Duffield Christine, Gardner Glenn, Chang Anne M, Catling-Paull Christine
Centre for Health Services Management, University of Technology, Sydney, Australia.
Collegian. 2009;16(2):55-62. doi: 10.1016/j.colegn.2009.02.001.
To review the titles, roles and scope of practice of Advanced Practice Nurses internationally.
There is a worldwide shortage of nurses but there is also an increased demand for nurses with enhanced skills who can manage a more diverse, complex and acutely ill patient population than ever before. As a result, a variety of nurses in advanced practice positions has evolved around the world. The differences in nomenclature have led to confusion over the roles, scope of practice and professional boundaries of nurses in an international context.
CINAHL, Medline, and the Cochrane database of Systematic Reviews were searched from 1987 to 2008. Information was also obtained through government health and professional organisation websites. All information in the literature regarding current and past status, and nomenclature of advanced practice nursing was considered relevant.
There are many names for Advanced Practice Nurses, and although many of these roles are similar in their function, they can often have different titles.
Advanced Practice Nurses are critical for the future, provide cost-effective care and are highly regarded by patients/clients. They will be a constant and permanent feature of future health care provision. However, clarification regarding their classification and regulation is necessary in some countries.
回顾国际上高级执业护士的称谓、角色及执业范围。
全球护士短缺，但对具备更高技能、能够管理比以往更加多样化、复杂且病情危急的患者群体的护士的需求也在增加。因此，世界各地出现了各种高级执业护士岗位。在国际背景下，称谓上的差异导致了对护士的角色、执业范围和专业界限的混淆。
检索了1987年至2008年的CINAHL、Medline以及Cochrane系统评价数据库。还通过政府卫生和专业组织网站获取了信息。文献中所有关于高级执业护理的当前和过去状况以及称谓的信息均被视为相关信息。
高级执业护士有许多称谓，尽管其中许多角色在功能上相似，但往往有不同的头衔。
高级执业护士对未来至关重要，能提供具有成本效益的护理，且深受患者/客户的高度评价。他们将是未来医疗保健服务中持续且长久的特征。然而，在一些国家，有必要对其分类和监管进行明确。
