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Learning to attain an advanced level of professional responsibility
Ada Ter Maten-Speksnijder1, Mieke Grypdonck2, Aart Pool3
1Rotterdam University of Applied Sciences, The Netherlands; Erasmus University Rotterdam, The Netherlands.
Nurse Education Today
|April 1, 2015
Summary
Nurse practitioner students perceive their professional responsibility focused on curative care, often overlooking psychosocial needs and struggling with complex patient cases. They find it challenging to meet advanced practice nursing standards.
Area of Science:
- Nursing Education
- Advanced Practice Nursing
- Healthcare Competencies
Background:
- Graduating nurse practitioner students are expected to provide independent, evidence-based, and standardized medical care.
- Students in work-study programs develop competencies within efficiency-driven healthcare settings.
Purpose of the Study:
- To explore nurse practitioner students' perceptions of their professional responsibility in patient care.
- Investigate the challenges faced by students transitioning into advanced practice roles.
Main Methods:
- Qualitative interpretative study.
- Content analysis of 46 reflective case studies from nurse practitioner students.
Main Results:
- Students felt responsible for patient monitoring, psychosocial issues, compliance, and family caregiver support.
- Students encountered difficulties understanding complex patient needs and applying knowledge to multifaceted problems.
Conclusions:
- Student perceptions emphasized curative care, often neglecting psychosocial aspects of health.
- Students struggled to meet the advanced practice nursing criteria outlined in the Dutch competency framework.
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