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从护理硕士到临床实践的转变。

Transition from masters of nursing to clinical practice.

机构信息

Department of Clinical Research, University of Southern Denmark, Denmark; Department of Surgery, Odense University Hospital, Denmark.

Department of Cardiology, Odense University Hospital, Denmark.

出版信息

Nurse Educ Today. 2023 Sep;128:105882. doi: 10.1016/j.nedt.2023.105882. Epub 2023 Jun 16.

Abstract

INTRODUCTION

Research indicates that nurses with a Master's degree can contribute to an increasing quality of care, thereby improving care pathways in hospitals. In 2014, the Master's programme in Nursing at the University of Southern Denmark was established to create a relationship between the university and clinical practice to improve nurses' ability to function at a higher clinical level. Therefore, this study aimed to explore the significance of the Master's degree on nurses' self-perceived competencies and their return to clinical practice.

DESIGN AND METHODS

A longitudinal qualitative design was used with six focus groups including graduates from the Master's programme in Nursing. The study was conducted in two phases: The first phase in 2017 (n = 16) investigated how the Master's degree affected the graduates' self-perceived competences and their working life. The second phase in 2021-2022 (n = 10) was a follow-up and included a subset of the participants from the first phase. Data were analysed with an inductive approach inspired by Malterud's systematic text condensation.

RESULTS

The analysis revealed two main categories: Transition to Practice and The Impact of the Master's Degree, along with five underlying sub-categories.

CONCLUSION

Graduates perceived themselves as better nurses because of the Master's degree. The Master's programme in Nursing enhanced their competencies enabling them to provide more qualified and evidence-based nursing for the benefit of clinical practice. The transition and the conditions under which the graduates were employed, such as the ward culture and the ward management, had a significant impact on how they experienced their return to clinical practice.

摘要

简介

研究表明,拥有硕士学位的护士可以提高护理质量,从而改善医院的护理路径。2014 年,丹麦南部大学设立了护理硕士课程,旨在建立大学与临床实践之间的联系,提高护士在更高临床水平上的工作能力。因此,本研究旨在探讨硕士学位对护士自我认知能力的意义及其对重返临床实践的影响。

设计与方法

采用纵向定性设计,包括 6 个焦点小组,参与者均为护理硕士课程的毕业生。该研究分为两个阶段进行:第一阶段于 2017 年(n=16),调查硕士学位如何影响毕业生的自我认知能力和工作生活;第二阶段于 2021-2022 年(n=10),为随访阶段,包括第一阶段参与者的一个子集。数据分析采用受 Malterud 系统文本浓缩启发的归纳方法。

结果

分析结果揭示了两个主要类别:实践转型和硕士学位的影响,以及五个潜在的子类别。

结论

毕业生认为自己是更好的护士,因为他们拥有硕士学位。护理硕士课程提高了他们的能力,使他们能够为临床实践提供更有质量和循证的护理。转型以及毕业生的就业条件,如病房文化和病房管理,对他们重返临床实践的体验有重大影响。

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