Callaghan Leonard
Caislean Beag, Cappoge, Dunleer Co. Louth, Ireland.
J Clin Nurs. 2008 Jan;17(2):205-13. doi: 10.1111/j.1365-2702.2006.01881.x. Epub 2007 Apr 5.
This paper aims to analyse the concept of advanced nursing practice critically and to demonstrate an appreciation of the development of the role of the advanced nurse practitioner in the Irish context.
The concept of advanced nursing practice has existed in the US since the 1960s and in the UK since the early 1980s. The first signs of the advanced nurse practitioner began to emerge in Ireland in the late 1990s as a result of increasing demands and changes occurring within nursing and health care. Currently, there are 31 advanced nurse practitioners in the country, many of whom practice in the general setting. Strategies are in place to introduce advanced nursing practice into other nursing disciplines in the future.
A literature review was conducted to address the various issues inherent within this concept.
There is a body of evidence indicating that advanced nursing practice has brought about an improvement in patient outcomes. In light of this, the advanced nurse practitioner has a valuable role to play in providing a beneficial contribution and filling a gap in healthcare services.
This paper has demonstrated that nursing continues to be a dynamic and ever-changing phenomenon where the onus is firmly on the advanced nurse practitioner as expert, leader and collaborator, to capture the hearts and minds of nurses and healthcare workers, so as to challenge traditional values and transform clinical practice. Failure to do so may allow medicine or other interested parties to shape the future of nursing or even absorb it.
Nurses working at an advanced level are striving to develop their expertise, initiate nurse-led services and practice, in collaboration with other professionals in an effort to provide the highest quality care to the patient. Although the idea of the advanced nurse practitioner is relatively new to nursing in Ireland, it is the result of an idea whose time has come and there is nothing more powerful than an idea whose time has come.
本文旨在批判性地分析高级护理实践的概念，并展现对爱尔兰背景下高级执业护士角色发展的理解。
高级护理实践的概念自20世纪60年代起在美国存在，自20世纪80年代初起在英国存在。由于护理和医疗保健领域内不断增加的需求和发生的变化，高级执业护士的最初迹象于20世纪90年代末在爱尔兰开始出现。目前，该国共有31名高级执业护士，其中许多人在普通环境中执业。未来有将高级护理实践引入其他护理学科的策略。
进行了一项文献综述以探讨这一概念中固有的各种问题。
有大量证据表明高级护理实践已带来患者结局的改善。鉴于此，高级执业护士在做出有益贡献和填补医疗服务空白方面可发挥重要作用。
本文表明护理仍然是一个动态且不断变化的现象，高级执业护士作为专家、领导者和协作者，肩负着坚定的责任，要赢得护士和医护人员的心，从而挑战传统价值观并转变临床实践。不这样做可能会让医学或其他相关方塑造护理的未来，甚至吞并它。
处于高级水平的护士正在努力发展其专业技能，发起由护士主导的服务和实践，与其他专业人员合作，努力为患者提供最高质量的护理。尽管高级执业护士的概念在爱尔兰护理领域相对较新，但它是一个时机已到的理念的结果，没有什么比一个时机已到的理念更强大。
