Stubbings Liz, Scott Janet M
School of Health and Social Care, University of Greenwich, London, UK.
J Health Organ Manag. 2004;18(2-3):179-94. doi: 10.1108/14777260410548428.
This analysis of the literature examines the implications of the changes in the National Health Service workforce and the ramifications for multi-professional working practices, patient care and delivery of health services. Changes in medical working practices and education, together with the increasing numbers of doctors, have resulted in proposals for nurses to extend their role and the removal of professional restrictions. Whilst the numbers of nurses in the workforce have marginally increased, the qualified nurse ratio has declined, as has the balance between medical and registered nurses. Few attempts have been made to evaluate these changes in relation to the quality of service and patient outcomes. The changing roles of nurses and their value need to be quantified. Demographic trends, together with international shortages and the lack of educational capacity have also been understated Adequate and accurate workforce information should be regularly collated and analysed.
对文献的这一分析探讨了国民医疗服务体系劳动力变化的影响以及对多专业工作实践、患者护理和医疗服务提供的后果。医疗工作实践和教育的变化，以及医生数量的增加，导致了关于护士扩大其职责范围和取消专业限制的提议。虽然劳动力队伍中的护士数量略有增加，但合格护士比例有所下降，医生与注册护士之间的平衡也有所下降。很少有人尝试评估这些变化与服务质量和患者治疗结果之间的关系。护士角色的变化及其价值需要进行量化。人口趋势、国际短缺以及教育能力的缺乏也被低估了。应该定期整理和分析充分且准确的劳动力信息。
