Rolfe Gary
Nurs Times. 2014;110(27):20-3.
Articles published in Nursing Times in 2012 presented the role of the advanced nurse practitioner as an extension into the territory of junior doctors in response to pressures in healthcare resources. This article traces the history of advanced practice and suggests that a more appropriate model, post Francis report, should focus on fundamental skills and core nursing values. Rather than attempting to plug a gap created by a shortage of doctors by developing medical skills, nurses should value and promote advanced nursing practice, which is driven by patients' needs for the care that doctors are unable and unskilled to provide.
《护理时报》2012年发表的文章指出,由于医疗资源压力,高级护理从业者的角色已扩展至初级医生的领域。本文追溯了高级护理实践的历史,并提出,在弗朗西斯报告之后,更合适的模式应聚焦于基本技能和核心护理价值观。护士不应试图通过培养医疗技能来填补医生短缺造成的缺口,而应重视并推广由患者对医生无法提供或不擅长提供的护理需求所驱动的高级护理实践。