二级监管护理角色的声音:一种定性方法。

IF 1.2 4区 医学 Q3 NURSING
Rebecca J Leon, Tracey Moroney, Samuel Lapkin, Lorraine Fields
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引用次数: 0

摘要

背景随着国际护理人员的短缺,有必要改善护理人员队伍结构,使每个护理角色的工作都得到重视和认可。二级监管护士的角色被视为不可或缺的;然而,存在着角色混淆(尤其是注册护士)和高流失率的问题。为了实施战略留住一支完整的护理队伍,有必要从二级监管护理角色的经验和期望中更好地理解这一角色。AIMTo gain a better understanding of the second-level regulated nursing role in the Australian nursing workforce.DESIGNQualitative descriptive study from a larger mixed methods study.METHODFive focus groups in 2018.结果研究结果表明,入职护士的内在和外在动机影响着工作满意度水平和价值感。研究结果还确定了影响工作满意度和职业压力的关键决定因素:注册护士对其角色和执业范围的理解;注册护士对注册护士角色的理解以及他们与注册护士合作时的角色;以及组织对其角色的理解和认可。当这些决定因素一致时,注册护士就会感到工作满意,职业压力较小,并感到自己有价值。本研究解释了为什么经常性的挑战会影响护士的角色,以及什么因素会让护士感觉到自己的价值。影响二级(注册)护士工作满意度和职业压力的挑战与工作环境和工作对象有关。从专业层面来看,认可并留住注册护士的职业机会有限。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The voice of the second-level regulated nursing role: a qualitative approach.
BACKGROUND With an international nursing shortage, there is a need to navigate towards an improved nursing workforce structure where each nursing role is valued and recognised for the work they contribute. The second-level regulated nursing role is seen as integral; however, there is role confusion, especially with the registered nurse, and high attrition. To implement strategies to retain an integral nursing workforce, there is a need to better understand the role from the experiences and expectations of the second-level regulated nursing role. AIM To gain a better understanding of the second-level regulated nursing role in the Australian nursing workforce. DESIGN Qualitative descriptive study from a larger mixed methods study. METHOD Five focus groups in 2018. The findings were analysed through the lens of organisational behaviour. RESULTS The findings identified that enrolled nurses' intrinsic and extrinsic motivators influenced levels of job satisfaction and sense of feeling valued. The findings also identified key determinants that influence job satisfaction and occupational stress: enrolled nurses' understanding of their role and scope of practice; the registered nurses' understanding of the enrolled nurses' role and their role when working with the enrolled nurse; and the organisation's understanding and recognition of their role. When these determinants align, there is job satisfaction, less occupational stress and enrolled nurses feel valued. At a professional level, the title does not reflect the role, and there are no career pathways. CONCLUSION This study explained why recurrent challenges impact the role and what contributes to those in the role feeling valued. Challenges that affect job satisfaction and occupational stress for the second-level (enrolled) nurse are related to the working environment and with whom the nurse works. From a professional level, there are limited career opportunities that recognise and retain the enrolled nurse in their role.
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来源期刊
Contemporary Nurse
Contemporary Nurse 医学-护理
CiteScore
2.00
自引率
6.20%
发文量
38
审稿时长
6-12 weeks
期刊介绍: Contemporary Nurse is an international peer-reviewed journal designed to increase nursing skills, knowledge and communication, assist in professional development and to enhance educational standards by publishing stimulating, informative and useful articles on a range of issues influencing professional nursing research, teaching and practice. Contemporary Nurse is a forum for nursing educators, researchers and professionals who require high-quality, peer-reviewed research on emerging research fronts, perspectives and protocols, community and family health, cross-cultural research, recruitment, retention, education, training and practitioner perspectives. Contemporary Nurse publishes original research articles, reviews and discussion papers.
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