Jackson Carole
Florence Nightingale School of Nursing and Midwifery, Kings College London, James Clarke Maxwell Building, 57 Waterloo Road, London SE1 8WA, UK.
Accid Emerg Nurs. 2005 Apr;13(2):110-21. doi: 10.1016/j.aaen.2005.03.002. Epub 2005 Apr 25.
The main aim of this study was to provide an explanation of the newly qualified nurse's experience and description of a good day. Secondly, it sought to provide an explanation of how a good day made them feel about nursing. By identifying the main components of a good day and what positively effects the experience of a working day for a newly qualified nurse, it may be possible to move towards an increase in the occurrence of the components and emulation of a good day. While there is evidence to suggest that positive experiences within nursing increase job satisfaction and aid retention to the profession, the experience of a good day and what constitutes a good day for a newly qualified nurse has not been explored. The main components of a good day have not been identified and no work has been carried out to ascertain how these days make nurses feel about their chosen career. The aims of the study lent themselves to a phenomenological descriptive approach to research, the objective of which is identification of the essence of behaviour. Eight newly qualified nurses agreed to take part in the research. Each participant was interviewed twice, and in addition one group interview was arranged to clarify themes. The interviews, which were audio taped, were informal allowing the participants to answer in an open and unstructured manner. Once completed, all the tapes were transcribed and immersion and analysis of the data led to 5 themes naturally emerging as the components of a good day. The identified themes were, doing something well, good relationships with patients, feeling that you've achieved something, getting the work done and you need team work. In addition, although not a theme of a good day but of great importance was the description of 'that wonderful feeling at the end of a good day'. These themes contributed to feelings of job satisfaction and the pleasure of nursing. More specifically the concept of knowing the patient both from a personal level and knowing about their care and condition has been identified as a main component of a good day. This knowing the patient had a knock on effect in that when this was part of the day it was easier to prioritize and get the work done. These nurses were striving to develop a level of care and competency and, unlike expert nurses, did not have vast experience and knowledge to underpin their actions. They need to ensure that all levels of knowledge are addressed before they can carry out care. Additionally, the team dynamics and the way the team work together had a significant effect on the day.
本研究的主要目的是解释新获得资格护士的经历,并描述美好的一天。其次,它试图解释美好的一天如何让他们对护理工作产生感受。通过确定美好一天的主要组成部分以及对新获得资格护士工作日体验有积极影响的因素,或许有可能增加这些组成部分的出现频率并效仿美好的一天。虽然有证据表明护理工作中的积极体验会提高工作满意度并有助于护士留在该行业,但新获得资格护士美好一天的体验以及构成美好一天的因素尚未得到探索。美好一天的主要组成部分尚未确定,也没有开展工作来确定这些日子如何让护士对其选择的职业产生感受。该研究的目的适合采用现象学描述性研究方法,其目标是识别行为的本质。八名新获得资格的护士同意参与该研究。每位参与者接受了两次访谈,此外还安排了一次小组访谈以澄清主题。访谈进行了录音,形式较为随意,允许参与者以开放和无结构的方式回答。完成后,所有录音带都进行了转录,对数据的沉浸和分析自然产生了5个主题,作为美好一天的组成部分。确定的主题是,把事情做好、与患者建立良好关系、感觉自己取得了成就、完成工作以及团队合作的必要性。此外,虽然“美好一天结束时那种美妙的感觉”的描述不是美好一天的主题,但却非常重要。这些主题促成了工作满意度和护理工作的愉悦感。更具体地说,从个人层面了解患者以及了解他们的护理和病情这一概念已被确定为美好一天的主要组成部分。了解患者产生了连锁反应,因为当这成为一天工作的一部分时,更容易确定工作优先级并完成工作。这些护士努力提高护理水平和能力,与经验丰富的护士不同,他们没有丰富经验和知识来支撑自己的行动。他们需要确保在提供护理之前涵盖所有知识层面。此外,团队动态以及团队协作方式对当天的工作有重大影响。