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护士和助产士的需求:全国工作场所气候与福祉调查结果

What nurses and midwives want: Findings from the national survey on workplace climate and well-being.

作者信息

Holland Peter J, Tham Tse Leng, Gill Fenella J

机构信息

Department of Management, Monash University, Victoria, Melbourne, Australia.

Child and Adolescent Health Service, Princess Margaret Hospital for Children, Subiaco, Western Australia, Australia.

出版信息

Int J Nurs Pract. 2018 Jun;24(3):e12630. doi: 10.1111/ijn.12630. Epub 2018 Feb 26.

Abstract

AIM

A discussion of the findings from a nationwide study of workplace and well-being issues of Australian nurses and midwives.

BACKGROUND

Current discourse only provides a fragmented understanding of a multifaceted nature of working conditions and well-being, necessitating a more holistic investigation to identify critical workplace issues within these professions.

DESIGN

Discussion paper.

DATA SOURCES

A national survey conducted in July 2016 involving Australian Nursing and Midwifery Federation members. The literature supporting this paper focuses on the nursing and midwifery workforce and studies on attraction and retention issues.

IMPLICATIONS FOR NURSING AND MIDWIFERY

Workplace policies and practices in place in health care organizations that are within the control of management are key factors in the negative issues associated with the profession from the survey. Proactive and targeted interventions particularly aimed at salient issues of work intensification, declining engagement, and effective voice mechanisms are needed to address these crucial issues if the attrition of individuals from nursing and midwifery occupations is going to be ameliorated.

CONCLUSION

To alleviate workforce issues pushing nurses and midwives to the tipping point of exiting the professions, health care organizations need to take a proactive stance in addressing issues under the control of management.

摘要

目的

探讨一项关于澳大利亚护士和助产士工作场所及福祉问题的全国性研究结果。

背景

当前的论述仅对工作条件和福祉的多方面性质提供了碎片化的理解,因此需要进行更全面的调查,以确定这些职业中的关键工作场所问题。

设计

讨论文件。

数据来源

2016年7月对澳大利亚护理和助产士联合会成员进行的全国性调查。支持本文的文献聚焦于护理和助产士劳动力以及关于吸引和留住人才问题的研究。

对护理和助产士的启示

医疗保健组织中由管理层控制的工作场所政策和做法是调查中与该职业相关负面问题的关键因素。如果要改善护理和助产士职业的人员流失情况,就需要采取积极且有针对性的干预措施,特别是针对工作强度加大、敬业度下降以及有效的发声机制等突出问题,以解决这些关键问题。

结论

为缓解将护士和助产士推向职业退出临界点的劳动力问题,医疗保健组织需要积极主动地解决管理层可控的问题。

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