The Australian and New Zealand nephrology nursing workforce: clinical pressure and organisational culture.

IF 1.2 4区 医学 Q3 NURSING Contemporary Nurse Pub Date : 2023-02-01 DOI:10.1080/10376178.2023.2172442
Kathleen Hill, Kim Neylon, Kate Gunn, Greg Sharplin, Marion Eckert
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Abstract

There has been increasing prevalence in the community of chronic kidney disease and an increased demand for nephrology trained nursing staff.

We explored how nephrology trained nurses are impacted by daily caseload pressure, organisational support and workplace education.

A co-designed 57-item questionnaire developed by the research team and clinical nephrology nurses hosted on Qualtrics™ was distributed to nephrology nurses in Australia and New Zealand.

The 370 respondents described a strong professional identity as a nephrology nurse. 70% described pressure to work overtime and only 2% were adequately staffed. 40% felt at times that their patients clinical care was 'unsafe' and one-third described the erosion of work-based educational opportunities. However, team collegiality was high, a strength of the nursing profession.

The nephrology nursing workforce will face important challenges over the next decade and there must be an organisational response to prevent continued staff shortages.

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澳大利亚和新西兰肾病护理人员:临床压力和组织文化。
慢性肾脏疾病在社区的患病率越来越高,对受过肾脏学培训的护理人员的需求也越来越大。我们探讨了肾脏学培训护士如何受到日常病例负荷压力、组织支持和工作场所教育的影响。研究小组与Qualtrics™上的临床肾病科护士共同设计了一份57项问卷,分发给澳大利亚和新西兰的肾病科护士。370名受访者描述了自己作为肾病科护士的强烈职业认同。70%的人表示有加班的压力,只有2%的人有足够的人手。40%的人有时觉得他们的病人的临床护理是“不安全的”,三分之一的人描述了以工作为基础的教育机会的侵蚀。然而,团队合作程度很高,这是护理专业的一个优势。在接下来的十年里,肾脏病护理人员将面临重要的挑战,必须有一个组织的反应来防止持续的人员短缺。
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来源期刊
Contemporary Nurse
Contemporary Nurse 医学-护理
CiteScore
2.00
自引率
6.20%
发文量
38
审稿时长
6-12 weeks
期刊介绍: Contemporary Nurse is an international peer-reviewed journal designed to increase nursing skills, knowledge and communication, assist in professional development and to enhance educational standards by publishing stimulating, informative and useful articles on a range of issues influencing professional nursing research, teaching and practice. Contemporary Nurse is a forum for nursing educators, researchers and professionals who require high-quality, peer-reviewed research on emerging research fronts, perspectives and protocols, community and family health, cross-cultural research, recruitment, retention, education, training and practitioner perspectives. Contemporary Nurse publishes original research articles, reviews and discussion papers.
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