Author: Chang, Ka-pik Katherine
Title: The nurse specialist role : perceptions of the nurse specialists, doctors and staff nurses
Degree: M.Sc.
Year: 1998
Subject: Nurse practitioners
Hong Kong Polytechnic University -- Dissertations
Department: Multi-disciplinary Studies
Department of Nursing and Health Sciences
Pages: v, 113 leaves : ill. ; 31 cm
Language: English
Abstract: The Nurse Specialist Scheme was launched in 1994 in Kong Kong. Studies in the West showed that there were impacts on the roles of the members among the health care team. Since minimal local published work was done in reviewing the Scheme, so the purposes of the study were to review and delineate its impacts in terms of the perceived importance and frequency of the roles of the nurse specialists. The design of the study was non-experimental. Data were collected by self-administered questionnaires. The questionnaire adopted was developed by O'Mullan (1995), the five roles studied were administration, clinical practice, consultation, education and research. To ensure the contextual relevancy and consistency of the questionnaire, content validity and test-retest reliability tests were performed. The results were satisfactory. The content validity index was 0.85 and the test-retest reliability (Spearman's rho coefficient) ranged from 0.57 to 0.97. Subjects were obtained by stratified convenience sampling technique. The ratios for subject selection among the doctors, ward managers, nursing officers and registered nurses were 3:1:3:10 respectively. Because of the small numbers for nurse specialists, they were all included in the study. Initially 526 questionnaires were sent to the potential subjects. The response rate was 46%. The final sample consisted of 11 nurse specialists, 47 ward managers, 56 nursing officers, 110 registered nurses and 15 doctors (N=239). The results showed that there were significant differences in the perceptions of importance of the administration, clinical practice, education and research roles; the frequency of occurrence of the clinical practice and research roles. This was further verified by the Fisher's Least significant differences Test. A regulatory system of the nurse specialist role was recommended to monitor the development of the nurse specialist registration and practice. Both the implication and limitation were discussed.
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