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增强高级执业护士的能力:应对全球卫生需求的综述

Empowering Advanced Practice Nurses: A Review of Addressing Global Health Needs.

作者信息

Mackavey Carole, Henderson Colette, Morris Gillian

机构信息

University of Texas Health Science Center @Houston Cizik SON, Texas, USA.

School of Health Sciences, University of Dundee, Scotland.

出版信息

Ann Glob Health. 2025 Aug 13;91(1):45. doi: 10.5334/aogh.4723. eCollection 2025.

Abstract

This paper explores the current global health landscape and the transformative potential of empowering Advanced Practice Nurses (APNs) to address global health challenges. It highlights successful models of APN integration from various countries, showcasing their positive impact on patient outcomes and the efficiency of the healthcare system. This narrative provides an overview of the current impact of APNs and Nurse Practitioners (NPs) on global health, as well as areas where APNs/NPs can enhance healthcare outcomes. It emphasizes the crucial role that APNs play in addressing healthcare issues and outlines their potential to expand access to quality care through their practice and leadership. A review of the literature examines current trends and research; this paper highlights critical areas where APNs can make substantial contributions, such as chronic disease management, primary care access, emergency care, and overall health system improvement. It is essential to optimize the utilization of APNs/NPs, standardize APN roles and scope of practice internationally, enhance APN educational programs, and promote interprofessional collaboration. The global healthcare landscape faces unprecedented challenges, including aging populations, increasing burdens from chronic diseases, and persistent health disparities. By empowering APNs, healthcare systems can better address the diverse and evolving health needs of global populations. APNs and NPs can significantly and multifacetedly impact global health. They are uniquely positioned to provide holistic and patient‑centered care, improve access to services, mitigate provider shortages, enhance quality, and address health disparities. APNs/NPs are underutilized in healthcare. They are experts in health promotion and disease prevention, both of which are crucial for improving global population health. APNs/NPs can contribute to achieving the United Nations Sustainable Development Goals (SDGs) related to improved health, greater gender equality, and stronger economies.

摘要

本文探讨了当前全球卫生状况以及授权高级实践护士(APN)应对全球卫生挑战的变革潜力。它突出了来自不同国家的APN整合成功模式,展示了它们对患者结局的积极影响以及医疗保健系统的效率。 本叙述概述了APN和执业护士(NP)目前对全球卫生的影响,以及APN/NP可以改善医疗保健结局的领域。它强调了APN在解决医疗保健问题中所起的关键作用,并概述了它们通过实践和领导力扩大优质护理可及性的潜力。 文献综述审视了当前趋势和研究;本文突出了APN可以做出重大贡献的关键领域,如慢性病管理、初级保健可及性、急诊护理和整体卫生系统改善。 优化APN/NP的利用、在国际上规范APN的角色和执业范围、加强APN教育项目以及促进跨专业协作至关重要。 全球医疗保健格局面临前所未有的挑战,包括人口老龄化、慢性病负担增加以及持续存在的卫生差距。通过授权APN,医疗保健系统可以更好地满足全球人口多样化且不断变化的卫生需求。 APN和NP可以对全球卫生产生重大且多方面的影响。它们具有独特的地位来提供全面且以患者为中心的护理、改善服务可及性、缓解医疗服务提供者短缺、提高质量以及解决卫生差距问题。 APN/NP在医疗保健中未得到充分利用。它们是健康促进和疾病预防方面的专家,而这两者对于改善全球人口健康都至关重要。APN/NP可以为实现与改善健康、更大程度的性别平等和更强大的经济相关的联合国可持续发展目标(SDG)做出贡献。

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