Ramirez Elda, Schumann Lorna, Agan Donna, Hoyt Karen Sue, Wilbeck Jennifer, Tyler Diane, Evans Dian Dowling
Emergency/Trauma Nurse Practitioner Concentration, Cizik School of Nursing, University of Texas Health Science Center-Houston, Houston, Texas.
American Academy of Nurse Practitioners Certification Board, Austin, Texas.
J Am Assoc Nurse Pract. 2018 Oct;30(10):570-578. doi: 10.1097/JXX.0000000000000139.
BACKGROUND/PURPOSE: The growth of advanced practice nursing specialties requires additional expertise for practice that goes beyond entry-level competencies, knowledge, skills, and abilities. A practice standards model for specialty nurse practitioners (PSMSNPs) is introduced that differentiates entry-to-practice population foci competencies from advanced specialty practice standards.
(a) Differentiate competencies and practice standards in context to specialty NPs using the emergency specialty as the exemplar, (b) articulate the process to develop the PSMSNP that evolved from an evidence-based practice analysis of NPs working in emergency care, (c) apply the PSMSNP for adaptation to other specialties, and (d) provide implications for the utilization of the PSMSNP by educators, clinicians, and employers.
American Academy of Nurse Practitioners Certification Board's Practice Analysis of Emergency Nurse Practitioners, Consensus Model for APRN Regulation, Future of Nursing report, Peer Nursing Report, Strong Model of Advanced Practice, Entrustable Professional Activities, Emergency Medicine Milestones Project, and the Advancing Healthcare Transformation: A New Era for Academic Nursing report.
The PSMSNP has been defined and adapted to other specialties and threaded through other models of practice for educators, clinicians, and employers. The adaptability of this model differentiates the core population foci and unique practice variables of specialty NPs. National boards of nursing, hospital credentialing committees, colleges, and universities can use this model to establish standards for specialty evaluation and guide clinical practice.
The implementation of the PSMSNP will support the delineation of the specialty. This model will fulfill the American Nurses Association and Consensus Model specialty constructs.
背景/目的：高级实践护理专业的发展需要超出入门级能力、知识、技能和能力的额外实践专业知识。引入了一种专科护士从业者实践标准模型（PSMSNP），该模型区分了从业入门人群重点能力与高级专科实践标准。
(a) 以急诊专科为例，区分专科护士从业者的能力和实践标准；(b) 阐述从对从事急诊护理工作的护士从业者进行循证实践分析演变而来的PSMSNP的开发过程；(c) 将PSMSNP应用于其他专科的适配；(d) 为教育工作者、临床医生和雇主利用PSMSNP提供启示。
美国护士从业者学会认证委员会的急诊护士从业者实践分析、高级实践注册护士监管共识模型、《护理的未来》报告、同行护理报告、高级实践强模型、可托付专业活动、急诊医学里程碑项目以及《推进医疗保健转型：学术护理的新时代》报告。
PSMSNP已被定义并适配到其他专科，并贯穿于教育工作者、临床医生和雇主的其他实践模式中。该模型的适应性区分了专科护士从业者的核心人群重点和独特实践变量。国家护理委员会、医院认证委员会、学院和大学可以使用该模型来建立专科评估标准并指导临床实践。
PSMSNP的实施将支持专科的界定。该模型将满足美国护士协会和共识模型的专科构建要求。
