我国高级执业护师方向护理硕士专业学位研究生教育的底层逻辑探索

doi:10.3761/j.issn.1672-9234.2023.02.021

摘要/Abstract

摘要：

我国已经具备开展高级执业护师本土化研究生教育的条件，部分地区已经进行了在职培养探索，但是依然存在教育体系不完整、缺乏独立性等问题。该文从高级执业护师这一中文专用称谓的确定、本土化培养的意义、培养定位以及培养的教育理念4个方面，逐层揭示我国高级执业护师方向护士硕士专业学位研究生教育的底层逻辑，为如何培养契合时代需求、顺应护理教育发展趋势的高素质护理人才提供理论基础。

关键词: 开业护士, 教育, 护理, 研究生, 底层逻辑

Abstract:

Although the training of nurse practitioner has been explored in some regions in China，the post-graduate education of nurse practitioner is still not established in its infant stage，because of lacking of standardization and localization. In this study，we explored the underlying logics of post-graduate education of nurse practitioner in four aspects step by step，including the specialized conception，the necessity and feasibility，the goals and the educational philosophy，which will provide a convinced and localized theorelical basis for the post-graduate education of nurse practitioner.

Key words: Nurse Practitioners, Education, Nursing, Graduate, Underlying logic

陆悦, 尚少梅, 江华, 魏征新, 李明子, 段丽萍. 我国高级执业护师方向护理硕士专业学位研究生教育的底层逻辑探索[J]. 中华护理教育, 2023, 20(2): 245-247.

LU Yue, SHANG Shaomei, JIANG Hua, WEI Zhengxin, LI Mingzi, DUAN Liping. The underlying logics of post-graduate education of nurse practitioner in China[J]. Chinese Journal of Nursing Education, 2023, 20(2): 245-247.

参考文献 23

[1]	International Council of Nureses. Guidelines on Advanced Practice Nursing 2020[EB/OL]. [2022-05-06].https://www.icn.ch/system/files/2021-07/ICN_APN%20Report_EN.pdf.
[2]	蔡秀鸾. 世纪回眸-台湾护理专业的角色拓展[J]. 护理杂志, 2014, 61(4):69-77.
[3]	练敏, 束睿, 李秀, 等. 高级执业护师在中国发展的必要性与实践探索[J]. 中华护理杂志, 2018, 53(5):597-600.
	Lian M, Shu R, Li X, et al. The feasibility and practice of Nurse Practitioner in China[J]. Chin J Nurs, 2018, 53(5):597-600.
[4]	褚尔康. 数字政府建设顶层设计的底层逻辑体系构筑与运行特征研究[J]. 领导科学, 2021(24):17-22.
[5]	王竹立. 信息时代教育变革的底层逻辑与顶层设计[J]. 今日教育, 2020(S1):78-83.
[6]	黄金月, 夏海鸥. 高级护理实践[M]. 3版. 北京: 人民卫生出版社, 2018.
[7]	中华人民共和国国务院令第517号《护士条例》[EB/OL]. [2022-05-06].http://www.gov.cn/zwgk/2008-02/04/content_882178.htm.
[8]	吴佳男. 安徽探路护士处方权[J]. 中国医院院长, 2018(6):24-25.
[9]	王丽敏, 陈志华, 张梅, 等. 中国老年人群慢性病患病状况和疾病负担研究[J]. 中华流行病学杂志, 2019(3):277-283. doi: 10.3760/cma.j.issn.0254-6450.2019.03.005 pmid: 30884604
	Wang LM, Chen ZH, Zhang M, et al. Study of the prevalence and disease burden of chronic disease in the elderly in China[J]. Chin J Epidemiol, 2019(3):277-283. doi: 10.3760/cma.j.issn.0254-6450.2019.03.005 pmid: 30884604
[10]	郝昕, 杜本峰, 刘林曦. 老龄化背景下中国健康养老服务面临的挑战及对策[J]. 中州学刊, 2021(7):103-106.
	Hao X, Du BF, Liu LX. Challenges and countermeasures of health care services for the elders in China under the background of aging[J]. Acad J Zhongzhou, 2021(7):103-106.
[11]	苏彬彬, 刘尚君, 卢彦君, 等. 基于集聚度的我国基层卫生人力资源配置评价研究[J]. 中国卫生政策研究, 2021, 14(4):49-54.
	Su BB, Liu SJ, Lu YJ, et al. Evaluation of human resource allocation of primary healthcare in China:based on agglomeration degree[J]. Chin J Heal Policy, 2021, 14(4):49-54.
[12]	高娟, 李明子, 江华, 等. 国外开业护士在慢病管理中的作用及对我国开业护士培养的启示[J]. 护士进修杂志, 2021, 36(19):1803-1807.
	Gao J, Li MZ, Jiang H, et al. The role of nursing practitioner in chronic disease management aboard and its enlightenment to the cultivation of nursing practitioner in China[J]. J Nurses Train, 2021, 36(19):1803-1807.
[13]	Zhan QM, Shang SM, Li WK, et al. Bridging the GP gap:nurse practitioners in China[J]. Lancet, 2019, 394(10204):1125-1127. doi: 10.1016/S0140-6736(19)32209-3
[14]	中国共产党第十九届中央委员会第五次全体会议公报[EB/OL].[2022-05-06]. http://www.gov.cn/xinwen/2020-10/29/content_5555877.htm.
[15]	中华人民共和国国民经济和社会发展第十四个五年规划和2035年远景目标纲要[EB/OL].[2022-05-06]. http://www.gov.cn/xinwen/2021-03/13/content_5592681.htm.
[16]	Adult-gerontology acute care and primary care NP conpetencies[EB/OL]. [2022-05-06]. https://www.aacnnursing.org/Portals/42/AcademicNursing/pdf/Adult-Gero-NP-Comp-2016.pdf.
[17]	Morgan S. What are the differences in nurse practitioner training and scope of practice in the US and UK?[J]. Nurs Times, 2010, 106(27):21-24. pmid: 20712212
[18]	孙宏玉. 护理硕士专业学位的生成和制度化过程分析[J]. 中华现代护理杂志, 2018(15):1841-1845.
[19]	教育部学位与研究生教育发展中心中国学位与研究生教育发展年度报告2017[M]. 北京: 高等教育出版社, 2020.
[20]	贾金忠, 曹炜, 尉锐楠, 等. 护理硕士专业学位研究生教育现状分析与对策研究[J]. 中华医学教育杂志, 2020(11):921-925.
[21]	任平, 孙文云. 现代教育学概论[M]. 3版. 广州: 暨南大学出版社, 2018.
[22]	明庆华. 教育学导论[M]. 武汉: 湖北人民出版社, 2005.
[23]	Johnson R, Clark R, O’Brien T. Improving family nurse practitioner students’ confidence for clinical decision making and presenting patient information to the preceptor[J]. Journal of Doctoral Nursing Practice, 2018, 11(2):114-118. doi: 10.1891/2380-9418.11.2.114 pmid: 32745017