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护士和管理人员对老年和年轻护士继续专业发展的看法:焦点小组研究。

Nurses' and managers' perceptions of continuing professional development for older and younger nurses: a focus group study.

机构信息

Vocational Education and Training Centre, University Medical Centre Utrecht, Utrecht, The Netherlands.

出版信息

Int J Nurs Stud. 2013 Jan;50(1):34-43. doi: 10.1016/j.ijnurstu.2012.08.009. Epub 2012 Sep 1.

Abstract

BACKGROUND

Continuing professional development of nurses is increasingly necessary to keep abreast of rapid changes in nursing care. Concurrently, the nursing workforce is growing older. Therefore, future strategies for continuing professional development should be directed at both younger and older nurses. Although there is some evidence that various personal, organisational and social factors result in lower participation of older workers in development activities, age-related differences in continuing professional development among nurses remain under-explored.

OBJECTIVE

This study explored nurses' and their managers' perceptions of the differences in continuing professional development between younger and older nurses.

DESIGN

A qualitative study using focus groups. The interviews were analysed using a thematic analysis strategy.

SETTINGS

A large academic hospital in the Netherlands.

PARTICIPANTS

22 nurses in three age groups (20-34 years, 35-49 years and 50-65 years) and 10 nurse managers participated in four focus groups.

RESULTS

Six themes regarding differences in continuing professional development for younger and older nurses emerged from the data: (1) level of focus, (2) creating possibilities to leave the bedside, (3) ambitious young nurses, (4) same resources, different requirements, (5) ceiling in courses for older nurses, and (6) social status and self esteem. Overall, participants seemed to conceptualise continuing professional development along three dimensions: purpose, level of formality of learning activities, and scope of development.

CONCLUSIONS

The findings suggest that participants perceive differences in continuing professional development between younger and older nurses. Its purpose and the contributing learning activities are considered to change during the lifespan. When developing strategies for continuing professional development, the requirements and needs of different age groups need to be taken into account. Whether the scope of professional development is confined to "keeping up to date" or used more broad, including "expansion of skills and knowledge" seems to relate more to nurses' attitudes towards work than to their age.

摘要

背景

为了跟上护理服务的快速变化,护士不断进行专业发展变得越来越必要。与此同时,护理队伍正在老龄化。因此,未来的专业发展战略应该既针对年轻护士,也针对年长护士。尽管有一些证据表明,各种个人、组织和社会因素导致年长员工参与发展活动的比例较低,但护士继续专业发展方面的年龄差异仍未得到充分探索。

目的

本研究探讨了护士及其管理者对年轻护士和年长护士继续专业发展差异的看法。

设计

使用焦点小组的定性研究。采用主题分析策略对访谈进行分析。

设置

荷兰一家大型学术医院。

参与者

22 名护士分为三组(20-34 岁、35-49 岁和 50-65 岁),以及 10 名护士长参加了 4 个焦点小组。

结果

从数据中得出了六个关于年轻护士和年长护士继续专业发展差异的主题:(1)专注程度,(2)创造离开临床的机会,(3)有抱负的年轻护士,(4)相同的资源,不同的需求,(5)年长护士课程的上限,以及(6)社会地位和自尊心。总的来说,参与者似乎将继续专业发展沿着三个维度来概念化:目的、学习活动的正式程度和发展范围。

结论

研究结果表明,参与者认为年轻护士和年长护士之间存在继续专业发展的差异。其目的和促成学习活动被认为在整个生命周期中会发生变化。在制定继续专业发展战略时,需要考虑不同年龄组的要求和需求。专业发展的范围是局限于“跟上最新动态”还是更广泛地包括“扩展技能和知识”,似乎与护士对工作的态度有关,而与年龄关系不大。

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