Résumés
Résumé
La province du Nouveau-Brunswick restructure actuellement son système de santé. Un des objectifs de la réorganisation des soins est l’optimisation du rôle des intervenants, et plus précisément, l’élargissement du champ de pratique des infirmières et des infirmières auxiliaires. Le but de la présente étude qualitative est d’explorer l’expérience des infirmières en ce qui concerne les concepts d’ambiguïté et de conflit de rôle dans le contexte des réformes de la santé. Le cadre conceptuel choisi est la théorie des rôles. Les données ont été recueillies auprès de dix infirmières par entrevues semi-structurées. L’analyse du contenu des entrevues montre que les infirmières vivent de l’ambiguïté dans leur rôle, particulièrement en ce qui concerne le transfert des tâches, le modèle de prestation des soins et le manque de connaissance des rôles de chacun. Le conflit de rôle, d’autre part, découle de l’excès de responsabilités engendré par les soins de base, la gestion des soins et le travail d’équipe avec les infirmières auxiliaires.
Mots-clés:
- réformes du système de santé,
- champs de pratique,
- ambiguïté de rôle,
- conflit de rôle,
- organisation du travail
Abstract
The province of New Brunswick is currently undergoing healthcare restructuring. One of the objectives of the reform is to optimize the utilization of both registered nurses and licensed practical nurses. The purpose of this qualitative study is to explore the concepts of role ambiguity and role conflict among nurses within the context of health care reforms. The conceptual framework chosen for this study is Role Theory. Ten interviews were held with nurses in a hospital setting prior to changes in their scope of practice. The findings indicated that registered nurses are experiencing role ambiguity. This is related to the transfer of nursing tasks from nurses to licensed practical nurses, the uncertainty over the ideal care delivery model and by an insufficient knowledge about their own role and that of licensed practical nurses. Role conflict was related to an excess of responsibilities, particularly related to basic care and management tasks as well as the necessity of working in nursing teams with licensed practical nurses.
Keywords:
- health care restructuring,
- scope of practice,
- role ambiguity,
- role conflict,
- work organization
Parties annexes
Bibliographie
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