ISSN 2097-6054（网络） ISSN 1672-9234（印刷） CN 11-5289/R
主管：中国科学技术协会　主办：中华护理学会
出版：中华护理杂志社
收录：中国科学引文数据库（CSCD）来源期刊
　　　中国期刊全文数据库
　　　中国核心期刊（遴选）数据库
　　　Scopus
中华护理教育

中华护理教育 >

2023 , Vol. 20 >Issue 9: 1147 - 1152

DOI: https://doi.org/10.3761/j.issn.1672-9234.2023.09.021

探索与争鸣

高级实践护士选拔与培养途径的思考

  • 刘雨薇 ,
  • 何凌霄 ,
  • 龚仁蓉 ,
  • 宁宁 ,
  • 蒋艳
展开
  • 610041 成都市 四川大学华西医院/四川大学华西护理学院/护理学四川省重点实验室（刘雨薇，龚仁蓉，宁宁，蒋艳）；四川大学华西医院创伤医学中心（何凌霄）
刘雨薇，女，硕士，主管护师，E-mail：liuyuwei@wchscu.cn

收稿日期: 2023-04-06

  网络出版日期: 2023-09-14

基金资助

四川省卫健委医学科技项目(21PJ016);四川大学华西医院学科卓越发展1·3·5工程临床研究孵化项目(21HXFH038)

收起

Reflection on the way of selecting and training of advanced practice nurse candidates

  • Yuwei LIU ,
  • Lingxiao HE ,
  • Renrong GONG ,
  • Ning NING ,
  • Yan JIANG
Expand

Received date: 2023-04-06

  Online published: 2023-09-14

Fold

摘要

高级实践护士（advanced practice nurse，APN）是拥有深厚的专科知识、复杂问题的决策能力及扩展临床实践才能的应用型护理人才。目前国际普遍将APN的教育标准设定为硕士及以上学位（研究生学历）。然而我国护理学研究生教育起步较晚，在当前国情下选拔APN培养对象时应优先考虑研究生学历还是临床工作经验尚存在争议。该文在文献综述的基础上，对比具有研究生学历护士或高年资护士对标APN的核心能力差异，基于我国国情提出对两类人才并行培养的思考，以期实现双方优势互补、共同成长，推动中国特色的APN角色发展。

关键词： 教育,护理,研究生; 高级实践护士; 专科护士; 人才选拔与培养

本文引用格式

刘雨薇 , 何凌霄 , 龚仁蓉 , 宁宁 , 蒋艳 . 高级实践护士选拔与培养途径的思考[J]. 中华护理教育, 2023 , 20(9) : 1147 -1152 . DOI: 10.3761/j.issn.1672-9234.2023.09.021

Abstract

An advanced practice nurse（APN） is an application-oriented nurse who has acquired an in-depth expert knowledge base，complex decision-making skills，and expanded clinical competencies for advanced nursing practice. At present，the international education standard for APNs is at a master’s degree or higher. However，nursing graduate education is initiated relatively late in China，and there is still an ongoing debate regarding the prioritization of master’s degrees versus clinical work experience for selecting APN candidates under current circumstances. Through literature review，this paper compared the core competencies of nurses with postgraduate degrees and senior clinical nurses in developing APN and proposed the reflection on the parallel training for these two types of professionals based on the current situation in China. This plan aims to assist the fusion of the strengths of both type of candidates，fostering their mutual growth，and further promoting the specific role develop-ment of APN in China.

Key words： Education,Nursing,Graduate; Advanced practice nurse; Specialty nurse; Talent selection and cultivation

