Ackerman M H, Norsen L, Martin B, Wiedrich J, Kitzman H J
Strong Memorial Hospital, University of Rochester Medical Center, NY, USA.
Am J Crit Care. 1996 Jan;5(1):68-73.
The acute care nurse practitioner role is relatively new and not yet clearly defined. Our institution is in the first phase of a role delineation study that includes model development, validity testing, model revision, and dissemination.
To identify domains of practice, activities within each domain of practice, and common conceptual strands that cut across each domain, and to synthesize this information into a usable format to guide practice and role development.
A nonexperimental study design was used, including review of literature, expert consultation, brainstorming, and review of practice.
The patient is central to the model. The identified domains of practice include direct comprehensive care, support of systems, education, research, and publication, and professional leadership. The conceptual strands include empowerment, collaboration, and scholarship. A continuum of experience from novice to expert was also identified within each domain.
The development of the model is the first and most important phase in the role-delineation process. We believe that the model is accurate but still in need of testing. Nevertheless, our model can be used to guide institutions and individual practitioners.
急症护理执业护士这一角色相对较新，尚未得到明确界定。我们的机构正处于角色界定研究的第一阶段，该阶段包括模型开发、效度测试、模型修订和推广。
确定实践领域、每个实践领域内的活动以及贯穿每个领域的共同概念线索，并将这些信息综合成一种可用的形式，以指导实践和角色发展。
采用非实验性研究设计，包括文献回顾、专家咨询、头脑风暴和实践审查。
患者是该模型的核心。确定的实践领域包括直接全面护理、系统支持、教育、研究与发表以及专业领导力。概念线索包括赋权、协作和学术成就。在每个领域内还确定了从新手到专家的经验连续体。
模型的开发是角色界定过程中的第一个也是最重要的阶段。我们认为该模型是准确的，但仍需要进行测试。尽管如此，我们的模型可用于指导机构和个体从业者。
