Perspect Nurs Sci.  2017 Apr;14(1):37-44. 10.16952/pns.2017.14.1.37.

Current Status and Vitalizing Strategies of Advanced Practice Nurses in Korea

Affiliations
  • 1Clinical Nurse Specialist, Department of Hematology, Asan Medical Center, Seoul, Korea.
  • 2Former Professor, Korea Human Resource Development Institute for Health and Welfare, Cheongju, Korea.
  • 3Associate Professor, College of Nursing, Sungshin Women's University, Seoul, Korea. kclim@sungshin.ac.kr
  • 4Advanced Practice Nurse, Department of Pulmonary Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.
  • 5Advanced Practice Nurse, Infection Control Team, Team Leader, Konkuk University Medical Center, Seoul, Korea.
  • 6Professor, Department of Nursing, College of Medicine, University of Ulsan, Ulsan, Korea.

Abstract

PURPOSE
This study aimed to provide information on the developmental process and current status of Advanced Practice Nurses (APN) and to suggest ways for activating APN roles in Korea.
METHODS
We reviewed literatures to explore domestic and international trends related to the roles, practice settings, scope of practice, regulatory policies, and political environment of APN.
RESULTS
Interest in the APN role has been gaining ground worldwide. While the roles of APN in the USA, Taiwan and Japan have been changed in terms of legislation and institutional regulations, the role of APN in 12 fields except for APN in home care has not been legislated since qualification was specified in Korean Medical Law. Many problems were found in vitalizing APN roles: absence of legal regulations on the scope of practice or health insurance coverage for APN, increase the number of medical support staffs who are not qualified, and a disagreement regarding the qualification field and practical field.
CONCLUSION
This study presents snapshots and vitalizing strategies of practice, and regulation for APN to develop their unique roles in Korea. The tasks and duties of APN should be identified specifically to fulfill their roles. In terms of national health insurance policy APN's Nursing care should be reimbursed just as nursing care of APN in home care.

Keyword

Advanced practice nurse; Policy; Strategies; Advanced nursing care insurance benefits

MeSH Terms

Home Care Services
Insurance, Health
Japan
Jurisprudence
Korea*
National Health Programs
Nursing Care
Social Control, Formal
Taiwan

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Reference

1. Yun SN. Legal institutionalization of advanced practice nurses. Korean Nurse. 1997; 35(5):5–12.
2. Kim JH. Demand-supply of advanced practice nurse (APN) and alternative benefit strategies in the national health insurance. Perspect Nurs Sci. 2010; 7(1):23–35.
3. Kim CJ. Introduction and significance of advanced practice nurses. Korean Nurse. 2005; 44(5):14–16.
4. Regulations for Qualification of Advanced Practice Nurses [Internet]. Sejong: National Law Information Center;2006. 07. cited 2017 April 10. Available from: http://http://tip.daum.net/openknow/40491422.
5. Seol ME, Lim KC, Shin YA, Leem CS, Jeong JS, Choi JH. Status and issues of Korean advanced practice nurses; Internal records; 2017 Feb 3-90; Korea. Seoul: Korean advanced practice nurses association;2017.
6. Kim MW. Discussion about the development of institutionalization of advanced practice nursing and its future development. Korean J Nurs Query. 2006; 15(2):35–67.
7. kabone.or.kr [Internet]. Seoul: Korean accreditation board of nursing education;cited 2017 March 10. Available from: http://kabone.or.kr/kabon04/index03.php.
8. international.aanp.org [Internet]. Definition and characteristics of the role. cited 2017 March 10. Available from:https://international.aanp.org/Practice/APNRoles.
9. korea-ana.co.kr [Internet]. Nurse anesthesia history. cited 2017 March 10. Available from: http://www.korea-ana.co.kr/v3/sub2_01.php.
10. Kim ES. The activities of nurse practitioners in other countries; U.S.A., Philippines & Japan. Korean Nurse. 1982; 21(3):12–15.
11. Kim HJ. Role of the public health nurses in health center. Korean Nurse. 1989; 28(1):23–26.
12. kpmhna.or.kr [Internet]. History of advanced practice nurse on psychiatric nursing. cited 2017 March 30. Available from: http://www.kpmhna.or.kr/sub1/1_2.php.
13. Korean Accreditation Board of Nursing Education. 2016 Korean advanced practice nurse annual report. 2016.
14. Hospital Nurses Association. Survey on the status of nursing staff placement. 2016.
15. Suh SR. A study on the status and survey of Korean advanced practice nurses: policy research report. 2014. p. 24–61.
16. aanp.org [Internet]. NP Fact Sheet. cited 2017 April 10. Available from: https://www.aanp.org/all-about-nps/np-fact-sheet.
17. American Association of Nurse Practitioners. AANP national nurse practitioner database. 2016.
18. American Association of Nurse Practitioners. 2016 AANP national nurse practitioner sample survey report.
19. Chao Y. nursing care in Taiwan. Nursing education in Taiwan. Department of health (ROC);2008. p. 24–34. cited 2007 Mar 30. Available from: http://www.mohw.gov.tw/EN/Ministry/DM2_P.aspx?f_list_no=475&fod_list_no=862&doc_no=29952&rn=1456223381.
20. Tsay SL, Kuo SZ. nursing care in Taiwan. Advanced nursing practice. Department of health (ROC);2008. p. 177–184. cited 2017 Mar 30. Available from: http://www.mohw.gov.tw/EN/Ministry/DM2_P.aspx?f_list_no=475&fod_list_no=862&doc_no=29952&rn=1456223381.
21. Wei CW, Heng-Hsin T. Nurse practitioners in Taiwan: today and tomorrow. J Am Acad Nurse Pract. 2012; 24:138–142.
Article
22. Chiu HJ, Shiow-Luan T, Heng-Hsin T. Scope of practice and legislation for nurse practitioners in Taiwan. J Am Assoc Nurse Pract. 2015; 27:497–500.
Article
23. Rosemary G. The nurse partitioner/advanced practice role in Taiwan. 2012. cited 2017 Mar 30. Available from: http://www.npjournal.org/article/S1555-4155(12)00482-5/pdf.
24. Hospital Nurse Association. Survey on the role of medical support staffs. 2017.
25. Korean Academy of Medical Science. Survey of actual situation of physician assistant and foreign policy study. 2011.
26. Hospital Nurses Association. Survey on the status of nursing staff placement. 2010.
27. Kwak CY, Park JA. Current roles and administrative facts of the Korean physician assistant. J Korea Contents Assoc. 2014; 583–595.
Article
28. Kim JH. Estimation of a resource-based relative value scale and its conversion factor for advanced nursing practices in the national health insurance, with economic evaluation of its costeffectiveness [Internet]. 2014. 1–12. cited 2017 Mar 30. Available from: http://www.ndsl.kr/ndsl/search/detail/report/reportSearchResultDetail.do?cn=TRKO201400028699.
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