McConnell Donna, Slevin Oliver D, McIlfatrick Sonja J
Ulster University, Newtownabbey BT37 0QB, UK.
Int Emerg Nurs. 2013 Apr;21(2):76-83. doi: 10.1016/j.ienj.2012.03.004. Epub 2012 Apr 24.
There are multiple interpretations of the nurse practitioner role which appear to be shaped by discourses within and outside the profession and its regulatory body. This study aimed to explore and clarify the role and scope of practice of emergency nurse practitioners in a region in the United Kingdom and determine if they fulfil the proposed criteria for Advanced Nurse Practitioners. A survey approach using questionnaires (n=42) was adopted. The sample included all emergency nurse practitioners working in Accident and Emergency Departments and Minor Injury Units in the region. Statistical data was analysed using SPSS for Windows and qualitative data was content analysed for themes. Results revealed a variation in education. Investigation of role typology and scope of practice revealed a relatively homogenous group where the clinical aspect of the role dominated. The scope of practice was perceived to be influenced by internal factors such as competence; however protocol use, referral rights and prescribing authority could be considered ways that nursing management and medical staff indirectly control the role. Findings suggested that emergency nurse practitioners were working at a level significantly beyond registration, yet do not fulfil the Nursing and Midwifery Council proposed criteria for Advanced Nurse Practitioner.
对于执业护士角色存在多种解读，这些解读似乎受到该职业内部及外部以及其监管机构的话语影响。本研究旨在探讨并阐明英国某地区急诊执业护士的角色及实践范围，并确定他们是否符合高级执业护士的既定标准。采用了问卷调查的研究方法（n = 42）。样本包括该地区所有在急诊科和轻伤单位工作的急诊执业护士。使用SPSS for Windows对统计数据进行分析，并对定性数据进行主题内容分析。结果显示教育程度存在差异。对角色类型和实践范围的调查显示，这是一个相对同质化的群体，其中角色的临床方面占主导地位。实践范围被认为受到能力等内部因素的影响；然而，协议的使用、转诊权和处方权可被视为护理管理层和医务人员间接控制该角色的方式。研究结果表明，急诊执业护士的工作水平明显超出注册要求，但不符合护理及助产士管理局提出的高级执业护士标准。
