300401
  18. Singapore Nursing Board. Core competencies of advanced practice nurses [Internet].Singapore: Singapore Nursing Board; 2018 [cited 2019 Sep 20]. Available from: https://www.healthprofessionals.gov.sg/docs/librariesprovid er4/publications/core-competencies-of-apn_snb_jan-2018.pdf.
  19. Kim JH. Demand-supply of advanced practice nurse(APN) and alternative benefit strategies in the national health insurance. Perspectives in Nursing Science. 2010;7(1):23-35.
  20. Korean Accreditation Board of Nursing Education. Operation guideline of the advanced practice nurses' training course [Internet]. Seoul: Korean Accreditation Board of Nursing Education; 2016 [cited 2019 Sep 01]. Available from: http://www.kabone.or.kr/kabon03/index03_02.php.
  21. Leem CS, Choi SJ, Lim KC, Yi YH, Jeoung JS, Shin YA, et al. Common scope of practic 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
  22. Kim KR. Advanced practice nurse system and unlicensed medical practice. The Korean Society of Law and Medicine. 2010;11(1):173-198.
  23. Korea Ministry of Government Legislation. Medical Service Act [Internet]. Sejong: Korea Ministry of Government Legislation; 2016 [cited 2019 Sep 11]. Available from: http://www.law.go.kr/법령/의료법.
  24. Korean Academy of Medical Sciences. The regulation in the management of accreditation committee for subspeciality board certification [Internet]. Seoul: Korean Academy of Medical Sciences [Internet]; 2001- [cited 2019 Sep 31]. Available from: https://www.kams.or.kr/business/judge/sub1/.
  25. Korean Association of Internal Medicine. Regulations on training and qualification of the subspecialty certification for internal medicine in Korea [Internet]. Seoul: The Korean Association of Internal Medicine; 2010 [cited 2019 Dec 3]. Available from: https://www.kaim.or.kr/specialist/files/180416_09_03.pdf.
  26. Kringos DS, Boerma WG, Hutchinson A, Saltman RB. Building primary care in a changing Europe [Internet]. Copenhagen: European Observatory on Health Systems and Policies; 2015 [cited 2020 Jan 03]. Available from: https://www.euro.who.int/__data/assets/pdf_file/0018/271170/BuildingPrimaryCareChangingEurope.pdf.
  27. Bai C, Yoon H. Comparison of job tasks and task elements of Korean nurse anesthetists by type of medical institution: Hospital, general hospital and higher general hospital. Journal of Korean Academy of Nursing Administration. 2013;19(2):239-253. https://doi.org/10.11111/jkana.2013.19.2.239
  28. 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):1146-1154. https://doi.org/10.1016/j.chest.2015.12.015
  29. Kang YA, Lim KC, 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
  30. Kim HN, Kim KH. Legal review on physican assistants. Chonnam Law Review. 2016;36(3):331-352.