The first evaluation of the advanced practice nurse role in Finland - the perspective of nurse leaders.

摘要

AIMS: The aim of this study is to explore and describe nurse leaders' (NLs) experiences of the role of advanced practice nurses (APNs). BACKGROUND: The first group of advanced practice nurses (17) in Finland graduated in 2006 and were thereafter employed by seven different organizations in more or less clearly defined advanced practice nurses roles. METHODS: Seven nurse leaders at the relevant organizations were interviewed a year after the introduction of the advanced practice nurses role. Content analysis was used to analyze the data. RESULTS: All of the nurse leaders emphasized the importance of the advanced practice nurses role in their organization. The advanced practice nurses' scope of practice comprised a more autonomous and independent role than registered nurses. Advanced practice nurses are an important resource in the care of patients with chronic diseases and acute health problems. An important aspect regarding support for the advanced practice nurses role is the provision of information to all health-care personnel and patients about the role and clearly defined areas of responsibility. CONCLUSIONS: Advanced practice nurses are an important resource in the development of evidence-based nursing and improve the availability of health-care services for patients. IMPLICATIONS FOR NURSING MANAGEMENT: Nurse leaders are responsible for creating sustainable structures and the prerequisites needed for advanced practice nursing through the formation of supportive organizational systems.