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医院高级执业护士的时间使用情况:一项横断面研究
Author(s) -
Goemaes Régine,
Lernout Emma,
Goossens Sophie,
Decoene Elsie,
Verhaeghe Sofie,
Beeckman Dimitri,
Van Hecke Ann
Publication year - 2019
Publication title -
journal of advanced nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.948
H-Index - 155
eISSN - 1365-2648
pISSN - 0309-2402
DOI - 10.1111/jan.14198
Subject(s) - facilitator , supervisor , observational study , nursing , health care , psychology , medicine , medical education , social psychology , management , pathology , economics , economic growth
Aims To examine the use of time by advanced practice nurses and time use differences according to type of healthcare organization, work experience, and supervisor. Design A cross‐sectional, observational study. Methods Non‐participant observations were executed in Belgium (October 2015–January 2016). Time use was categorized in domains (patient/family, team, healthcare organization) and roles (clinical expert, educator/coach, change agent/innovator, researcher, leader, collaborator, and ethical decision‐making facilitator). Proportional working time in domains and roles was calculated. Chi‐squared tests identified differences in time use according to type of healthcare organization, number of years of work experience, and type of hierarchical/functional supervisor. Results Participants mainly devoted time to the patient/family domain (30.78%) and the clinical expert role (34.19%). The role of leader and ethical decision‐making facilitator covered, respectively, 4.84% and 0.07% of participants’ time. Time distribution in domains and roles differed between participants in university and peripheral hospitals. Conclusion Activities were executed in all domains and roles, except for the ethical decision‐making facilitator role. Further research could uncover barriers and facilitators for role execution, especially about leadership and ethical decision‐making. Impact Advanced practice nurses, supervisors and policymakers could act to optimize advanced practice nurses’ scope of practice.