J Korean Crit Care Nurs.  2019 Oct;12(3):35-49. 10.0000/jkccn.2019.12.3.35.

Common Scope of Practice for Advanced Practice Nurses in Korea Derived from Expert Agreement

Affiliations
  • 1Advanced Practice Nurse, Manager, Department of Nursing, Seoul National University Bundang Hospital, Korea.
  • 2Advanced Practice Nurse, Department of Nursing, Samsung Medical Center, Clinical Professor, Graduate School of Clinical Nursing Science, Sungkyunkwan University School of Medicine, Korea. sujungchoi@hanmail.net
  • 3Professor, School of Nursing, College of Nursing, Sungshin University, Korea.
  • 4Professor, Graduate School of Clinical Nursing Science, Sungkyunkwan University, Korea.
  • 5Professor, Department of Clinical Nursing, University of Ulsan Graduate School of Industry, Korea.
  • 6Former Professor, Korea Human Resource Development Institute for Health and Welfare, Korea.
  • 7Advanced Practice Nurse, Department of Nursing, Asan Medical Center, Korea.
  • 8Advanced Practice Nurse, Department of Nursing, Severance Hospital, Korea.
  • 9Former Manager, Korean Accreditation Board of Nursing Education, Korea.

Abstract

PURPOSE
This study aimed to propose a common scope of practice (SOP) for 13 specialties of Advanced Practice Nurses (APNs) in Korea.
METHODS
The first draft of a common SOP was extracted from domestic and international laws with a literature review by 17 experts from the Korean Association of Advanced Practice Nurses (KAAPN). Then, the common SOP was finalized after comparing the activities of APNs in clinical settings.
RESULTS
A total of 70 duties were identified and six categories were suggested for the common SOP. The SOP proposed by the KAAPN featured the following: 1) identification of and discrimination between health problems; 2) prescription and implementation of diagnostic tests; 3) treatment of injuries and diseases while implementing measures to prevent exacerbation; 4) prescription of medicinal products in line with 1) to 3); 5) referral and consultation; and 6) education and counseling. It was then confirmed that the proposed six categories in the common SOP reflected all the duties performed by APNs in clinical practice, including all 40 activities.
CONCLUSION
The results of this study can be used as evidence for the legalization of a common SOP for APNs. Given the increasing multidisciplinary team approach adopted in Korean hospitals, it may be desirable to establish a broader SOP to reflect the diverse duties of APNs.

Keyword

Advanced practice nurses; Scope of practice; Professional practice
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