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瑞典新毕业护士临床护理入门方案:一项前瞻性纵向队列研究的研究方案。

Clinical Nursing Introduction Program for new graduate nurses in Sweden: study protocol for a prospective longitudinal cohort study.

机构信息

Research and Development Centre, Skaraborg Hospital, Skovde, Vastra Gotaland, Sweden

School of Health Sciences, Skövde University, Skövde, Sweden.

出版信息

BMJ Open. 2021 Feb 11;11(2):e042385. doi: 10.1136/bmjopen-2020-042385.

Abstract

INTRODUCTION

High levels of nursing turnover represent a problem for healthcare organisations and patient safety. Experiences during the first years in the nursing profession have a significant impact on nurses' future decisions concerning their careers. Nurses at the start of their professional career need to practise their hands-on skills as well as their theoretical knowledge. In addition, new graduate nurses need regular support and opportunities to reflect on experiences in their new profession. The aim of the present study is to describe the Clinical Nursing Introduction Program (CNIP) and present a study design in which the programme is used to support new graduate nurses' transition into the nursing profession.

METHOD AND ANALYSIS

The present study examines the CNIP at a general hospital in southwest Sweden, which lasts for 14 months. The programme has a unique profile based on a person-centred approach and consists of five components: employment and organisation, a compulsory introduction week, two placements in different clinical settings, education days and process-oriented nursing supervision. The present study presents a protocol for a prospective longitudinal cohort study, using qualitative and quantitative methods in the collection and analysis of data. Measurements will include data collection between 2019 and 2023 when the nurses start the CNIP (baseline) and then after 1 and 2 years.

ETHICS AND DISSEMINATION

This study has been approved by the Regional Ethical Review Board in Gothenburg (Dnr 1056-18). Study findings will be presented at national and international conferences and published in peer-reviewed journals.

TRIAL REGISTRATION NUMBER

273573 (https://www.researchweb.org/is/vgr).

摘要

简介

护士离职率高是医疗保健组织和患者安全的一个问题。护士在职业生涯早期的经历对他们未来的职业决策有重大影响。职业生涯起步的护士需要实践他们的实践技能和理论知识。此外,新毕业的护士需要定期的支持和机会来反思他们在新职业中的经历。本研究的目的是描述临床护理介绍计划(CNIP),并提出一项研究设计,该计划用于支持新毕业护士向护理职业的过渡。

方法和分析

本研究在瑞典西南部的一家综合医院检查 CNIP,持续 14 个月。该计划基于以人为本的方法,具有独特的专业背景,包括五个组成部分:就业和组织、强制性介绍周、两个不同临床环境的实习、教育日和面向过程的护理监督。本研究提出了一项前瞻性纵向队列研究的方案,使用定性和定量方法收集和分析数据。测量将包括从 2019 年到 2023 年的数据收集,即护士开始 CNIP 时(基线),然后是 1 年和 2 年后。

伦理和传播

本研究已获得哥德堡地区伦理审查委员会的批准(编号 1056-18)。研究结果将在国内和国际会议上展示,并发表在同行评议的期刊上。

试验注册号

273573(https://www.researchweb.org/is/vgr)。

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本文引用的文献

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Developing an evidence-based transition program for graduate nurses.为毕业护士制定基于证据的过渡计划。
Contemp Nurse. 2016 Oct;52(5):511-521. doi: 10.1080/10376178.2016.1238287. Epub 2016 Sep 29.

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