MacDonald Jo-Ann, Herbert Rosemary, Thibeault Catherine
UPEI School of Nursing, Charlottetown, 550 University Avenue, Charlottestown, Prince Edward Island, Canada.
J Prof Nurs. 2006 May-Jun;22(3):172-9. doi: 10.1016/j.profnurs.2006.03.009.
Despite the wide variety of advanced practice roles in nursing and the well-documented differences among them [Hamric, A. (2000). A definition of advanced nursing practice. In A. Hamric, J. Spross, & C. Hanson (Eds.), Advanced nursing practice: An integrative approach (pp. 53-73). Philadelphia, PA: W. B. Saunders], the authors suggest that nurses in these roles should adopt a common identity, that of an "advanced practice nurse" (APN). The authors outline the development of advanced practice nursing in Canada and the United States, tracking historical influences and highlighting current issues facing APNs. The authors explore elements that constitute the definable and describable core of advanced practice nursing-knowledge, education, scope of practice, regulatory issues, and outcomes. They conclude that adoption of a common identity for all advanced practice nursing roles may clarify role confusion (which is currently experienced within and outside the profession), reinforce links between knowledge development and nursing practice, and ensure that advanced nursing practice is responsive to the needs of society.
尽管护理领域存在各种各样的高级实践角色，且它们之间的差异也有充分记录[哈姆里克，A.（2000年）。高级护理实践的定义。载于A.哈姆里克、J.斯普罗斯和C.汉森（编），《高级护理实践：一种综合方法》（第53 - 73页）。宾夕法尼亚州费城：W. B. 桑德斯出版社]，但作者们建议担任这些角色的护士应采用一个共同的身份，即“高级实践护士”（APN）。作者们概述了加拿大和美国高级实践护理的发展情况，追溯历史影响并突出APN目前面临的问题。作者们探讨了构成高级实践护理可定义和可描述核心的要素——知识、教育、实践范围、监管问题及成果。他们得出结论，为所有高级实践护理角色采用共同身份可能会消除角色混淆（目前在专业内外都存在这种情况），加强知识发展与护理实践之间的联系，并确保高级护理实践能够满足社会需求。
