Michelle Giles, Vicki Parker, Rebecca Mitchell.
Abstract
Background: Roleambiguityisknowntoimpactnegativelyonroleeffectiveness.NurseConsul- tants (NCs)areclinicalleadersinAustraliaandsimilarrolesexistinternationally.Factorsthat lead toroleambiguityforNCsincludedynamicandcomplexhealthcarecontextsandroles. ToreduceambiguitythereisanurgentneedtodemonstrateNCs’contributiontohealthcare outcomes. Aim: This paperreportsfindingsofastudyexploringtherole,scopeandlevelofengagement of theNCacrossmetropolitanandruralcontextinNewSouthWales,Australia. Design: This studyusedacrosssectionalsequentialmixedmethoddesignexaminingthecomplex and multifacetednatureoftheNC’swork. Method: NCs wererecruitedacrossruralandmetropolitanservicesinalargelocalhealthdis- trict inNewSouthWales,Australia.Phaseoneusedavalidatedquestionnairetogatherwork engagement andactivitydata,phasetwoinvolvedinterviewswithNCsandothersstakeholders. Phaseonefindingsarepresentedinthispaper.
Results: Workengagementpatternswereinfluencedbyrolegrade(1,2or3),highergrades engaging athigherlevelsacrossdomainsandhealthsectors.NCsinrurallocationshadgreater emphasis oneducation,clinicalleadershipandclinicalconsultancyandsignificantlymoredirect patient contactintheirroles.
Background: Roleambiguityisknowntoimpactnegativelyonroleeffectiveness.NurseConsul- tants (NCs)areclinicalleadersinAustraliaandsimilarrolesexistinternationally.Factorsthat lead toroleambiguityforNCsincludedynamicandcomplexhealthcarecontextsandroles. ToreduceambiguitythereisanurgentneedtodemonstrateNCs’contributiontohealthcare outcomes. Aim: This paperreportsfindingsofastudyexploringtherole,scopeandlevelofengagement of theNCacrossmetropolitanandruralcontextinNewSouthWales,Australia. Design: This studyusedacrosssectionalsequentialmixedmethoddesignexaminingthecomplex and multifacetednatureoftheNC’swork. Method: NCs wererecruitedacrossruralandmetropolitanservicesinalargelocalhealthdis- trict inNewSouthWales,Australia.Phaseoneusedavalidatedquestionnairetogatherwork engagement andactivitydata,phasetwoinvolvedinterviewswithNCsandothersstakeholders. Phaseonefindingsarepresentedinthispaper.
Results: Workengagementpatternswereinfluencedbyrolegrade(1,2or3),highergrades engaging athigherlevelsacrossdomainsandhealthsectors.NCsinrurallocationshadgreater emphasis oneducation,clinicalleadershipandclinicalconsultancyandsignificantlymoredirect patient contactintheirroles.
Year: 2016
PMID： 29115808
Source DB: PubMed Journal: Collegian ISSN： 1322-7696 Impact factor: 2.573