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新获得执照的注册护士队伍:回顾过去,展望未来。

The newly-licensed registered nurse workforce: Looking back to move forward.

作者信息

Church Cory D, Schalles Ryan, Wise Tiffani

机构信息

Texas Tech University Health Sciences Center School of Nursing, Mansfield, TX.

Texas Tech University Health Sciences Center School of Nursing, Mansfield, TX.

出版信息

Nurs Outlook. 2023 Jan-Feb;71(1):101904. doi: 10.1016/j.outlook.2022.11.008. Epub 2022 Dec 30.

DOI:10.1016/j.outlook.2022.11.008
PMID:36588045
Abstract

BACKGROUND

Newly licensed registered nurses (NLRNs) are a vital health human resource necessary for the sustainability of the nursing workforce. There are challenges associated with the transition of NLRNs into practice; yet, new nurses continue to leave their positions within the first year. To compound the situation, a global pandemic hit in 2020. To leverage a sustainable future for our nursing workforce we must examine workforce data of NLRNs.

PURPOSE

The purpose of this descriptive study was to review the most recent national source of workforce data to determine if the data reveals insight to help renew the focus on the NLRN workforce.

METHODS

This descriptive study was a secondary analysis of demographic, education, employment, and work environment variables from the 2018 National Sample Survey of Registered Nurses.

FINDINGS

The NLRN workforce is slightly more diverse, seeking a BSN as the first degree, and funding their initial education with federal loans. NLRNs cite inadequate staffing, stressful work environments, burnout, and salary as the reasons for leaving the first job. NLRNs cite a balanced schedule, experience in the job, and a sense of community with peers as reasons why they stay.

DISCUSSION

This study joins the decades of literature that points to a small group of problems that account for the overwhelming majority or nursing turnover and attrition. After analyzing the data, the authors pose several questions to readers for consideration about the NLRN workforce. The authors' hope is to garner renewed attention to the issues facing NLRNs.

摘要

背景

新获得执照的注册护士(NLRNs)是护理劳动力可持续发展所必需的重要卫生人力资源。NLRNs向实践过渡存在挑战;然而,新护士在入职后的第一年仍继续离职。更糟糕的是,2020年全球大流行来袭。为了为我们的护理劳动力创造一个可持续的未来,我们必须审视NLRNs的劳动力数据。

目的

这项描述性研究的目的是回顾最新的全国劳动力数据来源,以确定这些数据是否能揭示有助于重新关注NLRN劳动力的见解。

方法

这项描述性研究是对2018年全国注册护士抽样调查中的人口统计学、教育、就业和工作环境变量进行的二次分析。

结果

NLRN劳动力的多样性略有增加,将护理学学士(BSN)作为首选学位,并通过联邦贷款支付初始教育费用。NLRNs将人员配备不足、工作环境压力大、职业倦怠和薪资作为离开第一份工作的原因。NLRNs将平衡的工作时间表、工作经验以及与同事的社区感作为他们留下来的原因。

讨论

这项研究加入了数十年来的文献行列,这些文献指出了一小部分问题,这些问题占了护理人员流动和流失的绝大多数。在分析数据后,作者向读者提出了几个问题,供其思考NLRN劳动力相关问题。作者希望能重新引起人们对NLRNs所面临问题的关注。

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