Professional Advancement Models for Nurse Practitioners and Physician Associates/Assistants: A historical overview and opportunities for future growth.

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2024-10-29 DOI:10.1097/JXX.0000000000001052

Liza Hillel, Lauren Lasker

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Abstract

Abstract: Professional advancement models (PAM) are paramount in the growth of nurse practitioners (NP) and physician associates/assistants (PA) who seek professional challenges, clinical recognition, job satisfaction, upward mobility, and incentives for retention. Professional advancement models for NPs and PAs were born out of literature on clinical career ladders that date back to the 1970s for the nursing work force. Over time, PAMs have evolved to offer NPs and PAs structured pathways to guide and reward professional growth, education, advocacy, research, and quality improvement (QI). Although the first institutional account of PAM development for NPs and PAs was published in 1998, there has been a recent spike in case reports of PAMs from individual medical centers. This article (1) provides a historical timeline of published data on the development and implementation of PAMs for NPs and PAs, (2) critiques features of existing PAMs, and (3) offers recommendations regarding PAM innovation for more uniform adoption in medical institutions across the country.

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执业护士和助理医师/助理医师的专业晋升模式：历史回顾与未来发展机遇。

摘要：职业晋升模式（PAM）对执业护士（NP）和助理医师（PA）的成长至关重要，他们寻求职业挑战、临床认可、工作满意度、上升空间和留任激励。NP 和 PA 的职业晋升模式源于 20 世纪 70 年代护理人员的临床职业阶梯文献。随着时间的推移，PAM 不断发展，为 NP 和 PA 提供了结构化的途径，以指导和奖励专业成长、教育、宣传、研究和质量改进 (QI)。尽管 1998 年发表了第一份关于为 NP 和 PA 制定 PAM 的机构报告，但最近来自个别医疗中心的 PAM 案例报告激增。本文(1)提供了有关为 NP 和 PA 开发和实施 PAM 的已发表数据的历史年表，(2)批评了现有 PAM 的特点，(3)提出了有关 PAM 创新的建议，以便在全国医疗机构中更统一地采用。

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来源期刊

Journal of the American Association of Nurse Practitioners Nursing-General Nursing

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.