背景:自2019年以来,法国的高级实践护士(APN)人数显着增加,预计到2023年底,毕业生人数将从大约60人增加到1700人。其中15%专门从事肿瘤血液学(APN-OH)。关于他们活动的数据,继续接受教育,期望是有限的。
方法:我们在法国的APN-OHs中进行了一项观察性研究。2023年6月至9月分发了一份问卷。
结果:在55个响应的APN-OH中,78.3%在癌症中心或大学医院中心工作。他们成为APN-OH的主要动机是加强他们的护理实践并加深他们的医学知识,教学和研究兴趣仍然处于边缘。他们的责任水平通常与他们的期望一致,医务人员被认为是支持。主要挑战是后勤和物质性质的。APN-OH训练的异质性被视为该职业吸引力的限制因素。他们教育中最重要的差距在于缺乏实际案例。
结论:这项研究强调了APN-OH的主要关注点是加强他们的实践训练。医务人员被认为是支持,但是与工作条件和教育有关的挑战仍然存在。必须考虑这些因素,以支持在全国范围内部署APN-OH并改善正在进行的教育。
BACKGROUND: The number of Advanced Practice Nurses (APNs) has significantly increased in France since 2019, with the number of graduates expected to reach 1700 by the end of 2023, up from approximately 60. Fifteen percent of them specialize in oncology-hematology (APN-OH). Data on their activities, access to continuing education, and expectations are limited.
METHODS: We conducted an observational study among practicing APN-OHs in France. A questionnaire was distributed from June to September 2023.
RESULTS: Of the 55 responding APN-OHs, 78.3% worked in Cancer Centers or within University Hospital Centers. Their primary motivation for becoming APN-OH was to enhance their nursing practice and deepen their medical knowledge, with teaching and research interests remaining marginal. Their level of responsibility generally aligned with their expectations and the medical staff was perceived as supportive. The main challenges were of logistical and material nature. The heterogeneity in APN-OH training was seen as a limiting factor in the attractiveness of the profession. The most significant gaps in their education revolved around the lack of practical cases.
CONCLUSIONS: This study highlights that the primary concern of APN-OHs is to strengthen their practical training. Medical personnel are perceived as supportive, but challenges related to working conditions and education persist. It is essential to consider these factors to support the deployment of APN-OHs across the country and improve ongoing education.