School of Nursing, Midwifery & Health Systems, University College Dublin, Dublin.
Ireland East Hospital Group, Dublin, Ireland.
J Nurs Manag. 2022 May;30(4):1053-1060. doi: 10.1111/jonm.13602. Epub 2022 Mar 26.
The purpose of the study was to explore nurse practitioner perceptions of integration practices in acute hospitals across one health care region in Ireland.
A recent Department of Health National policy towards developing a critical mass of nurse practitioners was implemented across Ireland. Successful integration of nurse practitioner roles is integral to the success of the service and sustainability of the roles for the long term.
An electronic survey was circulated to a convenience sample of 85 nurse practitioners across a single, acute health care region in Ireland.
Sixty-six (78%) of nurse practitioners participated. A standardized governance structure was reported by 24 (36%) participants. Thirty-two (48%) participants expressed their job description clearly defined their role. Consultant physicians were identified as the most supportive stakeholder by participants.
This research identifies that nurse practitioner integration is not currently structured. A framework to support nurse practitioner integration is required to ensure ongoing support for the role. This research identifies that integration is not currently optimized.
Failure to successfully integrate the nurse practitioner role risks the long-term sustainability of the role and is a missed opportunity to demonstrate the success of advanced clinical leadership to health care.
本研究旨在探讨爱尔兰一个医疗区域内急性医院中执业护士对整合实践的看法。
爱尔兰最近实施了卫生部门关于发展大量执业护士的国家政策。成功整合执业护士的角色对于服务的成功和角色的长期可持续性至关重要。
对爱尔兰一个单一急性医疗区域的 85 名执业护士进行了便利抽样的电子调查。
66 名（78%）执业护士参与了调查。24 名（36%）参与者报告了标准化的治理结构。32 名（48%）参与者表示，他们的工作描述明确界定了他们的角色。顾问医师是参与者认为最支持的利益相关者。
本研究表明，执业护士的整合目前尚未结构化。需要一个框架来支持执业护士的整合，以确保对该角色的持续支持。本研究表明，整合目前尚未优化。
如果不能成功整合执业护士的角色，将危及该角色的长期可持续性，并错失展示高级临床领导对医疗保健成功的机会。
