Duchscher Judy Boychuk, Myrick Florence
Scholarly Projects and Programs, SIAST Nursing Division, Saskatoon, Saskatchewan, Canada.
Nurs Forum. 2008 Oct-Dec;43(4):191-206. doi: 10.1111/j.1744-6198.2008.00113.x.
The experience of new graduates in acute care.
The majority of newly graduated nurses make their initial professional role transition in acute care. Being socialized into the dynamic culture of today's hospitals creates significant challenges not only for the nurses themselves but also for institutions of higher education, healthcare administrators, and policy makers across this country. Demanding workloads for hospital nurses, an aging nursing workforce, and the high level of stress inherent in workplaces across North America are factors contributing to an exodus of both new and seasoned nurses out of acute care. This article outlines the implicit and explicit factors that may be contributing to the dissatisfaction and distress in nursing graduates entering professional practice through hospital nursing.
CINAHL, MEDLINE, Sociolit, and PubMed.
Discussion is focused on the oppressive context in which hospital nursing continues to be situated and explores the ideological, structural, and relational aspects of domination that continue to surface in the work experiences of novice as well as seasoned nurses. Suggestions for addressing the issues that plague the acute care environment are integrated throughout the article, and a detailed framework of empowerment for this nursing context is offered.
新毕业生在急症护理方面的经历。
大多数新毕业护士在急症护理领域开始他们的首次职业角色转变。融入当今医院充满活力的文化，不仅给护士自身，也给全国的高等教育机构、医疗保健管理人员和政策制定者带来了巨大挑战。医院护士繁重的工作量、老龄化的护理人员队伍以及北美各地工作场所固有的高度压力，是导致新老护士纷纷离开急症护理领域的因素。本文概述了可能导致通过医院护理进入专业实践的护理毕业生不满和苦恼的内在和外在因素。
护理学与健康领域数据库（CINAHL）、医学文献数据库（MEDLINE）、社会科学文摘数据库（Sociolit）和医学期刊数据库（PubMed）。
讨论聚焦于医院护理所处的压抑环境，并探讨在新手护士和经验丰富护士的工作经历中持续显现的支配的意识形态、结构和关系方面。文章通篇融入了应对困扰急症护理环境问题的建议，并提供了针对这种护理环境的详细赋权框架。
