Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Fitzgerald Health Education Associates, LLC, North Andover, MA, USA.
Int Nurs Rev. 2020 Dec;67(4):554-559. doi: 10.1111/inr.12632. Epub 2020 Oct 2.
To argue that nurse practitioners have been under-utilized generally in the current global health environment, creating barriers to achieving universal health coverage and the Sustainable Development Goals.
Nurse practitioners are advanced practice nurses possessing expert knowledge and leadership skills that can be optimized to narrow disparities and ensure access to high-quality health care globally. Nurses worldwide have been challenged to meet global public health needs in the context of COVID-19 (SARS-CoV-2 virus), and there are early indications that nurse practitioners are being called upon to the full extent of their capabilities in the current pandemic.
PubMed; Google Scholar; the International Council of Nurses; World Health Organization; United Nations; and the experiences of the authors.
Several international reports, nursing and health organizations have called for continued investment in and development of nursing to improve mechanisms that promote cost-effective and universally accessible care. Expanding nurse practitioner scopes of practice across nations will leverage their clinical capacities, policy and advocacy skills, and talents to lead at all levels.
Ongoing empirical data and policy change is needed to enable the full scope and strategic utilization of nurse practitioners across healthcare systems and contexts.
IMPLICATIONS FOR NURSING PRACTICE, AND NURSING AND HEALTH POLICY: Widespread education regarding nurse practitioner capacities for interdisciplinary partners, policymakers and the public is needed. Policies that safely expand their roles are critical. Role titles and remuneration reflective of their scope and service are required to lead, sustain and grow the workforce internationally.
认为在当前的全球卫生环境中，护士从业者总体上未得到充分利用，这为实现全民健康覆盖和可持续发展目标设置了障碍。
护士从业者是具备专业知识和领导技能的高级执业护士，可以优化这些技能，以缩小差距，确保在全球范围内获得高质量的医疗保健。在 COVID-19（SARS-CoV-2 病毒）背景下，全球护士面临满足全球公共卫生需求的挑战，有早期迹象表明，在当前大流行中，护士从业者正在被充分利用其全部能力。
PubMed；Google Scholar；国际护士理事会；世界卫生组织；联合国；以及作者的经验。
一些国际报告、护理和卫生组织呼吁继续投资和发展护理，以改善促进具有成本效益和普遍可及的护理的机制。在各国扩大护士从业者的实践范围将利用他们的临床能力、政策和宣传技能以及领导才能在各个层面发挥作用。
需要不断的经验数据和政策变革，以使护士从业者能够在整个医疗保健系统和环境中充分发挥其作用并进行战略性利用。
需要向跨学科合作伙伴、政策制定者和公众广泛宣传护士从业者的能力。制定安全扩大其角色的政策至关重要。需要具有反映其范围和服务的角色头衔和薪酬，以在国际上领导、维持和发展劳动力。
