Department of Nursing, National Taiwan University Hospital Hsin-Chu Branch, Hsinchu City, Taiwan, Republic of China.
General education center, Minghsin University of Science and Technology, Hsinchu County, Taiwan, Republic of China.
J Am Assoc Nurse Pract. 2022 Aug 1;34(8):978-990. doi: 10.1097/JXX.0000000000000750.
Transitioning to advanced practice, novice nurse practitioners need to take on new roles, learn new practice areas, and develop new skills. This process requires breaking old practices and work habits and facing new challenges.
To explore the nature of nurse practitioners' work experiences during the first year of transition from registered nurse to nurse practitioner.
This qualitative study was based on Husserl's phenomenological methodology. A purposive sample of 16 first-year nurse practitioners was recruited. Data were collected through in-depth interviews and analyzed by thematic content analysis. The approaches of Lincoln & Guba were applied to improve the validity of the study.
Results showed that the first-year experience of transitioning from registered nurse to nurse practitioner fell into two overarching themes: challenge and adjustment. The challenge consists of five subthemes: "facing the expectation-reality gap," "managing others' expectations," "striving to acquire professional skills," "handling situational variability," and "bearing emotional burdens" subthemes. The adjustment includes five subthemes: "finding resources," "gaining experiences," "building relationships," "relieving stress," and "overcoming obstacles."
Novice nurse practitioners face many challenges as they adjust to a new role during their first year on the job. New nurse practitioners develop coping strategies to help themselves adjust to their work. They also gradually gain new resources and experiences to help them stay positive in stressful situations and restore work-life balance. The challenges of transitioning from a registered nurse to a nurse practitioner cannot be overlooked. Novice nurse practitioners need appropriate support measures to adapt to advanced practice roles.
过渡到高级实践，新手护士从业者需要承担新的角色，学习新的实践领域，并发展新的技能。这个过程需要打破旧的实践和工作习惯，面对新的挑战。
探讨从注册护士过渡到护士从业者的第一年中，护士从业者工作经验的性质。
本定性研究基于 Husserl 的现象学方法论。招募了 16 名第一年的护士从业者作为目的抽样。通过深入访谈收集数据，并通过主题内容分析进行分析。采用 Lincoln 和 Guba 的方法来提高研究的有效性。
结果表明，从注册护士过渡到护士从业者的第一年经验分为两个总体主题：挑战和调整。挑战包括五个子主题：“面对期望与现实之间的差距”、“管理他人的期望”、“努力获得专业技能”、“处理情况的可变性”和“承担情感负担”。调整包括五个子主题：“寻找资源”、“获得经验”、“建立关系”、“缓解压力”和“克服障碍”。
新手护士从业者在工作的第一年中适应新角色时面临许多挑战。新的护士从业者发展应对策略来帮助自己适应工作。他们还逐渐获得新的资源和经验，帮助他们在压力情况下保持积极，恢复工作与生活的平衡。从注册护士过渡到护士从业者的挑战不容忽视。新手护士从业者需要适当的支持措施来适应高级实践角色。
