Attractiveness of working in home care: An online focus group study among nurses

Attractiveness of working in home care: An online focus group study among nurses
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DOI:
10.1111/hsc.12481
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发表时间:
2018-01-01
影响因子:
2.4
通讯作者:
Francke, Anneke L.
Francke, Anneke L.
中科院分区:
医学4区
文献类型:
--
作者:
De Groot, Kim;Maurits, Erica E. M.;Francke, Anneke L.

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由于越来越多的依赖护理的人住在家里,许多西方国家正在经历家庭护理护士的严重短缺。为了对家庭护理人员的招聘和保留提出建议,需要深入了解家庭护理护士对其工作的吸引力。这项探索性质的研究的目的是深入了解家庭护理护士在工作中哪些方面有吸引力,并探讨不同教育水平的家庭护理护士在这些方面是否有所不同。2016年,共有38名荷兰家庭护理护士与6个在线焦点小组进行了讨论。使用专题分析的原则对抄本进行分析。调查结果显示,家庭护理护士觉得自己很有吸引力,因为她们是主要的专业人员,以病人为护理中心。家庭护理护士也发现拥有自主权很有吸引力:护理决策的自主权、工作安排的自由以及在自我指导的团队中工作。患者情况和活动的多样性也使他们的工作具有吸引力。拥有学士学位的家庭护理护士与拥有副学士学位(在完成高中职业教育后获得护理资格)的家庭护理护士在吸引力方面没有太大差异。结论是,自主性、多样性和成为关键是家庭护理工作的吸引力方面。为了帮助招聘和留住居家护理人员,在护理教育和实践、招聘计划和宣传材料中,应强调这些吸引人的方面。
Many western countries are experiencing a substantial shortage of home-care nurses due to the increasing numbers of care-dependent people living at home. In-depth knowledge is needed about what home-care nurses find attractive about their work in order to make recommendations for the recruitment and retention of home-care nursing staff. The aims of this explorative, qualitative study were to gain in-depth knowledge about which aspects home-care nurses find attractive about their work and to explore whether these aspects vary for home-care nurses with different levels of education. Discussions were conducted with six online focus groups in 2016 with a total of 38 Dutch home-care nurses. The transcripts were analysed using the principles of thematic analysis. The findings showed that home-care nurses find it attractive that they are a linchpin, in the sense of being the leading professional and with the patient as the centre of care. Home-care nurses also find having autonomy attractive: autonomy over decision-making about care, freedom in work scheduling and working in a self-directed team. Variety in patient situations and activities also makes their work attractive. Home-care nurses with a bachelor's degree did not differ much in what they found attractive aspects from those with an associate degree (a nursing qualification after completing senior secondary vocational education). It is concluded that autonomy, variety and being a linchpin are the attractive aspects of working in home care. To help recruit and retain home-care nursing staff, these attractive aspects should be emphasised in nursing education and practice, in recruitment programmes and in publicity material.