基于高级实践护士角色评估框架的角色作用评价研究进展

doi:10.3761/j.issn.1672-9234.2023.09.004

摘要/Abstract

摘要：

近些年来，高级实践护士在国内外发展速度较快，但其角色作用评价存在不一致的情况。分析原因，可能是缺乏理论框架的指导来进行高级实践护士角色作用的评价。该文对高级实践护士的概念、类别、角色评估框架及其在角色作用评价中的应用现况进行综述，以期明确高级实践护士的角色价值，进而推动我国高级护理实践的发展。

关键词: 高级实践护理, 综述, 评估框架, 角色评价

Abstract:

In recent years，advanced practice nurses have developed rapidly. However，there were inconsistencies in their role evaluation. Reasons were possibly associated with the lack of theoretical framework to guide the evaluation of the role of the advanced practice nurses. This paper reviewed the concepts，categories，role evaluation frameworks of advanced practice nurses and the current status of its application in role evaluation，so as to clarify the role value of advanced practice nurse and to promote the development of advanced nursing practice in China.

Key words: Advanced Practice Nursing, Review, Assessment framework, Role evaluation

姚家菲, 麻盛淼, 许琳, 郭爱敏. 基于高级实践护士角色评估框架的角色作用评价研究进展[J]. 中华护理教育, 2023, 20(9): 1045-1049.

YAO Jiafei, MA Shengmiao, XU Lin, GUO Aimin. Research progress of role evaluation based on role evaluation framework for advanced practice nurses[J]. Chinese Journal of Nursing Education, 2023, 20(9): 1045-1049.

