Purpose Medical support staff nurses have traditionally performed various supportive tasks for physicians, often extending beyond standard nursing roles. Despite these long-standing practices, there is a notable lack of official recognition and legal protection for these expanded responsibilities, leading to increasing legal concerns. Therefore, there is a need for proposing a rational solution to address these issues. Methods The number of medical support staff nurses is rising, particularly as they fill gaps left by the 2024 resident physician strike. The study focuses on identifying potential challenges arising from this shift and developing strategic improvements to address these challenges effectively. Results This study proposed legally expanding the scope of nursing duties and creating a robust system for training and certifying nurses to handle these responsibilities effectively, by integrating these roles within the advanced practice nurse (APN) framework. Conclusion Integrating these roles within the framework of APN can offer a sustainable and legally sound solution to the ongoing healthcare crisis, ensuring patient safety and safeguarding healthcare workers’ legal rights.
Citations
Citations to this article as recorded by
Predictors of end-of-life care among emergency nurses: A cross-sectional study in Korea Ji Seon Lee, Sook Jung Kang Australasian Emergency Care.2026; 29(2): 105. CrossRef
Impact of role conflict and job stress on turnover intention among Korean physician assistant nurses: A cross-sectional study Jin-Won Lee, Eun-Hi Choi, Ji-Sun Back International Journal of Nursing Sciences.2026; 13(2): 172. CrossRef
Job Burnout Associated with Work Environment among Physician Assistant Nurses: A Secondary Analysis of the 2025 Survey on Working Conditions of Health and Medical Workers Kyongok Park, Hanyi Lee, Hyeon Sik Chu Journal of The Korean Society of Living Environmental System.2026; 33(2): 188. CrossRef
Organizational Climate, Role Conflict, and Job Esteem Among Registered Nurses in Physician-Delegated Roles in South Korea: A Cross-Sectional Study Youngeun Lee, Gaeun Kim Healthcare.2026; 14(10): 1368. CrossRef
Experiences of nurses working as physician assistants under the expanded scope-of-practice policy following the 2024 resignation of medical residents in South Korea: a phenomenological study Tae Yeong Yang, Myung Jin Jang, NaHyun Lee Journal of Korean Academy of Nursing.2026; 56(2): 220. CrossRef
Operating Room Nurses’ Role Transitions to Surgical Assistant Nurses: Experience and Learning during a Resident Strike Eun Kyung Jung, Yeon Hee Kim, Jeounghee Kim Journal of Korean Association for Qualitative Research.2026; 11(1): 1. CrossRef
‘Holding the line for patients’—Emergency nurses' experiences during a prolonged physician shortage crisis: A qualitative study Mi Hyun Kim, Hye Jin Yoo International Emergency Nursing.2026; 87: 101866. CrossRef
A Scoping Review of Dental Hygienists’ Practice in Korea: Thematic Classification and Identification of Core Themes Geum-Han-A-Reum Lee, Hyo-Jin Lee, Bo-Mi Shin, Soo-Myoung Bae Journal of Dental Hygiene Science.2026; 26(2): 75. CrossRef
Procedural Outcomes and Safety of Bone Marrow Aspiration and Biopsy Performed by an Advanced Practice Nurse: A Single-Center Retrospective Study Ahyeong Song, Insung Cho Asian Oncology Nursing.2026; 26(2): 87. CrossRef
Legislation of Medical Support Tasks in the Nursing Act as a Foundation for Nursing Professionalism and Role Expansion Su Jung Choi Korean Journal of Adult Nursing.2025; 37(2): 69. CrossRef
Role Transformation and Adaptation of Physician Assistants during the 2024 Medical Workforce Shortage: A Phenomenological Study Tae Yeong Yang, Nahyun Lee Journal of Korean Academy of Nursing Administration.2025; 31(3): 259. CrossRef
Effects of Role Conflict, Work Environment, and Meaning of Work on Job Embeddedness among Physician Assistants Kwang Hoon Seo, Tae Yeong Yang, Nam Gyu Park, Jung Eun Park Journal of Korean Academy of Nursing Administration.2025; 31(3): 249. CrossRef
Media discourse on physician assistant nurses in South Korea: a text network and topic modeling approach Young Gyu Kwon, Daun Jeong, Song Hee Park, Mi Kyung Kim, Chan Woong Kim Journal of Korean Academy of Nursing.2025; 55(3): 388. CrossRef
Comparison of educational needs and priorities for work-related laws between hospital and community-based nurses Jeonghyun Kim, Min Kyoung Han, Minjae Lee, Sujin Shin Journal of Korean Academy of Nursing.2025; 55(3): 400. CrossRef
The Influence of Clinical Practice Nurses' Self-Leadership, Role Conflict, and Practice Environment on Patient Safety Competency Jeong Hwa Heo, Ji Hyun Sung Journal of Korean Academy of Nursing Administration.2025; 31(4): 458. CrossRef
Strategies for expanding the role of advanced practice providers in the Korean nursing workforce: a mixed-methods approach Jeong Hye Kim, Mi-Kyeong Jeon, Suyoung Choi, Mimi Lee, Su Jung Choi Journal of Korean Academy of Nursing.2025; 55(4): 568. CrossRef
Development and Psychometric Properties of the Korean Version of the Novice Nursing Practitioner Role Transition Scale Eun Sook Kim, Mi-Kyeong Jeon, Su Jung Choi, Onam Ok, Genehee Lee, Ahyeong Song Asian Nursing Research.2025; 19(5): 462. CrossRef
Nurses' Patient Care Experiences in a Changing Healthcare Environment Following One Year of Healthcare Policy Conflict - A Focus Group Interview Eun Hee Kang, Yunhyung Kim, Jeong Hye Kim Journal of Korean Association for Qualitative Research.2025; 10(3): 280. CrossRef