关键词: complaints disciplinary action nursing management professional regulations registered nurses

Mesh : Female Humans Adult Male Retrospective Studies Nurse Administrators Employee Discipline Patient Safety Salaries and Fringe Benefits

来  源:   DOI:10.1111/jonm.13679

Abstract:
OBJECTIVE: This study aims to explore the disciplinary processes for nurses, from organizational supervision to final decisions by the Finnish regulatory authority.
BACKGROUND: Regulatory authorities are responsible for protecting the public, by ensuring that they receive safe, competent and ethical nursing care, but little is known about the disciplinary processes for nurses.
METHODS: This is a retrospective document analysis of 296 disciplinary decisions by the Finnish regulatory authority from 2007 to 2016. The data were analysed using a quantitative design with descriptive statistics.
RESULTS: We studied 204 disciplined nurses (81.4% female) with a mean age of 43.5 years. The disciplinary process comprised organizational supervision, complaints, investigations and decisions. Nurses with substance abuse issues were more likely to face criminal investigations and receive temporary decisions. The process lasted from under 1 month to years and could have profound effects on nurses, colleagues and nurse managers and compromise patient safety.
CONCLUSIONS: This study identified key factors that could inform the disciplinary processes for nurses. More knowledge is needed about how organisations ensure patient safety when unprofessional conduct is suspected.
CONCLUSIONS: Retaining nursing professionals is vital due to global shortages, and more attention should be paid to organizational supervision and support for nurses during disciplinary processes.
摘要:
目的:本研究旨在探索护士的纪律过程,从组织监督到芬兰监管机构的最终决定。
背景:监管当局负责保护公众,通过确保他们得到安全,有能力和道德的护理,但是对护士的纪律程序知之甚少。
方法:这是芬兰监管机构从2007年到2016年的296项纪律决定的回顾性文件分析。使用具有描述性统计的定量设计对数据进行分析。
结果:我们研究了204名纪律护士(81.4%为女性),平均年龄为43.5岁。纪律程序包括组织监督,投诉,调查和决定。有药物滥用问题的护士更有可能面临刑事调查并获得临时决定。这个过程持续了不到1个月到几年,可能会对护士产生深远的影响,同事和护士经理,危及患者安全。
结论:这项研究确定了可以为护士的纪律过程提供信息的关键因素。当怀疑有不专业行为时,需要更多有关组织如何确保患者安全的知识。
结论:由于全球短缺,留住护理专业人员至关重要,在纪律过程中,应更加重视对护士的组织监督和支持。
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