Gonzalez Laura, Allred Kelly
College of Nursing, University of Central Florida, Orlando, Florida, USA.
BMJ Simul Technol Enhanc Learn. 2017 Oct 3;3(4):159-162. doi: 10.1136/bmjstel-2017-000204. eCollection 2017.
Meeting employer expectations is a challenge for new nurse graduates and their nurse educators. Designing studies to collect specific data on hospital expectations and new nursing graduate deficiencies is needed.
Hospital-based educators and preceptors (n=13) participated in one of two focus groups, to identify problem areas. Senior nursing students (n=64) participated in simulations developed from data obtained in the sessions.
Audio-recorded focus groups were conducted with the goal to identify deficiencies in new graduate nurses. Recordings were transcribed and analysed using thematic analysis.
Hospital employer expectation themes identified include attending to basic patient needs, organisational skills, anticipation of risks and consequences, higher order technical skills, communication and ownership/accountability. Two simulations for senior nursing students were developed to address identified deficiencies.
Developing meaningful simulations which address deficiencies prior to graduation, in collaboration with potential employers, has the potential to lower the cost of graduate nurse orientation, improve patient outcomes, provide a greater sense of readiness to the graduate nurse and ultimately meet the needs of both the student and employer.
满足雇主期望对新毕业护士及其护理教育工作者来说是一项挑战。需要设计研究来收集有关医院期望和新毕业护士不足之处的具体数据。
医院教育工作者和带教老师（n = 13）参加了两个焦点小组之一，以确定问题领域。高年级护理专业学生（n = 64）参加了根据会议获得的数据开发的模拟。
进行了录音焦点小组，目的是确定新毕业护士的不足之处。对录音进行转录并使用主题分析法进行分析。
确定的医院雇主期望主题包括关注患者基本需求、组织技能、对风险和后果的预判、高阶技术技能、沟通以及责任/问责制。为高年级护理专业学生开发了两个模拟，以解决已确定的不足之处。
与潜在雇主合作，在毕业前开发有意义的模拟以解决不足之处，有可能降低新毕业护士入职培训的成本，改善患者预后，让新毕业护士更有准备感，并最终满足学生和雇主双方的需求。
