Loft Mia Ingerslev, Posborg Stina Marlo, Mathiesen Lone Lundbak, Pedersen Sidsel Goor, Brudsø Maria, Forsberg Rie, Nielsen Thomas Sellberg, Jensen Christian Gybel
Department of Neurology, Rigshospitalet, Denmark.
Department of Clinical Medicine, University of Copenhagen, Denmark.
Int J Nurs Stud Adv. 2025 Apr 21;8:100334. doi: 10.1016/j.ijnsa.2025.100334. eCollection 2025 Jun.
Nurses have a vital role in the care and treatment of patients. According to the World Health Organization, there is a shortage of nurses. Low nurse recruitment has led to new forms of task shifting, where other professionals are hired to take over specific tasks traditionally performed by nurses, their purpose being to relieve nurses to deal with other essential tasks.
The aim of this study was to explore the experiences and attitudes of nurses towards other professionals taking over traditional nursing tasks.
This study utilised a qualitative explorative research design with a hermeneutic approach. We conducted semi-structured interviews.
Nurses were recruited from a hospital over two locations in the Capital Region of Denmark. The nurses were from six different neurological units, representing acute neurological inpatient settings, inpatient rehabilitation, and an outpatient setting.
The study included 27 participants; clinical nurses, nurse specialists and nurse managers.
Our study was based on a hermeneutic approach. We used an interview guide that drew on the existing literature, background knowledge and known gaps to explore. All interviews were audio-recorded and transcribed. The text was analysed using qualitative content analysis.
The analysis provided insights into how nurses experience the trend of other professionals taking over traditional nursing tasks. This was described through 5 different categories and one overall theme; Becoming a nurse, To help and care for someone in need - what nursing is about, A necessity caused by the nurse shortage, Changes in workflows and tasks - support and uncertainty, Organising and implementing changes, Home of the nurses - a complex whole.
The nurses' experiences and attitudes towards other professionals as they took over traditional nursing tasks were complex and multifaceted. The changes happening in the nursing practice, were seen by nurses as a forced but accepted helpful necessity to relieve them in their everyday work and contribute with specialised knowledge, to the field of nursing. Still, the effects of changes were limited by the complexity of tasks, workflows and structures within the practice, and by present ideals of what professional nursing is and should strive to be. Nurses are essential to include when deciding which professions to include, and how it can be done effectively, but it is just as important to include perspectives of new potential professionals both in research and when making decisions for the future.
Changing practices caused by the nursing shortage - Exploring new forms of task shifting from the perspective of nurses.
护士在患者的护理和治疗中发挥着至关重要的作用。根据世界卫生组织的数据，护士短缺。护士招聘人数低导致了新的任务转移形式，即雇佣其他专业人员来接管护士传统上执行的特定任务，目的是让护士解脱出来处理其他重要任务。
本研究的目的是探讨护士对其他专业人员接管传统护理任务的经历和态度。
本研究采用定性探索性研究设计，采用诠释学方法。我们进行了半结构化访谈。
护士是从丹麦首都地区两个地点的一家医院招募的。这些护士来自六个不同的神经科病房，代表急性神经科住院环境、住院康复和门诊环境。
该研究包括27名参与者；临床护士、护士专家和护士长。
我们的研究基于诠释学方法。我们使用了一份访谈指南，该指南借鉴了现有文献、背景知识和已知差距进行探索。所有访谈都进行了录音和转录。使用定性内容分析法对文本进行分析。
分析揭示了护士如何体验其他专业人员接管传统护理任务的趋势。这通过5个不同类别和一个总体主题进行了描述；成为一名护士，帮助和照顾有需要的人——这就是护理的意义，护士短缺导致的必要之举，工作流程和任务的变化——支持与不确定性，组织和实施变革，护士之家——一个复杂的整体。
护士对其他专业人员接管传统护理任务的经历和态度是复杂多面的。护士认为护理实践中的这些变化是一种被迫但被接受的有益必要之举，可使他们从日常工作中解脱出来，并为护理领域贡献专业知识。然而，这些变化的影响受到实践中任务、工作流程和结构的复杂性以及当前关于专业护理是什么以及应该努力成为什么的理想观念的限制。在决定纳入哪些专业人员以及如何有效实施时，护士是必不可少的考虑对象，但在研究和为未来做决策时纳入新潜在专业人员的观点同样重要。
护士短缺导致的实践变化——从护士角度探索新的任务转移形式。
