School of Health, Care and Welfare, Mälardalen University , Eskilstuna, Sweden.
J Health Organ Manag. 2019 Jun 28;33(4):413-425. doi: 10.1108/JHOM-09-2018-0251. Epub 2019 Jun 20.
The purpose of this paper is to investigate how the participants talk about their experiences as newly graduated nurses, managers and nursing colleagues in the context of "newcomers' establishment in the profession" and to identify how they portray the healthcare organisation in their narratives.
DESIGN/METHODOLOGY/APPROACH: A narrative approach is used to reveal and illustrate three perspectives on the topic "new-comers' establishment". In total, 14 interviews are conducted with 4 managers, 4 nursing colleagues and 6 newly graduated registered nurses. The focus of this study is how a healthcare organisation embraces and retains newly graduated registered nurses and how this is perceived.
The newcomers' establishment is facilitated by an orientation programme and an orientation period, individual support provided by managers and colleagues, and the creation of trust to boost confidence in nursing situations. The organisation is portrayed as struggling with high workloads, nursing shortages, high levels of responsibility and showing concern and an interest in the newcomer. The parties criticise the university for not teaching the most basic knowledge, thereby revealing the existence of a theory-practice gap.
ORIGINALITY/VALUE: The research shows how building trust amongst the organisation's members is essential for creating a satisfying workplace and the retention of newly graduated registered nurses. Empirical descriptions of newly graduated nurses, managers and nursing colleagues experiences of "newcomers establishment" are rare, which is why the description of such "establishment" in this research increases the value of the paper.
本文旨在探讨参与者在“新人入职”背景下如何谈论他们作为新毕业护士、管理者和护理同事的经验，并确定他们如何在叙述中描述医疗保健组织。
设计/方法/途径：采用叙述方法揭示并说明主题“新人入职”的三个视角。共对 4 名经理、4 名护理同事和 6 名新毕业注册护士进行了 14 次访谈。本研究的重点是医疗保健组织如何接纳和留住新毕业的注册护士，以及如何看待这一问题。
新人入职的建立得益于入职培训计划和入职期、管理者和同事提供的个人支持、建立信任以增强在护理情况下的信心。该组织被描述为面临高工作量、护理人员短缺、高责任水平以及对新人的关心和兴趣。各方批评大学没有教授最基本的知识，从而揭示了理论与实践之间的差距。
原创性/价值：研究表明，在组织成员之间建立信任对于创造一个令人满意的工作场所和留住新毕业的注册护士至关重要。关于新毕业护士、管理者和护理同事“新人入职”经验的实证描述很少见，因此，本研究中对这种“入职”的描述增加了论文的价值。
