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Experience of Healthcare Providers in the Advanced Practice Nurse System

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KMID : 1221920210140020042
±è¹Î¿µ ( Kim Min-Young ) - Jeju National University College of Nursing

Àü¹Ì°æ ( Jeon Mi-Kyeong ) - Changwon National University Department of Nursing
ÃÖ¼öÁ¤ ( Choi Su-Jung ) - Sungkyunkwan University Graduate School of Clinical Nursing Science 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

Purpose : The purpose of this study was to understand and describe the experiences of the advanced nurse practitioner (APN) system used by healthcare providers including APNs, doctors who worked with APNs, and APN master¡¯s course professors at a graduate school.

Methods : Qualitative data were collected via snowball sampling. The participants were nine APNs, six doctors, and three professors. They were divided into three focus groups, each of which consisted of all three types of healthcare providers. Data were collected via interviews with the three focus groups conducted from September to October 2019. All interviews were audiotaped and transcribed verbatim. The transcribed data then underwent qualitative content analysis.

Results : Based on the data, we extracted four themes and 14 categories. The themes were ¡°Role and system of APNs started according to healthcare environment changes¡±, ¡°Optimal healthcare provider to ensure quality of care¡±, ¡°Confused role and system of APNs due to incomplete medical law¡±, and ¡°Tasks for the stable operation of the APN system.¡±
Conclusion : For quality treatment and safety of patients, a legal basis must be established for the APN system.
For its stable operation, social consensus regarding legislation about APNs¡¯ scope of practice is required. Finally, a discussion is necessary about the integration of APNs¡¯ 13 fields.
KeyWords
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Nurse practitioners, Professional practice, Qualitative research, Focus groups
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