Analysis of nurses' multi-site practice in Guangzhou based on interviews / 中华护理杂志

ABSTRACT

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.