Iwu Emilia Ngozi, Holzemer William L
J Assoc Nurses AIDS Care. 2017 May-Jun;28(3):395-407. doi: 10.1016/j.jana.2017.02.005. Epub 2017 Feb 17.
A global shortfall of 12.9 million health care workers has been predicted to occur in the next two decades. Task sharing between physicians and nurses, a method used to help compensate for provider shortages, was shown to improve access to antiretroviral therapy in Africa, but led to nurses performing beyond their scopes of practice. We surveyed 508 nurses in task-shifted roles in Nigeria. Respondents (n = 399) provided information on age, years in practice, gender, registration status, employment site, and access to task-sharing training and mentoring. Years in practice negatively influenced task-sharing self-efficacy. Positive correlates of job satisfaction were years in practice, older age, male gender, single licensure, employment at a tertiary hospital, mentoring, and duration of training. System challenges and employment in faith-based and nontertiary hospitals increased likelihood of job dissatisfaction. Supportive practice and policy interventions are needed to minimize negative effects of disparities in job satisfaction across facilities.
预计在未来二十年全球将短缺1290万名医护人员。医生和护士之间的任务分担是一种用于弥补医疗服务提供者短缺的方法，事实证明，这种方法改善了非洲抗逆转录病毒疗法的可及性，但导致护士的工作超出了其执业范围。我们对尼日利亚508名承担任务转移角色的护士进行了调查。受访者（n = 399）提供了有关年龄、从业年限、性别、注册状态、工作地点以及获得任务分担培训和指导的信息。从业年限对任务分担自我效能产生负面影响。工作满意度的正相关因素包括从业年限、年龄较大、男性、单一执照、在三级医院工作、接受指导以及培训时长。系统挑战以及在宗教医院和非三级医院工作会增加工作不满意的可能性。需要支持性的实践和政策干预措施，以尽量减少不同医疗机构间工作满意度差异带来的负面影响。
