The role and value of self-employed nurses in the allocation of nursing human resources: A scoping review

IF 3.1 3区医学 Q1 NURSING

International Journal of Nursing Sciences Pub Date : 2025-09-01 DOI:10.1016/j.ijnss.2025.08.005

Nianqi Cui , Wei Yang , Yulin Lu , Jingfen Jin

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引用次数: 0

Abstract

Objective

This study aimed to conduct a scoping review to determine the role and value of self-employed nurses in the allocation of nursing human resources.

Methods

Following the scoping review methodological framework proposed by Arksey and O’Malley, China National Knowledge Infrastructure (CNKI), WanFang, CINAHL, PubMed, Web of Science, and Scopus databases were searched from inception to February 2025 on self-employed nurses in the nursing field. Thematic content analysis was used to collate, summarize, and narratively report themes and subthemes on nursing data practices.

Results

A total of 60 articles were ultimately included. Four themes emerged from the scoping review. Among them, 14 articles focused on the qualification certification and competency requirements of self-employed nurses, 24 articles delved into the roles and responsibilities, 24 articles focused on the value, and the remaining four articles focused on the registration and legalization. Self-employed nurses must have a bachelor’s degree in nursing and pass relevant exams, while specialist nurses need even more skills. They offer personalized care through clinics or home visits, providing a flexible and autonomous career path, reducing healthcare costs, and encouraging interdisciplinary collaboration.

Conclusions

This study highlights the various roles and values of self-employed nurses. However, self-employed nurses face challenges, including nonuniform regulations, practice risks, a lack of medical insurance policies, shortages in remote areas, and inadequate educational support. Key strategies for enabling effective contributions to the healthcare system include the standardization of entry requirements, the strengthening of certification processes, the enhancement of safety measures, the development of medical insurance policies, the attraction of talent, and the reinforcement of educational frameworks.

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自雇护士在护理人力资源配置中的作用和价值：范围审查

目的探讨个体护士在护理人力资源配置中的作用和价值。方法按照Arksey和O 'Malley提出的范围综述方法框架，检索中国知网（CNKI）、万方、中国医学信息学会（CINAHL）、PubMed、Web of Science和Scopus数据库，检索自成立至2025年2月护理领域的个体执业护士。主题内容分析用于整理、总结和叙述性报告护理数据实践的主题和次主题。结果最终共纳入60篇文献。范围审查产生了四个主题。其中，自主执业护士资格认证与胜任力要求14篇，角色职责24篇，价值24篇，注册与合法化4篇。自雇护士必须拥有护理学士学位并通过相关考试，而专科护士则需要更多的技能。他们通过诊所或家访提供个性化护理，提供灵活自主的职业道路，降低医疗成本，并鼓励跨学科合作。结论本研究突出了个体护士的多种角色和价值。然而，自雇护士面临挑战，包括不统一的法规、执业风险、缺乏医疗保险政策、偏远地区短缺以及教育支持不足。促进对医疗保健系统作出有效贡献的关键策略包括标准化入职要求、加强认证程序、加强安全措施、制定医疗保险政策、吸引人才和加强教育框架。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Nursing Sciences Nursing-Nursing (all)

CiteScore

6.10

自引率

2.60%

发文量

408

审稿时长

25 days

期刊介绍： This journal aims to promote excellence in nursing and health care through the dissemination of the latest, evidence-based, peer-reviewed clinical information and original research, providing an international platform for exchanging knowledge, research findings and nursing practice experience. This journal covers a wide range of nursing topics such as advanced nursing practice, bio-psychosocial issues related to health, cultural perspectives, lifestyle change as a component of health promotion, chronic disease, including end-of-life care, family care giving. IJNSS publishes four issues per year in Jan/Apr/Jul/Oct. IJNSS intended readership includes practicing nurses in all spheres and at all levels who are committed to advancing practice and professional development on the basis of new knowledge and evidence; managers and senior members of the nursing; nurse educators and nursing students etc. IJNSS seeks to enrich insight into clinical need and the implications for nursing intervention and models of service delivery. Contributions are welcomed from other health professions on issues that have a direct impact on nursing practice.