Sturgeon David
Department of Nursing and Applied Clinical Sciences, Canterbury Christ Church University, Canterbury.
Br J Nurs. 2008;17(11):706-10. doi: 10.12968/bjon.2008.17.11.29616.
This article considers the reasons for the development of advanced practice roles among nurses and other healthcare professions. It explores the implications of financial constraints, consumer preferences and the development of new healthcare services on the reorganization of professional boundaries. It makes use of Sir Isaac Newton's three laws of motion to demonstrate how professional development in nursing has taken place in response to a number of external influences and demands. It also considers the significance of skill mix for the nursing profession, in particular the development and likely expansion of the physician assistant role. The application of different professionals and grades within a healthcare team or organization is central to the Government's Agenda for Change proposals and nurses have successfully adopted a number of roles traditionally performed by doctors. Nurses have demonstrated that they are capable of providing high quality care and contributing directly to positive patient outcome. Advanced nursing roles should not only reflect the changing nature of healthcare work, they should also be actively engaged in reconstructing healthcare boundaries.
本文探讨了护士及其他医疗保健专业中高级实践角色发展的原因。它探究了经济限制、消费者偏好以及新医疗服务的发展对专业界限重组的影响。文章运用艾萨克·牛顿爵士的三大运动定律，来展示护理专业发展是如何因应一系列外部影响和需求而发生的。它还考量了技能组合对护理专业的重要性，尤其是医师助理角色的发展及可能的扩展。医疗团队或组织内不同专业人员和职等的应用，是政府“变革议程”提案的核心，护士已成功承担了一些传统上由医生执行的角色。护士已证明他们有能力提供高质量护理，并直接为患者的积极预后做出贡献。高级护理角色不仅应反映医疗工作不断变化的性质，还应积极参与重塑医疗界限。
