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Original Article

Job Performance by Advanced Practice Nurses in Korea

Mijung Kim1, Yeong Kyeong Kim2, Sujin Shin3
Korean Journal of Adult Nursing 2014;26(6):630-641.
Published online: December 31, 2014

1Department of Nursing, Kyungil University, Gyeongsan

2College of Nursing, Catholic University of Pusan, Busan

3Department of Nursing, Soonchunhyang University, Cheonan, Korea

Corresponding author: Shin, Sujin Department of Nursing, Soonchunhyang University, 31 Suncheonhyang 6-gil, Dongnam-gu, Cheonan 330-930, Korea. Tel: +82-41-570-2491, Fax: +82-41-570-2498, E-mail: ssj1119@sch.ac.kr
• Received: September 11, 2014   • Accepted: November 14, 2014

Copyright © 2014 Korean Society of Adult Nursing

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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  • Purpose
    The purpose of current study was to explore the positive outcomes of advanced practice nurse who have experienced the roles in their clinical settings.
  • Methods
    This study adopted a qualitative research design based on conventional content analysis. Participants were 16 nurse practitioners have been worked at hospitals or community centers. Data were collected via focus group interviews and analyzed using thematic analysis method.
  • Results
    Patients’ aspect outcomes were “client-centered care in providing continuity”, “providing trust based on expertise”, “promoting skilled intervention in patient recovering”, “blocking the negative consequences”, “quality improvement: nursing becoming tighter”, “providing total care for cases that require intensive care”, “improving patients outcomes by total management”, “increasing confidence in evidence-based professional nursing”, “rising the satisfaction by cost-effective services”, “providing skilled professional practice”, and “providing comprehensive care related to covering various aspects.” Other themes elicited also included “promoting efficacy by inter-related health professions supervising”, “the expansion of specialized practice areas increase business efficiency”, “formation of outside customers due to increasing the satisfaction with skilled nursing care”, “filling in the emptying spaces of doctors by practicing reliable role to bridge”, “attracting external customers through successful management of subjects”, “increasing staff's satisfaction on the role to make a bridge between inside and outside doctors”, “24 hours medical expertise of professional staff ready secured”, and “low cost, same results, that is, cost-effective” in reference to health care resources aspect.
  • Conclusion
    These findings suggested that advanced practice nurses perceived various positive outcomes and provided basic data for outcome indicators of advanced practice nurses’ role.
  • Key Words: Advanced practice nurse; Outcome; Qualitative research
Table 1.
Them es by Matrix Analysis
Items Acute care setting Chronic care facilities Specialized fields
Aspect of patients ․ Client-centered care in providing continuity
․ Provide trust based on expertise
․ Promote skilled intervention in patient recovering
․ Quality improvement: nursing becoming tighter
․ Blocking the negative consequences by embodied expertise 		․ Providing total care for cases that require intensive care
․ Improving patients outcomes by total management
․ Prevention of negative consequences based on professional assessment skills
․ Increasing confidence in evidence-based professional nursing 		․ Rising the satisfaction by cost-effective services on subject's demand
․ Providing skilled professional practice
․ Providing comprehensive care related to covering various aspects
Aspect of health care resources ․ Promoting efficacy by inter-related health professions supervising
․ The expansion of specialized practice areas increase business efficiency
․ Formation of outside customers due to increasing the satisfaction with skilled nursing care 		․ Filling in the emptying spaces of doctors by practicing reliable role to bridge
․ Attracting external customers through successful management of subjects 		․ Increasing staff's satisfaction on the role to make a bridge between inside and outside doctors
․ 24 hours medical expertise of professional staff ready secured
․ Low cost, same results, that is, cost-effective
․ Attracting external customers through successful management of subjects
  • 1.Korean Nurses Association. Advanced Practice Nurse (APN). [Internet]. Seoul: Korea Nurses Association; 2004. [cited 2013 July 30]. Available from:.http://www.koreanurse.or.kr/resources/be_specialist.php.
  • 2.Korean Accreditation Board of Nursing Education. Qualification test of Advanced Practice Nurse (APN) [Internet]. Seoul: Korean Accreditation Board of Nursing Education; 2012. [cited 2013 July 30]. Available from.http://kabon.or.kr/kabon04/index02.php.
  • 3.Kim J. Demand-supply of advanced practice nurse (APN) and alternative benefit strategies in the national health insurance. Perspective in Nursing Science. 2010;7(1):23-35.
  • 4.Hwang SH, Oh PJ. A study on the projected workforce of advanced oncology certified nurses. Asian Oncology Nursing. 2004;4(1):49-61.
  • 5.Kim I, Oh P. Projected workforce of certified emergency nurses in Korea. Korean Journal of Adult Nursing. 2003;15(4):542-50.
