Powers Kelly, Herron Elizabeth K, Pagel Julie
Kelly Powers, PhD, RN, CNE, is an assistant professor at the School of Nursing of The University of North Carolina at Charlotte, Charlotte, North Carolina. Elizabeth K. Herron, PhD, RN, CNE, CHSE, is an assistant professor at the School of Nursing of James Madison University, Harrisonburg, Virginia. Julie Pagel, MSN, RN, CCRN, SCRN, CNE-cl, is a service line educator at Carolinas HealthCare System/Atrium Health, Carolinas Medical Center, Charlotte, North Carolina.
Dimens Crit Care Nurs. 2019 May/Jun;38(3):131-136. doi: 10.1097/DCC.0000000000000354.
The transition to practice period is a challenging and demanding time for new graduate nurses. Leaving the structured environment of nursing school and entering professional practice can cause reality and transition shock for the new nurse resulting in unsafe patient care, as well as intention to leave their position or the profession. Successful transition to practice depends on the new nurse building confidence and gaining essential clinical reasoning abilities while orienting to their role. In critical care settings, patient care is more complex and fast-paced, which adds another dimension of overall stress to the new graduate. Structured orientation programs with trained preceptors have been found to be the most successful means of preparing new graduate nurses for clinical practice. Ensuring preceptors are provided with education related to the development of clinical reasoning is essential to successfully assist new nurses in their transition to practice. Safe and effective patient care, especially in the critical care unit, is dependent upon having nurses who are well prepared for their role through being provided guidance and support from trained preceptors.
对新毕业护士来说,向临床实践过渡的时期充满挑战且要求颇高。离开护理学校的结构化环境,进入专业实践领域,可能会给新护士带来现实冲击和转型不适,进而导致不安全的患者护理情况出现,同时也会让他们产生离职或离开该职业的想法。成功过渡到临床实践,取决于新护士在适应自身角色的过程中建立信心并获得基本的临床推理能力。在重症监护环境中,患者护理更为复杂且节奏快,这给新毕业护士增添了另一层面的整体压力。事实证明,配备经过培训的带教老师的结构化入职培训项目,是让新毕业护士为临床实践做好准备的最成功方式。确保为带教老师提供与临床推理能力培养相关的教育,对于成功帮助新护士过渡到临床实践至关重要。安全有效的患者护理,尤其是在重症监护病房,依赖于有通过接受训练有素的带教老师的指导和支持而充分准备好履行其职责的护士。