Maben Jill, Latter Sue, Clark Jill Macleod
King's College London, London, UK.
Nurs Inq. 2007 Jun;14(2):99-113. doi: 10.1111/j.1440-1800.2007.00357.x.
This article reports on research that examines newly qualified UK nurses' experiences of implementing their ideals and values in contemporary nursing practice. Findings are presented from questionnaire and interview data from a longitudinal interpretive study of nurses' trajectories over time. On qualification nurses emerged with a coherent and strong set of espoused ideals around delivering high quality, patient-centred, holistic and evidence-based care. These were consistent with the current UK nursing mandate and had been transmitted and reinforced throughout their 'prequalification' programmes. The existence of professional and organisational constraints influenced their ability to implement these ideals and values once in practice. Data analysis revealed that within 2 years in practice the newly qualified nurses could be categorised as sustained idealists, compromised idealists, or crushed idealists. The majority experienced frustration and some level of 'burnout' as a consequence of their ideals and values being thwarted. This led to disillusionment, 'job-hopping' and, in some cases, a decision to leave the profession. These data are explored and discussed to inform the question of whether the current nursing mandate is sustainable.
本文报道了一项研究，该研究考察了英国新获得资格的护士在当代护理实践中践行其理想和价值观的经历。研究结果来自一项纵向解释性研究的问卷和访谈数据，该研究跟踪了护士随时间的职业轨迹。刚获得资格时，护士们形成了一套连贯且坚定的理想信念，围绕提供高质量、以患者为中心、全面且基于证据的护理。这些与当前英国的护理使命相一致，并且在他们的“资格前”课程中得到了传授和强化。专业和组织限制的存在影响了他们在实际工作中践行这些理想和价值观的能力。数据分析显示，在工作两年内，新获得资格的护士可被归类为持续理想主义者、妥协理想主义者或受挫理想主义者。由于他们的理想和价值观受到阻碍，大多数人经历了挫折和一定程度的“职业倦怠”。这导致了理想破灭、“跳槽”，在某些情况下，还导致了离开该职业的决定。对这些数据进行了探讨和讨论，以了解当前护理使命是否可持续这一问题。
