监督和支持高级实践提供者进入精神病学实践。

IF 5.5 2区 医学 Q1 PSYCHIATRY
Current Psychiatry Reports Pub Date : 2025-08-01 Epub Date: 2025-05-29 DOI:10.1007/s11920-025-01615-7
Luming Li, Janet Gates, Arthur Westover, Joshua Hubregsen, Jennifer Perez, Annette Mancuso, Adam Brenner
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引用次数: 0

摘要

本综述的目的:本综述探讨了高级执业医师(APPs),如执业护士和医师助理,在精神病学执业和相关监管方面的作用。最近的发现:近年来,精神病学app的数量显著增加,数据表明劳动力大幅增加。app接受的临床培训时间比精神科医生少得多。目前的文献表明,app在最初的实践中表现出不足的感觉,这加强了对结构化监督和研究生培训计划的需求。APP监管的标准化最佳实践在很大程度上仍未定义。作者严格审查了最近与精神病学应用程序实践相关的文献,并提出了多层次监督模式、持续能力评估和质量监测以及组织监督的建议,以支持应用程序成功整合到精神病学实践中。未来的研究和评价应侧重于评估监管策略的有效性及其对APP临床结果的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Supervision and Support for Advanced Practice Providers Entering Psychiatric Practice.

Purpose of the review: This review examines the role of advanced practice providers (APPs), such as nurse practitioners and physician assistants, in psychiatric practice and related supervision considerations.

Recent findings: The number of psychiatric APPs has increased significantly in recent years, with data indicating substantial workforce expansion. APPs receive substantially fewer supervised clinical hours in training than psychiatrists. Current literature suggests that APPs report perceived feelings of inadequacy in their initial practice years, reinforcing the need for structured supervision and post-graduate training programs. Standardized best practices for APP supervision remain largely undefined. The authors critically examined recent literature related to APP practice in psychiatry and provide recommendations for a multi-tiered supervision model, ongoing competency assessments and quality monitoring, and organizational oversight to support successful integration of APPs into psychiatric practice. Future research and evaluation should focus on assessing the efficacy of supervision strategies and their impact on APP clinical outcomes.

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来源期刊
CiteScore
11.30
自引率
3.00%
发文量
68
审稿时长
6-12 weeks
期刊介绍: This journal aims to review the most important, recently published research in psychiatry. By providing clear, insightful, balanced contributions by international experts, the journal intends to serve all those involved in the care of those affected by psychiatric disorders. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as anxiety, medicopsychiatric disorders, and schizophrenia and other related psychotic disorders. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.
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