主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2021, Vol. 21 ›› Issue (9): 1372-1376.doi: 10.3969/j.issn.1672-1756.2021.09.019

• 人力资源 • 上一篇    下一篇

高级临床专科护士的设立与发展

庄一渝 冯金娥 隋伟静   

  1. 浙江大学医学院附属邵逸夫医院护理部,310016 杭州市(庄一渝,隋伟静);护理教育部(冯金娥)
  • 出版日期:2021-09-15 发布日期:2021-09-15
  • 作者简介:庄一渝,硕士,主任护师,博士生导师,副院长兼护理部主任,E-mail:zhuangyy@zju.edu.cn
  • 基金资助:
    浙江省基础公益研究计划项目(LGF20G030010)

Review on the establishment and development of Advanced Practice Nurses

ZHUANG Yiyu, FENG Jin'e, SUI Weijing   

  1. Nursing Department, Zhejiang University School of Medicine Sir Run Run Shaw Hospital, Hangzhou, 310016, China
  • Online:2021-09-15 Published:2021-09-15

摘要: 邵逸夫医院作为中国大陆最早设立高级临床专科护士(APN)的医院之一,在过去20余年里历经APN的准入、管理、实践与评价。回顾了基于中国国情的APN准入标准、核心能力、岗位职责与专业发展,总结了医院对APN的管理经验,梳理了APN提供的高级临床实践,及其对患者、护士、系统等多个层面发挥的积极推动作用。随着高等护理教育的蓬勃发展,我国护理研究生数量增加,未来可以尝试将专业学位研究生与APN并轨制发展,发挥护理人才的效能,推动我国医疗卫生体系的健康发展。

关键词: 高级临床专科护士;准入标准;核心能力;岗位职责

Abstract: Sir Run Run Shaw Hospital is one of the first hospitals in mainland China that set up Advanced Practice Nurses (APN). Over the past 20 years, the hospital has experienced the introduction, implementation and evaluation of advanced nurse roles. Through reviewing this process, this article sorted out the Advanced Practice Nurses primary criteria, core competencies, job responsibilities and professional development direction based on China's national conditions, and summarized management experience of Advanced Practice Nurses. The APN had provided direct nursing practice, taken care of specialist consultation and discussion of MDT cases, performed education training and supervision, participated multi-disciplinary team of diagnosis and treatment work, promoted nursing scientific research and technology innovation and participated in quality control and discipline development practice. It is concluded that the advanced practice nurses play positive roles on patients, nurses, organization and medical system. With the vigorous development of higher nursing education, the number of nursing graduate students in China is increasing day by day. In the future, we can try to combine professional degree graduate students with APN. It is expected to develop the effectiveness of nursing talents, and promote the healthy development of China's health care system.

Key words: Advanced Practice Nurse; primary criteria; core competency; job responsibility

中图分类号: 

  • R47