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Experiences of Health-care Providers about Advanced Practice Nurses: Focusing on the Perspectives of Physicians and Advanced Practice Nurses

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KMID : 0123520190260030290
°­¿µ¾Æ ( Kang Young-Ah ) - ¼­¿ï¾Æ»êº´¿ø

ÀÓ°æÃá ( Lim Kyung-Choon ) - ¼º½Å¿©ÀÚ´ëÇб³ °£È£´ëÇÐ
±èÁÖÇö ( Kim Joo-Hyun ) - °­¿ø´ëÇб³ °£È£´ëÇÐ
Á¤Àç½É ( Jeong Jae-Sim ) - ¿ï»ê´ëÇб³ ÀÓ»óÀü¹®°£È£ÇÐ
ÇÑÁöÀº ( Han Ji-Eun ) - ºÐ´ç¼­¿ï´ëÇб³º´¿ø

Abstract

Purpose: This study aimed to describe the experiences of health-care providers about advanced practice nurses (APNs) focusing on the perspectives of physicians and APNs in Korea.

Methods: Qualitative data were collected with snowball sampling. Six physicians and 13 APNs participated in this study through in-depth interviews or a focus-group interview. Qualitative content analysis was employed.

Results: Three themes and seven categories were emerged. Three themes were 1) challenging start and attempts to settle down on unfamiliar system, 2) being positioned as an APN at clinical settings, 3) long journey for social recognition and legal institutionalization of APNs' role. Seven categories were 1) challenges to new area, 2) introduction and conflict of APN system, 3) driving force for stepping toward becoming APNs, 4) dedication and commitment to role development, 5) efforts to prove APNs' competency, 6) approaches to guarantee legal APNs' activities, and 7) filling the gap in health-care service.

Conclusion: The findings suggest that health-care providers who have collaborated with APNs are aware of the needs to operate APN system more stably through the legislation of APNs' scope of practices. Further research is needed to provide the evidences of APNs' practice outcomes such as health care quality, patient safety, reduction of medical expenses, etc.
KeyWords
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Nurse practitioners, Professional practice, Professional role, Qualitative research
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