Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Department of Health and Welfare, Dalarna University, Falun, Sweden.
J Adv Nurs. 2024 Feb;80(2):597-611. doi: 10.1111/jan.15820. Epub 2023 Aug 7.
To investigate how NGNs perceived and applied an intervention for preventing stress-related ill health embedded in a transition-to-practice programme when entering their professional life.
A qualitative exploratory descriptive design was selected for this study to gain insights and perspectives on the adoption and utilization of the intervention.
In this qualitative methodology process evaluation, semi-structured and audio-recorded interviews were conducted with a sample of 49 nurses. Data were collected between December 2016 and July 2017, and were sorted in NVivo 12 Plus, followed by thematic analysis.
The analysis resulted in three change processes stimulated by the intervention: (a) Building acceptance of being new; (b) Gaining insight into professional development and health and (c) Practical steps for skills development, healthy habits and better-organized work. In addition to the three themes, barriers that hindered the progression of the processes were also described. Each process influenced the development of the others by stimulating a deeper understanding, motivation to change and courage to act. Several barriers were identified, including the use of cognitively demanding intervention tools, fatigue, high work demands, inconvenient work hours and a hostile social climate on the ward.
This process evaluation showed that newly graduated nurses used knowledge from the intervention and adopted new behaviours largely in accordance with how the intervention was intended to work.
When entering a new profession, it is crucial to receive a well-thought-out, structured and targeted introduction to the new professional role, tasks and work group. Nurses stated that the intervention increased their understanding of the role as new nurses and their insight into how to develop skills that promoted better functioning and recovery. The intervention also stimulated the development of new health behaviour and some new learning strategies.
调查新护士在专业生涯中接触并应用一项预防与压力相关的健康不良的干预措施时，对该干预措施的看法和应用情况。
为了深入了解和探讨该干预措施的采用和利用情况，本研究选择了定性探索性描述设计。
在这个定性方法的过程评估中，对 49 名护士进行了半结构化和录音访谈。数据收集于 2016 年 12 月至 2017 年 7 月之间，并在 NVivo 12 Plus 中进行了分类，然后进行主题分析。
分析结果得出了三个由干预措施激发的变革过程：（a）建立对新事物的接受度；（b）深入了解职业发展和健康；（c）技能发展、健康习惯和更好组织工作的实际步骤。除了三个主题外，还描述了阻碍这些过程进展的障碍。每个过程都通过激发更深入的理解、改变的动机和行动的勇气来影响其他过程的发展。确定了几个障碍，包括使用认知要求高的干预工具、疲劳、高工作需求、不方便的工作时间以及病房内敌对的社会氛围。
这个过程评估表明，新毕业的护士在很大程度上根据干预措施的预期效果应用了干预措施中的知识并采用了新的行为。
当进入一个新的职业时，接受一个深思熟虑、结构化和有针对性的新职业角色、任务和工作团队介绍是至关重要的。护士们表示，该干预措施增加了他们对新护士角色的理解，以及对如何发展技能以促进更好的功能和恢复的洞察力。干预措施还激发了新的健康行为和一些新的学习策略的发展。
