PDF(Pubmed)
Abstract：
OBJECTIVE: Initially established to improve access to healthcare, particularly for primary care, the full potential of the nurse practitioner role is yet to be realised in most countries. Despite this, most countries are working to meet an ageing population\'s increasing healthcare needs and reduce healthcare costs and access disparities. Achieving these outcomes requires reform at multiple levels, including nurse practitioner practice pathways, education and regulation, and identifying the barriers and facilitators to optimising their primary care role.
METHODS: A rapid scoping review of nurse practitioner practice pathways, education and regulation inclusive of: (1) a systematic search of Medline and CINAHL for peer-reviewed English language articles, including opinion pieces published between January 2015 and February 2022; and (2) a web-based search of nurse practitioner program entry requirements of International Nurse Regulator Collaborative country members with a protected nurse practitioner title and prescribing rights, plus the Netherlands. The individually summarised search data was integrated and synthesised using Popay\'s narrative approach.
RESULTS: Emerging evidence from the included nurse practitioner courses (n = 86) and articles (n = 79) suggests nurse practitioners working in primary care provide safe, effective care and improve healthcare efficiencies. However, different regulatory and educational models are required if the primary care nurse practitioner is to meet growing demand.
CONCLUSIONS: International variations in entry criteria, curriculum, and regulation shape the global profile of the nurse practitioner primary care workforce and their practice setting. For countries to grow their primary care nurse practitioner workforce to meet unmet needs, different entry requirements, program content and accredited post-registration transitional programs must be urgently considered.
METHODS: A rapid scoping review of nurse practitioner practice pathways, education and regulation inclusive of: (1) a systematic search of Medline and CINAHL for peer-reviewed English language articles, including opinion pieces published between January 2015 and February 2022; and (2) a web-based search of nurse practitioner program entry requirements of International Nurse Regulator Collaborative country members with a protected nurse practitioner title and prescribing rights, plus the Netherlands. The individually summarised search data was integrated and synthesised using Popay\'s narrative approach.
RESULTS: Emerging evidence from the included nurse practitioner courses (n = 86) and articles (n = 79) suggests nurse practitioners working in primary care provide safe, effective care and improve healthcare efficiencies. However, different regulatory and educational models are required if the primary care nurse practitioner is to meet growing demand.
CONCLUSIONS: International variations in entry criteria, curriculum, and regulation shape the global profile of the nurse practitioner primary care workforce and their practice setting. For countries to grow their primary care nurse practitioner workforce to meet unmet needs, different entry requirements, program content and accredited post-registration transitional programs must be urgently considered.
摘要：
目标：最初是为了改善获得医疗保健的机会而建立的，特别是初级保健，在大多数国家，护士执业者角色的全部潜力尚未实现。尽管如此,大多数国家都在努力满足老龄化人口日益增长的医疗需求，并减少医疗成本和获取差距。实现这些成果需要多层次的改革,包括执业护士实践途径，教育和监管，并确定优化其初级保健作用的障碍和促进者。
方法：护士执业途径的快速范围审查，教育和法规包括：（1）系统地搜索Medline和CINAHL以获取同行评审的英语文章，包括2015年1月至2022年2月之间发表的意见；（2）基于网络搜索具有受保护的执业护士职称和处方权的国际护士监管机构合作国家成员的执业护士计划入学要求，加上荷兰。使用Popay的叙事方法对单独汇总的搜索数据进行了整合和综合。
结果：来自纳入的执业护士课程（n=86）和文章（n=79）的新证据表明，在初级保健中工作的执业护士提供安全的，有效的护理和提高医疗效率。然而,如果初级护理执业护士要满足日益增长的需求，就需要不同的监管和教育模式。
结论：进入标准的国际差异，课程,和法规塑造了护士执业初级保健人员的全球形象及其实践设置。为了使各国增加其初级保健护士从业人员，以满足未满足的需求，不同的入学要求，必须紧急考虑节目内容和经认可的注册后过渡节目。
方法：护士执业途径的快速范围审查，教育和法规包括：（1）系统地搜索Medline和CINAHL以获取同行评审的英语文章，包括2015年1月至2022年2月之间发表的意见；（2）基于网络搜索具有受保护的执业护士职称和处方权的国际护士监管机构合作国家成员的执业护士计划入学要求，加上荷兰。使用Popay的叙事方法对单独汇总的搜索数据进行了整合和综合。
结果：来自纳入的执业护士课程（n=86）和文章（n=79）的新证据表明，在初级保健中工作的执业护士提供安全的，有效的护理和提高医疗效率。然而,如果初级护理执业护士要满足日益增长的需求，就需要不同的监管和教育模式。
结论：进入标准的国际差异，课程,和法规塑造了护士执业初级保健人员的全球形象及其实践设置。为了使各国增加其初级保健护士从业人员，以满足未满足的需求，不同的入学要求，必须紧急考虑节目内容和经认可的注册后过渡节目。
