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看護師実務者役割の移行への影響を調査する:障壁とファシリテーターの範囲レビュー
Seatbyul Lee1, Michelle M Kelly2
1Barbara H. Hagan School of Nursing and Health Sciences, Molloy University, Rockville Centre, New York.
Journal of the American Association of Nurse Practitioners
|February 18, 2026
まとめ
実践看護師 (NP) の役割の移行は複雑で,強力なサポートシステムが必要です. 正式な指向,メンターシップ,組織的なサポートは,成功的な統合と患者のケアを改善するために不可欠です.
科学分野:
- 介護の実践について
- ヘルスケア・ワークフォース・開発
- アドバンスド・プラクティス・ナースリング
背景:
- 医療従事看護師 (NPs) は,複雑な患者ケアを管理し,医療従事者の不足に対処するために不可欠です.
- 登録看護師からNPへの移行は,役割の曖昧さや不十分なサポートを含む重要な課題を提示します.
研究 の 目的:
- スコーピングレビューを実施し,看護師実務者 (NP) の役割移行に影響を与える要因を特定します.
- NP統合に影響を与える個人,組織,および職業間の要因に焦点を当てること.
- NPの労働力を最適化するための政策,教育,組織戦略を伝える.
主な方法:
- 六つの電子データベース (Medline,PubMed,Scopus,CINAHL,ProQuest,Web of Science) を体系的に検索した.
- 2009年から2025年7月までの間に出版された,同行査読を受けた,英語での研究を含む.
- PRISMAのスコーピングレビューの拡張 (PRISMA-ScR) ガイドラインの遵守.
主要な成果:
- 看護師実務者 (NP) の役割の移行は,個人,組織,および職業間の領域にわたる多数の要因の影響を受けます.
- 移行を成功させるための重要な要素は,構造的な指向,メンターシップ,プレセプターシップです.
- 強力な組織的なサポートは,効果的なNPの役割統合の決定的な決定要因です.
結論:
- 医療従事看護師 (NP) の役割の移行を成功させるには,多面的なサポートが必要であり,正式な指向とメンターシップを重視します.
- 医療機関と政策立案者は,NPの統合,仕事の満足度,患者のケア成果を向上させるために,構造的なサポートシステムを導入する必要があります.
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