Holloway Kathy, Baker Jacqueline, Lumby Judy
Whitireia Community Polytechnic, Porirua City, New Zealand.
Policy Polit Nurs Pract. 2009 Nov;10(4):269-75. doi: 10.1177/1527154409357628. Epub 2009 Dec 29.
The current global nursing shortage challenges the provision of a well qualified and sustainable health workforce to meet future population health needs. An identified area of concern for New Zealand reaching health policy targets in chronic conditions management and primary health care is an adequate specialist nurse workforce supply. This article explores the New Zealand context underpinning this concern and contends that effective workforce planning would be supported by the development of a single unified framework for specialist nursing practice in New Zealand. A consistent national framework has the potential to support accurate data collection and enable service providers to identify and plan transparent and transferable pathways for specialist nursing service provision and development. Advanced practice nursing frameworks assist in increasing productivity through building an evidence base about advanced practice, enhancing consistency and equity of expertise; supporting a reduction in role duplication; and enabling succession planning and sustainability.
当前全球护理人才短缺，这对提供一支高素质且可持续的卫生人力队伍以满足未来人群健康需求构成了挑战。在新西兰，实现慢性病管理和初级卫生保健方面的卫生政策目标，一个已确定的令人担忧的领域是专科护士人力的充足供应。本文探讨了新西兰这一担忧背后的背景情况，并认为制定一个统一的新西兰专科护理实践框架将有助于进行有效的人力规划。一个统一的国家框架有潜力支持准确的数据收集，并使服务提供者能够确定并规划专科护理服务提供和发展的透明且可转移的途径。高级实践护理框架通过建立有关高级实践的证据基础、提高专业知识的一致性和公平性、支持减少角色重复以及实现继任规划和可持续性，有助于提高生产力。
