Daly Barbara M, Arroll Bruce, Honey Michelle, Scragg Robert K R
School of Nursing, Faculty of Medical and Health Sciences, University of Auckland, New Zealand.
School of Population Health, University of Auckland , New Zealand.
Prim Care Diabetes. 2018 Dec;12(6):491-500. doi: 10.1016/j.pcd.2018.07.012. Epub 2018 Aug 23.
To describe trends from 2006-8 to 2016 in demographic, education and work settings of the primary health care nursing workforce who provide diabetes care in the Auckland region.
A total of 1416 practice, Accident and Medical, district and diabetes specialist nurses were identified who provide community-based care. Of those, 459 were randomly selected and 336 were interviewed in 2016, and were compared with 287 nurses interviewed in 2006-8.
A 73% response rate was attained in 2016. Compared with nurses in 2006-8, primary health care nurses in 2016 were younger, less experienced, more likely to be Asian, undertook more post-graduate education, worked more in Accident and Medical Clinics and worked in larger practices with ≥4 doctors. However, less worked with a dietitian or received visits from specialist nurses compared with nurses in 2006-8. Significantly more nurses in 2016 had their own room for administrative work and the ability to email patients suggesting greater autonomy.
Major demographic, educational and workplace changes have occurred in the Auckland primary health care nursing workforce from 2006-8 to 2016. A significant increase in practice nurses and a large decrease in the number of diabetes specialist nurses were evident, in the Auckland region.
描述2006 - 2008年至2016年奥克兰地区提供糖尿病护理的初级卫生保健护理人员在人口统计学、教育程度和工作环境方面的趋势。
共确定了1416名提供社区护理的执业护士、事故与医疗护士、地区护士和糖尿病专科护士。其中，2016年随机抽取了459名护士，对336名进行了访谈，并与2006 - 2008年访谈的287名护士进行比较。
2016年的回复率达到73%。与2006 - 2008年的护士相比，2016年的初级卫生保健护士更年轻，经验更少，更可能是亚洲人，接受更多的研究生教育，更多在事故与医疗诊所工作，且在有≥4名医生的大型诊所工作。然而，与2006 - 2008年的护士相比，与营养师合作或接受专科护士访视的人数减少。2016年明显更多的护士有自己的行政工作空间且能够给患者发电子邮件，这表明自主性更强。
2006 - 2008年至2016年，奥克兰初级卫生保健护理人员在人口统计学、教育程度和工作场所方面发生了重大变化。在奥克兰地区，执业护士显著增加，糖尿病专科护士数量大幅减少。
