ABSTRACT
Objective To Investigate the willingness of nurses on multiple-sites practice in Shenyang city and their motivations and concerns on multiple-sites practice, and to provide reference for the implementation of nurses' multiple-sites practice policy. Methods A convenient sampling method was used to conduct a questionnaire survey of 845 registered nurses in Shenyang city. Results 82.13％(694/845) nurses indicated that they were in favor of nurses on multiple-sites practice, and 79.05％(668/845) nurses expressed their willingness to engage in multiple-sites practice. The differences in the age, job title, working hours, monthly income of nurses and whether specialist nurses were statistically different from their willingness to multiple-sites practice (χ2=10.73-96.40, all P<0.01), and whether Chinese medicine nurse (χ2=6.42, P<0.05) was also different in their willingness to multiple-sites practice. Raising their own economic income and worrying about their overworked workload were the biggest drivers (89.37％,597/668) and concerns of nurses practicing multiple points respectively(88.14％,156/177). 82.04％(548/668) and 70.21％(496/668) of nurses believed that multi-practice practice was conducive to improve their self-worth and enhance nursing work skills. The lack of protection of rights and security (70.01％, 124/177) and the unclear medical risk of practice (53.12％, 94/177) were important factors restricting nurses′ multi-practice practice. In addition, nurses believed that the state should improve relevant laws and regulations (83.31％, 704/845) and protect the legal rights of nurses (88.64％, 745/845). Conclusions Nurses are generally optimistic about multiple-sites practice. Under the premise of sufficient energy and perfect legal protection, nurses multiple-sites practice is a practical and effective measure, which can increase the economic and social value of nurses, and at the same time classify the country′s practice. The medical treatment system provides protection of medical resources.
ABSTRACT
Objective To understand attitude and willingness of nurses on multiple-sites practice in China,and to explore promoters and inhibitors as well as influencing factors of multiple-sites practice.Methods A questionnaire survey was conducted and 113 839 nurses were recruited from 31 provinces,autonomous regions and municipalities.Results Among 113 839 respondents,90343(79.36％) expressed supports for multiple-sites practice,88 571(77.81％) were willing to practice in multiple sites.The biggest promoter and inhibitor for nurses to practice in multiple-sites were increasing personal income and already existing heavy workloads.Totally 86 990(79.29％) nurses thought relevant laws or regulations should be launched in China to ensure implementation of multiple-sites practice.In addition,nurses with senior professional title,with higher educational level,aged 31 to 45 years,holding specialist practice license were more willing to practice in multiple sites (P＜0.01).Conclusion Nurses had a positive attitude towards multiple-sites practice.Policy-makers should sort out and amend the present laws and regulations,and guide excellent nursing talents including specialist nurses,to realize reasonable allocation of nursing resources through multiple-sites practice.
ABSTRACT
Objective To understand attitude and willingness of nurses on multiple-sites practice in China,and to explore promoters and inhibitors as well as influencing factors of multiple-sites practice.Methods A questionnaire survey was conducted and 113 839 nurses were recruited from 31 provinces,autonomous regions and municipalities.Results Among 113 839 respondents,90343(79.36％) expressed supports for multiple-sites practice,88 571(77.81％) were willing to practice in multiple sites.The biggest promoter and inhibitor for nurses to practice in multiple-sites were increasing personal income and already existing heavy workloads.Totally 86 990(79.29％) nurses thought relevant laws or regulations should be launched in China to ensure implementation of multiple-sites practice.In addition,nurses with senior professional title,with higher educational level,aged 31 to 45 years,holding specialist practice license were more willing to practice in multiple sites (P＜0.01).Conclusion Nurses had a positive attitude towards multiple-sites practice.Policy-makers should sort out and amend the present laws and regulations,and guide excellent nursing talents including specialist nurses,to realize reasonable allocation of nursing resources through multiple-sites practice.
ABSTRACT
Objective To investigate the cognition of nurse groups toward nurses' dual practice,and to analyze nurses' tendency to pursuc dual practice and its influencing factors.Methods A questionnaire survey was conducted,and 1010 registered nurses were recruited using stratified sampling method.Results Most (76.4％) nurses agreed with nurses' dual practice.The willingness about nurses' dual practice was significantly different(P=0.022,P=0.008) due to different age and length of service.The top three benefits of nurses' dual practice were to increase reasonable salary of nurses,improve quality of nursing care in community institutions for the aged and increase the utilization of health care resource.As for the disadvantages,disrupting the medical and nursing order,increasing difficulties of management and government's supervision,increasing medical risks.Nurses believed that the main obstacles for nurses' dual practice were the unclear medical risks and the unprotected nurses' interests.Conclusion The nurse groups had a positive and optimistic attitude towards nurses' dual practice.In the case that the government implements relevant laws and regulations,and the interests of nurses are well-guaranteed,nurses' dual practice is a good measure that can improve nurses' work motivation.
ABSTRACT
The nurse's multiple-sites practice is currently being implemented,but there are debates regarding advantages and disadvantages.This review analyzed the background and advantages of the nurse's multiple-sites practice,and its main obstacles encountered in China,and put forward our opinions and suggestions about nurse's multiple-sites practice connecting with the practical situation.