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引文資料
題名:
The Experience of Role Transition in Acute Care Nurse Practitioners in Taiwan under the Collaborative Practice Model
書刊名:
The Journal of Nursing Research
作者:
張維琴
/
穆佩芬
/
蔡秀鸞
作者(外文):
Chang, Wei-chin
/
Mu, Pei-fan
/
Tsay, Shiow-luan
出版日期:
2006
卷期:
14:2
頁次:
頁83-92
主題關鍵詞:
Acute care nurse practitioner
;
Role transition
;
Collaborative model
;
Nursing
;
準急性照護專科護理師
;
角色轉變
;
合作模式
;
護理
原始連結:
連回原系統網址
相關次數:
被引用次數:期刊(
2
) 博士論文(0) 專書(0) 專書論文(0)
排除自我引用:
2
共同引用:0
點閱:19
準急性照護專科護理師之角色是自1990年代開始,當時是由於急性照護場所缺乏實習醫師及住院醫師所造成。第一年對準急性照護專科護理師的角色轉變,他們學習對住院病患提供高品質健康照護的能力。至今,這些新興角色轉變過程之經驗也尚未被探討。本研究目的旨在了解醫護合作模式中,準急性照護專科護理師第一年經歷角色轉變之經驗。本研究以質性調查法,深入調查訪問臺灣某一醫學中心內10位在醫護合作模式下之準急性照護專科護理師其參加ACNP標準教育訓練者之第一年角色轉變的經驗歷程。研究結果顯示這些資深護理人員在醫護合作模式下轉變成準急性照護專科護理師的第一年需經歷以下三個時期:角色模糊期、角色獲得期及角色執行期。其每個時期皆包含許多次要的經驗特質。醫護合作模式中,準急性照護專科護理師第一年的角色轉變經驗需經歷某些時期,本研究將強調要成為準急性照護專科護理師之首年的經驗歷程、困難及現況。
以文找文
The role of the acute care nurse practitioner in Taiwan has changed significantly since the 1990s due in significant part to a shortage of interns and resident physicians in acute care settings. The first year of professional practice represents an important transitional year during which new professionals develop their competency to provide high-quality care to hospitalized patients. As the actual experience of individuals undergoing this transitional process into their new role has yet to be fully explored, this research studied and categorized the experiences of acute care nurse practitioners during their first year of role transition under the collaborative model of practice. We used a qualitative inquiry method with in-depth interviews to investigate the relevant experiences of 10 acute care nurse practitioners working at a medical center in Taiwan. Results show that the experience of expert nurses in their transition to acute care nurse practitioners passed through three phases during the first year under the collaborative practice model. These phases include the role ambiguity, role acquisition, and role implementation phases. Each phase contained a set of sub-themes which describe the multiple dimensions of this experience. This study highlights the experiences, stresses and accomplishments of acute care nurse practitioners during their initial year of advanced practice.
以文找文
期刊論文
1.
Schumacher, K. L.、Meleis, A. I.(1994)。Transitions: A Central Concept in Nursing。IMAGE: The Journal of Nursing Scholarship,26(2),119-127。
2.
Baggs, J. G.、Schmitt, M. H.(1998)。Collaboration between Nurses and Physicians。IMAGE: The Journal of Nursing Scholarship,20,145-149。
3.
Brown, M. A.、Olshansky, E. F.(1997)。From Limbo to Legitimacy: A Theoretical Model of the Transition to the Primary Care Nurse Practitioner Role。Journal of Advanced Nursing,46(1),46-51。
4.
Brown, M. A.、Olshansky, E. F.(1998)。Becoming a Primary Care Nurse Practitioner: Challenges of the Initial Year of Practice。Nurse Practitioner,23(7)。
5.
Burnard, Philip(1991)。A Method of Analyzing Interview Transcripts in Qualitative Research。Nurse Education Today,11,461-466。
6.
Cummings, G. G.、Fraser, K.、Tarlier, D. S.(2003)。Implementing Advanced Nurse Practitioner Roles in Acute Care: An Evaluation of Organizational Change。Journal of Nursing Administration,33(3),139-145。
7.
