重症高级实践护士培训体验及专业发展期望的质性研究

doi:10.3761/j.issn.2096-7446.2026.07.015

Abstract

Abstract:

Objective To explore the role experiences during training among advanced practice nurses（APNs） in critical care，ascertain their expectations regarding competence transformation and professional development，and provide a reference basis for promoting the role transition and professional development of critical care APNs. Methods Using a descriptive phenomenological qualitative research methodology，purposive sampling was conducted to select 15 participants from various provinces and cities across China who had completed a critical care advanced practice nurses training program. Semi-structured interviews were conducted with these individuals from November 15 to 29，2024. Colaizzi’s phenomenological data analysis method was applied to organize the interview data and extract core themes. Results Five core themes were summarized as follows：Expectations regarding role cognition and transition；Expectations for core competency enhancement；Practical experiences and reflections on individualized training；Effectiveness of training in career development and its practical challenges；Support demands for professional development. Conclusion The study academically reveals the pressures，dilemmas and expectations for development encountered by critical care APNs during training and reflects their urgent needs for improvement in role cognition，competence enhancement and personal professional qualifications. It provides a reference basis for optimizing training system，role positioning，and professional development pathways，and serves as a reference for clinical training，job position design，and policy improvement.

Key words: Advanced Practice Nurse in Critical Care, Training Experience, Professional Development Expectations, Qualitative Research

LIU Fang, LI Mengnan, AN Jihui, WANG Yue, LI Peiyao, SHEN Yanling, YANG Xiwen, MEI Aiying, WANG Yujiao, GONG Lichao, SUN Hong. A qualitative study on the training experiences and expectations for professional development of critical care advanced practice nurses[J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(7): 864-869.

Figures/Tables 1

References 21

[1]	Kerr L, MacAskill A. The journey from nurse to advanced nurse practitioner:applying concepts of role transitioning[J]. Br J Nurs, 2020, 29(10):561-565. doi: 10.12968/bjon.2020.29.10.561
[2]	Egerod I, Kaldan G, Nordentoft S, et al. Skills,competencies,and policies for advanced practice critical care nursing in Europe:a scoping review[J]. Nurse Educ Pract, 2021, 54:103142. doi: 10.1016/j.nepr.2021.103142
[3]	Lopatina E, Donald F, DiCenso A, et al. Economic evaluation of nurse practitioner and clinical nurse specialist roles:a metho-dological review[J]. Int J Nurs Stud, 2017, 72:71-82. doi: S0020-7489(17)30098-6 pmid: 28500955
[4]	Assolari F, Mancin S, Lopane D, et al. Advanced practice nurs-ing in surgery:a scoping review of roles,responsibilities,and educational programs[J]. Int Nurs Rev, 2025, 72(3):e13045.
[5]	Schober M, Lehwaldt D, Rogers M, et al. Guidelines on advan-ced practice nursing 2020[R]. Geneva: International Council of Nurses, 2020.
[6]	Maier CB, Barnes H, Aiken LH, et al. Descriptive,cross-country analysis of the nurse practitioner workforce in six countries:size,growth,physician substitution potential[J]. BMJ Open, 2016, 6(9):e011901.
[7]	Clark A, Amanti C, Sheng AY. Supervision of advanced practice providers[J]. Emerg Med Clin North Am, 2020, 38(2):353-361. doi: 10.1016/j.emc.2020.02.007
[8]	毛龙龙, 李珊, 李丽青, 等. 重症医学高级实践护士的研究进展[J]. 全科护理, 2025, 23(2):260-265.
	Mao LL, Li S, Li LQ, et al. Research progress of senior prac-tice nurses in critical care medicine[J]. Chin Gen Pract Nurs, 2025, 23(2):260-265.
[9]	Bales G, Hasemann W, Kressig RW, et al. Scope of practice,competencies and impact of advanced practice nurses within APN-led models of care for young and middle-aged adult patients with multimorbidity and/or complex chronic conditions in hospital settings:a scoping review[J]. BMJ Open, 2025, 15(4):e091170.
[10]	李明子. 全球高级护理实践的发展与中国路径[J]. 中国临床护理, 2026, 18(1):5-7. doi: 10.3969/j.issn.1674-3768.2026.01.002
	Li MZ. The development of global advanced nursing practice and its Chinese path[J]. Chin Clin Nurs, 2026, 18(1):5-7. doi: 10.3969/j.issn.1674-3768.2026.01.002
[11]	Lopes-Júnior LC. Advanced practice nursing and the expan-sion of the role of nurses in primary health care in the americas[J]. SAGE Open Nurs, 2021, 7:23779608211019491.
[12]	Yang JY, Wan XL, Hu JP, et al. Bridging the gap:a qualita-tive study of role ambiguity,educational misalignment,and systemic barriers in China’s advanced practice nurse training[J]. BMC Nurs, 2025, 25(1):6. doi: 10.1186/s12912-025-04159-6
[13]	Parker JM, Hill MN. A review of advanced practice nursing in the United States,Canada,Australia and Hong Kong Special Administrative Region(SAR),China[J]. Int J Nurs Sci, 2017, 4(2):196-204.
[14]	Hill MN, Parker J, Liu HP, et al. Strategic directions and actions for advanced practice nursing in China[J]. Int J Nurs Sci, 2017, 4(1):8-11.
[15]	郭红霞, 李继平. 高级实践护士角色在我国的研究现状[J]. 中华现代护理杂志, 2023, 29(6):827-834.
	Guo HX, Li JP. Status of research on the advanced practice nurses role in China[J]. Chin J Mod Nurs, 2023, 29(6):827-834.
[16]	Canga-Armayor N. Academic training of nurses developing ad-vanced practice roles[J]. Enfermería Intensiva Engl Ed, 2024, 35(4):e41-e48.
[17]	Han SF, Dong WJ, Duan X, et al. Developing an evaluation framework based on entrustable professional activities for advanced practice nurses in China[J]. Int Nurs Rev, 2026, 73(1):e70151.
[18]	Yohannes-Tomicich J, D’An-drea L, Lin XK, et al. Innovative pa-thways for advanced practice provider growth:the memorial sloan kettering cancer center ascend program[J]. J Adv Pract Oncol, 2025, 16(7):1-13.
[19]	江华, 陆悦, 侯淑肖, 等. 慢性病管理高级执业护师方向护理硕士培养的探索与实践[J]. 中国护理管理, 2023, 23(5):660-664.
	Jiang H, Lu Y, Hou SX, et al. Exploration and practice of training mode for master of professional degree of nurse prac-titioner in noncommunicable diseases management[J]. Chin Nurs Manag, 2023, 23(5):660-664.
[20]	王雯静, 苑秋辰, 郭爱敏. 我国高级实践护士发展的态势分析[J]. 中华护理教育, 2024, 21(12):1443-1448.
	Wang WJ, Yuan QC, Guo AM. Analysis of the development trends of advanced practice nurses in China[J]. Chin J Nurs Educ, 2024, 21(12):1443-1448.
[21]	Wan J, Xia HO. How advanced practice nurses can be better managed in hospitals:a multi-case study[J]. Healthcare, 2023, 11(6):780. doi: 10.3390/healthcare11060780

