Workplace Challenges and Policy Responses in the Caribbean Nursing Workforce: Insights From Country Chief Nurses.

IF 2.1 3区医学 Q2 NURSING

Nursing & Health Sciences Pub Date : 2026-03-01 DOI:10.1111/nhs.70320

Eileen T Lake, Domenique Villani, Lynne Moronski, Lindsey Lee, Sherif Olanrewaju, Norah Solaiman, Claire Burke Draucker

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引用次数: 0

Abstract

The Caribbean faces significant nursing and midwifery workforce challenges. A 2023 PAHO policy advises Member States to develop and implement strategies to strengthen their health workforce, including "promoting decent work conditions." Caribbean nurses' work conditions have not been described. The country's chief nurse has responsibility for policy development. The study purpose was to describe the Caribbean country chief nurses' concerns about nurses' work environments, strides made and polices implemented to support nurse work environments and quality care. Chief nurses of 20 Caribbean countries were surveyed. Inductive content analysis was done. Five concerns represented: (1) physical environment; (2) staffing and workload; (3) safety and security; (4) professional development; and (5) nurses' well-being. Improvements and policies reflected similar themes. The predominant work environment concerns center on inadequate physical environment, nurse staffing and workloads, and inconsistent security. The sporadic improvements and few policies initiated in several countries may warrant coordinated regional effort to achieve broader improvement in working conditions. To optimize patient care and a healthy, safe nursing workforce, policymakers should consider the priorities of government chief nurses to improve working conditions.

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加勒比地区护理人员的工作场所挑战和政策应对：来自国家首席护士的见解。

加勒比地区面临着护理和助产人员的重大挑战。泛美卫生组织2023年政策建议会员国制定和实施加强其卫生人力的战略，包括“促进体面的工作条件”。加勒比护士的工作条件尚未得到描述。该国的护士长负责制定政策。研究的目的是描述加勒比国家护士长对护士工作环境的关注，取得的进展和实施的政策，以支持护士工作环境和质量护理。对20个加勒比国家的护士长进行了调查。进行了归纳性含量分析。代表了五个问题：(1)物理环境；（二）人员编制和工作量；（三）安全保障；(4)专业发展；(5)护士的幸福感。改进和政策反映了类似的主题。主要的工作环境问题集中在物理环境不足，护士人员配备和工作量，以及不一致的安全。几个国家零星的改善和很少的政策可能需要协调的区域努力，以实现更广泛的改善工作条件。为了优化患者护理和健康、安全的护理队伍，政策制定者应考虑政府护士长改善工作条件的优先事项。

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来源期刊

Nursing & Health Sciences 医学-护理

CiteScore

4.80

自引率

3.70%

发文量

审稿时长

6-12 weeks

期刊介绍： NHS has a multidisciplinary focus and broad scope and a particular focus on the translation of research into clinical practice, inter-disciplinary and multidisciplinary work, primary health care, health promotion, health education, management of communicable and non-communicable diseases, implementation of technological innovations and inclusive multicultural approaches to health services and care.