  • 6.Shin S, Son E. A study on the projection of critical care Advanced Practical Nurses (APNs). Journal of Korean Academy of Nursing. 2003;15(2):287-95.
  • 7.Kwon IG, Kim YH, Hwang KJ, Kim HS, Lee BS, Lee HS, et al. A survey on the role and present state of advanced practice nurses in Korea. Clinical Nursing Research. 2003;9(1):55-75.
  • 8.Park KO, Kim JK, Jeong JS. An analysis of the role of nurse specialists in the general hospital. The Journal of Korean Academic Society of Nursing Education. 2007;13(2):246-56.
  • 9.Oh K, Kim KMJ, Kim KS, Park JW, Sung MS, Oh EG, et al. Educational issues and strategies to improve APN education. Journal of Korean Academy of Nursing. 2007;37(5):801-9.
  • 10.Suh EE. Strategies to develop a Korean-contextualized oncology nurse practitioner program: Comparative program evaluation between Korea and the United States. Asian Oncology Nursing. 2006;6(2):93-103.
  • 11.Benson L, Hasenau S, O'Connor N, Burgermeister D. The impact of a nurse practitioner rapid response team on systemic inflammatory response syndrome outcomes. Dimensions of Critical Care Nursing. 2014;33(3):108-15. http://dx.doi.org/10.1097/DCC.0000000000000046.
  • 12.Kapu AN, Kleinpell R, Pilon B. Quality and financial impact of adding nurse practitioners to inpatient care team. The Journal of Nursing Administration. 2014;44(2):87-96. http://dx.doi.org/10.1097/NNA.0000000000000031.
  • 13.Fortinsky RH, Delaney C, Harel O, Pasquale K, Schjavland E, Lynch J, et al. Results and Lessons learned from a nurse practitioner-guide dementia care intervention for primary care patients and their family caregivers. Research in Gerontological Nursing. 2014;7(3):126-37. http://dx.doi.org/10.3928/19404921-20140113-01.
  • 14.Seol M, Yi MS. Evaluation of nursing outcomes among advanced practice nurses in a tertiary hospital. Journal of Korean Critical Care Nursing. 2012;5(2):37-48.
  • 15.Sung YH, Hwang MS, Yi YH. Oncology advanced nurses' use of outcome indicators and perception of outcome evaluation. Journal of Korean Academy of Nursing Administration. 2012;18(2):189-201.
  • 16.Cho MS, Cho YA, Kwon IK, Seo MJ, Baek HJ. Importance, satisfaction and contribution of advanced practice nurses' role recognized by health care professionals. Journal of Korean Academy of Nursing Administration. 2011;17(2):168-79.
  • 17.Mo JA, Lim JY. A study on operation-effectiveness analysis of clinical nurse specialists: focused on patient satisfaction and expected profit. Journal of Korean Academic Society of Home Health Care Nursing. 2011;18(1):13-9.
  • 18.Jung YJ, Kim YH, Kim TH, Keum MA, Ma DS, Kyoung KH, et al. Outcomes for employment of a trauma clinical nurse specialist in the treatment of trauma patients. Journal of Trauma and Injury. 2012;25(4):254-60.
  • 19.Kim K, Kim M. Present and political tasks of advanced practice nurse in Korea. Perspective in Nursing Science. 2009;6(1):39-53.
  • 20.Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Education Today. 2004;24:105-12. http://dx.doi.org/10.1016/j.nedt.2003.10.001.
  • 21.Holloway I, Wheeler SQualitative Research in Nursing and Healthcare. 3rd ed.. Wiley-Blackwell; 2010. p. 302-5.
  • 22.Rabiee F. Focus-group interview and data analysis. The Proceedings of the Nutrition Society. 2004;63:655-60. http://dx.doi.org/10.1079/PNS2004399.
  • 23.Hisieh HF, Shannon SE. Three approaches to qualitative content analysis. Qualitative Health Research. 2005;15(9):1277-88.
  • 24.Southey D, Mishra PK, Nevill A, Aktuerk D, Luckraz H. Continuity of care by cardiothoracic nurse practitioners: impact on outcome. Asian Cardiovascular & Thoracic Annals. 2014;22(8):944-7. http://dx.doi.org/10.1177/0218492314523630.
  • 25.Donald F, Martin-Misener R, Carter N, Donald EE, Kaasalainen S, Wickson-Griffiths A, et al. A systematic review of the effectiveness of advanced practice nurses in long-term care. Journal of Advanced Nursing. 2013;69(10):2148-61. http://dx.doi.org/10.1111/jan.12140.
  • 26.Reuben DB, Ganz DA, Roth CP, McCreath HE, Ramirez KD, Wenger NS. Effect of nurse practitioner comanagement on the care of geriatric conditions. Journal of the American Geriatrics Society. 2013;61(6):857-67. http://dx.doi.org/10.1111/jgs.12268.
  • 27.Ploeg J, Kaasalainen S, McAiney C, Martin-Misener R, Donald F, Wickson-Griffiths A, et al. Resident and family perceptions of the nurse practitioner role in long term care settings: a qualitative descriptive study. BMC Nursing. 2013;12(1):24http://dx.doi.org/10.1186/1472-6955-12-24.
  • 28.van Zuilen AD, Blankestijn PJ, van Buren M, ten Dam MA, Kaasjager KA, Ligtenberg G, et al. Nurse practitioners improve quality of care in chronic kidney disease: two-year results of a randomized study. The Netherlands Journal of Medicine. 2011;69(11):517-26.
  • 29.Peeters MJ, van Zuilen AD, van den Brand JA, Bots ML, van Buren M, Ten Dam MA, et al. Nurse practitioner care improves renal outcome in patients with CKD. Journal of the American Society of Nephrology. 2014;25(2):390-8. http://dx.doi.org/10.1681/ASN.2012121222.
  • 30.Nicholson A, Coldwell CH, Lewis SR, Smith AF. Nurse-led versus doctor-led preoperative assessment for elective surgical patients requiring regional of general anaesthesia (Review). The Cochrane Database of Systematic Reviews. 2013;11:CD010160http://dx.doi.org/10.1002/14651858.CD010160.pub2.

