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新手护士从学习到实践的转变:范围综述。

Newly qualified nurses' transition from learning to doing: A scoping review.

机构信息

Division of Nursing, Midwifery and Social Work, School of Health Sciences, University of Manchester, Manchester M13 9PL, United Kingdom; King Abdullah Medical City, Mecca 24246, Saudi Arabia.

Division of Nursing, Midwifery and Social Work, School of Health Sciences, University of Manchester, Manchester M13 9PL, United Kingdom.

出版信息

Int J Nurs Stud. 2021 Jan;113:103792. doi: 10.1016/j.ijnurstu.2020.103792. Epub 2020 Oct 13.

DOI:10.1016/j.ijnurstu.2020.103792
PMID:33120135
Abstract

OBJECTIVES

To identify newly qualified nurses' experiences during transition to professional practice, and explore their and other key stakeholders' perceptions of nursing transition programmes.

DESIGN

Scoping review using the Arksey and O'Malley framework.

METHODS

Several electronic databases were searched for relevant articles, which were supplemented by hand-searching and internet searches for grey literature. 1823 potentially relevant articles published between 1974 and 2019 were retrieved from the initial search, and an additional ten articles were obtained from the supplemental search. Each article was independently reviewed, leaving 60 articles eligible for inclusion in the review.

FINDINGS

Two overarching themes emerged: 1) the transition experience; 2) the perceived benefits of nursing transition programmes. Evidence that nursing transition programmes positively impact the transition experience is inconclusive. Some studies suggest a positive impact on newly qualified nurses' competency, level of confidence and attrition rates; others reported no impact. There was a general consensus that newly qualified nurses still encounter difficulties when transitioning into professional practice. Most articles found were quantitative in nature, focusing on measurable outcomes of nursing transition programmes. Few investigated the experiences and perceptions of newly qualified nurses, preceptors, and managers regarding the transition to professional practice.

CONCLUSIONS

Literature mapping suggests that newly qualified nurses frequently struggle to successfully complete the transition into professional practice, and that this transition is complex and multifaceted. There is limited evidence to justify the widespread implementation of nursing transition programmes. Additional research focusing on experiences and perceptions of newly qualified nurses and their transitory process is warranted. Tweetable abstract: Are newly qualified nurses receiving sufficient transition support (e.g. #nursing residency programs or #preceptorship)? #Nurse #Nurses #nursing_intern.

摘要

目的

确定新合格护士在过渡到专业实践期间的经验,并探讨他们和其他主要利益相关者对护理过渡计划的看法。

设计

使用 Arksey 和 O'Malley 框架进行范围审查。

方法

在几个电子数据库中搜索相关文章,并通过手动搜索和互联网搜索补充灰色文献。从最初的搜索中检索到 1974 年至 2019 年期间发表的 1823 篇潜在相关文章,并从补充搜索中获得了另外 10 篇文章。对每篇文章进行独立审查,有 60 篇文章符合纳入审查的条件。

结果

出现了两个总体主题:1)过渡经验;2)护理过渡计划的感知益处。护理过渡计划对过渡经验产生积极影响的证据尚无定论。一些研究表明,这些计划对新合格护士的能力、信心水平和离职率有积极影响;其他研究则没有报告影响。普遍共识是,新合格护士在过渡到专业实践时仍然会遇到困难。大多数文章都是定量性质的,侧重于护理过渡计划的可衡量结果。很少有研究调查新合格护士、导师和管理人员在过渡到专业实践方面的经验和看法。

结论

文献综述表明,新合格护士经常难以成功完成过渡到专业实践的过程,而且这种过渡是复杂和多方面的。没有足够的证据证明广泛实施护理过渡计划是合理的。需要进一步研究,重点关注新合格护士的经验和看法及其过渡过程。可推文摘要:新合格护士是否获得了足够的过渡支持(例如 #护理驻地计划或 #导师制)?#护士 #护士 #护理实习生。

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