Importance, Satisfaction and Contribution of Advanced Practice Nurses' Role Recognized by Health Care Professionals

Myung Sook Cho; Young Ae Cho; In Gak Kwon; Min Jeong Seo; Hye Jin Baek

doi:10.11111/jkana.2011.17.2.168

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Cho, Cho, Kwon, Seo, and Baek: Importance, Satisfaction and Contribution of Advanced Practice Nurses' Role Recognized by Health Care Professionals

Original Article

Journal of Korean Academy of Nursing Administration

Journal of Korean Academy of Nursing Administration 2011; 17(2): 168-179.

Published online: 30 June 2011

DOI: https://doi.org/10.11111/jkana.2011.17.2.168

Importance, Satisfaction and Contribution of Advanced Practice Nurses' Role Recognized by Health Care Professionals

Myung Sook Cho¹, Young Ae Cho², In Gak Kwon³, Min Jeong Seo⁴, Hye Jin Baek⁵

¹Chief Nursing Officer, Samsung Medical Center; Associate Professor, Department of Clinical Nursing Science, Sungkyunkwan University School of Medicine, Korea.

²Director, Department of Nursing Staff Development, Samsung Medical Center; Associate Professor, Department of Clinical Nursing Science, Sungkyunkwan University School of Medicine, Korea.

³Director, Department of Oncology Nursing, Samsung Medical Center; Professor, Department of Clinical Nursing Science, Sungkyunkwan University School of Medicine, Korea.

⁴Critical Care Advanced Practice Nurse, Department of Nursing, Samsung Medical Center, Korea.

⁵Oncology Advanced Practice Nurse, Department of Nursing, Samsung Medical Center, Korea.

Correspondence: Baek, Hye Jin. Department of Nursing, Samsung Medical Center, 50 Ilwon-Dong, Gangnam-Gu, Seoul 135-710, Korea. Tel: 82-2-3410-2861, Fax: 82-2-3410-6219, hj100.baek@samsung.com

Received 17 January 2011 Revised 23 April 2011 Accepted 23 April 2011

Abstract

Purpose

The purpose of this study was to identify level of recognition of the importance, satisfaction and contribution of APNs' role by physicians, nurses, and advanced practice nurses.

Method

Perceived importance and satisfaction were measured with a 23-item questionnaire on APN role with 5 subcategories. APNs' contribution was investigated using a 13-item outcome questionnaire developed by the researchers. Between August 15 and October 31, 2009, the researchers collected data from 68 physicians, 265 nurses, and 23 APNs all working in a single tertiary hospital. Data were analyzed using descriptive statistics, Kruskal-Wallis Test with Bonferroni's Correction and scatter plot.

Result

The importance (3.24~3.39, 4 point scale), satisfaction (3.02~3.13, 4 point scale), and contribution of APNs' role (3.39~4.12, 5 point scale) were well recognized by the health care professionals. All the three health care professional groups rated APNs' contribution high in medical service management, continuity of care, patient accessibility, improvement in patient satisfaction, and patient and family education. 'Importance-Satisfaction Analysis' showed that patient data management by APNs needed greater effort.

Conclusions

The findings show that the importance, satisfaction, contribution of APNs' role are recognized, and indicate a need for further development of APNs' role through efforts to overcome the gaps identified through this research.

Keywords: Advanced Practice Nurses, Role, Importance, Satisfaction, Contribution

Figures and Tables

Figure 1

Importance-satisfaction analysis of APNs' role

Table 1

Characteristics of participants (N=356)

APN=Advanced Practice Nurse; ICU=Intensive Care Unit; OB&GY=Obstetrics & Gynecology

Table 2

Importance and satisfaction of APNs' role recognized by physician, nurse and APNs (N=356)

^†Least Significance Difference(LSD) test

Table 3

Contribution of APNs' role recognized by physicians, nurses and APNs (N=356)

^†Mean≥4.0, ^††Mean≥4.5

LSD= Least Significance Difference test

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