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KMID : 1004620070130030093
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Clinical Nursing Research
2007 Volume.13 No. 3 p.93 ~ p.108
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The Role Analysis of Intensive Care Unit Nurse and Critical Care Advanced Practice Nurse
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Lee Chung-Hee
Kwon In-Gak
Sung Young-Hee
Cho Yong-Ae
Yi Young-Hee
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Abstract
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Purpose: The purpose of this study was to analyze the roles of ICU nurses and critical care Advanced Practice
Nurses(APNs) and provide basic data to refine the roles of critical care APNs.
Method: A cross-sectional survey was conducted by using a job analysis questionnaire with 181 questions in the following categories: direct clinical practice, education and counseling, research, leadership, consultation and collaboration. A total of 907 ICU nurses with minimum of 1 year clinical experience from 46 hospitals were surveyed from February 15 to March 15, 2007.
Results: As for the frequency and perceived competency, the category of direct practice showed the highest score, followed by leadership, education and counseling, research, consultation and collaboration. Regarding the priority and importance, the category of direct practice also showed the highest score, followed by leadership, education and counseling, consultation and collaboration, and research. Therefore, direct practice was indicated as a major job of the ICU nurses. The participants considered they have sufficient competency to take charge of the direct practice except physician-specific invasive procedures. The participants also considered critical care APNs might take charge of education and counseling, research, consultation and collaboration as well as direct practice.
Conclusion: Based on the result of this study, it is necessary to specialize APNs’ direct practice by focusing on the ICU nurse’s nursing activities with high importance-low perceived competency. In addition, there is the necessity to enhance other roles in order to distinguish and expand the roles of critical care APNs
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KEYWORD
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ICU nurse, Critical care APN, Role
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