Wong Frances Kam Yuet
School of Nursing, The Hong Kong Polytechnic University, Hunghom, Kowloon, Hong Kong SAR, China.
Int J Nurs Sci. 2018 Mar 31;5(2):101-104. doi: 10.1016/j.ijnss.2018.03.003. eCollection 2018 Apr 10.
This paper discusses the development of advanced nursing practice in China in the context of global development. The scope of nursing is evolving over time, with increasing demands for the management of complex healthcare situations at individual, community and system levels. These demands are aggravated by the specialization of medical practice, with advanced treatment plans and patients requiring care in focused areas. The qualifications and competencies of the initial entrants into nursing practice are not adequate to deal with these demands. Advanced nursing practice (ANP) developed first in response to service demands, and education programs were introduced to prepare nurses for practicing at a higher level. This paper will first review the historical development of ANP in China, followed by a discussion of the differentiation of competence levels in nursing practice and the classification of specializations. It concludes by exploring how education in combination with experience protected by regulation of practice can support nurses to gradually evolve from registered nurse, specialty nurse to advanced practiced nurse.
本文探讨了在全球发展背景下中国高级护理实践的发展。护理的范围随着时间的推移而不断演变，在个人、社区和系统层面，对复杂医疗保健情况管理的需求日益增加。医疗实践的专业化加剧了这些需求，先进的治疗方案以及患者在特定领域需要护理。最初进入护理实践的人员的资质和能力不足以应对这些需求。高级护理实践（ANP）首先是为了响应服务需求而发展起来的，随后引入了教育项目，以使护士能够在更高水平上执业。本文将首先回顾中国高级护理实践的历史发展，接着讨论护理实践中能力水平的差异以及专业分类。最后探讨教育与受实践监管保护的经验相结合如何支持护士从注册护士、专科护士逐步发展为高级执业护士。
