Hall L M, O'Brien-Pallas L
Nursing Effectiveness, Utilization, and Outcomes Research Unit, Faculty of Nursing, University of Toronto, Ontario, Canada.
Nurs Econ. 2000 Mar-Apr;18(2):79-87.
The authors present a highly statistically oriented argument for examining work attitudes and activities among three groups of caregivers [RNs, RPNs, and HCAs] working in long-term care. The investigators used both work sampling, written surveys, and interviews with a sample of 46 caregivers in a large university-affiliated LTC facility in Toronto, Canada. While RNs stated their strong affinity for direct patient care activities, they perform the lowest percentage of direct care, chiefly due to their accountability for planning and coordinating the care provided by others. The HCAs who provided the bulk of direct patient care "valued it the least," apparently finding little gratification with this aspect of their role. This study suggests that there is a need to examine and clarify work roles and perceptions for all caregivers as part of any work redesign process. A higher level of RN involvement in direct patient care activities, along with "attention to enhancing the importance" of these activities for staff employed in the HCA role, could be beneficial.
作者提出了一个高度基于统计学的观点，用于研究在长期护理机构工作的三组护理人员（注册护士、注册实用护士和医疗护理助理）的工作态度和活动。研究人员采用了工作抽样、书面调查以及对加拿大多伦多一家大型大学附属长期护理机构的46名护理人员样本进行访谈的方法。虽然注册护士表示他们对直接护理患者的活动有强烈的亲和力，但他们进行直接护理的比例最低，主要是因为他们负责规划和协调他人提供的护理。提供大部分直接患者护理的医疗护理助理“对其评价最低”，显然对其工作的这一方面几乎没有满足感。这项研究表明，作为任何工作重新设计过程的一部分，有必要审视和明确所有护理人员的工作角色和认知。让注册护士更多地参与直接护理患者的活动，以及“关注提高”这些活动对担任医疗护理助理角色的员工的“重要性”，可能会有所帮助。
