McCarthy A, Hegney D, Pearson A
Cunningham Centre, Toowoomba, Australia.
Aust J Adv Nurs. 2000 Jun-Aug;17(4):21-8.
This paper, derived from The role and function of the rural nurse in Australia study, describes the effects of organisational change upon the rural nurses participating in the study. It appears that whilst change is an inevitable and regular feature of rural health service delivery, it does not necessarily benefit rural nurses or communities for reasons unique to rural life. Nurses in the study responded positively to organisational change when it was congruent with the rural norms of community consultation and collaboration, or when it ensured the long-term viability of the health service. They responded negatively to organisational change that caused role overload, role conflict or role insecurity, particularly when they perceived they had little control over the change process. This paper emphasises the need for nurses to actively participate in the change processes affecting their livelihood and their communities.
本文源自《澳大利亚乡村护士的角色与职能研究》，描述了组织变革对参与该研究的乡村护士的影响。似乎尽管变革是乡村卫生服务提供中不可避免且常见的特征，但由于乡村生活的独特原因，它不一定会使乡村护士或社区受益。当组织变革与社区咨询和协作的乡村规范相一致，或确保卫生服务的长期可行性时，研究中的护士对其做出了积极回应。他们对导致角色过载、角色冲突或角色不安全感的组织变革做出了消极回应，尤其是当他们认为自己对变革过程几乎没有控制权时。本文强调护士需要积极参与影响其生计和社区的变革过程。
