Hallin Karin, Danielson Ella
Karin Hallin MSc RNT Lecturer Department of Health Sciences, Mid Sweden University, Östersund, SwedenElla Danielson PhD RN Professor Institute of Health and Care Sciences, The Sahlgrenska Academy at Göteborg University, Göteborg and Department of Health Sciences, Mid Sweden University, Östersund, Sweden.
J Adv Nurs. 2008 Jan;61(1):62-70. doi: 10.1111/j.1365-2648.2007.04466.x. Epub 2007 Nov 22.
This paper is a report of a study to elucidate Registered Nurses' perceptions of their work and professional development 6 years after graduation.
Nursing education and health care has rapidly changed in the last two decades. Education and experience are important components in Registered Nurses' ability to promote a high quality of care, but a great deal depends on their work circumstances. This study emphasizes Registered Nurses' view of their work in health care, at a time in their career when they have several years of experience.
Data were collected in 2003 from in-depth interviews with 15 Registered Nurses 6 years after their graduation. The interviews were semi-structured and analysed with interpretive content analysis.
The findings revealed two themes and five sub-themes. The first theme, An appropriate but demanding profession, consisted of two sub-themes: 'having found one's niche' and 'growing old in nursing may be difficult'. The second theme, A profession with opportunities and obstacles, consisted of three sub-themes: 'being aware of Registered Nurses' potential', 'having knowledge that is seldom made use of' and 'attaining professional growth is no matter of course'.
Keeping Registered Nurses' satisfied and avoiding their dissatisfaction is crucial for both educators and employers. It is essential that employers give priority to Registered Nurses' time with patients and to motivate and support them in professional development. Further intervention studies regarding a change of the balance between obstacles and opportunities are needed.
本文是一项研究报告，旨在阐明注册护士毕业后6年对其工作及专业发展的看法。
在过去二十年中，护理教育和医疗保健发生了迅速变化。教育和经验是注册护士提供高质量护理能力的重要组成部分，但很大程度上取决于他们的工作环境。本研究着重于注册护士在职业生涯中有了数年经验时，对其在医疗保健工作的看法。
2003年，通过对15名毕业6年的注册护士进行深入访谈收集数据。访谈采用半结构化形式，并运用诠释性内容分析法进行分析。
研究结果揭示了两个主题和五个子主题。第一个主题“一份合适但要求颇高的职业”，包含两个子主题：“找到自己的定位”和“在护理行业中变老可能不易”。第二个主题“一个有机遇也有障碍的职业”，包含三个子主题：“意识到注册护士的潜力”、“拥有很少被利用的知识”以及“实现职业成长并非理所当然”。
让注册护士满意并避免他们产生不满，对教育工作者和雇主而言都至关重要。雇主必须优先考虑注册护士与患者相处的时间，并激励和支持他们的专业发展。需要针对改变障碍与机遇之间的平衡进行进一步的干预研究。
