Entwicklung der Rolle der Advanced Practice Nurse in der stationären Langzeitpflege älterer Menschen in der Schweiz

Abstract

Due to the imminent demographic surge of older people, many suffering from multiple chronic diseases and age-related health problems, the demand for professional nursing care will increase massively over the coming decades. However, the demand for qualified nursing personnel in long-term healthcare is already outpacing the supply. Without a change of course, this can only lead to a crisis of quality. Experiences, e.g. from the U.S., have shown that masters-prepared Advanced Practice Nurses (APN) facilitate quality improvement in the long-term care of elderly people. With their focus on interdisciplinary collaboration and clinical results, they support the development of the institutions they work with and of gerontological nursing in general. This article describes the development of Advanced Nursing Practice in three gerontological long-term care facilities in Switzerland's German speaking region on the basis of practice development projects advancing the assessment and management of pain. APNs' defined competencies serve as a framework to evaluate the implementation of their roles: working in clinical leadership projects, they support interdisciplinary collaboration, focusing on direct clinical practice, the development of evidence-based nursing care, and the expert guidance of nurses. The role of APN in stationary long-term care in Switzerland has considerable potential for development.

Evaluation pädiatrischer Advanced Practice Nurses: Qualität und Nutzen für die Schweiz?

“…Im Kinderspital Zürich, dem grössten auf Kinder und Jugendliche spezialisierten Pädiatrie-Zentrum der Schweiz, betreuen Pflegefachpersonen mit vertieften und erweiterten Kompetenzen (Advanced Practice Nurses, APNs) im Bereich Kontinenz und Wundversorgung Kinder in komplexen Situationen (Flury, Ullmann-Bremi & Huber, 2011;Ullmann-Bremi, Schlüer, Finkbeiner & Huber, 2011). Auch an anderen Schweizer Institutionen und in der Grundversorgung werden APN-Rollen umgesetzt und weisen positive Resultate vor (Barandun Schäfer, Hirsbrunner, Jäger, Näf, Römmich & Horlacher, 2011;Imhof, Naef, Mahrer-Imhof & Petry, 2011;Müller, Jaggi, Kouriaichi, Eggenschwiler & Mahrer-Imhof, 2010;Imhof, Naef, Wallhagen, Schwarz & Mahrer-Imhof, 2012;Spirig, Nicca, Werder, Voggensperger, Unger, Bischofberger et al, 2002;Ullmann-Bremi et al, 2011;Ullmann-Bremi, Spirig, Gehring & Gobet, 2004;Ulrich, Hellstern, Kressig, Eze & Spirig, 2010;Zúñiga, Jenni, Wiesli & Schwendimann, 2010).…”

Health Care Provision in a Swiss Urban Walk-In-Clinic. Is Advanced Nursing Practice a Solution for a New Model in Primary Care? / Gesundheitsversorgung in einer städtischen Walk-In-Praxis in der Schweiz. Ist Advanced Nursing Practice ein neues Modell in der Grundversorgung?

“…Since the founding of the University of Basel's Institute for Nursing Science in 2000, APNs have been educated at a master's level (Künzi & Detzel, 2007;Sheer & Wong, 2008). Throughout Switzerland, the programme's graduates are increasingly deployed in various areas of primary care (Lindpaintner, 2010), acute care (Künzi & Detzel, 2007;Ulrich, Hellstern, Kressig, Eze, & Spirig, 2010) and long-term care (Müller, Jaggi, Kouriaichi, Eggenschwiler, & Mahrer-Imhof, 2010;Zùñiga, Jenni, Wiesli, & Schwendimann, 2010). The inclusion of APNs in Swiss primary care aims to alleviate care access and distribution problems, particularly in local health care settings (Künzi & Detzel, 2007) such as WICs.…”