对美国护理教育工作者队伍的描述性调查

IF 4.2 4区 医学 Q1 NURSING Journal of Nursing Regulation Pub Date : 2024-04-01 DOI:10.1016/S2155-8256(24)00025-5
Nicole Kaminski-Ozturk PhD (Senior Data Scientist), Michaela Reid BS, BA (Research Assistant)
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引用次数: 0

摘要

背景:护士教育者是护理人员队伍的重要组成部分,通常扮演着两个关键角色:他们培训那些将来可能直接为病人提供护理或教育服务的护士,而且他们自己也经常从事护理工作。然而,随着硕士和博士课程招生人数的减少,以及现有教育工作者的退休和离职,护士教育工作者的人数也在不断减少。目的:这项描述性横断面研究旨在更仔细地研究 COVID-19 大流行对护士教育工作者队伍的影响。更具体地说,这项工作试图了解大流行对传统学术和临床环境中的护士教育者产生了怎样的影响。方法:分析数据来自 2022 年全国护理人员调查。结果:两种环境下的教育工作者都表示他们受到了 COVID-19 大流行的深刻影响。然而,在对种族、民族、性别和工作年限进行调整后,临床环境中的教育工作者更有可能报告工作量增加(调整后OR=1.41,95% CI:1.37-1.44,p <.001)。在控制工作年限、种族、民族和性别的情况下,报告专职从事老年医学(调整后OR=3.09,95% CI:2.87-3.32,p <.001)和急诊/重症护理(调整后OR=2.89,95% CI:2.70-3.08,p <.001)的教育工作者也更有可能报告,相对于专职从事内科/外科的教育工作者,他们计划在5年内离职或退休。此外,40.2%(n= 2,908)的母婴健康/产科护士教育者表示,他们计划在未来 5 年内离职或退休。结论:随着对护士教育者的需求持续增长,临床教育者在 COVID-19 大流行期间独特而剧烈的情感衰竭经历值得进一步考虑。政策制定者、项目管理人员和雇主必须确定并实施改善工作条件的方法,以留住并招聘更多的护士从事教育工作,尤其是那些受雇于需求旺盛的临床实践专业领域的护士。本分析的结果提供了有关临床和学术环境中教育工作者实践概况的见解,以及他们在 COVID-19 大流行期间的经历可能如何影响他们在未来几年离开这一行业的意向。
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A Descriptive Investigation of the Nursing Educator Workforce in the United States

Background:

Nurse educators represent a key component of the nursing workforce and typically serve in two critical roles: they train nurses who may one day provide direct patient care or educational services, and they often practice themselves. However, the number of nurse educators is declining as enrollment in master’s and PhD programs slows and as the current set of educators retire and leave the profession.

Purpose:

This descriptive cross-sectional study sought to more closely examine how the COVID-19 pandemic has impacted the nurse educator cohort. More specifically, this work sought to understand how the pandemic has affected nurse educators embedded in traditional academic as well as clinical settings.

Methods:

Data from the 2022 National Nursing Workforce Survey were drawn upon for analysis. Descriptive statistics and generalized logit statistical models were employed.

Results:

Educators in both settings report they were profoundly impacted by the COVID-19 pandemic. However, educators in clinical settings were more likely (adjustedOR= 1.41, 95% CI: 1.37–1.44,p <.001) to report an increase in workload when adjusting for race, ethnicity, gender, and years’ experience. Educators who reported specializing in geriatrics (adjustedOR= 3.09, 95% CI: 2.87–3.32,p <.001) and acute/critical care (adjustedOR= 2.89, 95% CI: 2.70–3.08,p <.001) were also more likely to report plans to leave or retire within 5 years relative to educators in medical/surgical specialized positions when controlling for years’ experience, race, ethnicity, and gender. Additionally, 40.2% (n= 2,908) of nurse educators in maternal-child health/obstetrics reported they plan to leave or retire within the next 5 years.

Conclusion:

As the need for nurse educators continues to grow, clinical educators’ unique and acute experiences of emotional exhaustion during the COVID-19 pandemic warrant further consideration. Policymakers, program administrators, and employers must identify and implement methods to improve working conditions to retain and recruit more nurses to education, particularly among those employed in in-demand clinical practice specialty areas. The results of this analysis offer insights into the practice profiles of educators in both clinical and academic settings, as well as how their experiences during the COVID-19 pandemic may inform their intent to leave the profession in the years to come.

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来源期刊
CiteScore
4.60
自引率
12.50%
发文量
50
审稿时长
54 days
期刊介绍: Journal of Nursing Regulation (JNR), the official journal of the National Council of State Boards of Nursing (NCSBN®), is a quarterly, peer-reviewed, academic and professional journal. It publishes scholarly articles that advance the science of nursing regulation, promote the mission and vision of NCSBN, and enhance communication and collaboration among nurse regulators, educators, practitioners, and the scientific community. The journal supports evidence-based regulation, addresses issues related to patient safety, and highlights current nursing regulatory issues, programs, and projects in both the United States and the international community. In publishing JNR, NCSBN''s goal is to develop and share knowledge related to nursing and other healthcare regulation across continents and to promote a greater awareness of regulatory issues among all nurses.
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