School of Nursing, University of Wollongong, Wollongong, NSW, Australia.
Health and Social Wellbeing, Nan Tien Institute, Unanderra, NSW, Australia.
J Clin Nurs. 2017 Dec;26(23-24):4223-4233. doi: 10.1111/jocn.14008. Epub 2017 Oct 8.
To critically synthesise research related to the transition of registered nurses into new areas of clinical practice.
Global workforce shortages and rising healthcare demands have encouraged registered nurses to move into new clinical settings. While a body of literature reports on the transition of newly qualified nurses, evidence surrounding the transition of more experienced registered nurses to new clinical areas remains poorly explored.
An integrative review was conducted, guided by Whittemore and Knafl (Journal of Advanced Nursing, 52, 2005, 546) framework.
An electronic database search was conducted for papers published between 1996-2016. Papers were then subjected to a methodological quality appraisal, with findings synthesised using thematic analysis into core themes.
Ten articles met the inclusion criteria. Three themes emerged, namely Support, Professional Development and Emotional Impact. These themes suggest that transitioning nurses experience challenges in adapting to new clinical areas and developing necessary skills. Such challenges prompted various emotional and physical responses. While formal and informal support systems were regarded as valuable by transitioning nurses, they were inconsistent across the new clinical areas.
There is some evidence to highlight the initial shock and emotional stress experienced by registered nurses during transition to a new clinical area. However, the influence of formal and informal support systems for such registered nurses is far from conclusive. Further research is needed, to examine registered nurse transition into a variety of clinical areas to inform workforce support, policy and practices.
The demand of health care is growing while global shortages of nursing workforce remain. To ensure retention and enhance the transition experience of registered nurses, it is important for nurse leaders, managers and policymakers to understand the transition experience and factors that impact this experience.
批判性地综合研究与注册护士向新临床实践领域过渡相关的研究。
全球劳动力短缺和医疗保健需求的增加促使注册护士进入新的临床环境。虽然有大量文献报告了新合格护士的过渡情况，但围绕经验更丰富的注册护士向新临床领域过渡的证据仍未得到充分探索。
在 Whittemore 和 Knafl（《高级护理杂志》，2005 年，第 52 卷，546 页）框架的指导下进行了综合审查。
对 1996-2016 年间发表的论文进行了电子数据库搜索。然后对这些论文进行了方法学质量评估，并使用主题分析将研究结果综合为核心主题。
符合纳入标准的有 10 篇文章。出现了三个主题，即支持、专业发展和情感影响。这些主题表明，过渡护士在适应新的临床领域和发展必要技能方面面临挑战。这些挑战引发了各种情绪和身体反应。虽然过渡护士认为正式和非正式的支持系统很有价值，但这些系统在不同的新临床领域并不一致。
有一些证据表明，注册护士在向新临床领域过渡期间会经历最初的冲击和情绪压力。然而，正式和非正式支持系统对这些注册护士的影响还远未确定。需要进一步研究，以检查注册护士向各种临床领域的过渡，为劳动力支持、政策和实践提供信息。
医疗保健需求不断增长，而全球护理劳动力短缺仍然存在。为了确保注册护士的保留和增强过渡体验，护士领导者、经理和政策制定者了解过渡体验以及影响这一体验的因素非常重要。
