乌干达中部地区三家选定医院中，影响注册护士向护理学学士护士转变为高级角色的因素。
Factors that influence transition to advanced roles by RN to BSN nurses, in three selected hospitals of Central-Uganda.
作者信息
Asiimwe John Baptist, Muwema Mercy, Drake Karen
机构信息
1Uganda Christian University, P.O. BOX 04, Mukono, Uganda.
2Bishop Stuart University, P.O.BOX 09, Mbarara, Uganda.
出版信息
BMC Nurs. 2019 May 6;18:18. doi: 10.1186/s12912-019-0345-z. eCollection 2019.
BACKGROUND
Despite the global rise in the number of nurses upgrading from Registered Nursing (RN) to a Bachelor of Science in Nursing (BSN), studies have indicated that successful role transition is difficult once the nurses return to their previous workplaces. Guided by the Transitional Theory, this study investigates the factors that influence the transition from basic to advanced roles among RN to BSN nurses in Uganda, Africa.
METHODS
This study employed a descriptive correlational design. Using convenience sampling, fifty-one (51) RN to BSN nurses completed the semi-structured questionnaires.
RESULTS
All the study participants (100%) described themselves as having transitioned from RN to BSN role. In bivariate linear regression, personal factors that were found to predict successful role transition included holding a managerial role, being aware and prepared for the role transition, and positive role transition experiences. Role transition motivators that predicted successful role transition included: job promotion, internal desire for self-development, and career development. One community factor - that is the support of doctors/physicians during the RN to BSN transition - predicted unsuccessful role transition. Societal factors deterring successful role transition included lack of support from other colleagues and the perception that BSN learning was not applicable to the RN clinical setting. In multivariate linear regression, only sub-scales of personal factors such as advanced skills mastery and positive personal experiences predicted successful role transition.
CONCLUSION
The study suggests that personal factors influence successful role transition more than external factors.
背景
尽管全球范围内从注册护士（RN）晋升为护理学理学学士（BSN）的护士人数在增加，但研究表明，护士回到原工作场所后，成功实现角色转变很困难。本研究以过渡理论为指导，调查影响非洲乌干达RN至BSN护士从基础角色向高级角色转变的因素。
方法
本研究采用描述性相关性设计。通过便利抽样，51名RN至BSN护士完成了半结构化问卷。
结果
所有研究参与者（100%）表示自己已从RN转变为BSN角色。在双变量线性回归中，被发现可预测成功角色转变的个人因素包括担任管理职务、意识到并为角色转变做好准备以及积极的角色转变经历。可预测成功角色转变的角色转变动机包括：工作晋升、自我发展的内在愿望和职业发展。一个社区因素——即在RN至BSN转变过程中医生/医师的支持——可预测角色转变不成功。阻碍成功角色转变的社会因素包括缺乏其他同事的支持以及认为BSN学习不适用于RN临床环境。在多变量线性回归中，只有个人因素的子量表，如高级技能掌握和积极的个人经历，可预测成功的角色转变。
结论
该研究表明，个人因素比外部因素对成功的角色转变影响更大。
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