Journal of Korean Academy of Nursing

Research Paper

Intention to Delegate Clinical Practice of Medical Specialists in Accordance with the Enactment of the Scope of Practice for Advanced Practice Nurses: Kim, Min Young , Choi, Su Jung , Kim, Jeong Hye , Leem, Cho Sun , Kang, Young-ah; J Korean Acad Nurs 2023;53(1):39-54. Published online February 28, 2023; DOI: https://doi.org/10.4040/jkan.22098

Purpose
This study aimed to investigate the nationwide intention to delegate clinical practice of medical specialists in accordance with the enactment of the scope of practice for advanced practice nurses (APNs).
Methods
Data were collected from October to December 2021 using Google Surveys. In total, 147 medical specialists from 12 provinces responded to the survey. The survey questionnaire was categorized into four legislative draft duties, according to the scope of practice (a total of 41 tasks): Twenty-nine tasks on treatments, injects, etc., performed under the guidance of a physician and other activities necessary for medical treatment (treatment domain); two tasks on collaboration and coordination; six tasks on education, counseling, and quality improvement; four regarding other necessary tasks. Participants were asked whether they were willing to delegate the tasks to APN.
Results
The intention to delegate tasks to APN was higher for non-invasive tasks such as blood sampling (97.3%) or simple dressing (96.6%). Invasive tasks such as endotracheal tube insertion (10.2%), sampling: bone marrow biopsy & aspiration (23.8%) showed low intention to delegate in the treatment domain. Participants who were older, male, and had more work careers with APN, showed a higher intention to delegate tasks.
Conclusion
To prevent confusion in the clinical setting, a clear agreement on the scope of APN practice as APN delegated by physicians should be established. Based on this study, legal practices that APN can perform legally should be established.

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Original Articles

Task Analysis of Korean Transplantation Nurse Practitioner: Soo Ja Byun, Hee Kyung Kim, Ae Ri Kim, Hee Sun Ha, Kyung Ok Joen; Journal of Korean Academy of Nursing 2003;33(2):179-188. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2003.33.2.179

Abstract PDF

Purpose

This study was designed to create the job description of Korean transplantation nurse practitioner and examine performance frequencies, criticality, and difficulties of task elements.

Method

The sample consisted of 63 nurses and coordinators who performed duties related to transplantation at medical center in Korea. A survey method was used, and the questionnaire included frequencies, criticality, and difficulties of task elements in job description by the DACUM method. Using SPSS WIN 10.0, descriptive statistics such as frequency distribution, means, and standard deviations were conducted to examine the subject's general characteristics, the frequencies, criticality, and difficulties of task performance.

Result

The job description of transplantation nurse practitioners revealed 5 duties, 22 tasks, and 85 task elements. On the all five duties, the averages of the performance frequency, criticality, and difficulty were 2.41, 3.38, and 2.78, meaning that the respondents rarely perform the 5 duties, but consider them critical and easy to perform.

Conclusion

The job description of the transplantation nurse practitioner included duty, task, and task element and definition of job completed. Thus we recommended a data based trial to confirm and validate the information gathered.

Citations

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Workforce, task performance, and analysis of organ transplant coordinators in Korea: a survey study
Suhee Kim, Sun Young Son, Man Ki Ju, Seungheui Hong, Ji Yeon Park, Hyung Sook Kim
Clinical Transplantation and Research.2024; 38(3): 222. CrossRef
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Job Analysis of Nurse Care Coordinators for Chronic Illness Management in Primary Care Settings: Using Developing a Curriculum Process
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Journal of Korean Academy of Nursing.2021; 51(6): 758. CrossRef
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Sungjae Kim, Soo Mi Jang
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Job Analysis of Clinical Research Coordinators Using the DACUM Process
Hyun-Sook Kang, Haeng-Mi Son, Nan-Young Lim, Kyung-Sook Cho, Sung-Bok Kwon, Yeo-Jin Yi, Young-Sook Park, Eun-Hee Lee, Joo-Hyun Kim, Hye-Ja Han, Jung-Mi Baik, Younhee Jeong
Journal of Korean Academy of Nursing.2012; 42(7): 1027. CrossRef
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Task Analysis of the Job Description of Gerontological Nurse Practitioners based on DACUM
Keum Soon Kim, Yeon-Hwan Park, Nan Young Lim
Journal of Korean Academy of Nursing.2008; 38(6): 853. CrossRef

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Development of a Resource-based Relative Value Scale and Its Conversion Factor for Advanced Nursing Practices in the National Health Insurance: Jin Hyun Kim, Myung Ae Kim, Mi Won Kim, Kyung Sook Kim, Cheong-Suk Yoo; J Korean Acad Nurs 2011;41(3):302-312. Published online June 13, 2011; DOI: https://doi.org/10.4040/jkan.2011.41.3.302

Abstract PDF

Purpose

The purpose of this study was to develop a resource-based relative value scale (RBRVS) and its conversion factor for advanced nursing practices carried out by critical care nurse practitioners (CCNP) in intensive care units.

