Hansen Chiquita, Carryer Jenny, Budge Claire
Primary Health Care, MidCentral District Health Board, Palmerston North.
Nurs Prax N Z. 2007 Nov;23(2):14-26.
To date nursing research exploring the relevance of the practice environment has focused substantially on the experiences of hospital-based nurses. More recently greater attention has been paid to the community nursing environment and nurses involved in primary health care. This study considers the context of public health nursing in New Zealand, firstly by exploring the creation and development of the public health nursing role and secondly by presenting the results of a survey of nurses' views of their practice environments and of their professional positioning at the time of the introduction of Primary Health Organisations (PHOs). One hundred and sixty seven public health nurses across New Zealand firstly provided quantitative ratings of aspects of their practice environment (utlising the Nursing Work Index Revised (NWR-I)), and secondly gave written responses to: (a) the aspects of a work environment that make it a good place to practice as a public health nurse; (b) preferences for employment within Public Health Units, in PHOs or with Maori health providers; and (c) advantages and disadvantages of all three settings. This paper focuses on the qualitative questions only as the NWI-R findings will be reported elsewhere. Findings suggested the importance of good leadership, education/orientation, support, recognition and resources within a public health nursing environment. The main preference of the participants was for working within a District Health Board Public Health Unit, although disadvantages were acknowledged.
迄今为止,探索实践环境相关性的护理研究主要聚焦于医院护士的经历。最近,人们更多地关注社区护理环境以及参与初级卫生保健的护士。本研究考察了新西兰公共卫生护理的背景,首先探讨了公共卫生护理角色的创建与发展,其次呈现了一项针对护士对其实践环境看法以及在初级卫生组织(PHOs)引入之际其职业定位的调查结果。新西兰各地的167名公共卫生护士首先对其实践环境的各个方面进行了定量评分(使用修订后的护理工作指数(NWR-I)),其次对以下内容给出了书面答复:(a)使其成为公共卫生护士良好执业场所的工作环境方面;(b)在公共卫生单位、初级卫生组织或毛利卫生服务机构就业的偏好;以及(c)所有这三种工作环境的优缺点。本文仅关注定性问题,因为NWI-R的研究结果将在其他地方报告。研究结果表明,在公共卫生护理环境中,良好的领导、教育/培训、支持、认可和资源很重要。参与者的主要偏好是在地区卫生委员会公共卫生单位工作,尽管也认识到存在一些缺点。