684名外科护士对高级实践护士角色的认知与态度调查

目的 调查外科护士对外科高级实践护士角色的认知与态度情况。方法 采取方便抽样法,于2019年6月27日—7月9日抽取四川大学华西医院外科护士作为研究对象。采用外科高级实践护士角色的认知与态度调查问卷对其进行调查。结果 外科护士对于高级实践护士相关名词了解比例最高的前3位分别为专科护士（630/92.1%）、临床护理专家（529/77.3%）、高级助产士（366/53.5%）,对于国内Advanced Practice Nurse译名认可度最高的为临床护理专家（416/60.8%）。97.1%的外科护士认为外科高级实践护士最重要的核心能力为临床实践护理能力,62.3%的护士认为APN应负责疑难复杂病例的临床业务管理,不具体分管床位。48.0%~74.3%的外科护士认为APN应具备本科及以上学历、10年以上工作经验、主管护师及以上职称,且需要有国外交流经验,由国家级卫生行政部门定期认证。95.6%的外科护士对国内发展外科高级实践护士表示支持。结论 本组外科护士对于外科高级实践护士的发展态度积极,认为外科高级实践护士应该是以临床护理业务管理为核心、以提高护理质量为目的指导者、沟通者和研究者,需要定期考核并由国家级卫生行政部门给予认证资质。但目前国内发展外科高级实践护士仍存在一定阻碍,未来发展外科高级实践护士应以临床护理专家角色为抓手,对名称选择、岗位职责和资质认定等进行统一与规范,从而体现高级实践护士在提升临床护理质量中的作用。     

国内外助产士现状分析

本文回顾了关于国内外助产实践发展及现状的相关文章,并得出了以下结论：助产士绝非单纯的接生护士,他在妇女的整个孕期、产时和产后均起到了非常重要的作用。许多国家的助产士都能为妇女提供产前、产时和产后的连续性照顾,但目前我国高级助产实践的发展尚在起步阶段,助产士的学历普遍较低,实践范围有限,相关政策亦没有发展完善。因此,完善和规范我国助产士的培养和管理,逐步提高我国助产士在自然分娩中的促进作用,是我国助产发展的方向。     

美国精神-心理健康高级护理实践及建设我国精神-心理健康护理学科的探讨

介绍了美国精神-心理健康高级护理实践发展进程中精神-心理健康高级实践护士教育准备、能力要求、准入认证及执业范围的变化,分析了我国精神-心理健康护理的现状,提出了建设我国精神-心理健康护理学科的相关建议。     

新生儿科高级实践护士的培养研究进展

本文对新生儿科高级实践护士的起源和发展、准入标准和资格认证、能力要求、工作职责、临床价值以及我国新生儿科高级实践护士培养、实践现状进行综述,以期为我国培养新生儿科高级护理实践人才提供借鉴.     

高级护理实践和高级实践护士的现状及展望

作根据自己在国外进修学习掌握的资料，从概念、发展背景、实践特征、核心价值观、实践角色类型和功能、实践标准、教育培养等层面详细介绍了当前世界护理实践发展的新趋势－高级护理实践活动和由此而形成的高级护理人才群体－高级实践护士。提出培养我国自己的高级护理实践角色－临床专科护士的任务、培养模式、课程设备、教育标准、教学质量。     

重症医学进阶临床护理专家的可行性探讨

在分析国外高级护理实践及重症医学开业护士职责及执业的基础上,结合我国ICU高级实践护士的现状,提出采用进阶临床护理专家,对其资格认证、人员选拔、培训进行了探讨。     

重症医学进阶临床护理专家的可行性探讨

在分析国外高级护理实践及重症医学开业护士职责及执业的基础上,结合我国ICU 高级实践护士的现状,提出采用进阶临床护理专家,对其资格认证、人员选拔、培训进行了探讨.     

文献研究临床专科护士的发展及启示

[目的]研究临床专科护士在我国的发展情况,为建立中国特色的专科护士培训和认证制度提供理论依据。[方法]通过文献进行研究,电子检索近14年的相关护理文献共152篇,归纳整理分析结果。[结果]文献特征:文献类型从综述向研究性论文扩展,研究内容从概念引入和可行性的探讨向专科实践的研究转化;专科实践研究主要集中在ICU、手术室、糖尿病的专科领域等;专科护士制度能够提高护理质量、促进护理教育和护理管理、加快护理专业发展;专科护士制度在我国逐步开展和深入,但制度的问题与成果并存。[结论]在我国实行临床专科护士制度切实必要,但应建立适合国情的专科护士培养和认证制度。     

我院糖尿病专科护士在高级护理实践中的角色探讨

通过对我院糖尿病专科护士角色,功能的介绍,指出国内高级实践护士的发展尚处于起步阶段。在借鉴国外发展经验的同时,思考我国糖尿病专科护士发展前景与对策,以期为我国糖尿病专科护理的发展提供参考依据,培养出适合我国国情的高素质护理人才。     

国外眼科高级实践护士的发展现状及启示

阐述国外眼科高级实践护士的来源及发展，介绍其资格认证、准入条件、角色定位、岗位职责以及培养模式等，结合我国眼科专科护士的发展现状及存在的问题提出建议，以期为我国眼科专科护理人才的培养提供参考。     

