Department of Health Sciences, Faculty of Health, Science, and Technology, Karlstad University, Karlstad, Sweden.
Faculty of Social and Health Sciences, Inland Norway University of Applied Sciences, Elverum, Norway.
Nurs Open. 2021 Sep;8(5):2385-2405. doi: 10.1002/nop2.866. Epub 2021 May 6.
To explore and present an overview of scope of practice among registered nurses and paramedics with an advanced level of education in pre-hospital and in-hospital emergency care.
An integrative literature review.
Studies published between 2006 and 2018 were retrieved by searching the databases CINAHL, PubMed, Scopus and Web of Science. Studies were selected by three independent researchers, and data were synthesized using thematic analysis.
The 25 studies identified focused on in-hospital (n = 15) and pre-hospital emergency care (n = 10) and included 13 professional titles originated from seven countries. The thematic analysis disclosed four themes; "Versatile care," "Safe care based on precision and accuracy," "Autonomous performance within boundaries" and "Beneficial towards patients and society." Advanced paramedics' and advanced nurses' services are characterized as safe, of high quality and of public benefit. Their services are being used in everyday practice as well as directed to certain categories of patients.
探索和介绍具有高级院前和院内急救护理教育水平的注册护士和护理人员的执业范围。
综合文献回顾。
通过检索 CINAHL、PubMed、Scopus 和 Web of Science 数据库，检索了 2006 年至 2018 年间发表的研究。研究由三位独立研究人员选择，使用主题分析综合数据。
确定的 25 项研究集中在院内（n=15）和院前急救护理（n=10），包括 7 个国家的 13 个专业职称。主题分析揭示了四个主题；“多方面的护理”、“基于精确和准确的安全护理”、“在界限内自主表现”和“对患者和社会有益”。高级护理人员和高级护士的服务以安全、高质量和公益为特征。他们的服务在日常实践中使用，也针对某些类别的患者。
