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维持澳大利亚全科护理劳动力:人口统计学、工作满意度及职业发展挑战

Sustaining the General Practice Nursing Workforce in Australia: Demographics, Job Satisfaction, and Professional Development Challenges.

作者信息

You Wenpeng, Verrall Claire, Willis Eileen, Hills Danny

机构信息

School of Biomedicine, The University of Adelaide, Adelaide, Australia.

School of Nursing and Midwifery, Western Sydney University, Sydney, Australia.

出版信息

Nurs Health Sci. 2025 Jun;27(2):e70130. doi: 10.1111/nhs.70130.

DOI:10.1111/nhs.70130
PMID:40355261
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12069001/
Abstract

General practice nurses (GPNs) are essential members of multidisciplinary primary care teams. Understanding their demographics, career trajectories, and professional challenges is crucial for workforce sustainability. This study examines the demographic characteristics, professional experiences, and career intentions of GPNs in Australia, focusing on workforce sustainability, job satisfaction, and professional development. A cross-sectional survey was conducted among GPNs across Australia. Descriptive analysis, factor analysis, and logistic regression examined demographic trends and professional outcomes. The workforce is aging, with many nearing retirement and an underrepresentation of younger and culturally diverse nurses, including Aboriginal and Torres Strait Islanders. Job satisfaction was moderate, influenced by work-life balance, remuneration, and professional development. Barriers to continuing education included financial constraints and limited institutional support. Logistic regression identified employment status, pay, and professional development as key predictors of job satisfaction and retention. Sustaining the GPN workforce requires strategies to retain experienced nurses, attract younger and diverse entrants, and enhance professional development. Stable funding, an expanded scope of practice, and stronger continuing education support are essential for meeting Australia's evolving primary care needs.

摘要

全科护士是多学科基层医疗团队的重要成员。了解他们的人口统计学特征、职业轨迹和专业挑战对于劳动力的可持续性至关重要。本研究考察了澳大利亚全科护士的人口统计学特征、专业经历和职业意向,重点关注劳动力的可持续性、工作满意度和专业发展。在澳大利亚各地的全科护士中进行了一项横断面调查。描述性分析、因子分析和逻辑回归分析考察了人口趋势和专业成果。劳动力队伍正在老龄化,许多人接近退休年龄,年轻护士以及包括原住民和托雷斯海峡岛民在内的文化多元护士的代表性不足。工作满意度处于中等水平,受到工作与生活平衡、薪酬和专业发展的影响。继续教育的障碍包括经济限制和机构支持有限。逻辑回归分析确定就业状况、薪酬和专业发展是工作满意度和留任意愿的关键预测因素。维持全科护士劳动力队伍需要采取策略留住经验丰富的护士,吸引年轻和多样化的新入职人员,并加强专业发展。稳定的资金、扩大的执业范围和更强有力的继续教育支持对于满足澳大利亚不断变化的基层医疗需求至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b5f/12069001/ad417e1ed40d/NHS-27-e70130-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b5f/12069001/ad417e1ed40d/NHS-27-e70130-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b5f/12069001/ad417e1ed40d/NHS-27-e70130-g001.jpg

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本文引用的文献

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Organisational factors associated with healthcare workforce development, recruitment, and retention in the United Kingdom: a systematic review.英国医疗保健劳动力发展、招聘和留用的组织因素:一项系统综述
BMC Nurs. 2024 Aug 31;23(1):604. doi: 10.1186/s12912-024-02216-0.
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How are new nurses satisfied with their jobs? From the work value perspective of Generations Y and Z nurses.新一代护士对工作的满意度如何?基于Y世代和Z世代护士的工作价值观视角。
BMC Nurs. 2024 Apr 20;23(1):252. doi: 10.1186/s12912-024-01928-7.
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'DANMM that's good!': evaluating the feasibility and acceptability of the Deadly Aboriginal and Torres Strait Islander Nursing and Midwifery Mentoring (DANMM) Programme across rural, regional and metropolitan NSW-a collaborative study protocol.
“DANMM,太棒了!”:评估在新南威尔士州农村、地区和大都市实施致命的原住民和托雷斯海峡岛民护理和助产士指导(DANMM)计划的可行性和可接受性——一项协作研究方案。
BMJ Open. 2024 Feb 10;14(2):e079416. doi: 10.1136/bmjopen-2023-079416.
4
Quiet Quitting among Nurses Increases Their Turnover Intention: Evidence from Greece in the Post-COVID-19 Era.护士群体中的“安静离职”现象增加了他们的离职意愿:来自后新冠疫情时代希腊的证据。
Healthcare (Basel). 2023 Dec 29;12(1):79. doi: 10.3390/healthcare12010079.
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Evidence for continuing professional development standards for regulated health practitioners in Australia: a systematic review.澳大利亚监管卫生从业者持续专业发展标准的证据:系统评价。
Hum Resour Health. 2023 Mar 20;21(1):23. doi: 10.1186/s12960-023-00803-x.
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Factors Influencing Nurse Intent to Leave Acute Care Hospitals: A Systematic Literature Review.影响护士离开急性护理医院意愿的因素:系统文献回顾。
J Nurs Adm. 2022 Dec 1;52(12):640-645. doi: 10.1097/NNA.0000000000001225.
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Int J Nurs Stud. 2022 Dec;136:104377. doi: 10.1016/j.ijnurstu.2022.104377. Epub 2022 Oct 10.
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