Abstract：
OBJECTIVE: 1. To explore the perceptions of physicians, registered nurses (RN) and allied health professionals (AHP) towards the role of ward-based advanced practice nurse (APN). 2. To examine healthcare professionals\' perception of APN role expansion in inpatient care.
METHODS: Cross-sectional study.
METHODS: A 43-item survey comprising of five domains was conducted on healthcare professionals\' perceptions towards ward-based APNs in five medical wards of a tertiary hospital from November 2022 to February 2023. The participants were recruited using convenience sampling via email and cross-platform messaging service.
RESULTS: A total of 181 completed respondents including 26 physicians, 102 nurses and 45 AHPs. Statistical analysis was performed with IBM SPSS Version 28.0. APNs were perceived to be spending a great extent of time across all five domains, namely, \'direct comprehensive care\', \'support of systems\', \'research\', \'education\' and \'publication and professional leadership\'. Significant differences were noted in perceptions based on prior experience with APNs and between different healthcare professions. The majority recognized APNs\' positive impact on patient safety, efficiency and patient-centeredness.
CONCLUSIONS: This study offers valuable insights into ward-based APNs\' practice patterns, roles and impact, revealing a positive shift in their acceptance and expanding roles within inpatient general wards. It also highlights the valuable roles and impact of ward-based APNs in direct patient care, system support, research, education and leadership, despite ongoing challenges in role clarity, particularly in treatment planning and ward rounds.
UNASSIGNED: APNs are highly regarded as competent and a consistent personnel in the wards. However, there are divided views on clinical activities that APNs undertake.
UNASSIGNED: What problem did the study address? ○ Role ambiguity for ward-based APNs. ○ Healthcare professionals\' readiness and acceptance of APNs. What were the main findings? ○ APNs are perceived to have a strong involvement in direct patient care, support of system, research, education and leadership. ○ APNs are recognized for their significant impact on patient safety, efficiency and patient-centredness, but there were varied perceptions on the extent of time they spend in different practice domains. ○ The critical roles of APNs participating in daily ward rounds and initiating discharge plans were highlighted, emphasizing their importance in timeliness and continuity of care. Where and on whom will the research have an impact? ○ It will affect healthcare professionals including physicians, nurses, allied health professionals and healthcare administrators by providing insights into the roles and contributions of ward-based APNs. ○ The findings will guide policymakers and nurse leaders in making informed decisions about the implementation and development of APN roles, ultimately improving patient care and outcomes.
UNASSIGNED: No Patient or Public Contribution.
METHODS: Cross-sectional study.
METHODS: A 43-item survey comprising of five domains was conducted on healthcare professionals\' perceptions towards ward-based APNs in five medical wards of a tertiary hospital from November 2022 to February 2023. The participants were recruited using convenience sampling via email and cross-platform messaging service.
RESULTS: A total of 181 completed respondents including 26 physicians, 102 nurses and 45 AHPs. Statistical analysis was performed with IBM SPSS Version 28.0. APNs were perceived to be spending a great extent of time across all five domains, namely, \'direct comprehensive care\', \'support of systems\', \'research\', \'education\' and \'publication and professional leadership\'. Significant differences were noted in perceptions based on prior experience with APNs and between different healthcare professions. The majority recognized APNs\' positive impact on patient safety, efficiency and patient-centeredness.
CONCLUSIONS: This study offers valuable insights into ward-based APNs\' practice patterns, roles and impact, revealing a positive shift in their acceptance and expanding roles within inpatient general wards. It also highlights the valuable roles and impact of ward-based APNs in direct patient care, system support, research, education and leadership, despite ongoing challenges in role clarity, particularly in treatment planning and ward rounds.
UNASSIGNED: APNs are highly regarded as competent and a consistent personnel in the wards. However, there are divided views on clinical activities that APNs undertake.
UNASSIGNED: What problem did the study address? ○ Role ambiguity for ward-based APNs. ○ Healthcare professionals\' readiness and acceptance of APNs. What were the main findings? ○ APNs are perceived to have a strong involvement in direct patient care, support of system, research, education and leadership. ○ APNs are recognized for their significant impact on patient safety, efficiency and patient-centredness, but there were varied perceptions on the extent of time they spend in different practice domains. ○ The critical roles of APNs participating in daily ward rounds and initiating discharge plans were highlighted, emphasizing their importance in timeliness and continuity of care. Where and on whom will the research have an impact? ○ It will affect healthcare professionals including physicians, nurses, allied health professionals and healthcare administrators by providing insights into the roles and contributions of ward-based APNs. ○ The findings will guide policymakers and nurse leaders in making informed decisions about the implementation and development of APN roles, ultimately improving patient care and outcomes.
