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Related Experiment Videos

Role discrepancy: is it a common problem among nurses?

Miyuki Takase1, Phillip Maude, Elizabeth Manias

  • 1School of Health Science, Tottori University, Tottori, Japan. m.takase@pgrad.unimelb.edu.au

Journal of Advanced Nursing
|June 27, 2006
PubMed
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Clinical experience does not resolve nurses' role discrepancy. While it improves ideal role perceptions, organizational barriers can hinder actualization, leading to persistent gaps between ideal and actual nursing roles.

Area of Science:

  • Nursing
  • Healthcare Management
  • Organizational Behavior

Background:

  • Nurses often experience a mismatch between their ideal and actual roles.
  • It is assumed experienced nurses have less role discrepancy, but this remains untested.

Purpose of the Study:

  • To investigate nurses' perceptions of ideal versus actual nursing roles.
  • To determine if length of experience influences these perceptions.
  • To identify factors contributing to perceived role discrepancies.

Main Methods:

  • A survey design was employed in Victoria, Australia, in 2003.
  • 216 Registered Nurses completed inventories measuring ideal and actual role perceptions.
  • Data were analyzed using t-tests and regression analysis.

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Main Results:

  • Experienced nurses perceived ideal and actual roles more positively but experienced the same degree of role discrepancy as less experienced nurses.
  • Both groups reported significant discrepancy in organizational decision-making and patient education.
  • Experienced nurses also noted discrepancies in care planning and referral initiation.

Conclusions:

  • Clinical experience alone does not resolve nursing role discrepancy.
  • Organizational barriers can prevent nurses from fulfilling their ideal roles, even with experience.
  • Addressing these barriers is crucial for nurses to actualize their ideal practice.