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加拿大安大略省关于全职护理就业的政府政策:评估。

A government policy on full-time nursing employment in Ontario, Canada: An evaluation.

机构信息

Nursing Health Services Research Unit, McMaster University Site, 1280 Main Street West, MDCL 3500, Hamilton, ON L8S 4K1, Canada.

School of Nursing, McMaster University, Faculty of Health Sciences, Health Sciences Centre, Room 3N28B, 1280 Main Street West, Hamilton, ON L8S 4K1, Canada.

出版信息

Health Policy. 2018 Feb;122(2):109-114. doi: 10.1016/j.healthpol.2017.07.001. Epub 2017 Sep 22.

Abstract

PURPOSE

To evaluate the impact of a government full-time employment policy targeting new graduate nurses in the province of Ontario, Canada, by comparing participants with non-participants.

METHODS

The Policy Impact on Nurse Employment (PINEP) survey was administered in 2014 to nurses who graduated between 2007 and 2012. Backward multiple logistic regression analysis was conducted to determine the effect of participation in the policy on key outcomes: full-time employment, retention and perceptions of clinical proficiency.

RESULTS

A total of 2369 nurses responded to the survey. Policy participants were 1.5 times more likely to be employed full-time and 2.3 times more likely to be retained in their initial position at the time of survey compared to non-participants. Participants also perceived their clinical proficiency to be higher.

CONCLUSIONS

The evidence is converging around the importance of providing full-time employment to nurses to sustain the workforce, increase clinical proficiency and improve patient outcomes. In Ontario, the government created a policy to stimulate full-time employment for nurses. Results demonstrate that nursing employment has become more stable. Yet more needs to be done particularly in relation to the precarious employment trend.

摘要

目的

通过比较参与者和非参与者,评估加拿大安大略省针对新毕业护士的政府全职就业政策的影响。

方法

2014 年对 2007 年至 2012 年间毕业的护士进行了政策对护士就业影响(PINEP)调查。采用向后逐步逻辑回归分析,确定参与该政策对关键结果的影响:全职就业、保留和临床熟练程度的认知。

结果

共有 2369 名护士对调查做出了回应。与非参与者相比,政策参与者全职就业的可能性高出 1.5 倍,在调查时留在最初职位的可能性高出 2.3 倍。参与者还认为他们的临床熟练程度更高。

结论

越来越多的证据表明,为护士提供全职工作以维持劳动力、提高临床熟练程度和改善患者结果非常重要。在安大略省,政府制定了一项政策,以刺激护士全职就业。结果表明,护理就业已经变得更加稳定。然而,特别是在不稳定就业趋势方面,还有更多的工作要做。

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