Anderson Claire
College of Nursing Midwifery and Healthcare, University of West London, Middlesex, England.
Nurs Stand. 2018 May 2;33(2):29-33. doi: 10.7748/ns.2018.e11044. Epub 2018 Apr 19.
There have been several changes to healthcare services in the UK over recent years, with rising NHS costs and increasing demands on healthcare professionals to deliver high-quality care. Simultaneously, public inquiries have identified suboptimal leadership throughout the NHS, which has been linked to a lack of clear leadership across the healthcare professions. In nursing, the role of the advanced nurse practitioner is regarded as a solution to this leadership challenge. This article examines the background to the development of the advanced nurse practitioner role. It also explores the various factors that may affect nurse leadership and the role of the advanced nurse practitioner, including professional identity, gender, nursing's strategic influence, clinical outcomes, and recruitment and retention. The article concludes that while advanced nurse practitioners can positively influence clinical outcomes and cost efficiency, they must also be adequately prepared to undertake a leadership role.
近年来，英国的医疗服务发生了多项变化，国民保健制度（NHS）成本不断上升，对医疗专业人员提供高质量护理的要求也日益增加。与此同时，公众调查发现整个NHS存在领导力欠佳的情况，这与医疗行业缺乏明确的领导力有关。在护理领域，高级护理从业者的角色被视为应对这一领导力挑战的解决方案。本文探讨了高级护理从业者角色发展的背景。它还探讨了可能影响护士领导力以及高级护理从业者角色的各种因素，包括职业身份、性别、护理的战略影响力、临床结果以及招聘和留用情况。文章得出结论，虽然高级护理从业者可以对临床结果和成本效益产生积极影响，但他们也必须做好充分准备以承担领导角色。
