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新冠疫情期间新手护士向急诊护士的过渡:一项定性研究。

Novice nurse's transitioning to emergency nurse during COVID-19 pandemic: A qualitative study.

机构信息

Faculty of Health Sciences, Department of Nursing Science, Physiotherapy and Medicine, University of Almeria, Almeria, Spain.

IMA S0082 Group, Hospital de Poniente, Almeria, Spain.

出版信息

J Nurs Manag. 2021 Mar;29(2):258-267. doi: 10.1111/jonm.13148. Epub 2020 Sep 27.

Abstract

AIM

To explore the experiences and perceptions of recent nursing graduates working in emergency departments during the COVID-19 outbreak.

BACKGROUND

Overcrowding in emergency departments has been one of the most prominent issues arising in these units for more than 20 years. However, it has become even more problematic due to the novelty of the coronavirus pandemic, which has forced hospitals to recruit larger numbers of beginner nursing staff as the number of quarantined health professionals increases.

METHODS

Sixteen semi-structured interviews were conducted in Spanish emergency departments, which were analysed and synthesized using content analysis.

RESULTS

Three major themes emerged from the data analysis: (a) Fears and concerns, (b) Organisational issues and (c) Support for novice nurses.

CONCLUSIONS

Our findings may help to understand how shadowing periods as a learning programme for nurses, continuing professional development, evidence-based apps and better planning are needed to ensure both novice nurses' confidence in emergency departments and expert emergency room nurses' ability to cope with complications in critical situations.

IMPLICATIONS FOR NURSING MANAGEMENT

Training periods that include shadowing expert emergency room nurses, along with evidence-based technology, provide an opportunity to support novice nurses' transition into the workplace. These measures would provide a safety net and would increase novice nurses' confidence as well as high-quality care.

摘要

目的

探索在 COVID-19 大流行期间在急诊科工作的应届护理毕业生的经验和看法。

背景

急诊科人满为患是这些科室 20 多年来最突出的问题之一。然而,由于冠状病毒大流行的新颖性,情况变得更加复杂,由于隔离的卫生专业人员数量增加,医院不得不招聘更多的初级护理人员。

方法

在西班牙急诊科进行了 16 次半结构化访谈,使用内容分析对其进行了分析和综合。

结果

数据分析得出了三个主要主题:(a) 恐惧和担忧,(b) 组织问题,(c) 对新手护士的支持。

结论

我们的研究结果可能有助于了解如何将影子学习计划作为护士的学习计划、继续专业发展、基于证据的应用程序和更好的计划,以确保新手护士在急诊科的信心以及急诊室专家在处理危急情况下的并发症的能力。

对护理管理的影响

包括影子急诊室专家护士和基于证据的技术在内的培训期为支持新手护士过渡到工作场所提供了机会。这些措施将提供一个安全网,并提高新手护士的信心以及高质量的护理。

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