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新护士过渡期工作压力:综合述评。

Job stress in new nurses during the transition period: an integrative review.

机构信息

Sultan Qaboos University, Muscat, Sultanate of Oman.

Kent State University Tuscarawas, USA.

出版信息

Int Nurs Rev. 2018 Dec;65(4):491-504. doi: 10.1111/inr.12425. Epub 2017 Dec 20.

DOI:10.1111/inr.12425
PMID:29266201
Abstract

AIM

This review appraised and synthesized evidence relating to new nurses' stress experiences during the transition period.

BACKGROUND

Although stress among nursing professionals has been a subject of several systematic reviews in the recent years, there is still scarcity of systematic evidence examining job stress in new nurses.

METHODS

This is an integrative review of original studies conducted from 2002 onwards examining new nurses' stress experiences. Five databases were used to retrieve relevant articles such as CINAHL, SCOPUS, PubMed, PsycINFO and MEDLINE. Twenty-one articles were included in this review.

FINDINGS

New nurses perceived low to moderate levels of stress mainly from heavy workloads and lack of professional nursing competence. Individual and organizational factors that might contribute to their stress experiences were rarely explored.

CONCLUSION

This integrative review evaluated and synthesized available evidence examining stress in new nurses and contributed to the literature regarding stress in nursing professionals. The findings of this review may offer specific information to nurse administrators that can relate to the stress encountered by new nurses who enter into healthcare facilities.

IMPLICATIONS FOR NURSING AND HEALTH POLICY

Findings of this review may provide valuable input to assist nurse administrators in developing and implementing organizational measures to reduce stress in new nurses while maximizing and facilitating their integration into the nursing workforce. Such measures may include the following: establishment of a well-structured transition programme, provision of an adequate orientation and senior staff mentorship, stress management programmes, in-service educational programmes and exposure to clinical simulation scenarios.

摘要

目的

本综述评价并综合了与新护士在过渡期间的应激体验相关的证据。

背景

尽管近年来护理专业人员的压力一直是几个系统综述的主题,但仍缺乏系统证据来检查新护士的工作压力。

方法

这是一项综合综述,对 2002 年以来研究新护士应激体验的原始研究进行了评估。使用了五个数据库来检索相关文章,如 CINAHL、SCOPUS、PubMed、PsycINFO 和 MEDLINE。共有 21 篇文章纳入了本次综述。

结果

新护士感知到的压力水平较低,主要来自工作量大且缺乏专业护理能力。很少探讨可能导致他们压力体验的个体和组织因素。

结论

本次综合综述评估并综合了现有的关于新护士压力的证据,并为护理专业人员的压力相关文献做出了贡献。本综述的结果可能为护士管理人员提供具体信息,这些信息可能与新护士进入医疗机构时所面临的压力有关。

对护理和健康政策的影响

本综述的结果可能为护士管理人员提供有价值的信息,以协助他们制定和实施组织措施,减轻新护士的压力,同时最大限度地促进和帮助他们融入护理队伍。这些措施可能包括以下方面:建立结构良好的过渡计划、提供充分的入职培训和高级员工指导、压力管理计划、在职教育计划和临床模拟场景的接触。

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