[논문]전문간호사 업무범위안 제정에 따른 전문의의 업무 위임 의향

김민영; 최수정; 김정혜; 임초선; 강영아

doi:10.4040/jkan.22098

전문간호사 업무범위안 제정에 따른 전문의의 업무 위임 의향
Intention to Delegate Clinical Practice of Medical Specialists in Accordance with the Enactment of the Scope of Practice for Advanced Practice Nurses 원문보기

Journal of Korean academy of nursing = 대한간호학회지, v.53 no.1, 2023년, pp.39 - 54

김민영 (제주대학교 간호대학 건강과 간호연구소) , 최수정 (성균관대학교 임상간호대학원) , 김정혜 (울산대학교 임상전문간호학) , 임초선 (분당서울대학교병원 간호본부) , 강영아 (서울아산병원 간호본부)

Abstract ▼ AI-Helper

Purpose: This study aimed to investigate the nationwide intention to delegate clinical practice of medical specialists in accordance with the enactment of the scope of practice for advanced practice nurses (APNs). Methods: Data were collected from October to December 2021 using Google Surveys. In total, 147 medical specialists from 12 provinces responded to the survey. The survey questionnaire was categorized into four legislative draft duties, according to the scope of practice (a total of 41 tasks): Twenty-nine tasks on treatments, injects, etc., performed under the guidance of a physician and other activities necessary for medical treatment (treatment domain); two tasks on collaboration and coordination; six tasks on education, counseling, and quality improvement; four regarding other necessary tasks. Participants were asked whether they were willing to delegate the tasks to APN. Results: The intention to delegate tasks to APN was higher for non-invasive tasks such as blood sampling (97.3%) or simple dressing (96.6%). Invasive tasks such as endotracheal tube insertion (10.2%), sampling: bone marrow biopsy & aspiration (23.8%) showed low intention to delegate in the treatment domain. Participants who were older, male, and had more work careers with APN, showed a higher intention to delegate tasks. Conclusion: To prevent confusion in the clinical setting, a clear agreement on the scope of APN practice as APN delegated by physicians should be established. Based on this study, legal practices that APN can perform legally should be established.

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참고문헌 (30)

Kringos DS, Boerma WGW, Hutchinson A, Saltman RB.？Building primary care in a changing Europe [Internet]. Copenhagen: World Health Organization Regional Office for？Europe; c2015 [cited 2021 Dec 10]. Available from: http://apps.who.int/iris/handle/10665/154350？
American Academy of Nurse Practitioners (AANP). State？practice environment [Internet]. Austin: American Academy？of Nurse Practitioners; c2022 [cited 2022 Apr 22]. Available？from: https://www.aapn.org/advocacy/stat/state-practice-environment？
Auerbach DI, Buerhaus PI, Staiger DO. Implications of the？rapid growth of the nurse practitioner workforce in the US.？Health Affairs (Millwood). 2020;39(2):273-279.？https://doi.org/10.1377/hlthaff.2019.00686？

상세보기
Martsolf GR, Barnes H, Richards MR, Ray KN, Brom HM,？McHugh MD. Employment of advanced practice clinicians in？physician practices. JAMA Internal Medicine. 2018;178(7):988-990. https://doi.org/10.1001/jamainternmed.2018.1515？

상세보기
Schober M. Global emergence of nurse practitioner/advanced？practice nursing roles. Journal of the American Association of？Nurse Practitioners. 2018;30(4):182-184.？https://doi.org/10.1097/JXX.0000000000000029？

상세보기
Kim S, Lee TW, Kim GS, Cho E, Jang Y, Choi M, et al.？Nurses in advanced roles as a strategy for equitable access？to healthcare in the WHO Western Pacific region: A mixed？methods study. Human Resources for Health. 2021;19(1):19.？https://doi.org/10.1186/s12960-021-00555-6？

상세보기
Seol M, Shin YA, Lim KC, Leem C, Choi JH, Jeong 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
Kim KR. Advanced practice nurse system and unlicensed？medical practice. The Korean Society of Law and Medicine.？2010;11(1):173-198.？
Korean Law Information Center. Rule of the advanced practice nurses' qualification [Internet]. Sejong: Ministry of？Health and Welfare; 2022 [cited 2022 Apr 19]. Available？from: https://www.law.go.kr/lumLsLinkPop.do?lspttninfSeq61761&chrClsCd010202？
National Council of State Boards of Nursing. National guidelines for nursing delegation. Journal of Nursing Regulation.？2016;7(1):5-14. https://doi.org/10.1016/S2155-8256(16)31035-3？

상세보기
Choi AJ, Choi SJ, Kim ES, Park JH, Won SY. Job performance of advanced practice nurses, perceived difficulty？and importance, and willingness to legally delegate clinical？practices to advanced practice nurses by health care professionals. Journal of Korean Clinical Nursing Research.？2020;26(2):217-231.？https://doi.org/10.22650/JKCNR.2020.26.2.217？

