新生儿护士从业人员和其他新生儿高级实践提供者的新劳动力挑战
Jacqueline Hoffman1, Colleen R Moss, Michele K Savin
1Author Affiliations: Department of Pediatrics, Division of Neonatology, Oregon Health & Science University, Portland, Oregon (Dr Hoffman); Vanderbilt University School of Nursing and Monroe Carell Jr. Children's Hospital at Vanderbilt, Nashville, Tennessee (Dr Moss); Jefferson College of Nursing, Thomas Jefferson University, Philadelphia, Pennsylvania (Dr Savin); and Department of Pediatrics, UC Davis Children's Hospital, Sacramento, California (Dr Lakshminrusimha).
新生儿重症监护室 (NICU) 面临着新生儿护士执业人员 (NNP) 的日益短缺,原因是需求增加和毕业生数量下降. 支持学费和加强培训等策略对于维持NNP劳动力至关重要.
科学领域:
- 医疗保健工作人员分析
- 新生儿护理 新生儿护理
- 提供先进实践的提供者.
背景情况:
- 新生儿重症监护室 (NICU) 依赖于先进实践提供者 (APP),包括新生儿护士实践者 (NNP) 和医生助理.
- 2025年即将到来的居住权变化将增加NNP需求,而联邦补偿和NIH变化带来的财务挑战也在即.
- 儿童医院面临的财政挑战是由于预期的联邦补贴和医疗补助服务的变化.
研究的目的:
- 审查NICU APP工作人员的现状,重点关注NNP.
- 分析历史趋势,教育需求以及监管转变对NNP的影响.
- 确定NNP劳动力短缺的挑战和潜在解决方案.
主要方法:
- 对NICU APP工作人员进行全面审查,重点关注NNP.
- 通过国家专业组织调查,PubMed文献评论和专家咨询收集数据.
- 检查历史趋势,教育要求和监管影响.
主要成果:
- 自2022年以来,NNP面临着倦怠,人员短缺,报销问题以及毕业生减少20%的情况.
- 招聘挑战包括漫长的入职时间和高成本,阻碍了NNP的收购.
- 医生助理和其他非NNP的整合提出了培训和实践范围管理问题.
结论:
- 解决NNP短缺的策略包括学费支持,招聘注册护士,指导计划和增加教师.
- 进一步的研究对于评估拟议策略的有效性和探索新的解决方案至关重要.
- 维持NNP的劳动力需要一个多方面的方法,包括教育,招聘和保留举措.
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