Faculty of Nursing, Midwifery, and Health, University of Technology, Sydney, New South Wales, Australia.
J Adv Nurs. 2012 Mar;68(3):614-24. doi: 10.1111/j.1365-2648.2011.05769.x. Epub 2011 Jul 20.
This article is a report of a study to describe the factors that support organizational opportunities for practice nurse decision-making and skill development for nurses employed in general practice in New South Wales, Australia.
Corresponding to the availability of subsidies from the Australian universal health insurer (Medicare), there has been an increase in the number of nurses employed in general practice. Currently, there is no Australian evidence as to the organizational possibilities for these practice nurses to make decisions, develop their own skills and abilities, derive identity from their role or how their role is influenced by social support.
Over a 8-month period in 2008 practice, nurses employed in general practice in the State of New South Wales were invited to complete a 26-item self-administered online questionnaire utilizing constructs from Karaseks (1998) Job Content Questionnaire (valid n = 160).
Confirmatory Factor Analysis indicated that all scales demonstrated acceptable levels of internal consistency. Sequential regression models revealed that social support exerts a weak influence on decision latitude (R(2) = 0·07); the addition of self-identity through work significantly improved the predictive ability of the model (R(2) = 0·16). Social support and self-identity through work exerted a negative influence on created skill (R(2) = 0·347), whereas social support was effective in predicting self-identity through work (R(2) = 0·148).
Collegial and supervisory support in the work environment predicts organizational possibilities for practice nurse decision-making.
本文报告了一项研究，旨在描述支持执业护士在澳大利亚新南威尔士州普通实践中做出决策和发展技能的组织机会的因素。
与澳大利亚全民健康保险公司（医疗保险）提供补贴相对应，在普通实践中雇用的护士人数有所增加。目前，尚无澳大利亚关于这些执业护士做出决策、发展自己的技能和能力、从自己的角色中获得身份认同以及他们的角色如何受到社会支持影响的组织可能性的证据。
在 2008 年的 8 个月期间，邀请新南威尔士州普通实践中的执业护士填写一份 26 项自我管理的在线问卷，利用 Karasek（1998 年）的工作内容问卷（有效 n = 160）的结构。
验证性因子分析表明，所有量表均表现出可接受的内部一致性水平。顺序回归模型显示，社会支持对决策幅度的影响较弱（R² = 0.07）；通过工作获得的自我认同显著提高了模型的预测能力（R² = 0.16）。社会支持和工作中的自我认同对创造技能产生负面影响（R² = 0.347），而社会支持对工作中的自我认同具有预测作用（R² = 0.148）。
工作环境中的同事支持和监督支持预测了执业护士决策的组织可能性。
