[논문]한국 전문간호사의 분야 체계화 관련 연구

김민영; 최수정; 전미경; 김정혜; 김희영; 임초선

doi:10.22650/jkcnr.2020.26.2.240

한국 전문간호사의 분야 체계화 관련 연구
Study on Systematization of Advanced Practice Nursing in Korea 원문보기

임상간호연구 = Journal of Korean Clinical Nursing Research, v.26 no.2, 2020년, pp.240 - 253

김민영 (제주대학교 간호대학) , 최수정 (삼성서울병원) , 전미경 (창원대학교 간호학과) , 김정혜 (울산대학교 임상전문간호학) , 김희영 (서울아산병원) , 임초선 (분당서울대병원 전담간호파트)

Abstract ▼ AI-Helper

Purpose: This study was conducted to provide basic data for the systematization of 13 areas related to Advanced Practice Nurses (APN). Methods: The three-phase study was conducted as follows. 1) review of APN system and curriculum, 2) Focus Group Interviews (FGI) with 9 APNs, 6 physicians, and 3 nursing professors on the APN system, 3) analysis of clinical practice of the 13 APN areas, and of the accreditation and certification system for APNs, medical board, and medical subspecialty board. Based on the above data, a systematic plan was drawn. Results: The 13 APN areas could be divided into 7 groups based on a review of the APN system and curriculum for the 13 areas. Analysis based on clinical practice showed that the 13 APN areas could be divided into 4 groups. Two themes and seven categories emerged in FGI. The two themes were 1) 13 APN areas that need to be discussed, 2) improving the curriculum for APN. Considering these themes from FGI and the system of the medical subspecialty board, results could be integrated into 2 groups - clinical area and non-clinical area. Conclusion: The 13 APN areas need to be integrated in order to activate the APN system. For that, further discussions on improvements and a standard curriculum according to legislation related to APN should be carried out.

주제어

표/그림 (4)

표 Table 1. Classification of 13 Areas APN by Curriculum
표 Table 2. Classification of 13 Areas APN by Practice
표 Table 3. Comparison of Accreditation System for APN, Medical Specialist Board, and Medical Subspecialty Board Certification
표 Table 4. Systemic Classifications of APN

질의응답

핵심어	질문	논문에서 추출한 답변
	국내 전문간호사의 분야는 어떻게 나뉘어져 있는가?	국내 전문간호사제도는 1970년대 분야별 간호사로 시작해서 법제화를 거치면서 가정, 감염관리, 노인, 마취, 보건, 산업, 아동, 응급, 임상, 정신, 종양, 중환자, 호스피스의 총 13개 분야의 전문간호사가 배출되고 있다[1]. 지금까지 배출된 전문간호사의 수는 2004년까지 이미 자격을 갖추고 있던 8,164명과 2005년 전문간호사 자격시험 이후 배출된 6,832명을 포함하여 2019년 12월까지 15,718명에 달한다[2].
	전문간호사제도의 체계적인 운영에 대한 정책적 제안이 필요한 이유는?	이렇듯 전문간호사 분야를 체계화하고자 하는 일부 시도들이 있었지만, 실질적인 정책 개발로 연결되지는 못하고 있다. 현장에서는 전문간호사라는 명칭으로 병원에서 근무하고 있는 경우에도 전문간호사 자격 미보유자가 있고, 전문간호사 자격증 분야와 업무 분야가 일치하지 않는 경우도 많다[1,4]. 따라서 전문간호사제도와 관련된 다양한 고찰, 현장의 전문간호사 및 관련 전문가들의 요구 등을 통합적으로 고려하여 전문간호사제도의 체계적인 운영에 대한 정책적 제안이 필요하다.
	미국의 전문간호사는 무슨 유형으로 구분되어있는가?	반면, 미국의 경우 전문간호사(Advanced Practice Regis-tered Nurse, APRN)는 석사 학위 이상의 교육과정을 받은 간호사로, 마취전문간호사(Certified Registered Nurse Anesthe-tist, CRNA), 간호조산사(Certified Nurse Midwife, CNM), 임상전문간호사(Clinical Nurse Specialist, CNS), 실무전문간호사(Certified Nurse Practitioner, CNP) 크게 4개 유형으로만 구분되어 있다[5]. 이에 최근 13개 분야 운영과 관련되어 수정이 필요하다는 의견들이 제시되고 있다.

