Saiki Masatoshi, Takemura Yukie, Kunie Keiko
Department of Nursing Administration, Division of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Department of Nursing Administration, School of Nursing, Tokyo Women's Medical University, Tokyo, Japan.
J Nurs Manag. 2021 Jul;29(5):1046-1053. doi: 10.1111/jonm.13242. Epub 2021 Jan 27.
To examine the gap between nursing assistants' desired roles and their perceptions of nurses' expectations, and the relationship between these perceptions and nursing assistants' nursing team participation.
Nursing assistants' role perceptions may be related to their participation in nursing teams.
We performed a secondary analysis of questionnaire data from 1,316 nursing assistants in Japan.
Participants rated their desired roles higher than their perceptions of nurses' expectations of them. Where perceptions of nurses' expectations were higher, higher desired role scores were associated with greater nursing team participation. Where perceptions of nurses' expectations were lower, the desired role score was not associated with team participation.
Nursing assistants perceive their roles as higher and inclusive of more duties than what nurses have expected of them. When perceptions of nurse expectations were high, they performed at a higher level. When perceptions of nurse expectations were low, they performed at a lower level, despite their desire to do more.
It may be useful for nurses and nursing assistants to jointly reflect on and promote awareness of nursing assistants' functional roles in the ward. This would promote nursing assistant team participation and optimize their scope of practice.
探讨护理助理期望的角色与其对护士期望的认知之间的差距，以及这些认知与护理助理参与护理团队之间的关系。
护理助理的角色认知可能与其参与护理团队的情况有关。
我们对来自日本1316名护理助理的问卷调查数据进行了二次分析。
参与者对其期望角色的评分高于他们对护士对其期望的认知。在对护士期望的认知较高的情况下，较高的期望角色得分与更多地参与护理团队相关。在对护士期望的认知较低的情况下，期望角色得分与团队参与无关。
护理助理认为自己的角色比护士对他们的期望更高，且包含更多职责。当对护士期望的认知较高时，他们的表现水平更高。当对护士期望的认知较低时，尽管他们希望承担更多工作，但表现水平较低。
护士和护理助理共同反思并提高对护理助理在病房中职能角色的认识可能会有所帮助。这将促进护理助理参与团队工作，并优化他们的执业范围。
