Por Jitna
Florence Nightingale School of Nursing and Midwifery, King's College London, London, UK.
J Nurs Manag. 2008 Jan;16(1):84-90. doi: 10.1111/j.1365-2934.2007.00795.x.
This paper aims to elucidate the concept of advancing nursing practice by engaging critically with developments in policy in the UK and ongoing debates in the international literature.
Advancing practice to the outer edges of nursing's scope of practice is a challenge for the profession both in the UK and elsewhere. However, defining what advancing nursing practice is and what it might become remains problematic.
Critical analysis of published papers and policy documents pertaining to the concept of advancing nursing practice.
Advancing nursing practice as a concept offers enormous potential for nurses and has been the subject of numerous debates over the last 25 years. Previous history of advanced practice offers no imperative practice and informs us little about the future roles of advanced nurse practitioners.
Current understanding about the role of advanced nurse practitioner and the nature of advanced practice remains unclear. Measuring the impact and outcome of the complex advanced practice nursing roles remains a challenge.
While it is difficult to articulate succinctly what constitutes advancing nursing practice, defining the activities nurses engage in, the skills and competencies involved and the qualities and attributes required help reduce the ambiguities of the role.
本文旨在通过批判性地探讨英国政策的发展以及国际文献中正在进行的辩论，阐明推进护理实践的概念。
将实践推进到护理实践范围的边缘，对英国及其他地方的护理专业来说都是一项挑战。然而，界定什么是推进护理实践以及它可能会变成什么仍然存在问题。
对与推进护理实践概念相关的已发表论文和政策文件进行批判性分析。
推进护理实践这一概念为护士提供了巨大潜力，并且在过去25年里一直是众多辩论的主题。高级实践的既往历史并未提供必要的实践，也几乎没有告诉我们高级执业护士未来的角色。
目前对高级执业护士的角色以及高级实践的性质的理解仍不明确。衡量复杂的高级实践护理角色的影响和结果仍然是一项挑战。
虽然很难简洁地阐明什么构成推进护理实践，但界定护士所从事的活动、所涉及的技能和能力以及所需的品质和特质，有助于减少该角色的模糊性。
