J Korean Crit Care Nurs.  2021 Jun;14(2):42-56. 10.34250/jkccn.2021.14.2.42.

Experience of Healthcare Providers in the Advanced Practice Nurse System

Affiliations
  • 1Professor, College of Nursing⋅Health and Nursing Research Institute, Jeju National University
  • 2Assistant Professor, Department of Nursing, Changwon National University
  • 3Professor, Graduate School of Clinical Nursing Science, Sungkyunkwan University
  • 4Associate Professor, Department of Clinical Nursing, University of Ulsan
  • 5Advanced Practice Nurse, Department of Nursing, Asan Medical Center
  • 6Advanced Practice Nurse, Manager, Department of Nursing, Seoul National University Bundang Hospital

Abstract

Purpose
: The purpose of this study was to understand and describe the experiences of the advanced nurse practitioner (APN) system used by healthcare providers including APNs, doctors who worked with APNs, and APN master’s course professors at a graduate school.
Methods
: Qualitative data were collected via snowball sampling. The participants were nine APNs, six doctors, and three professors. They were divided into three focus groups, each of which consisted of all three types of healthcare providers. Data were collected via interviews with the three focus groups conducted from September to October 2019. All interviews were audiotaped and transcribed verbatim. The transcribed data then underwent qualitative content analysis.
Results
: Based on the data, we extracted four themes and 14 categories. The themes were “Role and system of APNs started according to healthcare environment changes”, “Optimal healthcare provider to ensure quality of care”, “Confused role and system of APNs due to incomplete medical law”, and “Tasks for the stable operation of the APN system.”
Conclusion
: For quality treatment and safety of patients, a legal basis must be established for the APN system. For its stable operation, social consensus regarding legislation about APNs’ scope of practice is required. Finally, a discussion is necessary about the integration of APNs’ 13 fields.

Keyword

Nurse practitioners, Professional practice, Qualitative research, Focus groups; 전문간호사, 전문가적 실무, 질적연구, 포커스그룹
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