Monash Nursing and Midwifery, Monash University, Clayton, Vic., Australia.
School of Nursing, McMaster University, Hamilton, ON, Canada.
J Adv Nurs. 2019 Mar;75(3):616-627. doi: 10.1111/jan.13884. Epub 2018 Nov 20.
To increase understanding of strategies graduate nurses use on a day-to-day basis to integrate themselves into pre-existing social frameworks.
Being a graduate nurse and transitioning from a novice to beginner in the first year of clinical practice is stressful, challenging and overwhelming due to steep learning curves and adjusting to working in professional environments. How graduate nurses socially adapt and fit into ward cultures is a hurdle to successful transition and can be difficult.
A qualitative constructivist grounded theory methodology was used.
Seven adult, Registered Nurses were recruited using a purposive sampling technique. Participants were undertaking a graduate nurse transition programme, in one of two acute care, adult public hospitals in South Australia. Data collection conducted in 2016 used individual interviews consisting of open-ended questions in an unstructured format. Transcripts were transcribed verbatim. Data analysis processes included initial and focused coding, theory building, memo-writing and theoretical sampling.
Three main categories: self-embodiment and self-consciousness, navigating the social constructs and raising consciousness, supported by subcategories describe the main strategies graduate nurses use to facilitate adaptation into complex clinical environments and ward cultures. Subsequent concept and theory development explains how graduate nurses find the social and professional balance to fit in.
Understanding the graduates' adaptation strategies can inform improvements in graduate nurse transition programmes. Facilitating and enhancing graduate nurse adaptation is the precursor in creating more resilient nurses ready to face the challenges that exist in today's work environments.
增进对研究生护士日常融入现有社会框架的策略的理解。
作为一名研究生护士，在临床实践的第一年，从新手过渡到初学者，由于陡峭的学习曲线和适应专业环境的压力，是充满挑战和压倒性的。研究生护士如何在社交上适应并融入病房文化是成功过渡的一个障碍，这可能很困难。
采用定性建构主义扎根理论方法。
使用目的抽样技术招募了 7 名成年注册护士。参与者正在南澳大利亚的两家急性护理成人公立医院之一参加研究生护士过渡计划。2016 年进行的数据收集采用了个体访谈，包括非结构化格式的开放式问题。逐字转录了记录。数据分析过程包括初步和重点编码、理论构建、备忘录编写和理论抽样。
三个主要类别：自我体现和自我意识、驾驭社会结构和提高意识，由描述研究生护士用来促进适应复杂临床环境和病房文化的子类别支持。随后的概念和理论发展解释了研究生护士如何找到社交和职业平衡以适应环境。
了解毕业生的适应策略可以为改进研究生护士过渡计划提供信息。促进和加强研究生护士的适应是培养更有弹性的护士的前提，这些护士已经准备好应对当今工作环境中存在的挑战。
