McInnes Susan, Halcomb Elizabeth, Huckel Karen, Ashley Christine
School of Nursing, University of Wollongong, Northfields Avenue, Wollongong, NSW 2522, Australia; and Corresponding author. Email:
School of Nursing, University of Wollongong, Northfields Avenue, Wollongong, NSW 2522, Australia.
Aust J Prim Health. 2019 Oct;25(4):366-373. doi: 10.1071/PY19089.
Nurses are increasingly needed in primary healthcare settings to support community-based healthcare delivery. Programs to facilitate transition of new graduate nurses are well established in acute care; however, there are few similar programs reported in settings like general practice. This paper sought to explore the experiences of new graduate registered nurses and their registered nurse mentors in a new graduate program within Australian general practice. New graduates (n = 9) and their mentors participated in interviews before, during and at the conclusion of a 12-month new graduate program. Interviews were digitally audio-recorded and professionally transcribed verbatim before being analysed using thematic analysis. Eighteen new graduate and 10 mentor interviews were conducted, revealing four themes. Preparation and Opportunities describes the influence that pre-registration education had on preparing nurses for general practice employment. Exceeding Expectations highlights the positive experiences within the program. Program Challenges draws attention to the difficulties experienced by participants, and Future Career Intentions explores future career plans. This study highlights that a general practice new graduate nurse program has the potential to build the workforce. However, strengthening undergraduate preparation of nurses around primary health care and addressing funding issues in general practice, are important to promote the success of such programs.
在初级医疗保健环境中，对护士的需求日益增加，以支持基于社区的医疗服务提供。促进新毕业护士过渡的项目在急症护理领域已很成熟；然而，在全科医疗等环境中，类似项目的报道却很少。本文旨在探讨澳大利亚全科医疗新毕业项目中，新毕业注册护士及其注册护士导师的经历。新毕业生（n = 9）及其导师在为期12个月的新毕业项目开始前、期间和结束时参加了访谈。访谈进行了数字录音，并在使用主题分析法进行分析之前进行了专业的逐字转录。共进行了18次新毕业生访谈和10次导师访谈，揭示了四个主题。“准备与机会”描述了注册前教育对护士为全科医疗工作做准备的影响。“超出预期”突出了项目中的积极经历。“项目挑战”关注参与者所经历的困难，“未来职业意向”探讨了未来的职业规划。本研究强调，全科医疗新毕业护士项目有潜力培养劳动力。然而，加强护士在初级卫生保健方面的本科准备以及解决全科医疗中的资金问题，对于促进此类项目的成功至关重要。
