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Clinical Nursing Research Vol.11 No.1, 165-177, Aug, 2005

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American Nurses Association (1995). Implementation of

nursing practice standards and guidelines.

Washington, DC: American Nurses Publishing.

Lewis, S. M., Heitkemper, M. M., Dirksen, S. R.,

O’Brien, P. G., Giddens, J. F., & Bucher, L.

(2004). Medical surgical nursing-Assessment and

management of clinical problem, 6th ed. Mosby.

Spencer, L. M., & Spencer, S. M. (1993). Competence at

work : models for superior performance. John

Wiley & Son, Inc.

Styles, M. M. (1989). On specialization in nursing :

toward a new empowerment. American Nurses’

Foundation, Inc.

http://www.nursingworld.org/ancc

http://www.certcorp.org

http://www.aanc.org

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http://www.oncc.org

http://www.aanp.org

http://www.ncsbn.org

http://www.nccnet.org

http://www.aana.org

http://www.cbic.org

http://www.abohn.org

http://www.pncb.org

http://www.ena.org

http://sonser4.nur.uth.tmc.edu/ecnps/

http://icn-apnetwork.org/

Development of Classification System for Critical Care andCore Competencies of Advanced Practice Nurse

Kim, So Sun1) You, Ock Su2) Kwon, In Gak3) Moon, Seong Mi4) Sung, Young Hee5)

1) Professor, College of Nursing, Yonsei University

2) Director of Nursing Department, Seoul National University Hospital

3) Director of Nursing Education, Samsung Medical Center

4) Researcher, Nursing Policy Research Institute, Yonsei University

5) Chief of Nursing Department, Samsung Medical Center

Purpose: The purpose of this study were to classify and define critical care and to develop the core competencies

of advanced practice nurses. Method: From an extensive literature review, a draft of a classification system in critical

care and the core competencies of advanced nurse was developed. A focus group, consisted of the representatives from

related areas in medicine and nursing, was used to draw a consensus on the draft presented. Result: A final classification

system for critical care contained cardio/pulmonary system, gastrointestinal system, neuromuscular system,

genitourinary system, endocrine system, oncology/hematology/immunology system, and pediatrics. The core

competences for advanced practice nurse contained advanced clinical practice, education and counseling, consulting and

collaboration, research, leadership. Conclusion: Increased complexity of care and clinical decision making need

advanced practice nurse to be prepared as a competent professional. Based on the study result, a standard for education,

practice and credentialing can be refined.

Corresponding author : Moon, Seong Mi

Nursing Policy Research Institute, Yonsei University

134, Shinchondong, Seodaemungu, Seoul 120-752, Korea

Tel 82-2-2228-3322, E-mail [email protected]

clinical nursing research vol.11 no.1, 165-177, aug, 2005

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