Burman M E
University of Wyoming, School of Nursing, Laramie 82071-6035.
Public Health Nurs. 1993 Dec;10(4):233-40. doi: 10.1111/j.1525-1446.1993.tb00058.x.
Home health care agencies are experiencing changes in staffing demands. I evaluated the staffing patterns of such agencies and investigated the impact of organizational and environmental factors on staffing. Disproportionate stratified random sampling, based on type and region of agency, was used to select Visiting Nurse Associations and hospital-based agencies. Seventy-three percent responded to the mail survey, 120 and 156, respectively.) On average, the majority of staff nurses and supervisors in individual agencies had associate degrees or diplomas. Nursing experience and medical-surgical nursing experience were of greater importance than having a B.S.N. or home health care experience for potential nursing applicants. Type, size, and age of agency and types of services provided had relatively little impact on staffing patterns. However, the director's degree was associated with the percentage of staff nurses and supervisors by educational degree. Competition had little impact on staffing patterns, although the extent of rural service area and Medicare involvement were related to educational backgrounds of nurses and hiring preferences.
家庭健康护理机构正经历人员配置需求的变化。我评估了此类机构的人员配置模式，并调查了组织和环境因素对人员配置的影响。基于机构类型和地区，采用不均衡分层随机抽样方法，选取了访视护士协会和医院附属机构。73%的机构回复了邮件调查（分别为120家和156家）。平均而言，各机构中的大多数注册护士和主管拥有副学士学位或文凭。对于潜在的护理申请者来说，护理经验和内科-外科护理经验比拥有护理学学士学位或家庭健康护理经验更为重要。机构的类型、规模和年限以及所提供服务的类型对人员配置模式的影响相对较小。然而，机构主任的学位与按教育程度划分的注册护士和主管的比例相关。竞争对人员配置模式影响不大，尽管农村服务区域的范围和医疗保险参与情况与护士的教育背景及招聘偏好有关。