参考文献 28

[1]	Mashlan W, Heffey S, Jones L. Advanced nurse practitioners can lead comprehensive geriatric assessment in acute hospitals[J]. Nurs Older People, 2020, 32(1):21-25. doi: 10.7748/nop.2019.e1182 pmid: 31990162
[2]	Roche TE, Gardner G, Jack L. The effectiveness of emergency nurse practitioner service in the management of patients presenting to rural hospitals with chest pain:a multisite prospective longitudinal nested cohort study[J]. BMC Health Serv Res, 2017, 17(1):1-14. doi: 10.1186/s12913-016-1943-z
[3]	王秀英, 肖琨婷, 李湘萍. 美国高级实践护士护理硕士教育现况[J]. 护理实践与研究, 2015, 12(9):22-24.
[4]	Lohr KN. Outcome measurement:concepts and questions[J]. Inquiry, 1988, 25(1):37-50.
[5]	Liego M, Loomis J, van Leuven K, et al. Improving outcomes through the proper implementation of acute care nurse practitioners[J]. J Nurs Adm, 2014, 44(1):47-50. doi: 10.1097/NNA.0000000000000020 pmid: 24316618
[6]	方颖, 张敏, 徐晓晰, 等. 专科护士胜任力研究现状[J]. 全科护理, 2019, 17(1):26-27.
[7]	Bryant-Lukosius D, Carter N, Reid K, et al. The clinical effectiveness and cost-effectiveness of clinical nurse specialist-led hospital to home transitional care:a systematic review[J]. J Eval Clin Pract, 2015, 21(5):763-781. doi: 10.1111/jep.12401 pmid: 26135524
[8]	Hamric AB, Spross JA, Hanson CM. Advanced practice nursing:an integrative approach[J]. Saunders, 2009.DOI:10.1097/00002800-199703000-00002. doi: 10.1097/00002800-199703000-00002
[9]	Meyer SC, Miers LJ. Cardiovascular surgeon and acute care nurse practitioner[J]. AACN Clin Issues Adv Pract Acute Crit Care, 2005, 16(2):149-158.
[10]	Sangster-Gormley E, Martin-Misener R, Downe-Wamboldt B, et al. Factors affecting nurse practitioner role implementation in Canadian practice settings:an integrative review[J]. J Adv Nurs, 2011, 67(6):1178-1190. doi: 10.1111/j.1365-2648.2010.05571.x pmid: 21261696
[11]	Craig P, Dieppe P, MacIntyre S, et al. Developing and evaluating complex interventions:the new Medical Research Council guidance[J]. Int J Nurs Stud, 2013, 50(5):587-592. doi: 10.1016/j.ijnurstu.2012.09.010
[12]	Bryant-Lukosius D, Spichiger E, Martin J, et al. Framework for evaluating the impact of advanced practice nursing roles[J]. J Nurs Scholarsh, 2016, 48(2):201-209. doi: 10.1111/jnu.12199
[13]	Byers JF, Brunell ML. Demonstrating the value of the advanced practice nurse:an evaluation model[J]. AACN Clin Issues, 1998, 9(2):296-305. pmid: 9633281
[14]	Sidani S, Irvine D. A conceptual framework for evaluating the nurse practitioner role in acute care settings[J]. J Adv Nurs, 1999, 30(1):58-66. doi: 10.1046/j.1365-2648.1999.01049.x pmid: 10403981
[15]	Bryant-Lukosius D, Dicenso A. A framework for the introduction and evaluation of advanced practice nursing roles[J]. J Adv Nurs, 2004, 48(5):530-540. doi: 10.1111/j.1365-2648.2004.03235.x pmid: 15533091
[16]	李威, 瞿平, 张雪. 基于Donabedian质量理论的我国护理环境的思考[J]. 中国医院管理, 2017, 37(9):64-66.
[17]	Jayadevappa R, Chhatre S, Johnson JC, et al. Variation in quality of care among older men with localized prostate cancer[J]. Cancer, 2011, 117(11):2520-2529. doi: 10.1002/cncr.25812 pmid: 24048800
[18]	Haynes RB, Sackett DL, Gray JM, et al. Transferring evidence from research into practice:1. The role of clinical care research evidence in clinical decisions[J]. ACP J Club, 1996, 125(3):A14-A16. pmid: 8963526
[19]	Bryant-Lukosius D, Israr S, DiCenso A. Resources to facilitate advanced practice nursing outcomes research[J]. Outcome Assessment in Advanced Practice Nursing, 2013:313-38.
[20]	Irvine D, Sidani S, Hall LM. Linking outcomes to nurses’ roles in health care[J]. Nurs Econ, 1998, 16(2):58-64,87. pmid: 9592519
[21]	Anderson R. Managed care:increased opportunities for acute-care nurse practitioners[J]. AACN Clin Issues, 1997, 8(1):101-107. pmid: 9086923
[22]	Spitzer WO. Evidence that justifies the introduction of new health professionals[M]//The Professions and Public Policy. University of Toronto Press, 1978:211-236.
[23]	Seymour J, Clark D, Bath P, et al. Clinical nurse specialists in palliative care. Part 3. Issues for the Macmillan Nurse role[J]. Palliative Medicine, 2002:46-52,83.
[24]	Gysin S, Sottas B, Odermatt M, et al. Advanced practice nurses’ and general practitioners’ first experiences with introducing the advanced practice nurse role to Swiss primary care:a qualitative study[J]. BMC Fam Pract, 2019, 20(1):163. doi: 10.1186/s12875-019-1055-z
[25]	Bovero M, Giacomo C, Ansari M, et al. Role of advanced nurse practitioners in the care pathway for children diagnosed with leukemia[J]. Eur J Oncol Nurs, 2018, 36:68-74. doi: S1462-3889(18)30100-5 pmid: 30322512
[26]	Serena A, Castellani P, Fucina N, et al. The role of advanced nursing in lung cancer:a framework based development[J]. Eur J Oncol Nurs, 2015, 19(6):740-746. doi: 10.1016/j.ejon.2015.05.009 pmid: 26059323
[27]	Serena A, Dwyer AA, Peters S, et al. Acceptance of the advanced practice nurse in lung cancer role by healthcare professionals and patients:a qualitative exploration[J]. J Nurs Scholarsh, 2018, 50(5):540-548. doi: 10.1111/jnu.2018.50.issue-5
[28]	Gresley-Jones T, Green P, Wade S, et al. Inspiring change:how a nurse practitioner-led model of care can improve access and quality of care for children with medical complexity[J]. J Pediatr Health Care, 2015, 29(5):478-483. doi: 10.1016/j.pedhc.2014.12.005