New understanding of secondary health care nurse practitioner role optimisation: the dynamic relationship between the context and work meaning

Abstract

Professional nursing is one of the key factor for health service. We try to evaluate values and their significance to nursing practitioners in their daily practice by questioners. In conclusion, due to some factor (salary, overload working time, social welfare), nurses unsatisfied for their profession. In total 180 nurses from Second State Central Hospitals, 80 nurses were sampled by answered the questions in randomized control group. The findings suggest an overarching link between the work context, the meaning attributed by practice nursing roles to their work and their engagement. The optimisation of their role at the patient care level appears to be influenced by elements at the organisational and health system context levels. It appears that role optimisation must include the establishment of work environments and congruent health context structures that favour the implementation and deployment of new professional roles, work engagement, effective collaboration in interprofessional teams, and opportunities to exercise agency. Further research is necessary to evaluate initiatives that endeavour to achieve these objectives.