[Advanced Nursing Practice (ANP) in the practice of mental health nursing in Germany: A phenomenological study].

IF 0.8 4区医学 Q4 NURSING Pflege Pub Date : 2023-06-01 DOI:10.1024/1012-5302/a000921

Katja Weidling, Gitte Herwig, Gertrud M Ayerle

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Abstract

Advanced Nursing Practice (ANP) in the practice of mental health nursing in Germany: A phenomenological study Abstract. Background: The wide variety and constantly changing selection of offered psychiatric care services, in combination with the demand for high quality nursing practice supports the integration of Advanced Practice Nurses (APN). The literature presents a multifaceted picture of APNs working in psychiatric services. Individually chosen emphasis was especially prevalent in the field of care. Gaps in research persist concerning the clinical scope of responsibility. Aim: How does the ANP phenomenon find expression in German clinical psychiatric practice? Method: The dataset comprises problem-focused interviews with three expert APNs from different hospitals. The interviews took place between April and October 2019. Applied phenomenology was used to analyze and interpret the dataset. Results: Soft skills and clinical leadership are pivotal competencies for APNs to perform efficiently in clinical practice. Profound life and work experience are key factors in terms of impact. Conclusions: To perform efficiently, APNs require professional and methodological knowledge at a master's level, profound soft skills as well as clinical leadership expertise. Higher education and further curricular training are required. Establishing APNs in clinical psychiatric practice depends primarily on the decisions of managers in nursing. The management of nursing needs to adopt new care structures that allow APNs to implement their qualifications in the psychiatric care system.

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高级护理实践(ANP)在德国心理健康护理实践中的应用:现象学研究。

德国心理健康护理实践中的高级护理实践(ANP):现象学研究背景:广泛的种类和不断变化的选择提供精神科护理服务，结合对高质量护理实践的需求，支持高级执业护士(APN)的整合。文献提出了在精神病学服务工作的apn的多方面的画面。个人选择的重点在护理领域尤其普遍。关于临床责任范围的研究仍然存在差距。目的:ANP现象在德国临床精神病学实践中是如何表现的?方法:数据集包括对来自不同医院的三位apn专家的问题访谈。采访于2019年4月至10月期间进行。应用现象学对数据集进行分析和解释。结果:软技能和临床领导能力是APNs在临床实践中有效发挥作用的关键能力。深刻的生活和工作经验是影响的关键因素。结论:为了有效地开展工作，apn需要硕士水平的专业知识和方法知识，深厚的软技能和临床领导专业知识。需要接受高等教育和继续课程培训。在临床精神病学实践中建立apn主要取决于护理管理者的决策。护理管理需要采用新的护理结构，允许apn在精神科护理系统中实施他们的资格。

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

Pflege NURSING-

CiteScore

1.40

自引率

20.00%

发文量

审稿时长

>12 weeks

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