Practice Advanced Nursing N u r s i n g Pr actice ...

1 AdvancedPracticeN u r s i n gDeutschesN etzw er u rs i n gP r a c t i c e 2011 Positionspapier Deutschland Die kopernikanische Wende Advanced Practice Nursing Advanced Nursing Practice Advanced Practice Nurse Peter Ullmann, Katrin Thissen, Birgit Ullmann, Ruth Schwerdt, Harald Haynert, Brigitte Grissom, Johann Keogh, Daniela Lehwaldt, Holger Schmitte, Daniel Merki, A. Zia Haider, Phillip Platt, Dena Williams, Robert Maier, Alexander Holzknecht Version 2011 AdvancedPracticeN u r s i n gDeutschesN etzw er u rs i n gP r a c t i c e Kapitel: Abk rzungsverzeichnis 2 Positionspapier Deutschland Peter Ullmann, Katrin Thissen, Birgit Ullmann, Ruth Schwerdt, Harald Haynert, Brigitte Grissom, Johann Keogh, Daniela Lehwaldt, Holger Schmitte, Daniel Merki, A.

2 Zia Haider, Phillip Platt, Dena Williams, Robert Maier, Alexander Holzknecht Version Impressum Deutsches Netzwerk c/o H. Haynert Advanced Practice Nursing Advanced Nursing Practice Heilenstra e 7 58452 Witten Online Alle Rechte f r die Ver ffentlichung sind dem Deutschen Netzwerk Advanced Practice Nursing & Advanced Nursing Practice vorbehalten. Die CD mit den Interviews aus dem Kapitel Zusammenfassung der NP Diskussionsrunde in Amarillo, Texas kann unter der E-Mail (kostenpflichtig f r Material & Versand) angefordert werden. Das Kopieren und weitergeben, sowie irgendwelcher Ver nderungen sind nicht gestattet. Bei ffentlichen Auff hrungen ist die Einverst ndniserkl rung vorher einzuholen. Es gilt das Urheberrecht. Design & Fotorechte: Peter Ullmann AdvancedPracticeN u r s i n gDeutschesN etzw er u rs i n gP r a c t i c e Kapitel: Abk rzungsverzeichnis 3 Positionspapier Deutschland Peter Ullmann, Katrin Thissen, Birgit Ullmann, Ruth Schwerdt, Harald Haynert, Brigitte Grissom, Johann Keogh, Daniela Lehwaldt, Holger Schmitte, Daniel Merki, A.

3 Zia Haider, Phillip Platt, Dena Williams, Robert Maier, Alexander Holzknecht Version Inhaltsverzeichnis Abk rzungsverzeichnis .. 4 Preface .. 6 1. Einleitung .. 8 2. Die Kopernikanische Wende in der Entwicklung von Advanced Practice Nursing .. 12 3. Begriffskl rung .. 20 4. Advanced Practice Nursing (APN) .. 23 Recht .. 26 5. Advanced Practice Nurse (APN`s) .. 33 APN`s Rollen .. 35 Einsatzbereiche von Advanced Practice Nurses (APN`s) .. 40 6. Advanced Nursing Practice (ANP) .. 49 Kompetenzen & T tigkeiten .. 49 7. Beispiele f r die praktische T tigkeit von Advanced Practice Nurse .. 53 APN`s als Klinischer Pflegeexperte in der Kaiserwerther Diakonie, D sseldorf, Bundesland NRW, Deutschland .. 54 Vision von ANP im Kontext der Familie / APN`s f r Family Health Care .. 56 Ein Beispiel f r die Arbeit von APN's auf der Herzchirurgie in Irland .. 59 Advanced Practice Nurse (APN`s) als Fachverantwortung in der psychiatrischen klinischen Praxis in Kilchberg, Kanton Z rich, Schweiz.

