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Practice patterns and role perception of advanced practice nurses: A nationwide cross-sectional study
Brigitte Fong Yeong Woo1, Wentao Zhou1,2, Toon Wei Lim3,4
1Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore City, Singapore.
Journal of Nursing Management
|February 19, 2019
Summary
This study surveyed advanced practice nurses (APNs) in Singapore, revealing discrepancies between their practice and expectations. Findings highlight barriers to role expansion and the need for clearer APN roles and fewer practice restrictions.
Area of Science:
- Nursing Practice
- Healthcare Management
- Asia
Background:
- Advanced practice nurses (APNs) are crucial for healthcare system evolution.
- Variable practice patterns and role ambiguity challenge APN integration.
- Understanding APN perceptions of practice, competency, and role expansion is essential.
Purpose of the Study:
- To examine the practice patterns of advanced practice nurses (APNs) in Singapore.
- To explore APNs' perceptions of their roles and readiness for expansion.
- To identify barriers affecting APN practice.
Main Methods:
- A nationwide survey of 87 advanced practice nurses (APNs) in Singapore.
- Statistical analysis of closed-ended survey responses.
- Content analysis of open-ended survey responses.
Main Results:
- A 42.8% response rate was achieved.
- Significant differences were found between APNs' current practices and their expectations.
- While readiness for role expansion was identified, numerous practice barriers persist.
Conclusions:
- This study offers crucial insights into APN roles in Asia.
- Recommendations include clarifying APN roles and revising institutional practice restrictions.
- Nurse administrators should align APN roles with strategic goals for sustainable practice.
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