安宁疗护高级实践护士发展现状及启示

doi:10.3761/j.issn.1672-9234.2026.05.006

中华护理教育 ›› 2026, Vol. 23 ›› Issue (5): 547-553.doi: 10.3761/j.issn.1672-9234.2026.05.006

安宁疗护高级实践护士发展现状及启示

郭俊晨¹(), 刘翔宇¹, 刘高明¹, 雷欣瑶¹, 李丽², 陈胜利², 谌永毅¹^,^*()

¹ 湖南省肿瘤医院护理部长沙市 410006
² 海军军医大学第三附属医院护理部上海市 200433

收稿日期:2026-01-07 出版日期:2026-05-15 发布日期:2026-05-14
通讯作者: *谌永毅,E-mail:414700595@qq.com
作者简介:郭俊晨:女,硕士(博士在读),护士,E-mail:2451336829@qq.com
第一联系人：作者贡献声明
郭俊晨负责研究构思与设计、文献检索、论文撰写与修改;刘翔宇负责论文修改;刘高明负责论文修改;雷欣瑶负责文献检索、论文撰写;李丽负责论文修改;陈胜利负责文献检索;谌永毅负责研究指导与监督、论文的审阅与指导。
基金资助:
湖南省肿瘤医院科研攀登计划重大专项和重点研发项目(YF2020010)

The development status and implications of advanced practice nurses in palliative care

GUO Junchen¹(), LIU Xiangyu¹, LIU Gaoming¹, LEI Xinyao¹, LI Li², CHEN Shengli², CHEN Yongyi¹^,^*()

¹ Nursing Department, Hunan Cancer Hospital, Changsha 410006, China
² Nursing Department, the Third Affiliated Hospital of Naval Medical University, Shanghai 200433, China

Received:2026-01-07 Online:2026-05-15 Published:2026-05-14
Contact: *CHEN Yongyi,E-mail:414700595@qq.com
Supported by:
Major Special Projects and Key Research and Development Projects of Hunan Cancer Hospital’s Scientific Research Climbing Plan(YF2020010)

摘要/Abstract

摘要：

安宁疗护高级实践护士(advanced practice nurse,APN)作为安宁疗护中具备临床决策与跨学科协作等能力的关键力量,在症状管理、照护协调及患者与家属支持等方面发挥着重要作用,但当前我国安宁疗护APN的发展仍处于探索阶段。该文通过综述国内外安宁疗护APN的发展、培养(准入与认证、教育与培训)、核心能力及实践范围,提出未来我国在推进安宁疗护APN发展的过程中,需建立安宁疗护APN的准入与资格认证制度,并重点关注现有教育与培养体系的完善及实践环境与跨专业协作机制的进一步优化,以期为我国安宁疗护APN发展模式的建立提供参考。

关键词: 安宁疗护, 高级护理实践, 高级实践护士, 专科护士, 护理学, 综述

Abstract:

Advanced practice nurses(APNs) in palliative care,as a vital workforce with strong clinical decision making capacity and interdisciplinary collaboration skills,play a vital role in symptom management,care coordination,and psychosocial support for patients and their families. However,the development of palliative care APNs in China is still at an exploratory stage. This article reviews the development,cultivation(admission and certification,education and training),core competencies,and practice scope of palliative care APNs at home and abroad. It proposes that in the future,China needs to establish an admission and qualification certification system for palliative care APN,with a focus on improving the existing education and training system,further optimize the practice environment and interdisciplinary mechanism,so as to provide a theoretical and practical implications for the construction of a localized development model for palliative care APNs in China.

Key words: Palliative Care, Advanced Nursing Practice, Advanced Practice Nurses, Specialist Nurses, Nursing, Review

郭俊晨, 刘翔宇, 刘高明, 雷欣瑶, 李丽, 陈胜利, 谌永毅. 安宁疗护高级实践护士发展现状及启示[J]. 中华护理教育, 2026, 23(5): 547-553.

GUO Junchen, LIU Xiangyu, LIU Gaoming, LEI Xinyao, LI Li, CHEN Shengli, CHEN Yongyi. The development status and implications of advanced practice nurses in palliative care[J]. Chinese Journal of Nursing Education, 2026, 23(5): 547-553.

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安宁疗护高级实践护士发展现状及启示

The development status and implications of advanced practice nurses in palliative care

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