Differentiating Specialized and Advanced Nursing Roles: The Pathway to Role Optimization.

Q3 Medicine Nursing leadership (Toronto, Ont.) Pub Date : 2023-04-01 DOI:10.12927/cjnl.2023.27123

Krista Jokiniemi, Denise Bryant-Lukosius, Josette Roussel, Kelley Kilpatrick, Ruth Martin-Misener, Joan Tranmer, Sarah Rietkoetter, Marcia Carr, Gregory R Pond

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Abstract

Aim: We aimed to differentiate the practice patterns of nurses in specialized and advanced roles in a cross-sectional study.

Method: Canadian nurses completed a self-report questionnaire (June 2017-September 2017). Demographic data and time spent in five domains of advanced practice were compared across three nurse groups. Regression analysis examined factors associated with domain involvement.

Results: Respondents (n = 1,107) represented all provinces/territories, including 396 specialized nurses (SNs), 211 clinical nurse specialists (CNSs) and 490 nurse practitioners (NPs). Nurses across all groups were the most involved in direct comprehensive care and the least involved in research. NPs were more involved in direct comprehensive care compared to CNSs (p < 0.001) and SNs (p < 0.001). CNSs were more involved than SNs and NPs in support of systems, education, research and professional leadership (p < 0.001). Role type, years as an advanced practice nurse and specialist certification were modest predictors of domain involvement.

Conclusion: Distinguishing how specialized and advanced nursing roles contribute to healthcare can inform policies to support their optimal utilization in healthcare systems.

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区分专科和高级护理角色:角色优化的途径。

目的:在横断面研究中，我们旨在区分专科护士和高级护士的执业模式。方法:加拿大护士于2017年6月- 2017年9月完成一份自我报告问卷。人口统计数据和时间花在五个领域的高级实践在三个护士组进行比较。回归分析检查了与领域介入相关的因素。结果:调查对象(n = 1107)来自全国各省/地区，其中专科护士(SNs) 396人，临床专科护士(CNSs) 211人，执业护士(NPs) 490人。所有组的护士参与直接综合护理最多，参与研究最少。NPs比CNSs (p < 0.001)和SNs (p < 0.001)更多地参与直接综合护理。CNSs在系统支持、教育、研究和专业领导方面的参与程度高于SNs和NPs (p < 0.001)。角色类型，作为高级执业护士的年数和专家认证是领域参与的适度预测因素。结论:区分专业和高级护理角色对医疗保健的贡献可以为政策提供信息，以支持其在医疗保健系统中的最佳利用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Nursing leadership (Toronto, Ont.) Medicine-Medicine (all)

CiteScore

3.20

自引率

0.00%

发文量

期刊介绍： The global nursing shortage and statistics indicating a steady increase in the cancer patient workload suggest that the recruitment and retention of oncology nurses is and will be a serious problem. The purpose of this research study was to examine oncology nursing work environments in Canada.