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新毕业护士的复原力体验:一项质性元整合研究

The experience of resilience in newly graduated nurses: A qualitative metasynthesis.

作者信息

Randall Paige S, De Gagne Jennie C, Lee Eunhee, Slack Julia, Lee Youran, Ledbetter Leila

机构信息

Duke University School of Nursing, Durham, NC, United States.

Duke University School of Nursing, Durham, NC, United States.

出版信息

Nurse Educ Pract. 2023 Jul;70:103681. doi: 10.1016/j.nepr.2023.103681. Epub 2023 Jun 13.

DOI:10.1016/j.nepr.2023.103681
PMID:37331028
Abstract

AIM

The aim of the present study was to understand the experiences and perceptions of newly graduated nurses in relation to resilience by providing an interpretive synthesis of the existing qualitative literature on this topic.

BACKGROUND

Resilience in newly graduated nurses has been associated with increased satisfaction and decreased turnover. As the experience of resilience is unique to each individual, qualitative studies are well suited to explore this concept, yet the existing data is heterogenous.

DESIGN

A qualitative metasynthesis was conducted using a meta-ethnographic approach.

METHODS

The search was performed using PubMed, CINAHL, Embase, PsycINFO, ProQuest Dissertations and Theses Global for the English literature and NDSL, KCI, RISS, KISS and DBpia for the Korean literature. The JBI Critical Appraisal Checklist for Qualitative Research was used to assess the quality of studies. An a priori protocol was created and registered on the Open Science Framework (Randall & De Gagne, 2022).

RESULTS

The final review included seven articles published between 2008 and 2021. Three main themes were identified: (1) internal experience of resilience; (2) external sources of resilience; and (3) building resilience over time. Subthemes were also identified.

CONCLUSIONS

This study indicates that resilience can be developed over time during the period of transition from student nurse to professional nurse and is impacted by personal and organizational influences. The promotion of resilience presents considerations and opportunities for health care leaders and administrators.

摘要

目的

本研究的目的是通过对关于这一主题的现有定性文献进行解释性综合分析,来了解新毕业护士在复原力方面的经历和看法。

背景

新毕业护士的复原力与满意度提高和离职率降低有关。由于复原力的体验因人而异,定性研究非常适合探索这一概念,但现有数据参差不齐。

设计

采用元民族志方法进行定性元综合分析。

方法

使用PubMed、CINAHL、Embase、PsycINFO、ProQuest Dissertations and Theses Global检索英文文献,使用NDSL、KCI、RISS、KISS和DBpia检索韩文文献。使用JBI定性研究批判性评价清单评估研究质量。制定了一个先验方案并在开放科学框架上进行了注册(兰德尔和德加涅,2022年)。

结果

最终综述纳入了2008年至2021年发表的七篇文章。确定了三个主要主题:(1)复原力的内部体验;(2)复原力的外部来源;(3)随着时间推移建立复原力。还确定了子主题。

结论

本研究表明,在从学生护士向专业护士过渡的时期,复原力可以随着时间的推移而培养,并且受到个人和组织影响的作用。复原力的提升为医疗保健领导者和管理人员带来了思考和机遇。

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