4 63 Die Zusammenarbeit zwischen einer Advanced Practice Nurse (APN`s) und einem Oberarzt im psychiatrischen Setting aus der Perspektive des Mediziners in Kilchberg, Kanton Z rich, Schweiz .. 70 Die Zusammenarbeit zwischen einer Advanced Practice Nurse (APN`s) und einer Stationsleitung im psychiatrischen Setting in Kilchberg, Kanton Z rich, Schweiz .. 73 Die Nurse Practitioner (NP) Rolle aus der Sicht von rztlichen Mitarbeitern in Amarillo, Texas, USA .. 74 Zusammenfassung der Nurse Practitioner (NP) Diskussionsrunde in Amarillo, Texas .. 79 Literaturverzeichnis .. 85 Autorinnen und Autoren .. 93 AdvancedPracticeN u r s i n gDeutschesN etzw er u rs i n gP r a c t i c e Kapitel: Abk rzungsverzeichnis 4 Positionspapier Deutschland Peter Ullmann, Katrin Thissen, Birgit Ullmann, Ruth Schwerdt, Harald Haynert, Brigitte Grissom, Johann Keogh, Daniela Lehwaldt, Holger Schmitte, Daniel Merki, A.

5 Zia Haider, Phillip Platt, Dena Williams, Robert Maier, Alexander Holzknecht Version Abk rzungsverzeichnis ACNP Acute Care Nurse Practitioner ACNP-BC Acute Care Nurse Practitioner ACNS-BC Adult Health CNS ACVB Aorto-Coronarer-Venen-Bypass AGnES Arztentlastende, Gemeindenahe, E-Health gest tzte, Systemische Intervention AIP Arzt im Praktikum AK DQR Arbeitskreis Deutscher Qualifikationsrahmen ANA American Nurses Association ANCC American Nurses Credentialing Centre ANP Advanced Nursing Practice ANP-BC Adult Nurse Practitioner AOCN Advanced Oncology Certified Nurse AOCNP Advanced Oncology Certified Nurse Practitioner AOCNS Advanced Oncology Certified Clinical Nurse Specialist APN Advanced Practice Nursing APN`s Advanced Practice Nurse(s) Bachelor of Science BGBl Bundesgesetzblatt BMFSFJ Bundesministeriums f r Familie, Senioren, Frauen und Jugend BMG Bundesministerium f r Gesundheit BNS Bachelor of Nursing Science BSAHS Baptist Saint Anthony Hospital System CNM Certified Nurse-Midwife CNS Clinical Nurse Spezialist CRNA Certified Registered Nurse Anaesthetist DBfK Deutscher Berufsverband f r Pflegeberufe DNAPN Deutsche Netzwerk Advanced Practice Nursing & Advanced Nursing Practice DNP Doctorate of Nurse Practice FNP-BC Family Nurse Practitioner G-BA Gemeinsame Bundesausschuss GCNS-BC Gerontology CNS GKV gesetzliche Krankenversicherung GNP-BC Gerontological Nurse Practitioner AdvancedPracticeN u r s i n gDeutschesN etzw er u rs i n gP r a c t i c e Kapitel.

6 Abk rzungsverzeichnis 5 Positionspapier Deutschland Peter Ullmann, Katrin Thissen, Birgit Ullmann, Ruth Schwerdt, Harald Haynert, Brigitte Grissom, Johann Keogh, Daniela Lehwaldt, Holger Schmitte, Daniel Merki, A. Zia Haider, Phillip Platt, Dena Williams, Robert Maier, Alexander Holzknecht Version ICD International Statistical Classification of Diseases and Related Health Problems ICN International Council of Nurses IV-Kr fte Hausarztorientierter integrierter Versorgungs-Vertrag Doctors of Medicine Master of Science MAS Master of Advanced Studies MDS Medizinische Dienst der Spitzenverb nde der Krankenkassen MNS Master of Nursing Science MScN Master of Science Nursing NANDA North American Nursing Diagnosis Association, NCSBN National Council of State Boards of Nursing NNP Neonatal Nurse Practitioner NP Nurse Practitioners ONCC Oncology Nursing Certification Corporation PCNS-BC Paediatric CNS PGDip Postgraduate Diplomas Philosophiae Doctor (Doctor of Philosophy in Nursing Science)

