Psychiatric Mental Health and Substance Use Expert Panel, New York, NY.
Building Health Care Systems Excellence Expert Panel.
Nurs Outlook. 2023 Mar-Apr;71(2):101917. doi: 10.1016/j.outlook.2023.101917. Epub 2023 Feb 1.
The COVID-19 pandemic has required close examination of workforce-related stressors that over decades have contributed to widespread burnout, negative health outcomes, including mental health outcomes, and the loss of the well-educated professionals who are the future of the nursing profession. In the United States and globally, evidence points to factors known to diminish well-being, including inequities, issues of minority status, persistent discrimination, and demanding work environments. The American Academy of Nursing (AAN), dedicated to organizational excellence, nursing leadership and evidence-based policy, develops statements reflecting its mission and those of its nursing affiliates and corporate member, The American Nurses Association. Within nursing, despite the efforts of its members toward advancement, professional fulfillment is often constrained by the systems in which nurses practice and workplace factors over which they have little control. Action by key organizations to initiate changes at systems levels in workplace safety, to increase professional mobility, and propel policies that increase access to health care resources could improve nurse well-being. This paper proposes recommendations from the AAN Expert Panels on Building Health Care System Excellence, Psychiatric Mental Health and Substance Use, and Global Health Expert Panels for the American Academy of Nursing to leverage related policy in the arenas of government and professional/healthcare organizations. Transforming health care work environments and advancing nurse well-being and equity can be accomplished through key, innovative policy changes. These will be achieved through collaboration among associations, organizations, nonprofit groups, and with the public and the media.
新冠疫情大流行要求我们密切关注与劳动力相关的压力因素，这些压力因素在过去几十年中导致了广泛的职业倦怠、负面健康结果（包括心理健康结果），以及流失了未来护理行业的优秀专业人才。在美国和全球范围内，有证据表明，包括不平等、少数族裔地位问题、持续歧视和苛刻的工作环境在内的因素会降低幸福感。美国护理学院协会（AAN）致力于组织卓越、护理领导力和循证政策，制定反映其使命以及其护理附属机构和公司成员美国护士协会的声明。尽管护理行业的成员为职业发展做出了努力，但专业上的满足感往往受到他们所从事的系统和他们几乎无法控制的工作场所因素的限制。关键组织采取行动，在工作场所安全方面进行系统层面的改革，提高职业流动性，并推动增加获得医疗保健资源的政策，这些都可以改善护士的幸福感。本文提出了美国护理学院卓越护理体系建设专家小组、精神心理和物质使用专家小组以及全球健康专家小组的建议，以便美国护理学院在政府和专业/医疗保健组织的相关政策领域发挥作用。通过关键的、创新性的政策变革，可以改变医疗保健工作环境，提高护士的幸福感和公平性。这将通过协会、组织、非营利组织之间的合作，以及与公众和媒体的合作来实现。
