Hodges Helen F, Keeley Ann C, Troyan Patricia J
Georgia Baptist College of Nursing, Mercer University, Atlanta, SA.
Nurs Educ Perspect. 2008 Mar-Apr;29(2):80-9. doi: 10.1097/00024776-200803000-00008.
New nurses typically begin their practice in acute care settings in hospitals, where their work is characterized by time constraints, high safety risks for patients, and layers of complexity and difficult problems. Retention of experienced nurses is an issue central to patient safety. The purpose of this qualitative study was to explore the nature of professional resilience in new baccalaureate-prepared nurses in acute care settings and to extrapolate pedagogical strategies that can be developed to support resilience and career longevity. Findings revealed a common process of evolving resilience among participants. New nurses spend a significant amount of time learning their place in the social structure. With positive experiences, they begin to feel more competent with skills and relationships and become increasingly aware of discrepancies between their ideas of professional nursing and their actual experiences in the work setting. The risk of new nurses leaving their practice is constantly present during these struggles. Acceptable compromises yield a reconciliation of the current crisis, typically occurring long after formal precepting has ended. Personal growth is evident by the evolving clarity of professional identity, an edifying sense of purpose, and energy resources to move forward. For new nurses, professional resilience yields the capacity for self-protection, risk taking, and moving forward with reflective knowledge of self.
新护士通常在医院的急症护理环境中开始他们的工作，在那里他们的工作具有时间限制、患者面临高安全风险以及存在层层复杂性和难题等特点。留住经验丰富的护士是保障患者安全的核心问题。这项定性研究的目的是探讨急症护理环境中刚获得护理学学士学位的新护士的职业复原力的本质，并推断出可以制定的教学策略，以支持他们的复原力和职业 longevity。研究结果揭示了参与者中复原力不断发展的一个共同过程。新护士要花费大量时间来了解自己在社会结构中的位置。有了积极的经历后，他们开始对自己的技能和人际关系更有信心，并越来越意识到自己对专业护理的看法与工作环境中的实际经历之间的差异。在这些挣扎过程中，新护士离职的风险始终存在。可接受的妥协带来当前危机的和解，这种和解通常在正式带教结束很久之后才会出现。职业身份的逐渐清晰、有启发性的目标感以及向前迈进的精力资源都表明了个人的成长。对新护士来说，职业复原力产生了自我保护、冒险以及带着对自我的反思性认识向前迈进的能力。
