Finlayson Mary, Aiken Linda, Nakarada-Kordic Ivana
University of Auckland, New Zealand.
Nurs Prax N Z. 2007 Jul;23(1):17-28.
Despite the differences in health care systems, nursing shortages and their contributing factors and consequences no longer seem to be solely country-specific. The present study replicated a cross-national study of nurses' perceptions of staffing, work organisation and outcomes conducted in more than 700 hospitals in the United States, Canada, England, Scotland, and Germany. This paper compares the 2001 New Zealand findings with the findings of the five-country study. New Zealand nurses report similar shortcomings in their work environment as do the nurses in countries with distinctly different health care systems. While they report similar high levels of competence and good relations between doctors and nurses as the respondents in the other five countries, higher numbers of New Zealand nurses 30 years of age or younger report their intention to leave their current jobs. New Zealand nurses also report the highest levels of job related stress, high levels of job dissatisfaction, and more than half report receiving inadequate organisational support. The implications of these findings are discussed in light of recent changes in the hospital environment.
尽管医疗保健系统存在差异，但护理短缺及其促成因素和后果似乎不再仅仅是特定国家的问题。本研究重复了一项在美国、加拿大、英格兰、苏格兰和德国700多家医院进行的关于护士对人员配备、工作组织和结果看法的跨国研究。本文将2001年新西兰的研究结果与五国研究的结果进行了比较。新西兰护士报告称，他们的工作环境存在与医疗保健系统截然不同的国家的护士类似的缺陷。虽然他们报告的能力水平与其他五个国家的受访者相似，医生和护士之间的关系也良好，但30岁及以下的新西兰护士中，有更多人表示打算辞去目前的工作。新西兰护士还报告了最高水平的工作相关压力、高水平的工作不满，超过一半的人报告得到的组织支持不足。本文根据医院环境最近的变化对这些研究结果的影响进行了讨论。
