RÉSUMÉ
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.
RÉSUMÉ
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.
RÉSUMÉ
Objective To explore the current situation of nurses' multi-site practice,and the attitude and willingness of nurses towards multi-site practice in Guangzhou,and to analyze the pros and cons and the obstacles during implementing multi-site practice in Guangzhou.Methods Semi-structured interviews were conducted among nurses recruited from four general hospitals,one specialist hospital and two community health centers using convenience sampling in October 2016.Interviews were recorded and analyzed by quantitative method after transcription.Results Totally 55 registered nurses were interviewed,including 24 nurse managers and 31 clinical nurses.Fifty-four (98.18％) nurses were supportive to nurses' multi-site practice and 20(36.36％) had the will to carry out multi-site practice themselves.For benefits of multi-site practice,participants considered it could be good to nursing staffs personal growth and career development,contribute to the rational allocation of nursing staff resources and increase the income of nurses.The mentioned disadvantages of nurses' multi-site practice were difficulties of nurses' management and nursing quality management,and the risk of involving primary practicing work place in medical disputes.The obstacles of implementing nurses' multi-site practice included unclear laws and regulations,nursing quality being difficult to control,and inadequate training and management of multi-site practicing nurses.Conclusion The majority of the nurses in Guangzhou supported the nurses' multi-site practice,however,due to unclear regulations and inadequate guarantee system for medical risks,nurses' willingness to carry out multi-site practice were relatively low.Problems faced by nurses' multi-site practice need to be noted and laws and policies should be developed to carry forward the development of nurses' multi-site practice in the future.