A qualitative study on the training experiences and expectations for professional development of critical care advanced practice nurses

RichHTML

PDF (PC)

Knowledge

Abstract

Cite this article

share this article

Figures/Tables 1

References 21

Related Articles 15

Recommended Articles

Metrics

Comments

[1]	CUI Mengjiao, CHEN Lu, HUANG Ping, FANG Fang, XIA Ying, MEI Tianshu. A qualitative study on the emergency department nurses’ experience of practicing humanistic care [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(5): 602-607.
[2]	MA Na, CHEN Xufeng, CHEN Feng, ZHANG Yangchun, JI Xueli. A meta-synthesis of qualitative studies on nursing experiences of extracorporeal membrane oxygenation nurses [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(4): 440-446.
[3]	ZHANG Ping, WENG Fengxia, SANG Ming, WEI Jianhua. A qualitative study of ICU nurses’ psychological experience in coping with injurious behavior of cardiac and macrovascular patients with postoperative delirium [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(4): 481-487.
[4]	CHEN Xiuwan, CHEN Fuhong, GAO Lu, GUO Jiaying, SHEN Jiali. Qualitative study on the experience of using eye-tracking technology in electrocardiogram training for emergency and critical care nurses [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(3): 294-299.
[5]	HAN Lin, JU Ping, WANG Xueting, YANG Lijuan, KONG Qingjie, XIAO Hong, MENG Lihong. Meta-integration of qualitative research on the experience of emergency medical staff caring for self-harm patients [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(8): 1003-1009.
[6]	CHEN Panjun, LI Bo, ZHAO Yati, GUO Xinzhen. Experience of emergency department nurses in disaster relief：a qualitative meta-synthesis [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(8): 1010-1016.
[7]	CHEN Weijing, LI Jialin, SONG Jianping, XIAO Hanyu, JIN Jinhua, ZHANG Weibin. The experience of coping with electrocardiogram monitoring alarm among patients in cardiac intensive care unit：a qualitative study [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(8): 930-937.
[8]	ZHU Wei, HE Bosheng, HUANG Xiangdong, WU Yiyu, YUAN Lingfeng, LIU Ruihong. Experience of patients ventilated in awake prone positioning：a qualitative Meta-synthesis [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(7): 819-825.
[9]	XU Yanan, LIU Yahui, WANG Danruo, KANG Yubiao, YUAN Ling. A meta-synthesis of the qualitative studies of the influencing factors of palliative care implemented by ICU medical staff [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(6): 737-743.
[10]	YU Xiaoling, Qian Weiming, YU Liangmeng, JIN Xiaojuan, CHEN Lichai. The experience of anesthesia nurses using the difficult airway information management system：a qualitative study [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(6): 692-696.
[11]	ZHANG Chuchu, ZHANG Na, GONG Xiaoyan, SUI Weijing, CHEN Ting, WANG Kaili, ZHUANG Yiyu. A meta-synthesis of real experiences of ICU nurses caring for extracorporeal membrane oxygenation supported patients [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(4): 480-486.
[12]	LIU Qian, RUAN Xu, YU Tianhao, SUN Shangxue, LI Wenli, LI Yangyang, LU Guanzhen, PENG Fei. The experiences and needs of nurses’ participation in mass casualty incident rescue：a meta-synthesis of qualitative studies [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(4): 434-440.
[13]	ZHANG Dandan, MIN Yan, HUANG Qiuxia, LI Huimin, YUAN Yiling, MIAO Ruting. Experience of fear of disease progression in patients with aortic dissection：a qualitative study [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(4): 403-408.
[14]	ZHU Xuanjing, HUANG Zhuofan, LIN Yang, GE Chun, CHEN Qiaoling. A qualitative study on the current situation and influencing factors of training migration of critical care specialist nurses in Fujian Province [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(3): 297-302.
[15]	TAO Qian, GAO Mingrong, BAI Liping, CHEN Shaozhen, CHENG Shouzhen. Quality evaluation of airway management in prone position mechanically ventilated patients：a qualitative study from the perspective of medical staff [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(2): 214-218.