Journal of Korean Academy of Nursing

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

Abstract PDF: 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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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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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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