UNASSIGNED: No Patient or Public Contribution.
摘要：
目的：1.为了探索医生的看法，注册护士（RN）和专职医疗专业人员（AHP）对基于病房的高级实践护士（APN）的作用。2.检查医疗保健专业人员对APN在住院护理中角色扩展的看法。
方法：横断面研究。
方法：从2022年11月至2023年2月，在三级医院的五个医疗病房中，对医疗保健专业人员对基于病房的APN的看法进行了包括五个领域的43项调查。参与者是通过电子邮件和跨平台消息传递服务使用便利抽样招募的。
结果：共有181名完成的受访者，包括26名医生，102名护士和45名AHP。用IBMSPSS版本28.0进行统计分析。人们认为APN在所有五个领域都花费了大量的时间，即,“直接全面护理”，\'系统支持\',\'研究\',\'教育\'和\'出版和专业领导\'。根据APN的先前经验以及不同的医疗保健专业之间的看法存在显着差异。大多数人认识到APN对患者安全的积极影响，效率和以患者为中心。
结论：这项研究为基于病房的APN实践模式提供了有价值的见解，角色和影响，揭示了他们在住院普通病房中接受和扩大角色的积极转变。它还强调了基于病房的APN在直接患者护理中的重要作用和影响，系统支持,研究,教育和领导，尽管角色清晰度方面存在挑战，特别是在治疗计划和查房方面。
■APNs在病房中被认为是称职且始终如一的人员。然而,关于APNs开展的临床活动存在分歧。
■研究解决了什么问题？○基于病房的APN的角色歧义。○医疗保健专业人员对APN的准备和接受。主要发现是什么？○APN被认为对直接患者护理有很大的参与，系统的支持,研究,教育和领导。○APN因其对患者安全的重大影响而得到认可，效率和以病人为中心，但是对他们在不同实践领域花费的时间有不同的看法。○强调了APN参与每日病房和启动出院计划的关键作用，强调它们在护理的及时性和连续性方面的重要性。研究将在何处以及对谁产生影响？○它将影响包括医生在内的医疗保健专业人员，护士,通过提供对病房APN的作用和贡献的见解，专职医疗专业人员和医疗保健管理员。○调查结果将指导政策制定者和护士领导者做出关于APN角色的实施和发展的知情决定，最终改善患者护理和结果。
■没有患者或公共捐款。
方法：横断面研究。
方法：从2022年11月至2023年2月，在三级医院的五个医疗病房中，对医疗保健专业人员对基于病房的APN的看法进行了包括五个领域的43项调查。参与者是通过电子邮件和跨平台消息传递服务使用便利抽样招募的。
结果：共有181名完成的受访者，包括26名医生，102名护士和45名AHP。用IBMSPSS版本28.0进行统计分析。人们认为APN在所有五个领域都花费了大量的时间，即,“直接全面护理”，\'系统支持\',\'研究\',\'教育\'和\'出版和专业领导\'。根据APN的先前经验以及不同的医疗保健专业之间的看法存在显着差异。大多数人认识到APN对患者安全的积极影响，效率和以患者为中心。
结论：这项研究为基于病房的APN实践模式提供了有价值的见解，角色和影响，揭示了他们在住院普通病房中接受和扩大角色的积极转变。它还强调了基于病房的APN在直接患者护理中的重要作用和影响，系统支持,研究,教育和领导，尽管角色清晰度方面存在挑战，特别是在治疗计划和查房方面。
■APNs在病房中被认为是称职且始终如一的人员。然而,关于APNs开展的临床活动存在分歧。
■研究解决了什么问题？○基于病房的APN的角色歧义。○医疗保健专业人员对APN的准备和接受。主要发现是什么？○APN被认为对直接患者护理有很大的参与，系统的支持,研究,教育和领导。○APN因其对患者安全的重大影响而得到认可，效率和以病人为中心，但是对他们在不同实践领域花费的时间有不同的看法。○强调了APN参与每日病房和启动出院计划的关键作用，强调它们在护理的及时性和连续性方面的重要性。研究将在何处以及对谁产生影响？○它将影响包括医生在内的医疗保健专业人员，护士,通过提供对病房APN的作用和贡献的见解，专职医疗专业人员和医疗保健管理员。○调查结果将指导政策制定者和护士领导者做出关于APN角色的实施和发展的知情决定，最终改善患者护理和结果。
■没有患者或公共捐款。
