Journal of Korean Critical Care Nursing (중환자간호학회지)

Korean Society of Critical Care Nursing (한국중환자간호학회)
권호 표지
DOI QR코드

DOI QR Code

Reflections on the Prospects of Korean Advanced Practice Nurses : Based on Flexner's Professional Characteristics

한국 전문간호사의 전망에 관한 고찰: Flexner의 전문직 특성을 기반으로

  • Kim, Eun Mi (Department of Nursing, Sehan University) ;
  • Choi, Su Jung (Graduate School of Clinical Nursing Science, Sungkyunkwan University)
  • Received : 2023.10.03
  • Accepted : 2023.10.20
  • Published : 2023.10.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose : This study explores the professional status of Advanced Practice Nurses (APNs) in Korea, who, despite being legally certified, face instability in their professional standing, including their scope of practice and compensation. Method : The study uses Flexner's professional characteristics as a framework to analyze and project the future trajectory of Korean APNs. Results : First, to ensure social accountability, professional bodies need to establish uniform nursing policies related to job roles, and healthcare institutions must adhere to these policies. Second, nursing leaders should spearhead the creation of nursing knowledge essential for the profession's advancement, aiming to establish it as the foundation for nursing practice through a consensus process within the nursing community. Third, the curriculum for APNs should enhance the quantitative and qualitative aspects of practice in response to societal needs. Fourth, professional bodies should formulate consistent nursing policies based on a thorough analysis of the healthcare environment and legal considerations, and guide their implementation in clinical practice through a consensus process within the nursing community. Lastly, guidelines should be established for professional standards suitable for the Korean context. Conclusion : Based on this review, it is recommended that all APNs adhere to the professional standards set by their respective organizations, actively participate in personal quality improvement initiatives, and fulfill their duties and roles as members of these professional bodies. Furthermore, these organizations should devise practical strategies to solidify the APN system and should spearhead a systematic consensus process that garners the agreement of all members within the nursing community.

