Hörberg Anna, Lindström Veronica, Kalén Susanne, Scheja Max, Vicente Veronica
Karolinska Institute, Department of Clinical Science and Education, Södersjukhuset, 118 83 Stockholm, Sweden; The Ambulance Medical Service in Stockholm (AISAB), 121 18 Stockholm, Sweden.
Karolinska Institute, Department of Neurobiology, Care Science and Society, Division of Nursing, Alfred Nobels Allé 23 (C4), 141 83 Huddinge, Sweden; Academic EMS, 121 18 Stockholm, Sweden.
Nurse Educ Pract. 2017 Nov;27:63-70. doi: 10.1016/j.nepr.2017.08.015. Epub 2017 Aug 19.
New nurses and nurses new to a professional practice go through a transition where they adopt a new professional identity. This has been described as a challenging time where peer support and limited responsibility are considered necessary. Little is known about the experience of nurses being new to the ambulance service where support is limited and the nurse holds full responsibility of patient care. The aim of this study has therefore been to explore nurses' experiences during their first year of employment in the Swedish ambulance service. Data was generated from semi-structured interviews with 13 nurses having less than 12 months of experience of work in the ambulance service. The nurses represented nine different districts in Sweden. Analysis was a latent inductive qualitative content analysis. The analysis resulted in the main category, "Striving for balance during the transition process in the ambulance context". Transition in the ambulance service was experienced as a balance act between emotions, expectations and a strive for professional development. The balance was negatively affected by harsh, condescending attitudes among colleagues and the lack of structured support and feedback. In striving for balance in their new professional practice, the nurses described personal, unsupervised strategies for professional development.
新入职护士以及初涉专业实践领域的护士会经历一个转变过程，即形成新的职业身份认同。这一时期被认为颇具挑战性，需要同伴支持且承担有限责任。对于初入急救服务领域的护士的经历，我们所知甚少，因为在这个领域，支持有限，护士要对患者护理负全部责任。因此，本研究旨在探索瑞典急救服务领域护士入职第一年的经历。数据来自对13名在急救服务领域工作经验不足12个月的护士进行的半结构化访谈。这些护士代表了瑞典的九个不同地区。分析采用潜在归纳定性内容分析法。分析得出主要类别为“在急救环境的过渡过程中努力寻求平衡”。急救服务领域的转变被体验为情绪、期望与职业发展追求之间的一种平衡行为。这种平衡受到同事严厉、居高临下的态度以及缺乏结构化支持和反馈的负面影响。在努力在新的专业实践中寻求平衡时，护士们描述了个人的、无人监督的职业发展策略。
