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KMID : 0614820070130030352
Journal of Korean Academy of Nursing Administration
2007 Volume.13 No. 3 p.352 ~ p.361
Development of Roles and Organizational Policy of Advanced Practice Nurses in an Acute Hospital Setting
Lee Tae-Wha

Ko Il-Sun
Kim In-Sook
Kim Hyun-Ok
Park Young-Woo
Kim In-Ja
Park Jeong-Sook
Choi Mi-Ok
Son Mi-Jung
Kil Yun-Kyung
Kim Eun-Hyeon
Abstract
Purpose : The purpose of this study was to develop roles and organizational policy of advanced practice nurses
(APNs) in an acute hospital setting.

Methods :The design of the study was to descriptive-exploratory. Sample consisted of 43 participants who included 13 nurses, 18 nurse managers and 12 physicians. Survey, interview and focus group interview were performed to obtain the data.

Results : The expected roles of APNs were education and counseling, direct management patient care with advanced skills, research, and collaboration and coordination among several departments. The expected outcomes were patient satisfaction, improved access to care, decreased the rate of complications, and speedy provision of services. Based on research, a proposal of APNs roles and organizational policy in a hospital setting was developed, which included definition of APNs, qualification, roles and specific roles, specialty areas, accountability, recruitment and affiliation, privileges, and expected outcomes.

Conclusion : This study gives a guideline on how to introduce and use APNs in acute care tertiary settings.
KEYWORD
Advanced practice nurses, Role, Organizational policy
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