참고문헌 (30)

Seol M, Shin YA, Lim KC, Choi JH, Jeoung JS. Current status and vitalizing strategies of advanced practice nurses in Korea. Perspectives in Nursing Science. 2017;14(1):37-44. https://doi.org/10.16952/pns.2017.14.1.37

원문보기 상세보기
Korean Accreditation Board of Nursing Education. Korean advanced practice nurse annual report 2019. Seoul: Korean Accreditation Board of Nursing Education; 2020.
Hospital Nurses Association. 2019 Survey on the status of hospital nursing staff placement [Internet]. Seoul: Hospital Nurses Association; 2020 [cited 2020 Mar 02]. Available from: https://khna.or.kr/home/pds/utilities.php.
Kim MY, Choi SJ, Seol M, Kim JH, Kim HY, Byun SJ. The current status of professional medical support staffs in medical institutions with over 500 beds. Journal of Korean Clinical Nursing Research. 2017;23(2):131-141. https://doi.org/10.22650/JKCNR.2017.23.2.131
International Council of Nurse. ICN nurse practitioner/advanced practice nursing network [Internet]. Geneve: International Council of nurse; 2019 [cited 2019 Jan 11]. Available from: https://international.aanp.org/.
Korean Accreditation Board of Nursing Education. Presentation of common core competency and improving examination criteria of Korean advanced practice nurses. Seoul: Korean Accreditation Board of Nursing Education; 2015.
Morgan DL. Focus groups as qualitative research. 2nd ed. Kim SJ, Oh SE, Eun Y, Son HM, Lee MS, translators. Seoul: Koonja; 2007.
Elo S, Kyngas H. The qualitative content analysis process. Journal of Advanced Nursing. 2008;62(1):107-115. https://doi.org/10.1111/j.1365-2648.2007.04569.x

상세보기
American Association of Nurse Practitioners. AAPN advocacy: Championing the NP role and amplifying the NP voice [Internet]. Austin(TX): American Association of Nurse Practitioners; 2020 [cited 2020 Mar 19]. Available from: https://www.aanp.org/advocacy.
National Council of State Boards of Nursing (US). Changes in healthcare professions' scope of practice: Legislative considerations [Internet]. Chicago: National Council of State Boards of Nursing; 2012. [cited 2019 Dec 15]. Available from: https://www.ncsbn.org/Scope_of_Practice_2012.pdf
Camal Sanchez CA. Current status of fellowship programs for advanced practice registered nurses in the nurse practitioner role. Nurse Educator. 2018;43(1):42-44. https://doi.org/10.1097/NNE.0000000000000392

상세보기
Chaney AJ, Yataco ML. The emerging role of nurse practitioners and physician assistants in liver transplantation. Liver Transplantation. 2019;25(7):1105-1109. https://doi.org/10.1002/lt.25474

상세보기
Woo BFY, Lee JXY, Tam WWS. The impact of the advanced practice nursing role on quality of care, clinical outcomes, patient satisfaction, and cost in the emergency and critical care settings: A systematic review. Human Resources for Health. 2017;15(1):63[22 p]. https://doi.org/10.1186/s12960-017-0237-9

상세보기
Nursing and Midwifery Board of Australia. Nursing and Midwifery Board of Australia Registrant data [Internet]. Barton (AU): Nursing and Midwifery Board of Australia; 2020 Mar [cited 2020 Apr 04]. Available from: https://www.nursingmidwiferyboard.gov.au/About/Statistics.aspx.
Gardner A, Gardner G, Coyer F, Henderson A, Gosby H, Lenson S. Educating nurse practitioners: Advanced specialty competence, clinical learning and governance [Internet]. Sydney: Department of Education(AU). Office for Learning & Teaching; 2014[cited 2020 Mar 20]. Available from: https://ltr.edu.au/resources/ID12-2182_Gardner_Report_2014.pdf.
Chiarella M, Thoms D, Lau C, McInnes E. An overview of the competency movement in nursing and midwifery. Collegian. 2008;15(2):45-53. https://doi.org/10.1016/j.colegn.2008.02.001

상세보기
Ayre TC, Bee TS. Advanced practice nursing in Singapore. Proceedings of Singapore Helthcare. 2014;23(4):269-270. https://doi.org/10.1177/201010581402300401
Singapore Nursing Board. Core competencies of advanced practice nurses [Internet].Singapore: Singapore Nursing Board; 2018 [cited 2019 Sep 20]. Available from: https://www.healthprofessionals.gov.sg/docs/librariesprovid er4/publications/core-competencies-of-apn_snb_jan-2018.pdf.
Kim JH. Demand-supply of advanced practice nurse(APN) and alternative benefit strategies in the national health insurance. Perspectives in Nursing Science. 2010;7(1):23-35.
Korean Accreditation Board of Nursing Education. Operation guideline of the advanced practice nurses' training course [Internet]. Seoul: Korean Accreditation Board of Nursing Education; 2016 [cited 2019 Sep 01]. Available from: http://www.kabone.or.kr/kabon03/index03_02.php.
Leem CS, Choi SJ, Lim KC, Yi YH, Jeoung JS, Shin YA, et al. Common scope of practic for advanced practice nurses in Korea derived from expert agreement. Journal of Korean Critical Care Nursing. 2019;12(3):35-49. https://doi.org/10.34250/jkccn.2019.12.3.35

