英格兰护理助理学员的动机、经验和愿望：一项定性研究。

Motivations, experiences and aspirations of trainee nursing associates in England: a qualitative study.

机构信息

Health Sciences School, Division of Nursing and Midwifery, University of Sheffield, Room 3a B02, Barber House Annexe, 3a Clarkehouse Road, Sheffield, S10 2LA, UK.

出版信息

BMC Health Serv Res. 2020 Aug 26;20(1):802. doi: 10.1186/s12913-020-05676-7.

DOI:10.1186/s12913-020-05676-7

PMID:32847564

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7448447/

Abstract

BACKGROUND

The nursing associate role was developed in England in response to the 'Shape of Caring' review. It has been implemented to fulfil two aims; to bridge the gap between registered nurses and healthcare assistants, and to provide an alternative route into registered nursing in light of workforce shortages. Other high income countries deploy second level nurses within their healthcare systems, however the UK has a turbulent history with such roles. The previous state enrolled nurse was phased out in the 1990s, and more recently the assistant practitioner (AP) role has faced wide variation in titles, scope and pay. Little is known about those who have embarked on the new nursing associate training course and their experiences of the role.

METHODS

An exploratory qualitative study was undertaken using focus groups of trainee nursing associates to generate in-depth discussion about their motivations, experiences of training, and career aspirations. Three focus groups (n = 15) took place in December 2018 using a purposive sample of trainee nursing associates registered at a University in the North of England. Two researchers facilitated each group discussion at a time and place convenient for participants. The discussions were audio recorded, transcribed and data was analysed thematically.

RESULTS

This study found that trainee nursing associates are motivated by affordable, local, career development. During training they face challenges relating to clinical support, academic workload and uncertainty about future career opportunities. They experience role ambiguity both individually and across the wider organisation. Trainee nursing associates rely on broad support networks to build their occupational identity.

CONCLUSIONS

The barriers and facilitators of trainee nursing associate personal development have implications for policy and practice relating to recruitment and retention. The results increase our understanding of this emerging role, and have informed the development of a larger longitudinal cohort study. Further research is required to evaluate the impact of this new role.

摘要

背景

护理助理角色是在英国为响应“关怀的形态”审查而开发的。它的实施有两个目的；在注册护士和医疗助理之间架起桥梁，并为解决劳动力短缺问题提供注册护理的替代途径。其他高收入国家在其医疗体系中部署二级护士，而英国在这类角色方面有着动荡的历史。以前的注册护士在 20 世纪 90 年代逐渐淘汰，最近，助理医师（AP）的角色在头衔、范围和薪酬方面存在广泛差异。对于那些已经开始新的护理助理培训课程的人以及他们对该角色的经验知之甚少。

方法

采用焦点小组的方法对护理助理学员进行了探索性定性研究，以深入讨论他们的动机、培训经历和职业抱负。2018 年 12 月，使用英格兰北部一所大学注册的护理助理学员的目的抽样，进行了三次焦点小组（n=15）。两名研究人员在方便参与者的时间和地点，分别主持了每次小组讨论。讨论内容被录音、转录，并进行了主题分析。