Lea Jackie, Cruickshank Mary
School of Health, University of New England.
Collegian. 2005 Apr;12(2):22-7. doi: 10.1016/s1322-7696(08)60489-8.
Rural nursing is a distinct practice and rural nurses in Australia constitute the largest group in the rural health workforce. However, the rural workforce is ageing and the turnover of nurses in rural areas is high. In addition, rural health services are experiencing recruitment and retention difficulties; very little is known about the recruitment and retention of new graduates nurses in rural health areas and the potential long-term investment they could offer to rural health services. A qualitative study explored the journey of transition for new graduate nurses employed in graduate nurse transition programs in northern New South Wales. This paper presents two major themes from the study that describe the factors that influenced the new graduate nurse to seek and accept a graduate nurse position within a rural health setting and the factors that influenced their retention. Findings indicate that previous connection with a rural area and positive experiences in a rural health care facility during undergraduate preparation were significant factors influencing the graduate nurses' decision to pursue a rural graduate nurse position. No guarantee of a permanent appointment upon completion of the graduate program, and graduates' disappointment with graduate nurse programs, were important factors influencing their retention within rural health care facilities.
乡村护理是一种独特的实践领域，澳大利亚的乡村护士构成了乡村卫生劳动力中的最大群体。然而，乡村劳动力队伍正在老龄化，乡村地区护士的流动率很高。此外，乡村卫生服务机构在招聘和留住员工方面面临困难；对于乡村卫生领域新毕业护士的招聘和留用情况以及他们可能为乡村卫生服务带来的潜在长期投资，人们了解甚少。一项定性研究探讨了新南威尔士州北部参加护士毕业生过渡项目的新毕业护士的过渡历程。本文呈现了该研究的两个主要主题，描述了影响新毕业护士在乡村卫生环境中寻求并接受护士毕业生职位的因素以及影响他们留用的因素。研究结果表明，本科学习期间与乡村地区的先前联系以及在乡村医疗保健机构的积极经历是影响毕业护士决定寻求乡村护士毕业生职位的重要因素。毕业后项目结束后不能保证获得永久职位，以及毕业生对护士毕业生项目的失望，是影响他们留在乡村医疗保健机构的重要因素。