参考文献

[1] Schober M. Global emergence of nurse practitioner/advanced practice nursing roles[J]. J Am Assoc Nurse Pract, 2018, 30(4):182-184.
[2] International Council of Nurses. Guidelines on advanced practice nursing 2020[EB/OL]. (2021-07-01) [2023-03-21]. https://www.icn.ch/system/files/2021-07/ICN_APN%20Report_EN.pdf.
[3] 富晶晶, 张琦, 夏海鸥. ICU医护人员对高级实践护士认知和期望的调查分析[J]. 护理学杂志, 2016, 31(15):16-19.
[4] APRN Consensus Work Group & the National Council of State Boards of Nursing APRN Advisory Committee. Consensus model for APRN regulation:licensure,accreditation,certification,and education[EB/OL].(2008-07-07) [2023-03-21]. https://www.aacn.nche.edu/education-resources/APRNReport.pdf.
[5] Schober M. Introduction to advanced nursing practice:an international focus[M]. Cham: Springer International Publishing, 2016.
[6] 庞冬, Anne H. 美国华盛顿大学护理学院临床型护理博士项目介绍[J]. 中华护理教育, 2019, 16(8):582-585.
[7] 陆悦, 尚少梅, 江华, 等. 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):245-248.
[7] Lu Y, Shang SM, Jiang H, et al. The underlying logics of post-graduate education of nurse practitioner in China[J]. Chin J Nurs Educ, 2023, 20(2):245-248.
[8] 杨志仙, 陈蜀, 董美宏, 等. 我国护理学硕士研究生招生现状及分析[J]. 中华护理教育, 2018, 15(10):743-747.
[8] Yang ZX, Chen S, Dong MH, et al. Current status of recruit-ment of nursing master students in China[J]. Chin J Nurs Educ, 2018, 15(10):743-747.
[9] 国家卫生健康委员会. 中国卫生健康统计年鉴-2022[M]. 北京: 中国协和医科大学出版社, 2022.
[10] 李琳波, 康凤英, 贺建霞. 对护理硕士专业学位研究生职业定位的一些体会[J]. 中国卫生人才, 2018(4):74-76.
[11] 田永明, 徐禹, 刘欢. ICU护士进阶培养的临床实践与效果[J]. 中国护理管理, 2021, 21(3):343-347.
[12] 王丽, 牟绍玉, 甘秀妮, 等. 重庆市三级甲等医院硕士学历护士职业生涯状况及其影响因素分析[J]. 中国护理管理, 2018, 18(8):1062-1067.
[12] Wang L, Mu SY, Gan XN, et al. Investigation and analysis on career status and its influencing factors of nurses with master degree from class A tertiary hospitals in Chongqing[J]. Chin Nurs Manag, 2018, 18(8):1062-1067.
[13] 余佳, 李京京, 童欢欢, 等. 国内下沉社区的高年资护士与美国开业护士的角色对比研究[J]. 护理研究, 2021, 35(12):2223-2227.
[13] Yu J, Li JJ, Tong HH, et al. Roles of senior nurses transferring to communities in China and nurse practitioners in America:a comparative study[J]. Chin Nurs Res, 2021, 35(12):2223-2227.
[14] 成守珍, 陈玉英, 王路英, 等. 专科护士在我国的发展及展望[J]. 中国护理管理, 2021, 21(5):649-652.
[15] 梁月梅, 黄惠根, 崔虹, 等. 我国医院专科护士岗位管理调查研究[J]. 中国医院管理, 2020, 40(5):76-79.
[15] Liang YM, Huang HG, Cui H, et al. Investigation on the position management of Chinese hospital specialist nurses[J]. Chin Hosp Manag, 2020, 40(5):76-79.
[16] Hamric AB, Hanson CM, Tracy MF, et al. Advanced practice nursing:an integrative approach[M]. 5th ed. St.Louis: Elsevier Inc., 2014.
[17] 张琦. 重症监护高级实践护士角色发展:一项行动研究[D]. 上海: 复旦大学, 2013.
[17] Zhang Q. Role development of senior practice nurses in intensive care unit-an action study[D]. Shanghai: Fudan University, 2013.
[18] 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.
[18] Huang JY, Xia HO. Advanced nursing practice[M]. 3rd ed. Beijing: People’s Medical Publishing House, 2018.
[19] Gerrish K, Nolan M, McDonnell A, et al. Factors influencing advanced practice nurses’ ability to promote evidence-based practice among frontline nurses[J]. Worldviews Evid Based Nurs, 2012, 9(1):30-39.
[20] Kilpatrick K, DiCenso A, Bryant-Lukosius D, et al. Practice patterns and perceived impact of clinical nurse specialist roles in Canada:results of a national survey[J]. Int J Nurs Stud, 2013, 50(11):1524-1536.
[21] 杨艳. 三级综合医院临床护理专家岗位设置及实践探索[J]. 上海护理, 2021, 21(2):1-5.
[22] 庄一渝, 冯金娥, 隋伟静. 高级临床专科护士的设立与发展[J]. 中国护理管理, 2021, 21(9):1372-1376.
[22] Zhuang YY, Feng JE, Sui WJ. Review on the establishment and development of advanced practice nurses[J]. Chin Nurs Manag, 2021, 21(9):1372-1376.
[23] 吴蔚, 何昌清, 古继宝. 我国研究生分类培养的理念、实践与困惑[J]. 研究生教育研究, 2015(1):48-52.
[23] Wu W, He CQ, Gu JB. Customized training for graduate students in China:philosophy,practice and confusion[J]. J Graduate Educ, 2015(1):48-52.
[24] 何诗雯, 杨玉佩, 陈偶英. 护理硕士专业学位研究生双轨双控双向融合分段衔接培养模式研究进展[J]. 护理研究, 2016, 30(22):2692-2696.
[25] 郭潇雅. 华西医院APN:新岗位、新职责、新里程[J]. 中国医院院长, 2022, 18(2):72-73.
[26] Fink R, Thompson CJ, Bonnes D. Overcoming barriers and promoting the use of research in practice[J]. J Nurs Adm, 2005, 35(3):121-129.
[27] Harbman P, Bryant-Lukosius D, Martin-Misener R, et al. Partners in research:building academic-practice partnerships to educate and mentor advanced practice nurses[J]. J Eval Clin Pract, 2017, 23(2):382-390.
[28] Currey J, Considine J, Khaw D. Clinical nurse research consultant:a clinical and academic role to advance practice and the discipline of nursing[J]. J Adv Nurs, 2011, 67(10):2275-2283.
[29] Fagerstr?m LM. A caring advanced practice nursing model[M]. Cham: Springer Nature Switzerland AG, 2021.
[30] 李雪珠, 周影, 李国宏. 利益相关者视角下ICU专科护士与护理硕士专业学位研究生衔接培养策略的调查分析[J]. 护理研究, 2021, 35(1):28-34.
Options
文章导航

/

〈 〉