Evolution of advanced practice nursing in acute care in Germany: A cross-sectional study of nurses' scope of practice.

Autor: von der Lühe V; University of Cologne, Faculty of Medicine and University Hospital Cologne, Institute of Nursing Science, Cologne, Germany., Roos M; University of Cologne, Faculty of Medicine and University Hospital Cologne, Institute of Nursing Science, Cologne, Germany., Adams A; University of Cologne, Faculty of Medicine and University Hospital Cologne, Institute of Medical Statistics and Computational Biology, Cologne, Germany., Scholten N; University of Cologne, Faculty of Human Sciences and Faculty of Medicine and University Hospital Cologne, Institute of Medical Sociology, Health Services Research and Rehabilitation Science, Chair of Health Services Research, Cologne, Germany., Köpke S; University of Cologne, Faculty of Medicine and University Hospital Cologne, Institute of Nursing Science, Cologne, Germany., Dichter MN; University of Cologne, Faculty of Medicine and University Hospital Cologne, Institute of Nursing Science, Cologne, Germany.
Jazyk: angličtina
Zdroj: International nursing review [Int Nurs Rev] 2024 Jun; Vol. 71 (2), pp. 352-361. Date of Electronic Publication: 2023 Nov 15.
DOI: 10.1111/inr.12907
Abstrakt: Aim: To describe activities and professional characteristics of nurses in expanded roles in acute care in Germany and achieve a greater understanding of the current situation of advanced practice nursing.
Background: Advanced practice nursing plays an important role in meeting increased demands in healthcare and promoting high-quality care.
Introduction: In Germany, advanced practice nursing is still at an early stage with a lack of studies describing the scope of practice of nurses in expanded roles.
Methods: We conducted a cross-sectional-study using a paper-and-pencil questionnaire. In a nationwide convenience sample, we surveyed nurses with an academic degree, who work in an acute care hospital and take over expanded roles in direct patient care. Reporting followed the STROBE checklist.
Results: Of 108 eligible nurses, 84 (77%) completed the survey. The majority had a Master's degree (63.1%) and the average work experience was 18.2 years. Participants carried out activities in all the domains that were queried (direct clinical practice, guidance and coaching, consultation, leadership and research) with differences within and between domains. Foci were on direct clinical practice and coaching and guidance.
Discussion: In Germany, qualifications are nearing the international standard of advanced practice nursing. Results suggest that participants partly undertake activities within the scope of registered nurses' practice that do not correspond fully to their formal qualifications.
Conclusion and Implications for Nursing And/or Health Policy: In order to foster the role development of expanded practice nurses in Germany, political efforts are needed in terms of training (e.g. specific Master's programmes), funding of corresponding positions in practice and control mechanisms (e.g. professional registration).
(© 2023 The Authors. International Nursing Review published by John Wiley & Sons Ltd on behalf of International Council of Nurses.)
Databáze: MEDLINE
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