J Korean Clin Nurs Res.
2017 Aug;23(2):131-141. 10.22650/JKCNR.2017.23.2.131.
The Current Status of Professional Medical Support Staffs in Medical Institutions with over 500 Beds
- Affiliations
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- 1Associated Professor, College of Nursing, Jeju National University, Korea.
- 2Advanced Practice Nurse, Department of Nursing, Samsung Medical Center, Clinical Professor, Graduate School of Clinical Nursing Science, Sungkyunkwan University, Korea. sujungchoi@hanmail.net
- 3Advanced Practice Nurse, Department of Nursing, Asan Medical Center, Korea.
- 4Assistant Professor, Department of Clinical Nursing, University of Ulsan, Korea.
- 5Advanced Practice Nurse, Department of Nursing, Dong-A University Hospital, Korea.
- KMID: 2397651
- DOI: http://doi.org/10.22650/JKCNR.2017.23.2.131
Abstract
- PURPOSE
This study was to investigate the nationwide operational status of the professional medical support staffs (PMSS) who practice the expanded roles in the hospital setting.
METHODS
The data were obtained through survey from 36 hospitals with over 500 beds from 25th May to 12th July 2016. Data from 1,666 PMSS were analyzed.
RESULTS
Since the job titles varied, we classified them into 5 groups according to their roles; advanced practice nurse, clinical nurse expert, PA (physician assistant), coordinator, and others. There were differences in the operation status of PMSSs depending on the region, nurse staffing grade and number of hospital beds. Qualification criteria varied from hospital to hospital, and almost half of the hospitals didn't have any qualification standards for them. There were differences in age, educational level, clinical careers, rewards, and job satisfaction in 5 groups. Especially PA group had low salary, poorer working conditions, more difficulties in performing their work, and lower job satisfaction than other groups. Most PMSS (99.5%) were using a delegated prescription authority, however only 68.3% had job description and 19.9% had documented delegated role.
CONCLUSION
Adequate training curriculum, documented delegated roles, and the protocols for legal protection and efficient medical services are needed.
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