Wall Sarah
Faculty of Nursing, University of Alberta, Edmonton, AB.
Nurs Leadersh (Tor Ont). 2013 Jun;26(2):29-40. doi: 10.12927/cjnl.2013.23450.
In Canada, as well as internationally, efficiency-focused organizational restructuring in healthcare has resulted in stressful job change for nurses, although nurses continue to work in a system that values technology-based, physician-provided services. Employed nurses have had to participate in organizational activities that undermine their professional values and goals. Nursing entrepreneurship presents an opportunity to explore nursing's professional potential in nursing practice that is uniquely independent. In this study, a focused ethnographic approach was used to explore the experiences of self-employed nurses, who see themselves as leaders in advancing the profession of nursing and its contribution to healthcare. Key themes in the findings include the responses of self-employed nurses to health system change, expanded roles for nurses, the consequences of this non-traditional approach to nursing work and the possibilities for change that arise from nursing entrepreneurship. This research has implications for healthcare policy, professional advocacy and nursing education.
在加拿大以及国际上，医疗保健领域以效率为重点的组织重组给护士带来了压力巨大的工作变动，尽管护士仍在一个重视基于技术的、由医生提供的服务的体系中工作。受雇护士不得不参与那些有损其职业价值观和目标的组织活动。护理创业提供了一个机会，去探索护理在独特的独立护理实践中的专业潜力。在本研究中，采用了聚焦民族志方法来探究个体经营护士的经历，这些护士将自己视为推进护理专业及其对医疗保健贡献的领导者。研究结果中的关键主题包括个体经营护士对卫生系统变革的反应、护士角色的扩展、这种非传统护理工作方式的后果以及护理创业带来的变革可能性。这项研究对医疗保健政策、专业宣传和护理教育具有启示意义。
