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农村医疗保健环境中执业护士的角色转变与身份认同发展:一项范围综述

Nurse Practitioner Role Transition and Identity Development in Rural Health Care Settings: A Scoping Review.

作者信息

Owens Rhoda A

机构信息

About the Author Rhoda A. Owens, PhD, RN, is an assistant professor, University of North Dakota College of Nursing and Professional Disciplines, Grand Forks, North Dakota. For more information, contact her at

出版信息

Nurs Educ Perspect. 2019 May/Jun;40(3):157-161. doi: 10.1097/01.NEP.0000000000000455.

Abstract

AIM

The purpose of this scoping review was to explore the literature regarding the nurse practitioner (NP) role transition and professional identity development at rural health care settings.

BACKGROUND

Because of the shortage of primary care providers, NPs are meeting the demand for primary care in rural areas.

METHOD

Arksey and O'Malley's six-stage methodological framework for scoping reviews guided this systematic literature review, which resulted in selection of 145 sources.

RESULTS

Three major themes emerged: NPs in rural clinical practice, defining NP professional identity, and role transition to an NP identity.

CONCLUSION

Further research is needed to guide education program leaders on curriculum development. Rural health care facilities and nursing programs should partner in the orientation and continuing education needs of NPs to prepare and support their role transition and professional identity development. NPs will be instrumental in providing access to quality primary health care in rural communities.

摘要

目的

本范围综述的目的是探索关于乡村医疗环境中执业护士(NP)角色转变和职业身份发展的文献。

背景

由于初级保健提供者短缺,执业护士正在满足农村地区对初级保健的需求。

方法

阿克西和奥马利的范围综述六阶段方法框架指导了这项系统文献综述,最终筛选出145篇文献。

结果

出现了三个主要主题:乡村临床实践中的执业护士、界定执业护士职业身份以及向执业护士身份的角色转变。

结论

需要进一步研究以指导教育项目负责人进行课程开发。乡村医疗设施和护理项目应合作满足执业护士的入职培训和继续教育需求,以帮助他们做好准备并支持其角色转变和职业身份发展。执业护士对于在农村社区提供优质初级卫生保健至关重要。

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