Duffield Christine M, Twigg Di E, Pugh Judith D, Evans Gemma, Dimitrelis Sofia, Roche Michael A
Centre for Health Services Management, Faculty of Health, University of Technology, Sydney, NSW, Australia
Clinical Nursing and Midwifery Research Centre, School of Nursing and Midwifery, Edith Cowan University, Joondalup, Perth, WA, Australia.
Policy Polit Nurs Pract. 2014 Feb;15(1-2):42-48. doi: 10.1177/1527154414529337. Epub 2014 Apr 4.
Internationally, shortages in the nursing workforce, escalating patient demands, and financial constraints within the health system have led to the growth of unlicensed nursing support workers. Recently, in relation to the largest publicly funded health system (National Health Service), it was reported that extensive substitution of registered nurses with unskilled nursing support workers resulted in inadequate patient care, increased morbidity and mortality rates, and negative nurse outcomes. We argue that it is timely to consider regulation of nursing support workers with their role and scope of practice clearly defined. Further, the addition of these workers in a complementary model of care (rather than substitutive model) should also be explored in future research, in terms of impact on patient and nurse outcomes.
在国际上，护理人员短缺、患者需求不断增加以及卫生系统内的财政限制导致了无执照护理辅助人员的增加。最近，关于最大的公共资助卫生系统（国民保健制度），有报道称，用无技能的护理辅助人员大量替代注册护士导致患者护理不足、发病率和死亡率上升以及护士出现负面结果。我们认为，现在是时候考虑对护理辅助人员进行监管，并明确其角色和执业范围了。此外，未来的研究还应探讨在补充护理模式（而非替代模式）中增加这些工作人员对患者和护士结果的影响。
