探索文化和结构性劳动力问题与一般实践 (GenRet) 中护士的保留之间的关系:一种定性面试研究
Helen Anderson1, Louise Brady2,3, Joy Adamson4
1York Trials Unit, Department of Health Sciences, University of York, York, YO10 5DD, UK. helen.anderson@york.ac.uk.
BMC primary care
|April 16, 2025
概括
由于文化和结构问题,一般实践中的护士面临着保留挑战. 解决这些问题对于支持护士和确保患者护理至关重要.
科学领域:
- 医疗保健劳动力研究 劳动力研究
- 护理保养研究 护理保养研究
- 一般实践管理的管理.
背景情况:
- 严重的护理劳动力短缺威胁到患者护理,英国的全科医院在2030年之前面临潜在的50%的空缺职位.
- 国际护士保留日益令人担忧,但影响全科医生护士的因素研究不足.
- 本研究探讨了在通用诊所环境中护士保留的文化和结构决定因素.
研究的目的:
- 为了确定挑战在一般实践中护士保留的因素.
- 探索支持护士在一般实践中继续职业生涯的策略.
- 了解护士和护士领导者关于在一般实践中保留护士的经验.
主要方法:
- 在英格兰和威尔士进行了一项探索性定性访谈研究,对41名护理团队成员和英格兰和威尔士的一般实践领导者进行了采访.
- 参与者通过专业网络,社交媒体和雪球技术招募.
- 框架分析用于分析2023年10月至2024年6月期间收集的数据.
主要成果:
- 认可护理价值是保留的核心,受结构性和文化因素的影响.
- 关键主题包括一般实践护理的性质,其商品化,发展机会,以及在国家卫生服务局以外工作的护士.
- 缺乏发言权,工作不安全和有限的诉求被确定为重大挑战,以及护士的关键"转折点".
结论:
- 文化和结构问题在一般实践中显著影响护士的留守,确定了支持和不利的因素.
- 根深蒂固的问题需要在实践,地方和国家组织层面的多层次干预.
- 一般实践中的护士往往是脆弱和服务不足的,需要政策和雇主采取行动来支持他们的生存和专业成长.
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