FitzGerald Mary, McMillan Margaret, Maguire Jane Margaret
James Cook University, Cairns, Queensland, Australia.
Int J Nurs Pract. 2007 Aug;13(4):229-36. doi: 10.1111/j.1440-172X.2007.00632.x.
The use of flexible non-contract nursing staff is increasing in Australia and in other countries where there is currently a nursing shortage. There is sparse empirical evidence relating to the experience of these nurses. This focus group study with six groups of enrolled and registered nurses in one regional health authority in New South Wales reports on the challenges and rewards of working through the casual pool. The textual data were coded and reported in themes and subthemes; the overarching theme is balance of social and professional life, while subthemes are social politics, nursing work and professional performance. The results reveal that nurses who work from the casual pool have insight into the work environment and culture of clinical teams that is untapped formally. They have little or no chance to provide clinical teams with feedback or receive feedback on their own performance. The consequence of this study has been the development of a two-way performance intervention to promote high standards of care from nurses who work from the casual pool and the promotion of safe clinical environments and cultures.
在澳大利亚以及目前存在护理人员短缺的其他国家，灵活使用非合同制护理人员的情况正在增加。关于这些护士的经历，实证证据很少。这项针对新南威尔士州一个地区卫生当局的六组注册护士和登记护士的焦点小组研究报告了通过临时用工库工作的挑战和收获。文本数据进行了编码，并按主题和子主题进行了报告；总体主题是社会生活与职业生活的平衡，子主题是社会政治、护理工作和专业表现。结果显示，通过临时用工库工作的护士对临床团队的工作环境和文化有深入了解，但这种了解尚未得到正式挖掘。他们几乎没有机会向临床团队提供反馈或获得关于自身表现的反馈。这项研究的结果是开发了一种双向绩效干预措施，以促进通过临时用工库工作的护士提供高标准护理，并促进安全的临床环境和文化。
