Carney Marie
Faculty of Nursing and Midwifery, Royal College of Surgeons in Ireland, Dublin, Ireland.
J Nurs Manag. 2016 Jan;24(1):105-14. doi: 10.1111/jonm.12278. Epub 2015 Jan 7.
To explore the regulation of advanced nurse practice internationally and to identify differences and commonalities.
Regulation of advanced practice nursing does not occur in many countries. Ireland is currently in the minority in regulating advanced practice at a national level.
Lack of regulation poses difficulties for national governments and for society due to uncertainty in advanced practice concept and role.
A literature review of 510 scholarly nursing papers published in CINAHL, PubMed and MEDLINE between 2002 and 2013 and 30 websites was undertaken.
There is a lack of consistency in legislative systems internationally. Nursing organisations have recognised advanced nurse practice by regulation in some countries and by voluntary certification in others.
Research has demonstrated that care delivered by advanced nurse practitioners has enhanced patient outcomes yet regulation of advanced practice is not undertaken in most countries.
Nurse managers need to know that criteria for the regulation of advanced practice are in place and reflect the minimum requirements for safe practice.
探讨国际上高级护理实践的监管情况，识别差异与共性。
许多国家并未对高级实践护理进行监管。爱尔兰目前在国家层面监管高级实践方面属于少数。
由于高级实践概念和角色的不确定性，缺乏监管给各国政府和社会带来了困难。
对2002年至2013年间发表在CINAHL、PubMed和MEDLINE上的510篇护理学学术论文以及30个网站进行了文献综述。
国际上立法体系缺乏一致性。在一些国家，护理组织通过监管认可高级护理实践，而在另一些国家则通过自愿认证。
研究表明，高级执业护士提供的护理改善了患者的治疗效果，但大多数国家并未对高级实践进行监管。
护士长需要了解高级实践监管的标准已经确立，并反映了安全实践的最低要求。
