Regan Sandra, Wong Carol, Laschinger Heather K, Cummings Greta, Leiter Michael, MacPhee Maura, Rhéaume Ann, Ritchie Judith A, Wolff Angela C, Jeffs Lianne, Young-Ritchie Carol, Grinspun Doris, Gurnham Mary Ellen, Foster Barbara, Huckstep Sherri, Ruffolo Maurio, Shamian Judith, Burkoski Vanessa, Wood Kevin, Read Emily
Arthur Labatt Family School of Nursing, The University of Western Ontario, London, ON, Canada.
Faculty of Nursing, The University of Alberta, Edmonton, AB, Canada.
J Nurs Manag. 2017 May;25(4):246-255. doi: 10.1111/jonm.12456. Epub 2017 Feb 27.
To describe new graduate nurses' transition experiences in Canadian healthcare settings by exploring the perspectives of new graduate nurses and nurse leaders in unit level roles.
Supporting successful transition to practice is key to retaining new graduate nurses in the workforce and meeting future demand for healthcare services.
A descriptive qualitative study using inductive content analysis of focus group and interview data from 42 new graduate nurses and 28 nurse leaders from seven Canadian provinces.
New graduate nurses and nurse leaders identified similar factors that facilitate the transition to practice including formal orientation programmes, unit cultures that encourage constructive feedback and supportive mentors. Impediments including unanticipated changes to orientation length, inadequate staffing, uncivil unit cultures and heavy workloads.
The results show that new graduate nurses need access to transition support and resources and that nurse leaders often face organisational constraints in being able to support new graduate nurses.
Organisations should ensure that nurse leaders have the resources they need to support the positive transition of new graduate nurses including adequate staffing and realistic workloads for both experienced and new nurses. Nurse leaders should work to create unit cultures that foster learning by encouraging new graduate nurses to ask questions and seek feedback without fear of criticism or incivility.
通过探索新毕业护士和科室层面的护士领导者的观点，描述加拿大医疗环境中新毕业护士的过渡经历。
支持成功过渡到实际工作对于留住新毕业护士并满足未来医疗服务需求至关重要。
一项描述性定性研究，对来自加拿大七个省份的42名新毕业护士和28名护士领导者的焦点小组和访谈数据进行归纳性内容分析。
新毕业护士和护士领导者确定了促进向实际工作过渡的类似因素，包括正式的入职培训计划、鼓励建设性反馈的科室文化和支持性的导师。障碍包括入职培训时长意外变化、人员配备不足、不文明的科室文化和繁重的工作量。
结果表明，新毕业护士需要获得过渡支持和资源，并且护士领导者在支持新毕业护士方面往往面临组织限制。
组织应确保护士领导者拥有支持新毕业护士积极过渡所需的资源，包括为经验丰富的护士和新护士提供充足的人员配备和合理的工作量。护士领导者应努力营造促进学习的科室文化，鼓励新毕业护士提问并寻求反馈，而不必担心受到批评或不文明对待。
