Halcomb Elizabeth, Ashley Christine
School of Nursing, Centre for Health Initiatives, Faculty of Science, Medicine & Health, University of Wollongong, Wollongong, NSW, Australia.
J Clin Nurs. 2017 Feb;26(3-4):535-545. doi: 10.1111/jocn.13479. Epub 2016 Sep 19.
To identify the aspects of working in Australian primary health care that nurses rate as the most and least satisfying.
The nursing workforce in Australian primary health care has grown exponentially to meet the growing demand for health care. To maintain and further growth requires the recruitment and retention of nurses to this setting. Understanding the factors that nurses' rate as the most and least satisfying about their job will inform strategies to enhance nurse retention.
A cross-sectional online survey.
Nurses employed in primary health care settings across Australia were recruited (n = 1166) to participate in a survey which combined items related to the respondent, their job, type of work, clinical activities, job satisfaction and future intention, with two open-ended items about the most and least satisfying aspects of their work.
Patient interactions, respect, teamwork, collegiality and autonomy were identified as the most satisfying professional aspects of their role. Personal considerations such as family friendly work arrangements and a satisfactory work-life balance were also important, overriding negative components of the role. The least satisfying aspects were poor financial support and remuneration, lack of a career path, physical work environment and time constraints. National restructuring of the primary health care environment was seen as a barrier to role stability and ability to work to a full scope of practice.
This study has identified a range of positive and negative professional and personal aspects of the primary health care nursing role, which may impact on staff recruitment and retention. Findings from the study should be considered by employers seeking to retain and maximise the skills of their primary health care workforce.
Understanding the factors that nurses perceive as being the most and least satisfying aspects of the work is can open up dialogue about how to improve the working experience of nurses in primary health care.
确定澳大利亚初级卫生保健工作中护士认为最满意和最不满意的方面。
澳大利亚初级卫生保健领域的护理人员数量呈指数级增长，以满足不断增长的医疗保健需求。要维持并进一步扩大这一增长，需要招募并留住护士。了解护士对工作最满意和最不满意的因素，将为提高护士留用率的策略提供依据。
横断面在线调查。
招募了澳大利亚各地初级卫生保健机构的护士（n = 1166）参与一项调查，该调查结合了与受访者、其工作、工作类型、临床活动、工作满意度和未来意向相关的项目，以及两个关于工作中最满意和最不满意方面的开放式问题。
与患者的互动、尊重、团队合作、同事关系和自主权被认为是其工作角色中最令人满意的专业方面。诸如家庭友好型工作安排和令人满意的工作与生活平衡等个人因素也很重要，超过了工作角色中的负面因素。最不满意的方面是财务支持和薪酬不佳、缺乏职业发展路径、工作物理环境和时间限制。初级卫生保健环境的全国性重组被视为角色稳定性和充分发挥执业范围能力的障碍。
本研究确定了初级卫生保健护理角色在专业和个人方面的一系列积极和消极因素，这些因素可能会影响员工的招募和留用。寻求留住并最大化其初级卫生保健劳动力技能的雇主应考虑该研究的结果。
了解护士认为工作中最满意和最不满意的因素，可以开启关于如何改善初级卫生保健中护士工作体验的对话。