Keywords

Acknowledgement

이 논문은 2023년도 세한대학교 교내 연구비의 지원에 의하여 이루어진 것임

References

  1. Seol M, Shin YA, Lim KC, Leem CS, 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
  2. Kim S, Lee TW, Kim GS, Cho E, Jang Y, Choi M, et al. Nurses in advanced roles as a strategy for equitable access to healthcare in the WHO Western Pacific region: a mixed methods study. Human Resources for Health. 2021;19(1):19. https://doi.org/10.1186/s12960-021-00555-6
  3. 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
  4. Kim HN, Kim KH. Legal review on physician assistants. Chonnam Law Review. 2016;36(3):331-52.
  5. Kim KR. Advanced practice nurse system and unlicensed medical practice. The Korean Society of Law and Medicine. 2010;11(1):173-98.
  6. Kim MY, Jeon MK, Choi SJ, Kim JH, Kim H, Lee CS. Experience of healthcare providers in the advanced practice nurse system. Journal of Korean Critical Care Nursing. 2021;14(2):42-56. https://doi.org/10.34250/jkccn.2021.14.2.42
  7. Tae YS, Kwon S, Lee YS. The job experience of oncology nurse specialists. Asian Oncology Nursing. 2014;14(4):236-48. https://doi.org/10.5388/aon.2014.14.4.236
  8. Ahn YS, Han SJ. Factors affecting job satisfaction of oncology advanced practice nurses. 2019;19(3);159-68. https://doi.org/10.5388/aon.2019.19.3.159
  9. Kim KS, Kim MW. Present and political tasks of advanced practice nurse in korea. Perspectives in Nursing Science 2009;6(1):39-53.
  10. Seo SR, Kwon SH, Kim SH, Jang BH, Kwag WH, Kim YH, et al. A study on the satus and survey of Korean advanced practice nurses. Policy research report. Seoul: Korean Nurses Association, 2014 August.
  11. Leem CS, Choi SJ, Lim KC, Yi YH, Jeong JS, Shin YA, 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. Korean Law Information Center. Rule of the advanced practice nurses' qualification [Internet]. Sejong: Ministry of Health and Welfare; 2022 [cited 2023 May 20]. Available from: https://www.law.go.kr/lumLsLinkPop.do?lspttninfSeq=61761&chrClsCd=010202
  13. Korea Institute for Health and Affairs. A survey of health care provider 2018 [Internet]. Sejong: Ministry of Health and Welfare; 2020 [cited 2023 Jun 30]. Available from http://www.mohw.go.kr/react/jb/sjb030301vw.jsp?PAR_MENU_ID=03&MENU_ID=032901&CONT_SEQ=352714
  14. Flexner A. Is social work a profession?. Proceedings of the National Conference of Charities and Corrections at the 42th Annual Session held in Baltimore, Maryland, 1915 May 12-19, Chicago: Hildmann. p. 576-90
  15. Duffy TP. The Flexner Report-100 years later. The Yale Journal of Biology and Medicine. 2011;84(3):269-76.
  16. Frenk J, Chen LC, Chandran L, Groff EOH, King R, Meleis A, et al. Challenges and opportunities for educating health professionals after the COVID-19 pandemic. Lancet. 2022;29;400(10362):1539-56. http://doi.org/10.1016/S0140-6736(22)02092-X.
  17. National Council of State Board of Nursing. Changes in healthcare profession's scope of practice: legislative considerations [Internet]. Chicago: National Council of State Board of Nursing; 2012 [cited 2023 Jul 31]. Available from https://www.ncsbn.org/public-files/Scope_of_Practice_2012.pdf
  18. Jang BJ, Yeom HA. Hospice-palliative care nurses' knowledge of delirium, self-efficacy and nursing performance on delirium. Korean Journal of Hospice Palliative Care. 2018;21(2):65-74. https://doi.org/10.14475/kjhpc.2018.21.2.65
  19. Korean Psychiatric Mental Health Nurses Association. Psychatric mental health nurses [Internet]. Seoul: Korean Psychiatric Mental Health Nurses Associationa; 2023 [cited 2023 September 16]. Available from: https://www.kpmhna.or.kr/sub2/2_1.php
  20. Eun Y, Jeon MY, Gu MO, Cho YA, Kim JY, Kwon JS, et al. Utilization of evidence-based clinical nursing practice guidelines in tertiary hospitals and general hospitals. Journal of Korean Clinical Nursing Research. 2021;27(3):233-44. https://doi.org/10.22650/JKCNR.2021.27.3.233
  21. Field MJ, Lohr KN. Clinical practice guidelines: Directions for a new program. Washington(DC): National Academy Press; 1990. p. 1-3.
  22. Hong IH, Eun Y. Nurses' evidence-based pain management knowledge, performance and EBP attitude in small-medium sized hospitals. Journal of Korean Clinical Health Science. 2015;3(4):476-89. http://dx.doi.org/10.15205/kschs.2015.3.4.476
  23. Eom JS. What is the fee for infection prevention and control? current status and prospect. The Korean Journal of Medicine. 2022;97(4):199-203. https://doi.org/10.3904/kjm.2022.97.4.199
  24. Shin MJ, Yi GM, Kim JM, Ahn SH, Kang YS, Kang IW, et al. The history of nursing. Seoul: Korean Nurse Association; 2013:265-8.
  25. Shin YS, Yoon GJ, Chae SM, Kang YH, Kwon YJ, Jun A, et al. Research to promote the advanced practice nurse system. Policy Report. Sejong: Ministry of Health and Welfare & Korea Institute for Health and Social Affairs. 2019 November. Report No.: 2019-31. https://www.prism.go.kr/homepage/entire/researchDetail.do?researchId=1351000-202100237
  26. Kim SS, Guak WH, Moon SM, Sung YH. Development of a role model for physician assistant in Korea. Journal of Korean Clinical Nurse Research. 2006;12(1):67-80.
  27. Ryu MJ, Park MN, Shim JO, Lee ES, Yeom IS, Seo YM. Expectation of medical personnel for the roles of the physician assistants in a university hospital. The Journal of Korean Nursing Administration Academic Society. 2022;28(1):31-42. https://doi.org/10.11111/jkana.2022.28.1.31
  28. Lee TH, Yoon SH. Survey on the deployment status and working conditions of hospital nursing staff from 2010 to 2019. Research Report. Seoul: Hospital Nurses Association. 2022 February. p. 117-193
  29. 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 2023 July 01]. Available from: http://www.kabone.or.kr/kabon03/index03_02.php.
  30. Korean Nurse Association. A collection of public hearings on nurse anesthetist. Seoul: Korean Nurse Association; 2015.
  31. Korean Law Information Center. Enforcement Rules of the improvement of mental health and the support for welfare services for mental patients. [Internet]. Sejong: Ministry of Health and Welfare; 2022 [cited 2023 May 20]. Available from: https://www.law.go.kr/
  32. Kim GJ. Policy direction for professionalization of nursing. The Korean Nurse. 1994;33(2):73-90.
  33. Organization for Economic Cooperation and Development (OECD). Nurses in advanced roles: A description and evaluation of experiences in 12 developed countries (OECD health working paper No. 54) [Internet]. Paris:OECD; 2010. [cited 2023 August 31]. Available from: https://www.oecd-ilibrary.org/social-issues-migration-health/nurses-in-advanced-roles_5kmbrcfms5g7-en
  34. International Council of Nurse. Guidelines on advanced practice nursing [Internet]. Geneva: International Council of nurse; 2020 [cited 2023 Jun 11]. Available from: https://www.icn.ch/resources/publicationsand-reports/guidelines-advanced-practice-nursing-2020
  35. Cho BH. Sociology of Disease and Healthcare. Seoul: Jipmoondang; 2022.
  36. Korean Home healthcare Nurse Association. 40 Years of history. Seoul: Korean Home healthcare Nurses Association; 2014.
  37. Freidson E. Professionalism: the third logic on practical knowledge. Chicago: University of Chicago Press; 2001:141-3.
  38. Shin MJ, Kim SJ, Kim JM, Kim HG, Nam JJ, Lee JY, et al. Nursing Management. Gyeonggi-do: Soomoonsa. 2020:562-6.
  39. Nursing and Midwifery Board of Australia. Nurse practitioner standards for practice. [Internet]. Sydney: Nursing and Midwifery Board of Australia; 2021 [cited 2023 Jun 11]. Available from: https://www.nursingmidwiferyboard.gov.au/codes-guidelines-statements/professional-standards/nurse-practitionerstandards-of-practice.aspx