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一项满足新毕业护士需求并为资深护士提供新职业机会的导师计划:多案例研究。

A mentoring programme to meet newly graduated nurses' needs and give senior nurses a new career opportunity: A multiple-case study.

机构信息

Department of Surgical Sciences, Uppsala University, Uppsala University Hospital, Entrance 15, SE-751 85 Uppsala, Sweden.

Department of Public Health and Caring Sciences, Uppsala University, BMC, Husargatan 3, SE-751 85 Uppsala, Sweden.

出版信息

Nurse Educ Pract. 2021 Nov;57:103233. doi: 10.1016/j.nepr.2021.103233. Epub 2021 Oct 16.

Abstract

AIM

To evaluate the implementation of a multifaceted mentoring programme in a large university hospital and describe its value from the perspectives of newly graduated nurses, experienced nurses and the hospital organisation.

BACKGROUND

Healthcare organisations need long-term competence-planning strategies to retain nurses, prevent their premature departure from the profession and use their competencies. This paper reports a mentoring programme focused on supporting newly graduated nurse' transition to practice and senior nurses' professional development as supervisors.

DESIGN

A multiple-case study.

METHODS

We performed 35 interviews with nurses, supervisors and nurse managers in the five units that implemented the programme, mapped the programme at the hospital level and extracted the nurses' working hours. The interviews were analysed thematically using the theoretical lens of the head-heart-hand model to interpret the results.

RESULTS

Of 46 units in the hospital, 14 had implemented one or several of the components in the mentoring programme. The programme corresponded to the newly graduated nurses' needs, gave senior nurses a new career opportunity and contributed to an attractive workplace. The main theme, Giving new nurses confidence, experienced nurses a positive challenge and the organisation an opportunity to learn, reflects the value of the programme's supervisory model to new and experienced nurses and to the organisation as a whole.

CONCLUSION

The mentoring programme appeared to be a promising way to smooth the transition for newly graduated nurses. The experienced supervising nurses were key to the success of this complex programme, supporting the new nurses at the bedside and being available to respond to their questions and reflections. Embedding the supervisors in the units' daily practice was necessary to the success of the different parts of the programme. Despite the strategic and well-designed implementation of this mentoring programme aimed to solve the everyday challenge of nurse shortages in the hospital, it was a challenge to implement it fully in all the units studied.

摘要

目的

评估在一家大型大学医院实施多方面导师计划的情况,并从新毕业护士、经验丰富的护士和医院组织的角度描述其价值。

背景

医疗保健组织需要长期的能力规划策略来留住护士,防止他们过早离开职业并利用他们的能力。本文报告了一项侧重于支持新毕业护士过渡到实践和高级护士作为主管的专业发展的导师计划。

设计

多案例研究。

方法

我们对实施该计划的五个单元中的护士、主管和护士长进行了 35 次访谈,在医院层面上绘制了该计划,并提取了护士的工作时间。使用头-心-手模型的理论视角对访谈进行了主题分析,以解释结果。

结果

在医院的 46 个单元中,有 14 个实施了导师计划的一个或多个部分。该计划符合新毕业护士的需求,为高级护士提供了新的职业机会,并为有吸引力的工作场所做出了贡献。主题为“给予新护士信心、经验丰富的护士积极的挑战和组织学习的机会”,反映了该计划的监督模式对新护士和经验丰富的护士以及整个组织的价值。

结论

导师计划似乎是为新毕业护士顺利过渡提供了一种有前途的方式。经验丰富的监督护士是该复杂计划成功的关键,他们在床边支持新护士,并随时回答他们的问题和反馈。将主管嵌入到单位的日常实践中对于计划的不同部分的成功是必要的。尽管该导师计划从战略和精心设计的角度实施旨在解决医院护士短缺的日常挑战,但在所有研究的单位中全面实施仍然是一个挑战。

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