대한간호학회지 (Journal of Korean Academy of Nursing)

한국간호과학회 (Korean Society of Nursing Science)
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전문간호사 업무범위안 제정에 따른 전문의의 업무 위임 의향

Intention to Delegate Clinical Practice of Medical Specialists in Accordance with the Enactment of the Scope of Practice for Advanced Practice Nurses

  • 김민영 (제주대학교 간호대학 건강과 간호연구소) ;
  • 최수정 (성균관대학교 임상간호대학원) ;
  • 김정혜 (울산대학교 임상전문간호학) ;
  • 임초선 (분당서울대학교병원 간호본부) ;
  • 강영아 (서울아산병원 간호본부)
  • Kim, Min Young (College of Nursing, Health and Nursing Research Institute, Jeju National University) ;
  • Choi, Su Jung (Graduate School of Clinical Nursing Science, Sungkyunkwan University) ;
  • Kim, Jeong Hye (Department of Clinical Nursing, University of Ulsan) ;
  • Leem, Cho Sun (Department of Nursing, Seoul National University Bundang Hospital) ;
  • Kang, Young-ah (Department of Nursing, Asan Medical Center)
  • 투고 : 2022.08.25
  • 심사 : 2023.02.08
  • 발행 : 2023.02.28
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초록

Purpose: This study aimed to investigate the nationwide intention to delegate clinical practice of medical specialists in accordance with the enactment of the scope of practice for advanced practice nurses (APNs). Methods: Data were collected from October to December 2021 using Google Surveys. In total, 147 medical specialists from 12 provinces responded to the survey. The survey questionnaire was categorized into four legislative draft duties, according to the scope of practice (a total of 41 tasks): Twenty-nine tasks on treatments, injects, etc., performed under the guidance of a physician and other activities necessary for medical treatment (treatment domain); two tasks on collaboration and coordination; six tasks on education, counseling, and quality improvement; four regarding other necessary tasks. Participants were asked whether they were willing to delegate the tasks to APN. Results: The intention to delegate tasks to APN was higher for non-invasive tasks such as blood sampling (97.3%) or simple dressing (96.6%). Invasive tasks such as endotracheal tube insertion (10.2%), sampling: bone marrow biopsy & aspiration (23.8%) showed low intention to delegate in the treatment domain. Participants who were older, male, and had more work careers with APN, showed a higher intention to delegate tasks. Conclusion: To prevent confusion in the clinical setting, a clear agreement on the scope of APN practice as APN delegated by physicians should be established. Based on this study, legal practices that APN can perform legally should be established.

키워드

과제정보

This study was supported by the Korean Association of Advanced Practice Nurses (KAAPN) fund in 2021 (No. 2021-01).

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