Lead Nurse, Advanced Practice Education, NHS Lothian, Edinburgh.
Lecturer, School of Health and Social Care, Edinburgh Napier University, Edinburgh.
Br J Nurs. 2021 Sep 9;30(16):964-969. doi: 10.12968/bjon.2021.30.16.964.
In the UK, transformation of the nursing workforce, including development of the role of the advanced nurse practitioner within general practice, is essential to meet healthcare demands. This article presents the results of a small, qualitative study conducted among students at one university in Scotland, describing their experiences of participation in advanced practice education. Data were collected through semi-structured interviews to generate in-depth descriptions and to identify the facilitators and barriers to learning. The study identified that a shared responsibility for patient care creates opportunities for learning. The facilitators to learning were identified as foundation level education in history taking and clinical examination, finance, having a supportive network and mentorship. Barriers included pressure of work and a lack of clarity about roles and training needs. Given the key role that these nurses will have in future healthcare models, there is a requirement for a national education standard. It is recommended that the Nursing and Midwifery Council leads on defining advanced nurse practitioner in general practice programme learning outcomes. The overall aim of such courses is to enhance the experience for future nurses to encourage recruitment and transform the nursing workforce.
在英国，护理人员队伍的转型，包括在全科医疗中发展高级执业护师的角色，对于满足医疗保健需求至关重要。本文介绍了在苏格兰一所大学的学生中进行的一项小型定性研究的结果，描述了他们参与高级实践教育的经验。通过半结构化访谈收集数据，以生成深入的描述并确定学习的促进因素和障碍。研究表明，共同承担患者护理责任为学习创造了机会。学习的促进因素包括病史采集和临床检查、财务、拥有支持性网络和指导方面的基础水平教育。障碍包括工作压力以及角色和培训需求不明确。鉴于这些护士在未来医疗保健模式中将扮演的关键角色，需要制定国家教育标准。建议护理和助产理事会负责确定一般实践计划学习成果中的高级执业护师。此类课程的总体目标是增强未来护士的经验，以鼓励招聘并转型护理人员队伍。
