Chau Janita P C, Lo Suzanne H S, Lam Simon K Y, Saran Ravneet, Thompson David R
The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, New Territories, Hong Kong, China.
School of Nursing and Midwifery, Queen's University Belfast, Belfast, UK.
BMC Nurs. 2022 May 20;21(1):122. doi: 10.1186/s12912-022-00907-0.
While there is a growth in the number of advanced practice nurses, there is a dearth of research examining their role transition from registered nurses. This study aimed to identify critical elements in the career path of nursing graduates who have taken up advanced practice roles and examine their perceived impact on patient care.
An exploratory descriptive study was performed. Individual semi-structured interviews were conducted face-to-face with 10 nursing graduates now in advanced practice roles, and their ten respective managers. All interviews were audio-recorded and transcribed verbatim for latent and manifest content analyses.
The nursing graduates, six of whom were male, had a mean age of 35 years. All possessed a master's degree and formal post-registration education and/or training. Six had at least three years' experience as an advanced practice nurse. The managers, all female, had a mean age of 49 years. Eight had at least one year's experience in their current position. Six key themes emerged: prior enhancement of personal and professional knowledge and skills; active participation in clinical roles and knowledge translation in preparation for advanced practice; adapting to new and diverse advanced practice nursing responsibilities; role of advanced practice nurses in leadership; personal qualities crucial for success in advanced practice; and provision of evidence-based patient-centered care.
Postgraduate education, management knowledge and leadership skills, and active participation in clinical roles and knowledge translation appear crucial ingredients for promotion of nursing graduates to advanced practice roles. Other ingredients include a positive outlook, flexibility and adaptability, and good interpersonal, communication and problem-solving skills.
虽然高级实践护士的数量有所增长，但研究他们从注册护士角色转变的研究却很匮乏。本研究旨在确定担任高级实践角色的护理毕业生职业道路中的关键要素，并考察他们所认为的这些要素对患者护理的影响。
进行了一项探索性描述性研究。对10名目前担任高级实践角色的护理毕业生及其10位各自的管理人员进行了面对面的个人半结构化访谈。所有访谈都进行了录音，并逐字转录以进行潜在和显性内容分析。
这些护理毕业生中6人为男性，平均年龄35岁。所有人都拥有硕士学位以及正式的注册后教育和/或培训。6人拥有至少三年的高级实践护士经验。管理人员均为女性，平均年龄49岁。8人在现任职位上至少有一年的经验。出现了六个关键主题：个人和专业知识与技能的先前提升；积极参与临床角色和知识转化以准备高级实践；适应新的和多样化的高级实践护理职责；高级实践护士在领导方面的作用；对高级实践成功至关重要的个人品质；以及提供以患者为中心的循证护理。
研究生教育、管理知识和领导技能，以及积极参与临床角色和知识转化似乎是促进护理毕业生晋升为高级实践角色的关键因素。其他因素包括积极的态度、灵活性和适应性，以及良好的人际、沟通和解决问题的技能。