Methods

The methodology was developed by calculating CCNP's RBRVS for 32 advanced nursing services based on CCNP's workload and time spent in the context of national health insurance. A cost analysis was performed to estimate the conversion factor of CCNP's RBRVS. The share of CCNP's contribution to fee-for-service in intensive care units was also analyzed.

Results

Calculation of the RBRVS of 32 advanced nursing practices showed a range of points from 100.0 to 1,181.4 and an average of 296.1 points. The relevant conversion factor for advanced nursing practices in CCNP were estimated at 37.3-48.4 won. The contribution rate of CCNP's advanced nursing practices in the relative value scale of the national health insurance was estimated at 0.1-31.3%.

Conclusion

Measuring the economic value of advanced nursing services will be a basis for esta-blishing a reimbursement system for CCNP's practices and thus encourage a social demand for advanced nurse practitioners.

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Measuring the Work Relative Value of Common Nursing Items for the General Departments of Tertiary Hospitals: A Descriptive Study
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Task Analysis of the Job Description of Gerontological Nurse Practitioners based on DACUM: Keum Soon Kim, Yeon-Hwan Park, Nan Young Lim; J Korean Acad Nurs 2008;38(6):853-865. Published online December 31, 2008; DOI: https://doi.org/10.4040/jkan.2008.38.6.853

Abstract PDF

Purpose

The aim of this study was to develop and to analyze the task of gerontological nurse practitioners (GNPs) in Korea.

Methods

The definition of GNP and job description was developed based on developing a curriculum (DACUM) by 7 panels who have experienced in DACUM analysis and gerontological nursing. One hundred sixty nurses who were working at long term care facilities were participated. The questionnaire included frequency, importance, and difficulty of duties, tasks, and task elements. The data were collected in November 2006, analyzed by descriptive statistics.

Results

The job description of GNPs in Korea revealed 5 duties, 23 tasks, and 86 task elements. On the all five duties, the highest duty in frequency and in importance was professional nursing care (3.25±0.35, 3.49±0.29). But the highest duty in difficulty was research (3.24±0.46). 'Prevent health problem (3.42±0.43, 3.56±0.33)', 'Teach other staffs (2.83±0.77, 3.39±0.43)', 'Develop the evidence-based standards (2.43±0.76, 3.22±0.43)', 'Develop the self (2.81±0.65, 3.26±0.42)', and 'Participate the team activities' were the highest score in frequency and in criticality of tasks. 'Provide emotional support to older adults and families (3.16±0.41)', 'Counsel older adults and their families (3.14±0.49)', 'Do clinical research (3.32±0.49)', 'Quality insurance (3.25±0.49)', and 'Build collaborative system (3.18±0.47)' were perceived the most difficult tasks.

Conclusion

The political efforts for the legislation of role and task of GNPs were needed.

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Role-Identity of Home Care Nurse Practitioners: Sung Jae Kim, Myung Sun Yi, Young Eun, Moon Hee Ko, Joo Hyun Kim, Dong Ok Kim, Haeng Mi Son, Kyung Sook Choi; Journal of Korean Academy of Nursing 2006;36(1):103-113. Published online February 28, 2006; DOI: https://doi.org/10.4040/jkan.2006.36.1.103

Abstract PDF

Introduction

It is important to understand the nature of the identity through the live experiences of Home Care Nurse Practitioner(HCNP) because the role identity of a professional is constructed by continuous social interactions, This study aims to understand the construction of the role identity of HCNP.

Method

Data was collected from 12 hospital based HCNPs. This study involved two focus group discussion sand four in-depth individual interviews. The main question was “what is the role of HCNP?” The debriefing notes and field notes were analyzed using consistent comparative data analysis method.

Result

First, Home care (HC) is a small clinic. HCNP brings it to home to provide various services. Second, HC is the real nursing and HCNP is the ‘genuine’ nurse who actualizes the essence of nursing in practice. Third, HC is empowering activity to promote self-care ability of the patients and their caregivers. Forth, HC is like the dish-spinning required high-level mastery and HCNP is an expert who provides the most appropriate services to the patients.

Conclusion

HCNPs have the role identity as a highly qualified professional who delivers services from hospital to home, actualizes the essence of nursing in practice, empowers the patients and their caregivers to have self-efficacy to recover, and offers the most appropriate nursing care.

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