Li Ka Shing Faculty of Medicine, School of Nursing, The University of Hong Kong, Hong Kong.
School of Nursing, Guangzhou University of Chinese Medicine, Guangzhou, China.
J Nurs Manag. 2022 Oct;30(7):2968-2981. doi: 10.1111/jonm.13691. Epub 2022 Jun 1.
This study aimed to identify determinants of work readiness and to assess the influences of work readiness on work-related outcomes in graduate nurses.
Higher work readiness facilitates smoother role transitions of new graduate nurses. However, determinants of work readiness had not been fully examined. In addition, the relationships between work readiness and work-related outcomes, such as coping self-efficacy and occupational commitment, are also crucial but had not been assessed.
We recruited 794 graduate nurses and assessed their work readiness before working as nurses. After they commenced their work, we assessed their occupational commitment, coping self-efficacy and intention to remain. All assessments were conducted online.
There were 728 (92%) female respondents. The mean scores and standard deviation (SD) of work readiness, coping self-efficacy, occupational commitment and intention to remain were 261.51 (SD: 45.40), 30.30 (SD: 6.13), 81.65 (SD: 11.56) and 11.01 (SD: 2.36), respectively. Based on a regression analysis, determinants of work readiness were positive school climate, student leadership experience, nursing as the primary choice of discipline and perceived influences of COVID-19 on the honorability of being a nurse and the willingness to be a nurse (p < .001). Moreover, after adjusted by all demographics and characteristics variables, higher work readiness would result in higher coping self-efficacy (estimated coefficient = 0.06, p < .001), occupational commitment (estimated coefficient = 0.06, p < .001) and intention to remain (estimated coefficient = 0.01, p = .002).
Work readiness is a composite concept affected by psychosocial and environmental factors, which can predict new graduate nurses' future self-efficacy, occupational commitment and intention to remain.
The management of new graduate nurses when they begin to work could target their work readiness. Transition programmes that consider our identified determinants can be provided to those who show lower work readiness.
本研究旨在确定工作准备的决定因素,并评估工作准备对新毕业护士工作相关结果的影响。
较高的工作准备度有助于新毕业护士更顺利地过渡到新角色。然而,工作准备的决定因素尚未得到充分研究。此外,工作准备与工作相关结果(如应对自我效能和职业承诺)之间的关系也至关重要,但尚未得到评估。
我们招募了 794 名新毕业护士,并在他们开始护士工作之前评估了他们的工作准备情况。在他们开始工作后,我们评估了他们的职业承诺、应对自我效能和留职意愿。所有评估均在线进行。
有 728 名(92%)女性受访者。工作准备度、应对自我效能、职业承诺和留职意愿的平均得分和标准差(SD)分别为 261.51(SD:45.40)、30.30(SD:6.13)、81.65(SD:11.56)和 11.01(SD:2.36)。基于回归分析,工作准备的决定因素为积极的学校氛围、学生领导经验、护理作为首选学科以及新冠疫情对护士职业荣誉和从事护理意愿的影响(p<0.001)。此外,在调整所有人口统计学和特征变量后,较高的工作准备度将导致更高的应对自我效能(估计系数=0.06,p<0.001)、职业承诺(估计系数=0.06,p<0.001)和留职意愿(估计系数=0.01,p=0.002)。
工作准备是一个受心理社会和环境因素影响的综合概念,它可以预测新毕业护士未来的自我效能、职业承诺和留职意愿。
新毕业护士开始工作时,护理管理可以针对他们的工作准备度。对于表现出较低工作准备度的护士,可以提供考虑到我们确定的决定因素的过渡计划。