School of Nursing, Indiana University at Kokomo, Kokomo, IN, USA.
University of Huddersfield, Huddersfield, UK.
Int Nurs Rev. 2018 Jun;65(2):162-172. doi: 10.1111/inr.12389. Epub 2017 Jun 28.
To examine the level of job satisfaction of nurse practitioners/advanced practice nurses in developing and developed countries.
The nurse practitioner/advanced practice nurse has the advanced, complex skills and experience to play an important role in providing equitable health care across all nations.
Key factors that contribute to health disparities include lack of access to global health human resources, the right skill mix of healthcare providers and the satisfaction and retention of quality workers.
The study utilized a descriptive analysis and cross-sectional survey methodology with quantitative and qualitative sections of 1419 job satisfaction survey respondents from an online survey.
Age, number of hours worked in a week and length of time that nurse practitioners/advanced practice nurses worked in their current jobs were statistically significant in job satisfaction. A key barrier was the lack of respect from supervisors and physicians.
It was clear from the number of comments in the qualitative section of the survey that having a wide scope of practice is rewarding and challenging to the nurse practitioner and advanced practice nurse.
The challenges to transform healthcare gaps of access into a better distribution of health care in all countries would constitute a systematic change in policy including providing education and training for doctors and nurses that will match the skills needed in the workplace; emphasizing the right skill mix for the healthcare team; supporting advanced practice nurses in the workplace; and utilizing all healthcare providers to the fullest extent of their abilities.
调查发展中国家和发达国家的执业护士/高级执业护士的工作满意度水平。
执业护士/高级执业护士具备先进、复杂的技能和经验，能够在所有国家发挥重要作用，提供公平的医疗保健。
导致卫生差异的关键因素包括无法获得全球卫生人力资源、医疗保健提供者的正确技能组合以及优质工作人员的满意度和留用率。
该研究采用描述性分析和横断面调查方法，对来自在线调查的 1419 名执业护士/高级执业护士工作满意度调查应答者的定量和定性部分进行了分析。
年龄、每周工作小时数和执业护士/高级执业护士在当前工作岗位上的工作时间在工作满意度方面具有统计学意义。一个主要障碍是主管和医生缺乏尊重。
从调查的定性部分的大量评论中可以清楚地看出，广泛的实践范围对执业护士和高级执业护士来说是有回报和具有挑战性的。
将医疗保健获取差距的挑战转化为所有国家更好的医疗保健分配，将构成政策的系统性变革，包括为医生和护士提供与工作场所所需技能相匹配的教育和培训；强调医疗团队的正确技能组合；支持执业护士在工作场所；并充分利用所有医疗保健提供者的能力。
