AimThis study aims firstly to identify shifts in the execution of medical tasks by nurses in the past decade. Secondly, it aims to explore nurses' perspectives on task shifting: how they think task shifting affects the quality of care, the attractiveness of nursing practice and their collaboration with physicians.DesignA quantitative repeated cross‐sectional study.MethodsA nationwide survey was conducted among Dutch registered nurses (RNs) working in hospitals and home care, first in 2012 and again in 2022, with sample sizes of 359 and 362, respectively. Analyses were based on descriptive statistics and logistic and linear regressions.ResultsBetween 2012 and 2022, there was a significant increase in the execution of only one medical task by nurses, namely prescribing over‐the‐counter medication. The majority reported in both years that task shifting has positive impact on their professional autonomy and the attractiveness of nursing practice. However, most nurses also reported that task shifting increased their workload (72.7% in 2022) could lead to conflicts in care teams (20.9% in 2022 compared to 14.7% in 2012) and may cause physicians to feel threatened (32.8% in 2022 and 29.9% in 2012). There were no significant changes in nurses' perception of the impact of task shifting on quality of care, the attractiveness of nursing practice and the nurse–physician relationship.ConclusionThere was an increase in the execution of prescribing over‐the‐counter‐medication by nurses between 2012 and 2022. However, both in 2012 and in 2022, as the majority of nurses reported that task shifting increased their workload, there is reason to worry about this negative consequence of task shifting, e.g. with regard to labour market issues. Further research, also among the medical profession, is needed to better understand and address the implications of task shifting for the nursing profession.Implications for the ProfessionImplications for the nursing profession include potential scope expansion with complex tasks, attracting more individuals to nursing careers, although an eye must also be kept on what that means for the workload of nurses and the relationship with physicians.ImpactNurse prescribing medicines was more executed in 2022 compared to 2012. Nurses had a predominantly positive perspective on task shifting, but still felt it can cause conflicts in care teams, high workload and physicians feeling threatened. These results can help during implementation of task shifting and in monitoring the perceived effects of task shifting among nurses.Reporting MethodThis study followed the STROBE reporting guideline for cross‐sectional studies.Patient or Public ContributionNo Patient or Public Contribution. This study focussed on the task shifting (perspectives) of nurses.

中文翻译：

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荷兰护理实践中的任务转移：对护士经验的重复横断面分析

目的本研究首先旨在确定过去十年中护士执行医疗任务的变化。其次，旨在探讨护士对任务转移的看法：他们认为任务转移如何影响护理质量、护理实践的吸引力以及他们与医生的合作。设计一项定量重复横断面研究。方法在荷兰进行了一项全国性调查2012 年和 2022 年首次对在医院和家庭护理机构工作的注册护士 (RN) 进行了调查，样本量分别为 359 人和 362 人。分析基于描述性统计以及逻辑回归和线性回归。结果从 2012 年到 2022 年，护士仅执行一项医疗任务（即开非处方药）的数量显着增加。大多数人在这两年都表示，任务转移对其专业自主性和护理实践的吸引力产生了积极影响。然而，大多数护士还报告说，任务转移增加了他们的工作量（2022 年为 72.7%），可能会导致护理团队冲突（2022 年为 20.9%，2012 年为 14.7%），并可能导致医生感到受到威胁（2022 年为 32.8%，2022 年为 32.8%）。 2012 年为 29.9%）。护士对任务转移对护理质量、护理实践的吸引力以及护医关系的影响的看法没有显着变化。 结论 护士开非处方药的次数有所增加2012 年至 2022 年间。然而，在 2012 年和 2022 年，由于大多数护士报告任务转移增加了他们的工作量，因此有理由担心任务转移的负面后果，例如劳动力市场问题。还需要在医学界进行进一步的研究，以更好地理解和解决任务转移对护理专业的影响。对专业的影响对护理专业的影响包括复杂任务的潜在范围扩展，吸引更多的人从事护理职业，尽管还必须关注这对护士的工作量以及与医生的关系意味着什么。影响 与 2012 年相比，2022 年护士开药的执行率更高。护士对任务转移持积极态度，但仍然认为这可能会引起冲突在护理团队中，工作量很大，医生感到受到威胁。这些结果有助于实施任务转移和监测护士任务转移的感知效果。报告方法本研究遵循 STROBE 横断面研究报告指南。患者或公众贡献没有患者或公众贡献。本研究的重点是护士的任务转移（观点）。