Sue Kim1, Tae Wha Lee1, Gwang Suk Kim1, Eunhee Cho1, Yeonsoo Jang1, Mona Choi2, Seoyoung Baek3, David Lindsay4, Sally Chan5, Regina L T Lee6, Aimin Guo7, Frances Kam Yuet Wong8, Doris Yu9, Sek Ying Chair10, Yoko Shimpuku11, Sonoe Mashino12, Gigi Lim13, Sheila Bonito14, Michele Rumsey15, Amanda Neill15, Indrajit Hazarika16. 1. College of Nursing, Mo-Im Kim Nursing Research Institute, Yonsei University, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, 03722, Republic of Korea. 2. College of Nursing, Mo-Im Kim Nursing Research Institute, Yonsei University, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, 03722, Republic of Korea. monachoi@yuhs.ac. 3. Korea Armed Forces Nursing Academy, Jaun-ro 90, Yuseong-gu, Daejeon, 34059, Republic of Korea. 4. James Cook University, 1 James Cook Drive, Douglas, Townsville, QLD, 4811, Australia. 5. Tung Wah College, 31 Wylie Road, Kowloon, Hong Kong SAR, China. 6. The University of Newcastle, University Drive, Callaghan, NSW, 2308, Australia. 7. School of Nursing, Peking Union Medical College, No.9 Dong Dan San Tiao, Dongcheng, District, Beijing, 100730, China. 8. The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong SAR, China. 9. The School of Nursing, LKS Faculty of Medicine, The University of Hong Kong, 21, Sassoon Road, Pokfulam, Hong Kong SAR, China. 10. The Chinese University of Hong Kong, Shatin, NT, Hong Kong SAR, China. 11. Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima City, Hiroshima, 734-8551, Japan. 12. Research Institute of Nursing Care for People and Community, University of Hyogo, 13-71 Kitaohji-cho, Akashi, Hyogo, 673-8588, Japan. 13. The University of Auckland, Private Bag 92019, Auckland, 1142, New Zealand. 14. College of Nursing, University of the Philippines Manila, Pedro Gil St, Ermita, 1000, Manila, Metro Manila, Philippines. 15. University of Technology Sydney, 15 Broadway, Ultimo, NSW, 2007, Australia. 16. WHO Ethiopia Country Office, Menelik Avenue, PO Box 3069, Addis-Ababa, Ethiopia.
Abstract
BACKGROUND: The Western Pacific region constitutes one-quarter of the world's population and has diverse health needs. While dialogue on and promotion of advanced practice nurses are ongoing, this study investigated the current responsibilities of nurses in advanced roles, future healthcare needs, and the implications of these components for nurses' professional development within the Western Pacific region. METHODS: This study employed three phases, a descriptive survey on the current status of nurses in advanced roles in the Western Pacific region, followed by a Delphi survey, and exploratory interviews. A total of 55 national experts with clinical, academic, and/or government-related backgrounds from 18 countries participated from December 2017 - December 2018. The descriptive survey via email to identify the status of nurses in advanced roles and a working definition was developed. This formed the basis for the Delphi survey, which identified key barriers and challenges for enhancing the development of nurses in advanced roles within the country (round 1) and for the region (rounds 2 and 3). Lastly, semi-structured individual interviews were conducted to identify strategies for establishing nurses in advanced roles to improve equitable access to healthcare. RESULTS: Thirty-seven roles and characteristics were identified and categorized for nurses performing advanced roles. Emergency care, critical care, elderly health, child health, and rural/remote communities were identified as fields with particular need for nurses in advanced roles in the Western Pacific region. Providing effective services, influencing government leadership, and advocating for health system sustainability were deemed necessary to improve equitable healthcare access. We found that nurses in advanced roles are not limited to clinical tasks within the hospital but are poised for active participation in primary healthcare, education/teaching, professional leadership, quality management, and research. CONCLUSIONS: Demand for nurses in advanced roles is high in the Western Pacific region and 15 items were identified across five core strategic areas to enhance development of nurses in advanced roles. Governmental-level recommendations include establishing legislative protection, improving systems for remuneration, strengthening supportive channels, and conducting national needs assessments.
BACKGROUND: The Western Pacific region constitutes one-quarter of the world's population and has diverse health needs. While dialogue on and promotion of advanced practice nurses are ongoing, this study investigated the current responsibilities of nurses in advanced roles, future healthcare needs, and the implications of these components for nurses' professional development within the Western Pacific region. METHODS: This study employed three phases, a descriptive survey on the current status of nurses in advanced roles in the Western Pacific region, followed by a Delphi survey, and exploratory interviews. A total of 55 national experts with clinical, academic, and/or government-related backgrounds from 18 countries participated from December 2017 - December 2018. The descriptive survey via email to identify the status of nurses in advanced roles and a working definition was developed. This formed the basis for the Delphi survey, which identified key barriers and challenges for enhancing the development of nurses in advanced roles within the country (round 1) and for the region (rounds 2 and 3). Lastly, semi-structured individual interviews were conducted to identify strategies for establishing nurses in advanced roles to improve equitable access to healthcare. RESULTS: Thirty-seven roles and characteristics were identified and categorized for nurses performing advanced roles. Emergency care, critical care, elderly health, child health, and rural/remote communities were identified as fields with particular need for nurses in advanced roles in the Western Pacific region. Providing effective services, influencing government leadership, and advocating for health system sustainability were deemed necessary to improve equitable healthcare access. We found that nurses in advanced roles are not limited to clinical tasks within the hospital but are poised for active participation in primary healthcare, education/teaching, professional leadership, quality management, and research. CONCLUSIONS: Demand for nurses in advanced roles is high in the Western Pacific region and 15 items were identified across five core strategic areas to enhance development of nurses in advanced roles. Governmental-level recommendations include establishing legislative protection, improving systems for remuneration, strengthening supportive channels, and conducting national needs assessments.
Entities:
Keywords:
Advanced practice nursing; Health equity; Health services accessibility; Nurse²s role; Professional role
Authors: Randall S Hudspeth; Marjorie Vogt; Ken Wysocki; Oralea Pittman; Susan Smith; Cindy Cooke; Rita Dello Stritto; Karen Sue Hoyt; T Jeanne Merritt Journal: J Am Assoc Nurse Pract Date: 2015-12-23 Impact factor: 1.165
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