Jung Minsoo
Author Affiliation: Department of Health Science, Dongduk Women's University, Seoul, Republic of Korea; and Center for Community-Based Research, Dana-Farber Cancer Institute, Boston, Massachusetts.
Health Care Manag (Frederick). 2014 Jan-Mar;33(1):53-63. doi: 10.1097/01.HCM.0000440620.62385.7f.
Task conflicts among medical professions are essential problems to be solved in health care organizations. This study examined job conflicts between practical nurses (PNs) and registered nurses (RNs) in their duties and tasks with representative panelists from South Korea. This qualitative study used the Dacum Task Analysis process. Subject-matter experts in practical nursing were recruited utilizing stratified sampling: Ten experts developed job descriptions of PNs, and 20 validated the descriptions. The on-site tasks and duties of the PNs were measured by means of Dacum, and the results were reviewed by RNs using 3 focus-group interviews. The job description of PNs consisted of 10 duties and 117 tasks, overlapping with some tasks of RNs. Core tasks performed by PNs, such as invasive activities, led to task conflicts between the 2 groups, as these activities were regarded as the inherent duty of nursing professions. Thus, the RNs did not concede the expanded job scope of the PNs in terms of exclusive professionalism. To reduce task conflict, there is a need for the balanced development of nursing professionalism.
医疗行业之间的任务冲突是医疗保健机构中亟待解决的重要问题。本研究与来自韩国的代表性小组成员探讨了执业护士（PN）和注册护士（RN）在职责和任务方面的工作冲突。这项定性研究采用了达肯任务分析流程。通过分层抽样招募了实用护理领域的主题专家：10位专家制定了执业护士的工作描述，20位专家对这些描述进行了验证。通过达肯方法对执业护士的现场任务和职责进行了衡量，结果由注册护士通过3次焦点小组访谈进行了审查。执业护士的工作描述包括10项职责和117项任务，与注册护士的一些任务存在重叠。执业护士执行的核心任务，如侵入性操作，导致了两组之间的任务冲突，因为这些操作被视为护理行业的固有职责。因此，注册护士在排他性专业精神方面不认可执业护士扩大的工作范围。为了减少任务冲突，需要实现护理专业精神的平衡发展。