Davies, B.、Hughes, A. M.(1995)。Clarification of Advanced Nursing Practice: Characteristics and Competencies。Clinical Nurse Specialist,9(3),156-160。
8.
Fagin, C. M.(1992)。Collaboration between Nurses and Physicians: No Longer a Choice。Academic Medicine: Journal of the Association of American Medical Colleges,67(5),295-303。
9.
Green, A.、Davis, S.(2005)。Toward a Predictive Model of Patient Satisfaction with Nurse Practitioner Care。Journal of the American Academy of Nurse Practitioners,17(4),139-148。
10.
Hoffman, L. A.、Tasota, F. J.、Zullo, T. G.、Scharfenberg, C.、Donahoe, M. P.(2005)。Outcome of Care Managed by an Acute Care Nurse Practitioner/attending Physician Team in a Subacute Medical Intensive Care Unit。American Journal of Critical Care,14(2),121-129。
11.
Klein, T. A.(2004)。Scope of Practice and the Nurse Practitioner: Regulation, Competency, Expansion, Evolution。Topics in Advanced Practice Nursing,4(4),6-12。
12.
Kleinpell, R. M.、Faut-Callahan, M.、Lauer, K.、Kremer, M. J.、Murphy, M.、Sperhac, A.(2002)。A Collaboration Practice in Advanced Practice Nursing in Acute Care。Critical Care Nursing Clinics of North America,14(3),307-313。
13.
Marfell, J. A.(2002)。Clinical Practice Opportunities for Advanced Practice Nurses。Critical Care Nursing Clinics of North America,14,223-229。
14.
Meleis, A. I.(1975)。Role Insufficiency and Role Supplementation: A Conceptual Framework。Nursing Research,24(4),264-272。
15.
Talarczyk, G.、Milbrandt, D.(1988)。A Collaborative Effort to Facilitate Role Transition from Student to Registered Nurse Practitioner。Nursing Management,19(2),30-32。
16.
Whitehead, D.(2001)。Applying Collaborative Practice to Health Promotion。Nursing Standard,15(20),33-37。
圖書
1.
Grove, S. K.、Burns, N.(1999)。Understanding Nursing Research。Understanding Nursing Research。Philadelphia, PA:W. B. Saunders。
2.
Guba, E. G.、Lincoln, Y. S.(1984)。Naturalistic inquiry。Newbury Park, CA:Sage。
3.
Miles, Matthew B.、Huberman, A. Michael(1984)。Qualitative data analysis: A sourcebook of new methods。Sage Publications。
4.
Benner, Patricia(1984)。From Novice to Expert: Excellence and Power in Clinical Nursing Practice。Addison-Wesley Publishing Company。
5.
Berelson, B.(1954)。Content Analysis。Handbook for Social Psychology: Theory and Method。Reading, MA。
6.
Burr, W. R.、Leigh, G. K.、Day, R. D.、Constantine, J.(1979)。Symbolic Interaction and the Family。Contemporary Theories about the Family, Vol II。New York, NY。
7.
Conway, M. E.(1978)。Theoretical Approaches to the Study of Roles。Role Theory: Perspectives for Professionals。Norwalk, CT。
8.
Creasia, J. L.、Parker, B.(1991)。Conceptual Foundations of Professional Nursing Practice。Conceptual Foundations of Professional Nursing Practice。St. Louis, MO。
9.
Hamric, A. B.、Taylor, J. W.(1989)。Role Development of the CNS。The Clinical Nurse Specialist in Theory and Practice。Philadelphia。
10.
李選(1996)。護理研究與應用。護理研究與應用。臺北市。
延伸查詢
11.
論壇醫療人員培育及醫療制度委員會專科護理師培育專責小組(2003)。專科護理師培育計畫暨執業規範建議書。專科護理師培育計畫暨執業規範建議書。Taipei。
延伸查詢
圖書論文
1.
Hardy, M. E.(1978)。Role stress and role strain。Role Theory: Perspectives for Health Professionals。N. Y.:Appleton-Centuey-Crofts。
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