Public health nurse perceptions of evolving work and how work is managed: A qualitative study.
evolving public health nurse work
organisational change
public health nurses missed care
public health nurses work
rationed public health nurses care
Journal
Journal of nursing management
ISSN: 1365-2834
Titre abrégé: J Nurs Manag
Pays: England
ID NLM: 9306050
Informations de publication
Date de publication:
Nov 2020
Nov 2020
Historique:
received:
02
12
2019
revised:
10
05
2020
accepted:
22
05
2020
pubmed:
2
6
2020
medline:
29
7
2021
entrez:
2
6
2020
Statut:
ppublish
Résumé
To explore public health nurse (PHN) perspectives of their evolving work and how public health nurse work is managed in a Canadian health region. Professional and public health organisations describe public health nurse practice roles as population-focused work. Health care management directs public health nurse work to achieve specific goals. In this qualitative study, data were collected during focus groups with 42 public health nurse participants in one health region. Focus group data were analysed for meanings and themes. Public health nurses perceived increasing immunizations and limited resources for public health nurse work meant that population-focused care for the public was rationed or missing. Participants perceived the health care organisation directed, managed and assigned public health nurse specialist work; however, public health nurses managed their client-focused practice with knowledge, reasoning and support from colleagues. Evolving visible public health nurse work was managed by health organisational management directives to increase immunizations and disease control. Public health nurses managed their evolving visible and invisible work supported by their knowledge, practice values and public health nurse colleagues. Nursing management must lead and communicate the vision supporting better health, better population-focused care and health outcomes to public health nurse and stakeholders, while reviewing resources needed to optimize public health nursing and improve population health.
Sections du résumé
AIM
OBJECTIVE
To explore public health nurse (PHN) perspectives of their evolving work and how public health nurse work is managed in a Canadian health region.
BACKGROUND
BACKGROUND
Professional and public health organisations describe public health nurse practice roles as population-focused work. Health care management directs public health nurse work to achieve specific goals.
METHODS
METHODS
In this qualitative study, data were collected during focus groups with 42 public health nurse participants in one health region. Focus group data were analysed for meanings and themes.
RESULTS
RESULTS
Public health nurses perceived increasing immunizations and limited resources for public health nurse work meant that population-focused care for the public was rationed or missing. Participants perceived the health care organisation directed, managed and assigned public health nurse specialist work; however, public health nurses managed their client-focused practice with knowledge, reasoning and support from colleagues.
CONCLUSIONS
CONCLUSIONS
Evolving visible public health nurse work was managed by health organisational management directives to increase immunizations and disease control. Public health nurses managed their evolving visible and invisible work supported by their knowledge, practice values and public health nurse colleagues.
IMPLICATIONS FOR NURSING MANAGEMENT
CONCLUSIONS
Nursing management must lead and communicate the vision supporting better health, better population-focused care and health outcomes to public health nurse and stakeholders, while reviewing resources needed to optimize public health nursing and improve population health.
Types de publication
Journal Article
Langues
eng
Pagination
2017-2024Subventions
Organisme : University of Regina Faculty of Nursing Undergraduate Research Internship Program
Organisme : University of Regina President's Research Seed Grant
Informations de copyright
© 2020 John Wiley & Sons Ltd.
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