Shanks-Meile S L, Shipley A C, Collins P A, Tacker A
Indiana University Northwest, Gary.
Nurse Pract. 1989 Sep;14(9):41-4, 49.
Legislative and reimbursement policies have presented barriers to employment and autonomy for nurse practitioners since the beginning of the nurse practitioner movement in 1965. Greater resistance to NPs in the 1980s was predicted because of a sluggish economy and burgeoning oversupply of physicians. In this study, quantitative content analysis was used to examine 1,022 job advertisements published in The Nurse Practitioner: The American Journal of Primary Health Care from 1975 to 1986. Unstandardized regression analysis was used to compare changes in the demand for nurse practitioners by region, employment setting, job duties, specialty, employment time (full- or part-time), degree required or preferred for the position, and whether the ad specified a joint practice arrangement. Contrary to the predictions of past research, the demand for nurse practitioners increased during this time period, with a greater tendency toward primary care.
自1965年执业护士运动开始以来，立法和报销政策一直给执业护士的就业和自主权带来障碍。由于经济不景气和医生供应迅速过剩，预计20世纪80年代对执业护士的抵制会更大。在本研究中，采用定量内容分析法，对1975年至1986年发表在《执业护士：美国初级卫生保健杂志》上的1022则招聘广告进行了分析。采用非标准化回归分析，比较了不同地区、就业环境、工作职责、专业、就业时间（全职或兼职）、该职位所需或优先的学位以及招聘广告是否规定了联合执业安排等方面对执业护士需求的变化。与过去研究的预测相反，在此期间对执业护士的需求有所增加，且更倾向于初级保健。
