Carter Nancy, Dobbins Maureen, Ireland Sandra, Hoxby Heather, Peachey Gladys, DiCenso Alba
Assistant Professor, School of Nursing, McMaster University Hamilton, ON.
Professor, School of Nursing, McMaster University Hamilton, ON.
Nurs Leadersh (Tor Ont). 2013 Dec;26(4):60-75. doi: 10.12927/cjnl.2013.23629.
The implementation of advanced practice nursing (APN) roles can yield improvements in patient and health system outcomes, and supportive leadership is integral in facilitating the implementation of such roles. The purpose of this study was to explore the awareness and understanding of APN roles among hospital decision-makers, and to learn about the information they require and the ways in which they prefer to receive that information. Fifteen administrators and leaders from two multi-site acute care organizations were interviewed. Their practical knowledge of APN roles was based on experience developing the roles or working with APNs in hospital programs. The most common sources of APN information were internal contacts (i.e., APNs) and documents from nursing organizations. Participants reported difficulty distinguishing between the roles of nurse practitioners (NPs) and clinical nurse specialists (CNSs), and identified knowledge regarding CNS roles as their greatest need. They required specific information regarding the "value-added" benefits offered by an APN role. Strategies to address the knowledge gaps of healthcare leaders are urgently needed in order to support the implementation of new APN roles and to sustain existing ones.
高级实践护理（APN）角色的实施可以改善患者和卫生系统的 outcomes，支持性领导对于促进此类角色的实施至关重要。本研究的目的是探讨医院决策者对 APN 角色的认识和理解，并了解他们所需的信息以及他们更喜欢接收信息的方式。对来自两个多地点急性护理组织的 15 名管理人员和领导进行了访谈。他们对 APN 角色的实践知识基于开发这些角色的经验或在医院项目中与 APN 合作的经验。APN 信息最常见的来源是内部联系人（即 APN）和护理组织的文件。参与者报告难以区分执业护士（NP）和临床护理专家（CNS）的角色，并将有关 CNS 角色的知识确定为他们最大的需求。他们需要有关 APN 角色提供的“增值”益处的具体信息。迫切需要采取策略来弥补医疗保健领导者的知识差距，以支持新 APN 角色的实施并维持现有角色。
