日本护理现状及分析.pptVIP

* * * * * * . * * * * * * * * Advanced Practice Nursing “practice based on the knowledge and skills acquired in basic nursing education, through licensure as a registered nurse, and in graduate education and experience, including advanced nursing theory, physical and psychosocial assessment, and treatment of illness” (National Council on State Boards of Nursing, Position Paper on the Licensure of Advanced Nursing Practice. Chicago: NCSBN, 1992, p.6.) * Nurse Practitioner (NP) Direct interventions Health assessment Risk appraisal Health education and counseling Diagnosis and management of acute minor illnesses and injuries Management of chronic conditions (M.Stafford J. Appleyard, In J. McCloskey H.K. Grace (ed.), 1994) * Clinical Nurse Specialist (CNS) Deliver, design, and test nursing interventions to prevent, lessen, or alleviate illness experiences Assure patient safety Improve the quality of nursing care Perform systems analyses Conduct cost-benefit analyses Advance evidence-based nursing practice (National Association of Clinical Nurse Specialists . Statement on Clinical Nurse Specialist Practice and Education. 2nd Edition, 2004) * Certified Nurse Specialist (CNS) of JNA Person recognized to have outstanding nursing abilities in designated specialist categories Expert nursing practice Education Consultation Coordination Research * Certified Nurse Specialist (CNS) of JNA Designated specialist categories (10 categories) ①Cancer nursing ②Adult health nursing (chronic care) ③Maternity nursing ④Child health nursing ⑤Gerontological Nursing ⑥Mental health nursing ⑦Family nursing ⑧Infection nursing ⑨Community health nursing ⑩Critical care Numbers of CNS 　102 (as of March 1, 2005) Cancer nursing ………….44 Adult health nursing (chronic care) ….4 Mental health nursing …..25 Maternity nursing ……..…….4 Child health nursing …....12 Critical care ………….………4 Gerontological nursing …..6 Community