Department of Clinical Medicine, Aalborg University, Aalborg, Denmark.
Department of Nursing, UCN, Aalborg, Denmark.
J Adv Nurs. 2023 Jun;79(6):2058-2069. doi: 10.1111/jan.15434. Epub 2022 Sep 7.
To summarize existing research syntheses reporting newly graduated registered nurses' experiences of providing direct care in hospital settings.
Umbrella review.
An extensive search of all relevant databases was conducted for research syntheses. Initial key terms included "new* nurse", "nursing care" and "hospital setting" in combination with index terms to find relevant literature.
Critical appraisal, data extraction and summary were performed independently by two reviewers according to the Joanna Briggs Institute guidelines for undertaking umbrella reviews.
Nine research syntheses published between 2010 and 2019 and representing 173 studies were included following critical appraisal. The evidence was summarized in narrative form with supporting tables. Twenty-six sub-branches and seven main-branches were organized in a coding tree showing the structure of three overlapping themes: "Feeling a lack of competency", "Sense of emotional distress" and "In need of support".
Evidence demonstrates that newly graduated registered nurses' experiences of a lack of competency, emotional distress and need for support emerged as essential requirements for the provision of competent and safe direct care for the patient.
Newly graduated registered nurses face multiple challenges in the transition from student nurse to practicing nurse. Unmet expectations of being a newly graduated nurse might lead to low levels of job satisfaction, high attrition rates or missed nursing care. Nurse educators, leaders and policy makers should be mindful that newly graduated registered nurses' perceptions of professional and personal identity and degree of support influences newly graduated registered nurses' direct care provision.
总结新毕业注册护士在医院环境中提供直接护理的经验的现有研究综合报告。
伞式审查。
对所有相关数据库进行了广泛搜索，以寻找研究综合报告。最初的关键词包括“新*护士”、“护理”和“医院环境”，并结合索引词以找到相关文献。
根据乔安娜·布里格斯研究所（Joanna Briggs Institute）进行伞式审查的指南，由两名评审员独立进行批判性评估、数据提取和总结。
经过批判性评估，共纳入了 2010 年至 2019 年期间发表的 9 项研究综合报告和代表 173 项研究的文献。证据以叙述形式总结，并附有支持表。26 个子分支和 7 个主要分支组织在一个编码树中，显示了三个重叠主题的结构：“感觉能力不足”、“情绪困扰感”和“需要支持”。
证据表明，新毕业注册护士在提供有能力和安全的直接护理方面，经验不足、情绪困扰和需要支持是基本要求。
新毕业的注册护士在从护生到执业护士的过渡中面临着多重挑战。对新毕业护士的期望未得到满足，可能导致工作满意度低、离职率高或护理缺失。护士教育者、领导者和政策制定者应该意识到，新毕业注册护士对专业和个人身份的看法以及支持程度会影响新毕业注册护士提供的直接护理。
