在初级保健护士从业人员中,完全实践权威和倦怠
Allyson W O'Connor1, Christian D Helfrich2, Karin M Nelson3
1Department of Health Systems and Population Health, University of Washington, Seattle, WA.
Nursing outlook
|October 19, 2023
概括
执业护士 (NP) 的全职执业权限 (FPA) 没有显著减少倦怠,尽管自主权增加了. 需要进一步的研究来了解设置和测量的变化.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 护理实践 护理实践
- 职业健康 职业健康 职业健康
背景情况:
- 全职执业权力 (FPA) 增强了执业护士 (NP) 的临床自主权.
- 假设增加自主性可以减轻NP倦怠.
研究的目的:
- 评估从受限执业权力过渡到全职执业权力对执业护士倦怠的影响.
- 评估实践权威变化与NP福利之间的关系.
主要方法:
- 准实验性设计比较了退伍军人卫生管理局 (VHA) 的NP燃烧前和后FPA监管.
- 从1352个初级保健NP通过VHA所有员工调查在2016年和2018年收集的倦怠数据.
- 在FPA政策变化之前和之后,对VHA设施中燃烧率的分析.
主要成果:
- 77%的VHA设施在法规出台后采用了FPA.
- 在过渡到FPA的设施中,在NP中观察到燃烧率的非统计学意义上的六个点减少.
- 在采用FPA的设施和已经采用FPA的设施之间进行了燃烧水平的比较.
结论:
- 政策转变为全职执业权限并没有产生统计学上显著的护士执业人员倦怠率下降.
- FPA和NP燃烧之间的关联可能会受到特定医疗保健环境的影响.
- 燃烧测量 (个人与团队) 可能会影响观察到的与FPA的关联.
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