Defining the urology nurse practitioner in Australia and New Zealand: A Delphi study.

IF 1.2 4区 医学
Susanne Quallich, Adam Cuthbertson-Chin, Helen Crowe
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引用次数: 0

Abstract

Background: Nurse practitioners with roles in specialty environments face challenges including uncertain role expectations and achieve urology expertise with on-the-job training, mentoring, and independent study. This creates a wide variety of preparation and role descriptions.

Purpose: This study employed Delphi methodology to identify essential components of the urology nurse practitioner (NP) role in Australia and New Zealand, representing an inaugural description of the role.

Methodology: This Delphi study was completed in two rounds. Participants were a nonrandom panel of experts with experience as a full-time urology NP.

Results: A definition for the urology NP in Australia and New Zealand is proposed: "The urology nurse practitioner uses critical thinking, complex decision-making, clinical reasoning, advanced assessment skills and clinical expertise, offering acute and chronic care to individuals needing urologic health care, including office-based urology procedures as appropriate. This care is provided in an environment of autonomous practice, with a basis of graduate education and relevant specialty clinical experience, and this practice can extend across health care settings and serve as a model to the wider NP profession."

Conclusions: Outpatient urology procedures were ranked highly and deemed integral to the Urology NP role. This may reflect the declining number of urologists and efforts to maintain urology access for local populations. Professional roles of the NP were given less weight by participants.

Implications: The project offers a contemporary definition of the urology NP role that can be offered to educators and other stakeholders as the role continues to evolve in Australia and New Zealand.

澳大利亚和新西兰泌尿科执业护士的定义:德尔菲研究。
背景:在专科环境中发挥作用的执业护士面临着各种挑战,包括不确定的角色期望,以及通过在职培训、指导和独立学习获得泌尿外科专业知识。目的:本研究采用德尔菲法确定澳大利亚和新西兰泌尿科执业护士(NP)角色的基本组成部分,代表了对该角色的初步描述:本德尔菲研究分两轮完成。参与者为具有全职泌尿科 NP 经验的专家组成的非随机小组:结果:提出了澳大利亚和新西兰泌尿科 NP 的定义:"泌尿科执业护士运用批判性思维、复杂决策、临床推理、高级评估技能和临床专业知识,为需要泌尿科健康护理的个人提供急性和慢性护理,包括适当的诊室泌尿科程序。这种护理是在研究生教育和相关专业临床经验的基础上,在自主实践的环境中提供的,这种实践可以扩展到各种医疗机构,并成为更广泛的 NP 专业的典范:泌尿科门诊程序的排名很高,被认为是泌尿科 NP 角色不可或缺的一部分。这可能反映了泌尿科医生数量的减少,以及为当地居民提供泌尿科服务所做的努力。参与者对 NP 专业角色的重视程度较低:该项目提供了泌尿科 NP 角色的现代定义,随着澳大利亚和新西兰泌尿科 NP 角色的不断发展,该定义可提供给教育工作者和其他利益相关者。
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来源期刊
自引率
16.70%
发文量
172
期刊介绍: The Journal of the American Association of Nurse Practitioners (JAANP) is a monthly peer-reviewed professional journal that serves as the official publication of the American Association of Nurse Practitioners. Published since 1989, the JAANP provides a strong clinical focus with articles related to primary, secondary, and tertiary care, nurse practitioner education, health policy, ethics and ethical issues, and health care delivery. The journal publishes original research, integrative/comprehensive reviews, case studies, a variety of topics in clinical practice, and theory-based articles related to patient and professional education. Although the majority of nurse practitioners function in primary care, there is an increasing focus on the provision of care across all types of systems from acute to long-term care settings.
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