[Effect of health care reform on the nurses' opinion employed in different health care institutions].
In the new system of health care nurses are not only doctors' partners carrying out doing their orders in the therapeutic process, but can also take up professional actions providing independently, totally and permanently, nursing care for the family and its individual members in their own environment, in the situation of health, illness, disability as well as home hospitalisation and terminal care. The study whose aim was to determine the professional position of nurses resulting from the change of work from time-based to contract task-based in connection with health care system reform was performed from September to November 2001 among nurses living in seven country communes of Kozienice county rendering different ranges of services in basic health care and among patients under nursing care communes under study. To solve research problems of the study the method of diagnostic survey was used with the technique of questionnaire. The study comprising 95 nurses and 112 patients has shown that introduction of contracting nursing services, connected with greater professional independence, possibility of organising own working time and increase of responsibility for performed tasks has increased the number and quality of offered services and also that contracting nursing services has contributed to an increase of professional prestige and nurses' satisfaction.
Samodzielnej Pracowni Umiejetności, Połozniczych Wydziału Pielegniarstwa i Nauk o Zdrowiu, Katedry Medycyny Rodzinnej, Akademii Medycznej w Lublinie. spupalus@panaceum.am.lublin.pl
Grazyna
G
Iwanowicz-Palus
Monika
M
Binkowska-Bury
Iwona
I
Wilk
Leszek
L
Wdowiak
D000328:Adult; D003152:Community Health Nursing / Q000592:standards* / Q000706:statistics & numerical data; D018166:Health Care Reform; D006801:Humans; D007588:Job Satisfaction; D024802:Nurse's Role; D009723:Nurse-Patient Relations; D009726:Nurses / Q000706:statistics & numerical data*; D011044:Poland; D017009:Professional Autonomy; D011785:Quality Assurance, Health Care; D011795:Surveys and Questionnaires; D017748:Time Management