Venturato Lorraine, Kellett Ursula, Windsor Carol
School of Nursing and Midwifery, Griffith University, Nathan, QLD 4111, Australia.
J Nurs Manag. 2007 Jan;15(1):4-11. doi: 10.1111/j.1365-2934.2006.00610.x.
The aim of the study was to explore registered nurses' experiences in long-term aged care in light of the political reform of aged care services in Australia.
In Australia, the aged care industry has undergone a lengthy period of political and structural reform. Despite reviews into various aspects of these reforms, there has been little consideration of the effect these are having on the practice experiences and retention of nursing staff in long-term care.
In this critical hermeneutic study, 14 nurses from long-term care facilities in Australia were interviewed about their experiences during the reform period.
The data revealed a sense of tension and conflict between nurses' traditional values, roles and responsibilities and those supported by the reforms. Nurses struggled to re-negotiate both their practice roles and values as the reforms were implemented and the system evolved. Nursing management support was an important aspect in mediating the effect of reforms on nursing staff.
This research highlights both the tensions experienced by nurses in long-term aged care in Australia and the need to re-negotiate nursing roles, responsibilities and values within an evolving care system. This research supports a role for sensitive and proactive nursing management during periods of industry reform as a retention strategy for qualified nursing personnel.
本研究旨在根据澳大利亚老年护理服务的政治改革，探讨注册护士在长期老年护理中的经历。
在澳大利亚，老年护理行业经历了漫长的政治和结构改革时期。尽管对这些改革的各个方面进行了审查，但很少考虑这些改革对长期护理中护理人员的实践经验和留用情况的影响。
在这项批判性诠释学研究中，对来自澳大利亚长期护理机构的14名护士进行了访谈，了解她们在改革期间的经历。
数据显示，护士的传统价值观、角色和责任与改革所支持的价值观、角色和责任之间存在紧张和冲突感。随着改革的实施和系统的演变，护士们努力重新协商她们的实践角色和价值观。护理管理支持是调解改革对护理人员影响的一个重要方面。
本研究突出了澳大利亚长期老年护理中护士所经历的紧张关系，以及在不断发展的护理系统中重新协商护理角色、责任和价值观的必要性。本研究支持在行业改革期间，敏感且积极主动的护理管理作为留住合格护理人员的一种策略所发挥的作用。
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