Madsen Wendy, Bradshaw Julie
School of Nursing and Health Studies, Central Queensland University, Bundaberg, Queensland, Australia.
J Nurs Manag. 2008 Jan;16(1):14-20. doi: 10.1111/j.1365-2934.2006.00749.x.
To explore administrative constraints of district nursing during the latter part of the 20th century in regional Queensland, Australia.
A greater understanding of the evolution of district nursing can illuminate why present conditions and circumstances exist.
Thirteen interviews undertaken and analysed historically in association with other documentary evidence from the time period 1960-90.
District nursing services of regional Queensland were initially established by voluntary organizations that had very lean budgets. Throughout the study period, government funding became increasingly available, but this coincided with increased regulation of the services.
District nurses have worked within considerable boundaries and barriers associated with either a lack of funds or imposed regulations. While greater government funding solved some working conditions, it did so by imposing greater administrative responsibilities on the nurses and services that were not always seen as advantageous for clients or as professionally satisfying for the nurses.
探讨20世纪后期澳大利亚昆士兰州地区社区护理的行政制约因素。
深入了解社区护理的发展历程有助于解释当前状况和情形的成因。
对13次访谈进行历史分析，并结合1960 - 1990年期间的其他文献证据。
昆士兰州地区的社区护理服务最初由预算紧张的志愿组织设立。在整个研究期间，政府资金逐渐增加，但与此同时，对服务的监管也日益加强。
社区护士在资金短缺或监管严格所带来的诸多限制和障碍下开展工作。虽然政府增加资金改善了一些工作条件，但这也给护士和服务带来了更多行政责任，而这些责任对患者而言未必有利，对护士来说也未必能带来职业满足感。
