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KMID : 0439019990080020118
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Korean Journal of Nursing Query
1999 Volume.8 No. 2 p.118 ~ p.138
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Legislation Proposal on Advanced Nurse Practitioner
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고일선/Ko, Ilsun
김의숙/김인숙/김주희/이태화/김기경/강경화/Kim, Euisook/Kim, Insook/Kim, Johee/Lee, Taewha/Kim, Kikyung/Kang, Kyungwha
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Abstract
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Health care is the one of the most important element for the people in 21st century. With the enormous change in our health care system, nurses are required to change their roles more diversified and comprehensive with expertise. Nurses should prepare the new roles so that they function effectively within the new health care system. Since 1990, nurses in Korea have discussed actively on the development of the advance nurse practitioner program. The discussion is based on the existing rules and regulations about specialized nurses in medicine law and the regulations of the Ministry of Health and Welfare. The purpose of the study is to propose the definition of advanced nursing practice, and definition, requirements, roles and practice of advanced nurse practitioners that should be included in advanced nurse practitioner law as essential elements. Proposed were followings:
1. Definition of Advance Nursing Practice: The skills and abilities essential for the advanced nursing practice are include: quality control, improvement of nursing care, and management of acute and chronic health problem in hospital; provision of primary care with advanced knowledge, expertise and autonomy to the clients within the community; pivotal role in the coordination and integration of other health care professionals.
2. Definition of Advance Nurse Practitioner: a nurse who works in the area of advanced nursing practice with licensure as a registered nurse
3. Requirements for Advanced Nurse Practitioner
1) graduate degree and minimum 3-year experience in the designated area of practice and pass the certificate exam of the national board of nurses, and certification of the ministry
of health and welfare with recommendation of the association of specialized nurses.
2) validation period of certification is 3 years since the achievement of certification; completion of continuing education given by the national board of nurse every 3 years to renew the certification.
3) establishment of rules about grace period for existing specialized nurses to become Advance Nurse Practitioners through the legislation process.
4. Roles of Advanced Nurse Practitioners
1) Independent practice, and operation and management of nursing related facilities
2) Case management
3) Coordination and collaboration with other health care providers
4) Conduction researches, evaluation, and utilization of the research findings
5) Liaisons between education and practice
5. Areas of Advance Nurse Practitioners
1) Nurse midwifery
2) Nurse anesthetists
3) Nurse practitioner: clinical nurse specialist (e.g., operation, colostomy, dialysis, cancer, infection, etc.), emergency nurse practitioner, public health nurse practitioner ( e.g., school health, occupational health, etc.), home health care nurse practitioner, psychiatric nurse practitioner, geriatric nurse practitioner, nurse administration practitioner, health promotion practitioner, family nurse practitioner, hospice nurse practitioner, women´ s health nurse practitioner, pediatric nurse practitioner. The national board of nurses should develop the legal background for the specialization areas of nurse practitioners to reflect the changes of social environment.
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