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    Citations

    Citations to this article as recorded by  
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    Job Performance by Advanced Practice Nurses in Korea
    Korean J Adult Nurs. 2014;26(6):630-641.   Published online December 31, 2014
    DOI: https://doi.org/10.7475/kjan.2014.26.6.630
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    Job Performance by Advanced Practice Nurses in Korea
    Korean J Adult Nurs. 2014;26(6):630-641.   Published online December 31, 2014
    DOI: https://doi.org/10.7475/kjan.2014.26.6.630
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    Job Performance by Advanced Practice Nurses in Korea
    Job Performance by Advanced Practice Nurses in Korea

    Them es by Matrix Analysis

    Items Acute care setting Chronic care facilities Specialized fields
    Aspect of patients ․ Client-centered care in providing continuity
    ․ Provide trust based on expertise
    ․ Promote skilled intervention in patient recovering
    ․ Quality improvement: nursing becoming tighter
    ․ Blocking the negative consequences by embodied expertise     		․ Providing total care for cases that require intensive care
    ․ Improving patients outcomes by total management
    ․ Prevention of negative consequences based on professional assessment skills
    ․ Increasing confidence in evidence-based professional nursing     		․ Rising the satisfaction by cost-effective services on subject's demand
    ․ Providing skilled professional practice
    ․ Providing comprehensive care related to covering various aspects
    Aspect of health care resources ․ Promoting efficacy by inter-related health professions supervising
    ․ The expansion of specialized practice areas increase business efficiency
    ․ Formation of outside customers due to increasing the satisfaction with skilled nursing care     		․ Filling in the emptying spaces of doctors by practicing reliable role to bridge
    ․ Attracting external customers through successful management of subjects     		․ Increasing staff's satisfaction on the role to make a bridge between inside and outside doctors
    ․ 24 hours medical expertise of professional staff ready secured
    ․ Low cost, same results, that is, cost-effective
    ․ Attracting external customers through successful management of subjects
    Table 1. Them es by Matrix Analysis

    Table 1.

    Korean J Adult Nurs : Korean Journal of Adult Nursing

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