7 PHCNS-BC Public/Community Health CNS PMHCNS-BC Adult Psychiatric and Mental Health CNS PMHCNS-BC Child/Adolescent Psychiatric and Mental Health CNS PMHNP-BC Adult Psychiatric and Mental Health Nurse Practitioner PMHNP-BC Family Psychiatric and Mental Nurse Practitioner PNP-BC Pediatric Nurse Practitioner RCNA Royal College of Nursing RGN Registered General Nurse RKI Robert Koch Institut RN Registered nurse RNT Recruiting New Teachers SGB Sozialgesetzbuch SVR Sachverst ndigenrat zur Begutachtung der Entwicklung im Gesundheitswesen VFP Schweizer Verein f r Pflegewissenschaften WHO-WPRO World Health Organization-Western Pacific Region AdvancedPracticeN u r s i n gDeutschesN etzw er u rs i n gP r a c t i c e Kapitel: Preface 6 Positionspapier Deutschland Peter Ullmann, Katrin Thissen, Birgit Ullmann, Ruth Schwerdt, Harald Haynert, Brigitte Grissom, Johann Keogh, Daniela Lehwaldt, Holger Schmitte, Daniel Merki, A.

8 Zia Haider, Phillip Platt, Dena Williams, Robert Maier, Alexander Holzknecht Version Preface Autor: Professor Dr. Johann Keogh Introduction During the past 6 months, several articles were published in newspapers and journals about the shortage of medical doctors in the rural areas in Germany. This situation can be solved by introducing Advanced Practice nurses, who could, for example, take on the responsibility of providing care to chronically ill people. This fact has been recognized by some authors, and reference was made to nurses with special training - taking on some of the trifle or Bagatelle diseases as a possible solution to the shortage. To date, the legal situation in Germany is quite clear on the concept of Nurse Prescribing . No nurse may prescribe any form of medical treatment. Nurse prescribing, however, is already standard Practice in many countries (The UK, Australia, New Zealand, etc.)

9 , and the legal situation in Germany has to change before any tasks in this field can be substituted (not delegated) to nurses. This position paper (Policy document) deals with developing the role of the Advanced Prac-tice Nurse, and his/her role in providing high quality care to patients in various settings. These settings may be in hospitals and not necessarily in rural areas only. However, this professional group of nurses could quite easily also take on the care for people living in areas with an under supply of medical doctors. It is important to recognise the contribution of the Advanced Practice Nurse to the health care system. Advance Practice Nurses all over the world have taken on certain functions which previously fell under the domain of the medical profession, such as diagnostic procedures (Gastro-Enteroscopy or breast screening, for instance), but they also took on specific thera-peutic measures, especially in Primary Health Care and mental health services.

10 Group therapy, counselling and case management, as well as drug rehabilitation has been part of the normal Nursing interventions within the domain of the Advanced Practice Nurse for more than 10 years. The main aim of the Advanced Practice Nurse is therefore providing expert direct care to the patient and not merely orchestrating the services at managerial level only. The Aim of this Paper The aim of this paper is to: Differentiate between the concepts: Advanced Practice Nursing Advanced Nursing Practice , and Advanced Practice Nurse. Define the roles of the Advanced Practice Nurse. Identify the competencies and tasks of the Advanced Practice Nurse. AdvancedPracticeN u r s i n gDeutschesN etzw er u rs i n gP r a c t i c e Kapitel: Preface 7 Positionspapier Deutschland Peter Ullmann, Katrin Thissen, Birgit Ullmann, Ruth Schwerdt, Harald Haynert, Brigitte Grissom, Johann Keogh, Daniela Lehwaldt, Holger Schmitte, Daniel Merki, A.