在加拿大北克省医院合并5年后,护士的工作经验-一项探索性定性研究
Sarah Nogues1, Diane-Gabrielle Tremblay1
1TELUQ University, Montreal, Quebec, Canada.
The International journal of health planning and management
|September 15, 2023
概括
北克 北克 北克 北克
科学领域:
- 医疗保健管理的管理
- 护理实践 护理实践
- 组织心理学 组织心理学
背景情况:
- 北美医疗保健组织的重大结构变化.
- 北克2015年改革将医疗保健组织合并为集中区域行政 (CISSS).
- 以前的研究表明,合并对患者和护理人员的结果产生了负面影响.
研究的目的:
- 研究重大组织变革对护士职业实践和福祉的长期影响.
- 解决对合并后护理环境进行更多研究的需要.
主要方法:
- 探索性定性研究设计. 探索性定性研究设计.
- 从42名护理专业人员 (临床护士,执业护士,主护士,护理顾问) 收集的数据.
- 理论框架:工作需求-资源模型和人-环境适合理论.
主要成果:
- 改革后五年,护士面临着对工作协调的新需求.
- 在各部门的护理实践环境中,差异越来越大.
- 在护理实践中,医疗保健组织内部存在结构性权力剥夺的证据.
结论:
- 组织改革对护理实践和福祉构成重大挑战.
- 由高级护理顾问领导的协调项目有可能带来积极的结果.
- 解决结构性失能是改善护士工作条件的关键.
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