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护士经理如何描述临床护士的工作安排?一项定性研究。

How do nurse managers describe clinical nurses' work arrangements? A qualitative study.

机构信息

Department of Arts & Communication University of Houston-Downtown Houston TX USA.

出版信息

Nurs Open. 2019 Nov 13;7(1):160-169. doi: 10.1002/nop2.374. eCollection 2020 Jan.

Abstract

AIM

The researcher sought to understand how nurse managers describe nurses in alternative work arrangements.

DESIGN

The researcher conducted this study using grounded theory.

METHOD

Semi-structured interviews. A theoretical sample of 26 baccalaureate-prepared nurse managers located across the United States participated in the study.

RESULTS

A typology of five work arrangements provides descriptors that contribute toward greater conceptual clarity on nurses' work arrangements. The data reveal that the typology is fluid because nurses can easily switch across work arrangements. Because the rise in alternative work arrangements means that nurses can leave permanent positions-or explore different work arrangements-when circumstances permit or necessitate, nurses who do not receive continued mentoring will likely bring their deficiencies in skill and/or knowledge to facilities where they find future employment. Hence, inadequate mentoring at the unit level has practical consequences for the quality of patient care at the institutional level.

摘要

目的

研究人员试图了解护士长如何描述从事不同工作安排的护士。

设计

研究人员使用扎根理论进行了这项研究。

方法

半结构化访谈。来自美国各地的 26 名本科护理经理参与了这项理论抽样研究。

结果

五种工作安排的分类法提供了描述符,有助于更清楚地了解护士的工作安排。数据显示,这种分类法是灵活的,因为护士可以轻松地在工作安排之间切换。由于替代工作安排的增加意味着护士可以在情况允许或必要时离开永久职位或探索不同的工作安排,因此,那些没有得到持续指导的护士在找到未来工作时,很可能会将他们在技能和/或知识方面的不足带到他们所在的医疗机构。因此,单元级别的指导不足对机构层面的患者护理质量有实际影响。

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