高级实践提供商主管对急症护理护士从业人员对准和招聘的观点
Kristin Hittle Gigli1, Jackie Calhoun2, Andrew M Dierkes3
1University of Texas at Arlington, Arlington, TX, USA.
Policy, politics & nursing practice
|October 26, 2023
概括
由于劳动力短缺,医院面临招聘护士执业人员 (NPs) 担任急症护理职位的挑战. 他们使用适应性策略,平衡与实际需求的调整,以满足不断增长的需求.
科学领域:
- 医疗保健管理的管理
- 护理劳动力研究 护理劳动力研究
- 提供先进实践的提供者.
背景情况:
- 预计美国急症护理需求的增长需要更多地利用执业护士 (NP).
- 人们对急性护理NP的足够供应存在担忧,以满足这种不断增长的需求.
- 专业护理组织主张将NP角色与他们的教育,认证,许可和实践保持一致.
研究的目的:
- 探索医院高级实践提供者 (APP) 董事如何聘请NP担任急性护理职位.
- 在角色调整的背景下,了解影响NP招聘决策的因素.
- 确定医院应对劳动力限制所采用的适应性策略.
主要方法:
- 与医院和卫生系统的17名APP主管进行了半结构化采访.
- 采访被录音,转录,并使用混合感应和演编码方法进行分析.
- 主题分析确定了影响招聘实践的关键因素.
主要成果:
- 两个主要主题出现了:影响一致招聘的当地因素和适应性招聘对环境变化的反应.
- 招聘实践因机构和国家政策,劳动力可用性和组织文化而有所不同.
- APP的董事们承认招聘符合国家医生的趋势,但面临障碍,采用招聘医生助理和开发内部APP计划等策略.
结论:
- 医院利用适应性策略来应对在招聘协调急性护理NP方面的挑战,平衡理想的角色整合与劳动力现实.
- 政策,劳动力可用性和机构文化等因素在很大程度上影响了NP的招聘决策.
- 需要进一步的研究来评估NP调整对患者和组织结果的影响.
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