Changes in health care are influencing the conversion of many positions in nursing to advanced practice positions due to the complexity of providing and managing care for 客户 and 家庭. These changes are creating a shift in demand for increasing numbers of advanced practice registered nurses in rehabilitation in order to meet the needs of people experiencing chronic illness and disability.
在未来, position titles and responsibilities will continue to change and evolve to meet the needs of society and the healthcare delivery system. Clients with chronic illness and disability will continue to require access to highly skilled rehabilitation professionals for their continued healthcare needs. The Association of Rehabilitation Nurses (皇冠6686会员登录) projects that in this increasingly complex environment, the growth in the number of nurses with advanced skills and practice responsibilities will be imperative to achieve optimal client outcomes. 此外, 皇冠6686会员登录支持医学研究所的报告, 护理的未来, suggestions to ensure that nurses can practice to the full extent of their education, provide opportunities for nurses to assume 领导 positions and to serve as full partners in health care redesign and improvement efforts, and improve data collection for workforce planning and policy making in order to meet the current demands while improve the quality of the healthcare system (医学研究所 [IOM], 2010).
由于这些原因, the Association of Rehabilitation Nurses acknowledges and supports the state boards of nursing as the governing bodies for nursing licensures and 美国护士协会 with the right and responsibility to define specialization in practice. This statement is consistent with the American Board of Nursing Specialty definition of a nursing specialty. 皇冠6686会员登录 supports advanced practice registered nurses in the clinical practice of rehabilitation. 皇冠6686会员登录 has developed a 范围 and standards of practice which incorporates both 皇冠6686会员登录's definitions regarding advanced practice, outlined by the 美国护士协会's Nursing's Social Policy Statement (ANA, 2010b), APRN监管的共识模式:许可, 认证，认证和教育 (ANA, 2010b, APRN共识工作组, 2008). The advanced practice registered nurse (APRN) in rehabilitation nursing provides service through core competencies of direct care, 咨询, 研究, 专家的指导, 领导, 伦理决策, 和协作.
Advanced practice registered nurses in rehabilitation have a master’s or doctorate degree in nursing and have passed a national certification examination that measures population focused competencies. They demonstrate a high level of autonomy and expert skill in rehabilitation nursing. 职责包括:
- 进行全面评估, 概念化, 诊断, 处方/治疗, and coordinating care for complex health issues associated with chronic illness and disabilities;
- Participating in the development of evidence based practice standards and advancement of scientific theories upon which nursing is based;
- Providing 领导 for practice changes through advocacy and legislative activities, 专家咨询, 研究实现, 临床实践中进步, 质量改进措施, 结果管理活动;
- Synthesizing complex data to optimize health outcomes to maximize function and minimize disabilities;
- 评估各年龄层的医疗需求, 客户, 家庭, 组, 以及跨越连续体的社区;
- 为患者提供教育, 家庭, and fellow rehabilitation nurses regarding disease management, 并发症的预防, 疾病预防, 提高生活质量;
- Contributing to the advancement of the rehabilitation nursing profession as a whole through 研究, 出版物, 和演示.
Advanced practice registered nurses in rehabilitation may practice in a wide variety of roles across the healthcare continuum and hold an array of titles that incorporate specialization, 增强, 扩展实践和知识, 以及高级教育水平(ANA, 2010a ). Some of the various roles and job titles include clinical nurse specialist, 注册护士, 案例管理器, 部门经理, 项目经理, 康复协调员, 和/或顾问. They may practice in a variety of settings such as inpatient acute care, 急性康复, 亚急性康复, 长期急性护理, 长期护理, 家庭健康, 门诊, 保险公司, 学校的护理, 和私人诊所.
Rehabilitation nurses providing health care in advanced practice roles need to conform to the highest uniform national standards available. Advanced education and advanced practice role certification validate the qualifications and practice competencies of the advanced practice registered nurse, ensuring that the continued health and safety of the public are protected (APRN共识工作组, 2008).
The Association of Rehabilitation Nurses supports the premise that educational requirements, 自律, and a standardized certification process that meets uniform national standards would ensure highly competent practitioners and protect the public. 在卫生保健, education and advanced certification are considered the mechanisms through which professions regulate themselves. 该框架由皇冠6686会员登录支持.
的定义, 范围, and standards of advanced rehabilitation nursing practice enable the advanced practice rehabilitation nurse to function wherever individuals, 家庭, and communities are affected by chronic illness and disability.
美国护士协会. (2010a). 护理:执业范围和标准(第2版).).
美国护士协会. (2010b). 护理社会政策声明:护理社会政策声明的本质
APRN联合对话小组. (2008). APRN监管的共识模型:许可，
认证，认证和教育. 从检索 http://www.nursingworld.org/ConsensusModelforAPRN.
医学研究所. (2010). 护理的未来:引领变革，促进健康.
1996年5月由董事会批准, 修订2006年6月, 2014年3月修订, 2018年2月修订.