Gregg Misuzu F, Wakisaka Toyomi, Hayashi Chifuyu
Kobe City College of Nursing, Kobe, Japan.
Open Nurs J. 2013 Oct 31;7:157-64. doi: 10.2174/1874434601307010157. eCollection 2013.
The purpose of this study was to explore the strategies used by nurse managers in Japan to facilitate the integration of newly graduate nurses (NGNs) into their clinical units.
The integration of NGNs into clinical units is an important issue for both NGNs and nurse managers because the first year of practice plays a vital role in a NGN's career.
Data were generated through semi-structured interviews with 9 nurse managers in 9 acute care hospitals. Data analysis was conducted using a qualitative content analysis method.
Nurse managers used a total of 6 strategies: understanding the circumstances of NGNs, providing opportunities for experience and learning, supporting nurses who teach NGNs, facilitating self-learning, promoting awareness of being a nurse in the clinical unit, and strengthening the sense of comradeship in clinical units. Three of these strategies were particularly important for NGNs' integration into clinical units: facilitating self-learning, promoting awareness of being a nurse in the clinical unit, and strengthening the sense of comradeship in clinical units. These strategies were described in this study.
The strategies adopted by nurse managers should be aimed at all nurses, not just NGNs, in order to strengthen the sense of comradeship in clinical units. This approach would create a supportive environment for the integration of NGNs into clinical units. The strategies presented in this study can be utilized not just by nurse managers but all senior nurses in the unit. NGNs can use these strategies to help them understand what they need to do to become a full member of their unit.
本研究旨在探索日本护理管理者为促进新毕业护士（NGNs）融入临床科室所采用的策略。
NGNs融入临床科室对NGNs和护理管理者而言都是重要问题，因为实习的第一年在NGN的职业生涯中起着至关重要的作用。
通过对9家急症护理医院的9名护理管理者进行半结构化访谈收集数据。采用定性内容分析法进行数据分析。
护理管理者共采用了6种策略：了解NGNs的情况、提供经验和学习机会、支持带教NGNs的护士、促进自主学习、提升在临床科室的护士意识以及增强临床科室的同志情谊。其中三种策略对NGNs融入临床科室尤为重要：促进自主学习、提升在临床科室的护士意识以及增强临床科室的同志情谊。本研究对这些策略进行了描述。
护理管理者所采用的策略应针对所有护士，而非仅针对NGNs，以增强临床科室的同志情谊。这种方法将为NGNs融入临床科室创造一个支持性环境。本研究中提出的策略不仅可供护理管理者使用，科室中的所有资深护士也可采用。NGNs可以利用这些策略来帮助他们了解要成为科室的正式一员需要做些什么。
