ArticleBMJ open2025
Role development needs of stroke advanced practice nurses in mainland China hospital: a participatory qualitative study.
Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectivesTo identify challenges in stroke care services and stakeholders' expectations for the role of stroke advanced practice nurses (APNs) in the neurology department of a tertiary hospital in ainland China.
designA field study using participatory observation and in-depth interviews.
settingThe neurology department of a tertiary hospital in Sichuan Province, China.
participantsThe principal researcher conducted participant observation in the capacity of a clinical nurse. In-depth individual interviews were conducted within 7 stroke patients and their carers, 4 doctors and 10 nurses.
resultsKey challenges included a shortage of specialised professionals, imprecise, untimely and discontinuous care, poor medical-nursing collaboration, limited nursing expertise and unmet patient needs. Stakeholders expected stroke APNs to fulfil six roles: stroke care expert, advanced clinical practitioner, collaborative coordinator, specialist care innovator, specialised educator and role model.
conclusionsStroke APNs should provide precise, timely and continuous care for patients while enhancing team cohesion, overall competence and service quality.
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