Forsberg Ingrid, Swartwout Kathryn, Murphy Marcia, Danko Katie, Delaney Kathleen R
Department of Community, Systems and Mental Health, College of Nursing, Rush University, Chicago, Illinois.
J Am Assoc Nurse Pract. 2015 Feb;27(2):66-71. doi: 10.1002/2327-6924.12175. Epub 2014 Sep 26.
To document the factors that are increasing the tension between nurse practitioner (NP) educational programs and the clinical training sites needed for NP students.
Literature and the faculty experiences garnered over years of placing NP students for clinical training.
Several conditions converge to create a situation where sites are increasingly reluctant to precept NP students. The underlying dynamics are diverse and include factors related to the electronic health record, productivity expectations, and the increasing demand for sites as a result of increasing NP enrollments and competing healthcare provider programs.
The nursing community should approach this issue strategically and devise an action and policy agenda to support NP training, including federal monies to support NP training in a design that parallels the Graduate Medical Education; recognition of NPs as licensed professionals in advanced training; and identification of meaningful incentives for NP preceptors.
记录导致执业护士（NP）教育项目与NP学生所需临床培训地点之间紧张关系加剧的因素。
文献以及多年来安排NP学生进行临床培训所积累的教师经验。
多种情况共同导致临床培训地点越来越不愿意带教NP学生。潜在动态因素多种多样，包括与电子健康记录、生产力期望相关的因素，以及由于NP招生人数增加和竞争激烈的医疗保健提供者项目导致对临床培训地点的需求不断增加。
护理界应从战略上应对这一问题，并制定一项行动和政策议程以支持NP培训，包括提供联邦资金以支持采用与毕业后医学教育类似的设计进行NP培训；认可NP为接受高级培训的持牌专业人员；以及确定对NP带教教师有意义的激励措施。