美国骨科开业护士与我国骨科专科护士的发展现状及启示

美国骨科开业护士发展较早、培养体系成熟,该文从美国骨科开业护士的起源与发展、准入条件与认证考核、实践范畴、培养模式、继续教育等方面分析,结合国内骨科专科护士现状,对骨科专科护士工作和培养进行综述,为国内培养应用型骨科专科护理人才提供借鉴。     

助产方向本科实习生对助产士角色体验和认知的研究

目的 了解助产方向本科实习生对助产士角色的体验和认知.方法 对某医科大学护理学专业助产方向的19名本科实习生进行个人深入访谈,依据Colaizzi 7步分析法进行资料整理和分析.结果 助产方向本科实习生对助产士的角色体验和认知可归纳为3个主题:正负双向的角色体验;助产士应具备的能力和素质;临床学习阶段是实习生对助产士角...     

Sustaining and growing the rural nursing and midwifery workforce: understanding the issues and isolating directions for the future

Nurses and midwives represent the largest group of health professionals in the Australian health care system. In rural environments nurses and midwives make up a greater proportion of the health workforce than in urban settings, which makes their role in service provision even more significant. The role and scope of these nurses and midwives' practice is by necessity more generalist than specialist, which results in disciplinary strengths and weaknesses. As generalist health professionals they work in diverse settings such as public hospitals, multi-purpose services, community health, aged care and in non-government and private for profit and no-profit organisations including general practices. Their scope of practice covers prevention, intervention and rehabilitation and is lifespan inclusive. Rural nurses and midwives are older than their metropolitan based counterparts, work part-time and traditionally have limited access to professional development often due to ineffective locum relief programs. Workplace inflexibility, access to acceptable housing and partner employment are factors cited as inhibitors to growing this workforces. The future of the rural nursing and midwifery workforce will only be secured if Government invests to a greater degree in both education and training and the development of a nationally agreed remuneration scale that allows for part-time work.     

肿瘤专科护士临床实习的教学实践

介绍了3批共8名中华护理学会及北京分会的肿瘤专科护士资格认证学员临床实习教学的经验,包括肿瘤专科护士的临床实践内容和带教与评价标准.     

湖南省助产士核心胜任力的调查分析

目的了解湖南省助产士核心胜任力现状。方法采用助产士核心胜任力量表对湖南省6所医院102名助产士进行调查。结果助产士核心胜任力总均分为（4．08±O．48）分,其中分娩期保健和产后保健得分较高,而公共卫生保健和孕前保健得分较低;助产士的年龄、工作年限、助产工作年限与助产士核心胜任力得分呈显著正相关,而不同婚姻状况、职称、医院级别、有无助产证和产科进修的助产士核心胜任力水平不同。结论应进一步完善我国助产专业教育体系,建立独立的助产士准入制度和职称体系,充分发挥助产士的角色职能,从而推动助产士队伍核心胜任力的全面提高。     

Views on evidence from nursing and midwifery opinion leaders

National registration standards in Australia require nurses and midwives to be educationally prepared to use an evidence-based framework for their practice. These standards assume a shared professional understanding of evidence and, an agreed approach towards educational preparation for evidence implementation. In this study, a qualitative phenomenographic approach is used to explore the ways in which nursing opinion leaders understand ‘evidence’ within the context of evidence-based practice (EBP). Semi-structured in-depth interviews were conducted with 23 nursing and midwifery opinion leaders across the state of New South Wales, Australia. The findings suggest that views of evidence are deeply imbedded within individual clinical, contextual and professional experiences, and are highly variable. Establishing basic consensus on the meaning of evidence for the nursing and midwifery context is fundamental to the successful educational preparation of nurses and midwives for EBP. It is proposed that future evaluations of EBP education in nursing and midwifery examine the assumptions on which such programs are based as individual variation may be a significant factor in both defining and measuring the success of educational interventions for evidence implementation.     

Clinical nursing and midwifery education in the pandemic age

The COVID-19 pandemic has disrupted clinical nursing and midwifery education. This disruption has long-term implications for the nursing and midwifery workforce and for future healthcare responses to pandemics. Solutions may include enhanced partnerships between schools of nursing and midwifery and health service providers and including schools of nursing and midwifery in preparedness planning. These suggestions notwithstanding, we call upon national and international nursing and midwifery bodies to study how to further the clinical education of nurses and midwives during pandemics and other times of crisis.     

Nursing and midwifery research in Scotland: from partnership to collaboration

Nurses and midwives form the workforce that provides the greatest proportion of direct care to service users. They have the ability to make a significant impact not only on the quality and outcomes of patient care, but also on service users' and carers' perceptions of the care experience. It is therefore vital that nursing and midwifery practice has a robust knowledge and evidence base. The Scottish Executive Health Department, in partnership with other key stakeholders, launched in 2004 an 8 million pounds funding package for research and development capacity and capability initiatives for nursing, midwifery and the allied health professions. This article seeks to describe the process of engagement and partnership building that enabled this scheme to be developed. It will attempt to illustrate how the convergence of political, policy and professional agendas has provided the opportunity for nurses and midwives to set a direction of travel for research and development that will enable them to become key players within multidisciplinary research at United Kingdom and international levels.