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KMID : 0614820090150040527
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Journal of Korean Academy of Nursing Administration
2009 Volume.15 No. 4 p.527 ~ p.538
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Analysis on Performance and new Classification of Advanced Practices by Critical Care Nurse Practitioners
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Kim Jin-Hyun
Kim Myung-Ae
Kim Mi-Won
Kim Kyung-Sook
Yoo Cheong-Sook
Lee Eun-Hee
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Abstract
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Purpose: The purpose of this study was to reclassify the advanced nursing practices of critical care nurse practitioners(CCNPs) in intensive care unit and measure the time and frequency of CCNP’s activities.
Method: Practices of ICU nurses are divided into RN’s and CCNP’s practices by a panel of ICU nursing experts. Each practice of CCNP is defined and CCNP’s working time and service frequencies are monitored in general hospitals.
Result: Practices of CCNP were classified into 4 domains and 32 practices. Fourteen practices by CCNPs were completed in 10 minutes and the other 12 practices consumed 10-30 minutes. A priority of practice in respiratory therapy was given to artificial airway management, management of tracheostomy patient, lower respiratory care, and the priority of CRRT was management of anticoagulation.
Conclusions: Advanced nursing practices of CCNPs were recognized from those of RNs. A further research of CCNPs practices should be extended to other advanced practices and it is required to evaluate economic value of advanced nursing practice in the national health insurance system.
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KEYWORD
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Critical care nurse practitioner, Advanced nursing practice, Nursing time
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