원문보기 상세보기
Kim KR. Advanced practice nurse system and unlicensed medical practice. The Korean Society of Law and Medicine. 2010;11(1):173-198.
Korea Ministry of Government Legislation. Medical Service Act [Internet]. Sejong: Korea Ministry of Government Legislation; 2016 [cited 2019 Sep 11]. Available from: http://www.law.go.kr/법령/의료법.
Korean Academy of Medical Sciences. The regulation in the management of accreditation committee for subspeciality board certification [Internet]. Seoul: Korean Academy of Medical Sciences [Internet]; 2001- [cited 2019 Sep 31]. Available from: https://www.kams.or.kr/business/judge/sub1/.
Korean Association of Internal Medicine. Regulations on training and qualification of the subspecialty certification for internal medicine in Korea [Internet]. Seoul: The Korean Association of Internal Medicine; 2010 [cited 2019 Dec 3]. Available from: https://www.kaim.or.kr/specialist/files/180416_09_03.pdf.
Kringos DS, Boerma WG, Hutchinson A, Saltman RB. Building primary care in a changing Europe [Internet]. Copenhagen: European Observatory on Health Systems and Policies; 2015 [cited 2020 Jan 03]. Available from: https://www.euro.who.int/__data/assets/pdf_file/0018/271170/BuildingPrimaryCareChangingEurope.pdf.
Bai C, Yoon H. Comparison of job tasks and task elements of Korean nurse anesthetists by type of medical institution: Hospital, general hospital and higher general hospital. Journal of Korean Academy of Nursing Administration. 2013;19(2):239-253. https://doi.org/10.11111/jkana.2013.19.2.239

원문보기 상세보기
Landsperger JS, Semler MW, Wang L, Byrne DW, Wheeler AP. Outcomes of nurse practitioner-delivered critical care: A prospective cohort study. Chest. 2016;149(5):1146-1154. https://doi.org/10.1016/j.chest.2015.12.015

상세보기
Kang YA, Lim KC, Kim JH, Jeoung JS, Han JE. Experiences of health-care providers about advanced practice nurses: Focusing on the perspectives of physicians and advanced practice nurses. Journal of Muscle and Joint Health. 2019;26(3):290-306. https://doi.org/10.5953/JMJH.2019.26.3.290
Kim HN, Kim KH. Legal review on physican assistants. Chonnam Law Review. 2016;36(3):331-352.

저자의 다른 논문 :

표제어: PCR

동의어: Packet Collision Rate

용어 설명 출처 목록 (6)

용어 설명: PCR은 세균 특이성이 있는 primer를 이용하여 적은 수의 세균이 있을지라도 쉽게 검출할 수 있는 유용한 방법이며, 이를 이용하여 구강 내 치면세균막이나 타액에서 직접 세균을 검출할 수 있게 되었다[8].

내보내기 구분	파일저장 인쇄 메일전송
구성항목	기본정보 상세정보 관리번호, 논문명, 저널/프로시딩명, 저자 , 발행년, 권, 호, 시작페이지, 끝페이지, 발행기관 관리번호, 논문명, 대등논문명, 저자 , 저널/프로시딩명, 발행기관, 발행년, 발행언어, 권, 호, 시작페이지, 끝페이지, ISBN, ISSN, 주제분야, 키워드, 초록(한글), 초록(영문), 저자(소속기관)
저장형식	Text(ASCII format) Excel format RefWorks Direct Export RIS format (for Reference Manager, ProCite, EndNote), Scholar's Aids, Mendeley
메일정보	받는사람 (필수) @ 보내는사람 (선택) @ 제목 내용 KISTI 검색결과 이메일 서비스
안내	총 건의 자료가 검색되었습니다. 다운받으실 자료의 인덱스를 입력하세요. (1-10,000) 검색결과의 순서대로 최대 10,000건 까지 다운로드가 가능합니다. 데이타가 많을 경우 속도가 느려질 수 있습니다.(최대 2~3분 소요) 다운로드 파일은 UTF-8 형태로 저장됩니다. 파일의 내용이 제대로 보이지 않을실 때는 웹브라우저 상단의 보기 -> 인코딩 -> 자동선택 여부를 확인하십시오. ~ Text(ASCII format) Excel format

연합인증