Scarpa Raymond, Connelly Patricia E
Department of Otolaryngology/Head and Neck Surgery, New Jersey Medical School, Newark, NJ 07103, USA.
Nurs Adm Q. 2011 Apr-Jun;35(2):164-73. doi: 10.1097/NAQ.0b013e31820fface.
Health care organizations that employ advanced practice nurses are challenged to evaluate practice at this advanced level. Current evaluation methods tend to inter-mingle basic nursing competencies with competencies found in medical practice and organizational objectives that are typically derived from human resources departments. This article describes the development of a criterion-based job performance assessment for advanced nursing practice using a framework rooted in a nursing theory.
A needs analysis; review of the literature, adaptation of nursing's Synergy Model, and input from various stakeholders guided the development of a generic job description. This job description progressed into a criterion-based performance assessment. Construct validity was tested using a questionnaire administered to a convenience sample of 9 practicing advanced practice nurses, 2 nurse executives, 1 PhD nurse educator, and 1 physician.
Autonomy, job satisfaction, and quality improvement for advanced practice nurses are fostered by a review process that defines roles and competencies specific to advanced nursing practice. Peer review, a concept contributing to this process is explored as a means to monitor and improve practice.
雇佣高级执业护士的医疗保健机构面临着评估这一高级水平实践的挑战。当前的评估方法往往将基本护理能力与医疗实践中的能力以及通常源自人力资源部门的组织目标混为一谈。本文描述了一种基于标准的高级护理实践工作绩效评估方法的开发过程，该方法使用了根植于护理理论的框架。
通过需求分析、文献回顾、对护理协同模型的改编以及来自不同利益相关者的意见，指导制定了一份通用的工作描述。这份工作描述进而发展成为基于标准的绩效评估。通过向9名在职高级执业护士、2名护士管理人员、1名护理学博士教育工作者和1名医生组成的便利样本发放问卷，对结构效度进行了测试。
通过一个定义高级护理实践特定角色和能力的审查过程，可以促进高级执业护士的自主性、工作满意度和质量改进。同行评审作为这一过程的一个概念，被探讨作为监测和改进实践的一种手段。
