This paper discusses the development of advanced nursing practice in China in the context of global development.The scope of nursing is evolving over time,with increasing demands for the management of complex healthca...This paper discusses the development of advanced nursing practice in China in the context of global development.The scope of nursing is evolving over time,with increasing demands for the management of complex healthcare situations at individual,community and system levels.These demands are aggravated by the specialization of medical practice,with advanced treatment plans and patients requiring care in focused areas.The qualifications and competencies of the initial entrants into nursing practice are not adequate to deal with these demands.Advanced nursing practice(ANP)developed first in response to service demands,and education programs were introduced to prepare nurses for practicing at a higher level.This paper will first review the historical development of ANP in China,followed by a discussion of the differentiation of competence levels in nursing practice and the classification of specializations.It concludes by exploring how education in combination with experience protected by regulation of practice can support nurses to gradually evolve from registered nurse,specialty nurse to advanced practiced nurse.展开更多
Nursing practice has been expanded greatly with time passing by.One innovative form of nursing practice is nurse-led care.The term“nurse-led care/service”has been introduced in nursing discipline for years as early ...Nursing practice has been expanded greatly with time passing by.One innovative form of nursing practice is nurse-led care.The term“nurse-led care/service”has been introduced in nursing discipline for years as early as in 1960s[1].Later,several nurse-led services were reported in 1980s and 1990s[2-7].The common characteristics in these units were that the nurses provided additional things to improve patients'care,and the standard of practice was extremely high[8].The accelerating development of nurse-led care was triggered by the health care system reform in United Kingdom(UK)around 2000.In 1999,the UK government document‘Making a difference’was published[9],under the pressure of redesigning services to reduce waiting time and medical cost and to meet shortfalls in junior medical staffing[10].Since then,nurse-led care has been reported in increasing studies[11].展开更多
文摘This paper discusses the development of advanced nursing practice in China in the context of global development.The scope of nursing is evolving over time,with increasing demands for the management of complex healthcare situations at individual,community and system levels.These demands are aggravated by the specialization of medical practice,with advanced treatment plans and patients requiring care in focused areas.The qualifications and competencies of the initial entrants into nursing practice are not adequate to deal with these demands.Advanced nursing practice(ANP)developed first in response to service demands,and education programs were introduced to prepare nurses for practicing at a higher level.This paper will first review the historical development of ANP in China,followed by a discussion of the differentiation of competence levels in nursing practice and the classification of specializations.It concludes by exploring how education in combination with experience protected by regulation of practice can support nurses to gradually evolve from registered nurse,specialty nurse to advanced practiced nurse.
基金This review was the literature review part of an interventional study which was supported by Central Research Grant from the Hong Kong Polytechnic University(grant number:RU0Q)
文摘Nursing practice has been expanded greatly with time passing by.One innovative form of nursing practice is nurse-led care.The term“nurse-led care/service”has been introduced in nursing discipline for years as early as in 1960s[1].Later,several nurse-led services were reported in 1980s and 1990s[2-7].The common characteristics in these units were that the nurses provided additional things to improve patients'care,and the standard of practice was extremely high[8].The accelerating development of nurse-led care was triggered by the health care system reform in United Kingdom(UK)around 2000.In 1999,the UK government document‘Making a difference’was published[9],under the pressure of redesigning services to reduce waiting time and medical cost and to meet shortfalls in junior medical staffing[10].Since then,nurse-led care has been reported in increasing studies[11].
