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Role development needs of stroke advanced practice nurses in mainland China hospital: a participatory qualitative
Chujin Qiu1, Lijuan Duan2, Chaofeng Fan2
1School of Preclinical Medicine & School of Nursing, Chengdu University, Chengdu, China.
Objectives:
To identify challenges in stroke care services and stakeholders' expectations for the role of stroke advanced practice nurses (APNs) in the neurology department of a tertiary hospital in ainland China.
Design:
A field study using participatory observation and in-depth interviews.
Setting:
The neurology department of a tertiary hospital in Sichuan Province, China.
Participants:
The principal researcher conducted participant observation in the capacity of a clinical nurse. In-depth individual interviews were conducted within 7 stroke patients and their carers, 4 doctors and 10 nurses.
Results:
Key challenges included a shortage of specialised professionals, imprecise, untimely and discontinuous care, poor medical-nursing collaboration, limited nursing expertise and unmet patient needs. Stakeholders expected stroke APNs to fulfil six roles: stroke care expert, advanced clinical practitioner, collaborative coordinator, specialist care innovator, specialised educator and role model.
Conclusions:
Stroke APNs should provide precise, timely and continuous care for patients while enhancing team cohesion, overall competence and service quality.
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