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Original Article

Importance, Satisfaction and Contribution of Advanced Practice Nurses' Role Recognized by Health Care Professionals

Journal of Korean Academy of Nursing Administration 2011;17(2):168-179.
Published online: June 30, 2011

1Chief Nursing Officer, Samsung Medical Center; Associate Professor, Department of Clinical Nursing Science, Sungkyunkwan University School of Medicine, Korea.

2Director, Department of Nursing Staff Development, Samsung Medical Center; Associate Professor, Department of Clinical Nursing Science, Sungkyunkwan University School of Medicine, Korea.

3Director, Department of Oncology Nursing, Samsung Medical Center; Professor, Department of Clinical Nursing Science, Sungkyunkwan University School of Medicine, Korea.

4Critical Care Advanced Practice Nurse, Department of Nursing, Samsung Medical Center, Korea.

5Oncology Advanced Practice Nurse, Department of Nursing, Samsung Medical Center, Korea.

Correspondence: Baek, Hye Jin. Department of Nursing, Samsung Medical Center, 50 Ilwon-Dong, Gangnam-Gu, Seoul 135-710, Korea. Tel: 82-2-3410-2861, Fax: 82-2-3410-6219, hj100.baek@samsung.com
• Received: January 17, 2011   • Revised: April 23, 2011   • Accepted: April 23, 2011

Copyright © 2011 Korean Academy of Nursing Administration

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  • Purpose
    The purpose of this study was to identify level of recognition of the importance, satisfaction and contribution of APNs' role by physicians, nurses, and advanced practice nurses.
  • Method
    Perceived importance and satisfaction were measured with a 23-item questionnaire on APN role with 5 subcategories. APNs' contribution was investigated using a 13-item outcome questionnaire developed by the researchers. Between August 15 and October 31, 2009, the researchers collected data from 68 physicians, 265 nurses, and 23 APNs all working in a single tertiary hospital. Data were analyzed using descriptive statistics, Kruskal-Wallis Test with Bonferroni's Correction and scatter plot.
  • Result
    The importance (3.24~3.39, 4 point scale), satisfaction (3.02~3.13, 4 point scale), and contribution of APNs' role (3.39~4.12, 5 point scale) were well recognized by the health care professionals. All the three health care professional groups rated APNs' contribution high in medical service management, continuity of care, patient accessibility, improvement in patient satisfaction, and patient and family education. 'Importance-Satisfaction Analysis' showed that patient data management by APNs needed greater effort.
  • Conclusions
    The findings show that the importance, satisfaction, contribution of APNs' role are recognized, and indicate a need for further development of APNs' role through efforts to overcome the gaps identified through this research.
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Figure 1
Importance-satisfaction analysis of APNs' role
jkana-17-168-g001.jpg
Table 1
Characteristics of participants (N=356)
jkana-17-168-i001.jpg

APN=Advanced Practice Nurse; ICU=Intensive Care Unit; OB&GY=Obstetrics & Gynecology

Table 2
Importance and satisfaction of APNs' role recognized by physician, nurse and APNs (N=356)
jkana-17-168-i002.jpg

Least Significance Difference(LSD) test

Table 3
Contribution of APNs' role recognized by physicians, nurses and APNs (N=356)
jkana-17-168-i003.jpg

Mean≥4.0, ††Mean≥4.5

LSD= Least Significance Difference test

Figure & Data

References

    Citations

    Citations to this article as recorded by  
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    Importance, Satisfaction and Contribution of Advanced Practice Nurses' Role Recognized by Health Care Professionals
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    Figure 1 Importance-satisfaction analysis of APNs' role
    Importance, Satisfaction and Contribution of Advanced Practice Nurses' Role Recognized by Health Care Professionals

    Characteristics of participants (N=356)

    APN=Advanced Practice Nurse; ICU=Intensive Care Unit; OB&GY=Obstetrics & Gynecology

    Importance and satisfaction of APNs' role recognized by physician, nurse and APNs (N=356)

    Least Significance Difference(LSD) test

    Contribution of APNs' role recognized by physicians, nurses and APNs (N=356)

    Mean≥4.0, ††Mean≥4.5

    LSD= Least Significance Difference test

    Table 1 Characteristics of participants (N=356)

    APN=Advanced Practice Nurse; ICU=Intensive Care Unit; OB&GY=Obstetrics & Gynecology

    Table 2 Importance and satisfaction of APNs' role recognized by physician, nurse and APNs (N=356)

    Least Significance Difference(LSD) test

    Table 3 Contribution of APNs' role recognized by physicians, nurses and APNs (N=356)

    Mean≥4.0, ††Mean≥4.5

    LSD= Least Significance Difference test

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