Strategies for expanding the role of advanced practice providers in the Korean nursing workforce: a mixed-methods approach.
Purpose: This study aimed to propose strategies for strengthening the nursing workforce by expanding their roles as advanced practice providers (APPs). Methods: A mixed-methods approach was employed, consisting of five focus group interviews (FGIs) with 30 healthcare professionals (including 10 phys...
| Publicado en: | Journal of Korean Academy of Nursing Vol. 55; no. 4; pp. 568 - 584 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Korean Society of Nursing Science
Nov2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=189893223&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 189893223 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 20053673 ATS7 jtl: Journal of Korean Academy of Nursing issn: 20053673 maglogo: N pubinfo: dt: Nov2025 vid: 55 iid: 4 pid: 42744 pub: Korean Society of Nursing Science place: , <Blank> artinfo: ui: 189893223 189893223 189893223 10.4040/jkan.25106 189893223 ppf: 568 ppct: 16 formats: fmt: @attributes: type: P tig: atl: Strategies for expanding the role of advanced practice providers in the Korean nursing workforce: a mixed-methods approach. aug: au: Kim, Jeong Hye Jeon, Mi-Kyeong Choi, Suyoung Lee, Mimi Choi, Su Jung affil: Department of Clinical Nursing, University of Ulsan, Ulsan, Korea sug: subj: Advanced Practice Registered Nurses Psychosocial Factors Advanced Practice Registered Nursing Psychosocial Factors Nursing Role Evaluation Workforce Evaluation Human Male Female Adult Middle Age Multimethod Studies South Korea Focus Groups Interviews Delphi Technique Survey Research Thematic Analysis Quality of Nursing Care Scope of Nursing Practice Nursing Administration Advanced Practice Registered Nurses Education Credentialing Support, Psychosocial Professional Boundaries Certification Job Characteristics Practice Guidelines Health Services Needs and Demand Professional Competence Communication Multidisciplinary Care Team Problem Solving Leadership Counseling Personnel Shortage Nursing Knowledge Delegation of Authority Job Experience Interprofessional Relations Education, Continuing Promotion and Tenure Job Performance Salaries and Fringe Benefits Data Analysis Software Career Planning and Development Legislation, Nursing Funding Source Descriptive Statistics Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: Purpose: This study aimed to propose strategies for strengthening the nursing workforce by expanding their roles as advanced practice providers (APPs). Methods: A mixed-methods approach was employed, consisting of five focus group interviews (FGIs) with 30 healthcare professionals (including 10 physicians) and a two-round Delphi survey with 49 experts. The FGIs explored practical insights from clinical settings, while the Delphi process validated and prioritized strategic recommendations through expert consensus. Results: Four major themes emerged from the FGI analysis: (1) utilization of diverse APPs to ensure quality care, (2) expanding the scope of practice of APPs, (3) requirements to ensure the quality of APPs, and (4) strategies for sustainable management of the APP workforce. Building on these findings, the Delphi survey identified five strategic domains: "definition and qualifications," "scope of practice," "educational programs," "credentialing and regulation," and "support systems." Key areas of consensus included the need for mandatory clinical experience and specialty training, legal clarification of role boundaries, standardized curricula with certification mechanisms, and institution-led support systems such as task-specific job descriptions and recredentialing processes. Conclusion: To effectively strengthen APP roles, it is essential to build on the existing advanced practice nurse (APN) framework, which already includes structured curricula and national certification. Furthermore, integrative strategies should be developed to incorporate experienced clinical nurses without APN licenses into the APN system. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: Korean refInfo: holdings: @attributes: islocal: N |
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