Development of Advanced Nursing Practice in Hong Kong a.pptVIP

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2016-10-07 发布于重庆
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Development of Advanced Nursing Practice in Hong Kong a.ppt

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Development of Advanced Nursing Practice in Hong Kong a

Development of Advanced Nursing Practice in Hong Kong:a celebration of ten years’ work Frances Kam Yuet Wong Professor Associate Head School of Nursing The Hong Kong Polytechnic University Outline Factors that contribute to the development of Advanced Nursing Practice (ANP) The scenario of practice by Nurse Specialists (NSs) in the early 1990s The development of NS practice in the late 1990s to early 2000 Factors Contributing to the Development ofAdvanced Nursing Practice (ANPs) Differentiation of nursing work Nexus of work and profession in a cost containment environment Specialization of patient groups Enhancement of nursing education (1) Differentiation of Nursing Work Proletarianization Professionalization (2) Nexus of Work and Profession in a Cost Containment Environment (2) Nexus of Work and Profession in a Cost Containment Environment (3) Specialization of Patients Chronically ill patients become experts of their own illnesses Increased level of education Increased availability of health knowledge in the mass media and the web (4) Enhancement of Nursing Education Over 50% nurses possess a first degree Many studying for masters degree and doctorate degree Scenario of Practice by NSs in the Early 1990s Identity searching Being distinguished from RNs Scenario of Practice by NSs in the Early 1990s The main work involvement of NSs: Client care Patient education Staff development Quality improvement and research NS vs RN Work is NOT subject to routinization See clients by referrals (2) Consultation by Referrals Scenario of Practice in NSs in the Early 1990s Scenario of Practice in NSs in the Early 1990s Scenario of Practice in NSs in the Early 1990s Scenario of Practice in NSs in the Early 1990s 22 NSs appointed in 14 clinical areas in 1993 Definition of nursing specialties was somewhat arbitrary No credentialing and regulatory body to scrutinize the qualifications of the NSs and monitor their clinical competence The Development of NS Practice in the