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变革性高级专业实践模式的发展

Development of the transformational advanced professional practice model.

作者信息

Elliott Elizabeth C, Walden Marlene

机构信息

Texas Children's Hospital, Houston, Texas.

出版信息

J Am Assoc Nurse Pract. 2015 Sep;27(9):479-87. doi: 10.1002/2327-6924.12171. Epub 2014 Oct 13.

Abstract

PURPOSE

The purpose of this article is to describe the development of a professional practice model (PPM) for advanced practice registered nurses (APRNs).

DATA SOURCES

A literature review was conducted on PPMs. Simultaneous review of authoritative resources, including The National Organization of Nurse Practitioner Faculties (NONPF) and the Licensure, Accreditation, Certification and Education (LACE) Consensus Model, was performed. An expert panel was established to validate the transformational advanced professional practice (TAPP) model.

CONCLUSION

APRNs are relied upon by organizations to provide leadership in the delivery of high-quality, cost-effective health care while improving access and eliminating preventable morbidities. Existing models fail to fully capture the professional scope of practice for APRNs. The TAPP model serves as a framework to guide professional development and mentorship of APRNs in seven domains of professional practice (DOPP).

IMPLICATIONS FOR PRACTICE

To meet the Institute of Medicine's recommendations for the future of nursing, APRNs should practice to the fullest extent of their education and training. Providing clarification regarding the DOPP of the APRN role is needed to standardized professional practice. The TAPP model is an inspiring blueprint that allows APRNs to model the way by delivering comprehensive health care in seven DOPP.

摘要

目的

本文旨在描述高级执业注册护士(APRN)专业实践模式(PPM)的发展情况。

数据来源

对专业实践模式进行了文献综述。同时对包括国家执业护士教师组织(NONPF)和执照、认证、证书与教育(LACE)共识模式在内的权威资源进行了审查。成立了一个专家小组来验证转型高级专业实践(TAPP)模式。

结论

各组织依赖高级执业注册护士在提供高质量、具有成本效益的医疗保健方面发挥领导作用,同时改善医疗可及性并消除可预防的疾病。现有模式未能充分涵盖高级执业注册护士的专业实践范围。TAPP模式作为一个框架,可指导高级执业注册护士在专业实践的七个领域(DOPP)中的专业发展和指导。

对实践的启示

为了满足医学研究所对护理未来的建议,高级执业注册护士应在其教育和培训的最大范围内开展实践。需要对高级执业注册护士角色的专业实践领域进行明确,以规范专业实践。TAPP模式是一个鼓舞人心的蓝图,使高级执业注册护士能够通过在七个专业实践领域提供全面的医疗保健来树立典范。

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