원문보기 상세보기
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？

원문보기 상세보기
Leem CS, Choi SJ, Lim KC, Yi YH, Jeong JS, Shin YA, et？al. Common scope of practice 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
ter Maten-Speksnijder A, Grypdonck M, Pool A, Meurs P,？van Staa AL. A literature review of the Dutch debate on the？nurse practitioner role: Efficiency vs. professional development. International Nursing Review. 2014;61(1):44-54.？https://doi.org/10.1111/inr.12071？

상세보기
Park JY, Noh GO, Kwon IG. Status and strategies for safety？management of antineoplastic drugs among oncology nurses.？Asian Oncology Nursing. 2019;19(4):252-261.？https://doi.org/10.5388/aon.2019.19.4.252？

상세보기
Kim HN, Kim KH. Legal review on physician assistants.？Chonnam Law Review. 2016;36(3):331-352.？
Ko IS. A study on the securement of safety through proper？regulation in medical practices- focusing on measures to secure medical safety through proper regulation in medical practices-. Legal Theory and Practice Review. 2021;9(3):135-154. https://doi.org/10.30833/LTPR.2021.08.9.3.135？

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？

원문보기 상세보기
Park JY. Legislation on the concept of medical practice. Seoul？Law Review. 2018;26(3):359-397.？https://doi.org/10.15821/slr.2018.26.3.010？
Markowitz S, Adams EK, Lewitt MJ, Dunlop AL. Competitive effects of scope of practice restrictions: Public health or？public harm? Journal of Health Economics. 2017;55:201-218.？https://doi.org/10.1016/j.jhealeco.2017.07.004？

상세보기
Ladd E, Miller M, Wheeler K, Wainaina S, Aguirre F, McGrath H, et al. A global SWOT analysis of advanced practice？nursing: Policy, regulation, and practice. Research Square.？[Preprint]. 2020 [cited 2022 Aug 1]. Available from: https://doi.org/10.21203/rs.3.rs-113320/v1？
Casey M, Fealy G, Kennedy C, Hegarty J, Prizeman G,？McNamara M, et al. Nurses', midwives' and key stakeholders' experiences and perceptions of a scope of nursing and？midwifery practice framework. Journal of Advanced Nursing.？2015;71(6):1227-1237. https://doi.org/10.1111/jan.12603？

상세보기
Jakimowicz M, Williams D, Stankiewicz G. A systematic review of experiences of advanced practice nursing in general？practice. BMC Nursing. 2017;16:6.？https://doi.org/10.1186/s12912-016-0198-7？

상세보기
Shin DH. The vision of hospitalist system in Korea. Korean？Journal of Medicine. 2021;96(1):1-6.？https://doi.org/10.3904/kjm.2021.96.1.1？

상세보기
Kim G. A study on the physician associates(PAs) in the UK.？Global Social Security Review. 2022;20:32-43.？https://doi.org/10.23063/2022.03.3？
Kraus E, DuBois JM. Knowing your limits: A qualitative？study of physician and nurse practitioner perspectives on NP？independence in primary care. Journal of General Internal？Medicine. 2017;32(3):284-290.？https://doi.org/10.1007/s11606-016-3896-7？

상세보기
Villegas WJ, Allen PE. Barriers to advanced practice registered nurse scope of practice: Issue analysis. The Journal？of Continuing Education in Nursing. 2012;43(9):403-409.？https://doi.org/10.3928/00220124-20120716-30？

상세보기
Newhouse RP, Stanik-Hutt J, White KM, Johantgen M,？Bass EB, Zangaro G, et al. Advanced practice nurse outcomes 1990-2008: A systematic review. Nursing Economics.？2011;29(5):230-250; quiz 251.？
Kim MY, Choi SJ, Jeon MK, Kim JH, Kim H, Leem CS.？Study on systematization of advanced practice nursing in？Korea. Journal of Korean Clinical Nursing Research. 2020;26(2):240-253.？https://doi.org/10.22650/JKCNR.2020.26.2.240？

원문보기 상세보기
Ryder M, Jacob E, Hendricks J. An integrative review to？identify evidence of nurse practitioner-led changes to healthcare delivery and the outcomes of such changes. International？Journal of Nursing Practice. 2020;26(6):e12901.？https://doi.org/10.1111/ijn.12901

상세보기

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전문간호사 업무범위안 제정에 따른 전문의의 업무 위임 의향
Intention to Delegate Clinical Practice of Medical Specialists in Accordance with the Enactment of the Scope of Practice for Advanced Practice Nurses 원문보기

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전문간호사 업무범위안 제정에 따른 전문의의 업무 위임 의향 Intention to Delegate Clinical Practice of Medical Specialists in Accordance with the Enactment of the Scope of Practice for Advanced Practice Nurses 원문보기

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전문간호사 업무범위안 제정에 따른 전문의의 업무 위임 의향
Intention to Delegate Clinical Practice of Medical Specialists in Accordance with the Enactment of the Scope of Practice for Advanced Practice Nurses 원문보기