Division of Nursing and Midwifery, Health Sciences School, University of Sheffield, Sheffield, UK.
Leeds Beckett University, Leeds, UK.
J Nurs Manag. 2021 Jul;29(5):1073-1080. doi: 10.1111/jonm.13245. Epub 2021 Jan 28.
To examine and explore organisational and role conditions that promote or inhibit job satisfaction and workplace well-being for advanced practice nurses.
The advanced practice role is common across the world. Research shows it is well regarded by patients and improves patient outcomes, but there is little evidence about what the role is like for nurses.
A subsample of an existing cohort of advanced practice nurses were invited for interview. Twenty-two nurses were interviewed over the phone. Interviews transcripts were analysed using thematic analysis.
Four themes were derived from the data; 'the advanced nurse role and professional identity', 'feeling exposed', 'support for the advancement of the role' and 'demonstrating impact'.
Nurses report considerable dissatisfaction with role identity and concerns relating to isolation on a daily basis, and these negatively affect well-being. However, they also identified significant satisfaction with the role, particularly when well supported and able to recognize the unique contribution that they made to the lives of patients and to their organisations.
Clear role definitions, provision of high-quality clinical supervision and addressing issues of isolation are likely to improve the job satisfaction of advanced practice nurses.
探讨促进或阻碍高级实践护士工作满意度和工作场所幸福感的组织和角色条件。
高级实践角色在全球范围内很常见。研究表明，它深受患者欢迎，并改善了患者的治疗效果，但关于该角色对护士的影响的证据有限。
邀请现有高级实践护士队列的子样本进行访谈。通过电话采访了 22 名护士。对访谈记录进行主题分析。
从数据中得出了四个主题；“高级护士角色和专业身份”、“感到暴露”、“支持角色的发展”和“展示影响”。
护士报告说，他们对角色身份感到相当不满，并对日常的孤立问题感到担忧，这对幸福感产生了负面影响。然而，他们也对该角色表示出了很大的满意度，特别是当他们得到充分支持并能够认识到自己对患者生活和组织的独特贡献时。
明确的角色定义、提供高质量的临床监督以及解决孤立问题可能会提高高级实践护士的工作满意度。
