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Study on Systematization of Advanced Practice Nursing in Korea

ÀÓ»ó°£È£¿¬±¸ 2020³â 26±Ç 2È£ p.240 ~ 253
KMID : 1004620200260020240
±è¹Î¿µ ( Kim Min-Young ) - Jeju National University College of Nursing

ÃÖ¼öÁ¤ ( Choi Su-Jung ) - Samsung Medical Center Department of Nursing
Àü¹Ì°æ ( Jeon Mi-Kyeong ) - Changwon National University Department of Nursing
±èÁ¤Çý ( Kim Jeong-Hye ) - University of Ulsan Department of Clinical Nursing
±èÈñ¿µ ( Kim Hee-Young ) - Asan Medical Center Department of Nursing
ÀÓÃʼ± ( Leem Cho-Sun ) - Seoul National University Bundang Hospital Department of Nursing

Abstract

¸ñÀû: º» ¿¬±¸´Â Çѱ¹ Àü¹®°£È£»ç 13°³ ºÐ¾ß ü°èÈ­¸¦ À§ÇÑ ±âÃÊÀڷḦ Á¦°øÇÏ°íÀÚ ¼öÇàµÇ¾ú´Ù.

¹æ¹ý: ¿¬±¸´Â ´ÙÀ½°ú °°ÀÌ 3´Ü°è·Î ¼öÇàµÇ¾ú´Ù. 1) Àü¹®°£È£»ç ¿î¿µ¿¡ °üÇÑ ¹®Çå°íÂû ¹× ±³À°°úÁ¤ °ËÅä, 2) Àü¹®°£È£»çÁ¦µµÀÇ ¿î¿µ¿¡ °üÇÑ ÀÇ°ßÀ» ¼ö·ÅÇϱâ À§ÇØ Àü¹®°£È£»ç 9¸í, Àü¹®ÀÇ 6¸í, °£È£ÇÐ ±³¼ö 8¸íÀ» ´ë»óÀ¸·Î Æ÷Ä¿½º±×·ì ÀÎÅͺä(FGI), 3) Á÷¹« ±â¹Ý ºÐ¾ßº° ºÐ·ù, Àü¹®ÀÇÁ¦µµ ¿î¿µ °íÂû ¹× µ¥ÀÌÅ͸¦ ±â¹ÝÀ¸·Î ÇÑ Àü¹®°£È£»ç ºÐ¾ß ü°èÀû ¿î¿µ ¹æ¾È µµÃâ.

°á°ú: Àü¹®°£È£»ç ¿î¿µ ü°è °íÂû°ú ±³À°°úÁ¤ °ËÅä °á°ú Àü¹®°£È£»ç 13°³ ºÐ¾ß¸¦7°³ ±×·ìÀ¸·Î ³ª´­ ¼ö ÀÖ¾ú°í, Á÷¹« ±â¹Ý¿¡ ±Ù°ÅÇÑ ºÐ¼®¿¡ µû¸£¸é 4 °³ÀÇ ±×·ìÀ¸·Î ³ª´­ ¼ö ÀÖ¾ú´Ù. FGI ÀڷḦ ºÐ¼®ÇÑ °á°ú 2°³ ÀÇ ÁÖÁ¦¿Í 7°³ÀÇ ¹üÁÖ°¡ È®ÀεǾú´Ù. µÎ °¡Áö ÁÖÁ¦´Â 1) ³íÀÇ°¡ ÇÊ¿äÇÑ ºÐ¾ßº° Àü¹®°£È£»ç, 2) Àü¹®°£È£»ç ±³À°°úÁ¤ °³¼± À¸·Î È®ÀεǾú´Ù. FGI ¹× Àü¹®ÀÇÁ¦µµ ¿î¿µ °íÂûÀ» ¹Ý¿µÇϸé ÀÓ»ó ¿µ¿ª°ú ºñ ÀÓ»ó ¿µ¿ªÀÇ µÎ ±×·ìÀ¸·Î ÅëÇÕ ÇÒ ¼ö ÀÖ¾ú´Ù.

°á·Ð: ±¹³» Àü¹®°£È£»ç Á¦µµ È°¼ºÈ­¸¦ À§ÇØ 13°³ ºÐ¾ß´Â ÅëÇÕÀÌ ÇÊ¿äÇϸç, Àü¹®°£È£»ç ¾÷¹«ÀÇ ¹ýÁ¦È­ ¹× ±×¿¡ µû¸¥ ±³À°°úÁ¤ µîÀ» À§ÇØ Ãß°¡ÀûÀÎ ³íÀÇ°¡ Áö¼ÓµÇ¾î¾ß ÇÒ °ÍÀÌ´Ù.

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.
KeyWords
Àü¹®°£È£»ç, ºÐ¾ß ü°èÀû ÅëÇÕ, ±³À°°úÁ¤, ÀÓ»ó½Ç¹«
Nurse Practitioners, Systems Integration, Curriculum, Professional Practice
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ÇмúÁøÈïÀç´Ü(KCI)