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运用杜舍尔过渡休克理论解读卡塔尔新毕业护士的经历:一项定性案例研究

Using Duchscher's Theory of Transition Shock To Inform The Experience Of Newly Graduated Nurses In Qatar: A Qualitative Case Study.

作者信息

Tieleman Tricia, Cable Stuart

机构信息

Sidra Medical and Research Center.

University of Dundee.

出版信息

MedEdPublish (2016). 2021 Jun 4;10:156. doi: 10.15694/mep.2021.000156.1. eCollection 2021.

DOI:10.15694/mep.2021.000156.1
PMID:38486544
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10939564/
Abstract

This article was migrated. The article was marked as recommended. Background The transition experience of new graduate nurses (NGN) is a complex and stressful period of adjustment and adaptation. The transition period is often negative leading to job dissatisfaction and increased intent to leave. Literature concerned with transition experiences of NGNs in the Middle East is lacking, where the educational, healthcare and cultural context are dissimilar to those in the published literature. Aim To explore the transition experiences of Qatari NGNs to inform development of a formal transition to practice program at a specialty hospital. Methods A qualitative case study design was conducted to explore the professional role transition experiences of Qatari NGNs. Data was collected through the Casey-Fink Graduate Experience Survey, and an unstructured focus group. Results Qatari NGNs experienced challenges of professional role adaptation and feeling ill-prepared in terms of competency and job-readiness, resulting in self-doubt, frustration and fear. Desires to fit-in were negatively impacted by language, discrimination and lack of social support, and professional identity development. Conclusions Professional role transition of Qatari NGNs involves a complex interplay of intrapersonal, interpersonal, organizational and cultural factors. Experiences can be enhanced by accessible, nurturing, multi-level social support to facilitate socialization and improve clinical practice competency. Managing expectations by preparing students for transition and providing transitional support during their first year of practice will improve their experience. Duchscher's Theory of Transition Shock offers insights into the transition expereinces that can inform this support.

摘要

本文已迁移。该文章被标记为推荐文章。背景:新毕业护士(NGN)的过渡经历是一个复杂且充满压力的调整和适应阶段。过渡阶段往往是负面的,会导致工作满意度下降和离职意愿增加。中东地区缺乏关于NGN过渡经历的文献,该地区的教育、医疗保健和文化背景与已发表文献中的不同。目的:探索卡塔尔NGN的过渡经历,为一家专科医院制定正式的实践过渡计划提供参考。方法:采用定性案例研究设计,探索卡塔尔NGN的职业角色过渡经历。通过凯西 - 芬克毕业生经历调查和非结构化焦点小组收集数据。结果:卡塔尔NGN在职业角色适应方面面临挑战,在能力和工作准备方面感到准备不足,导致自我怀疑、沮丧和恐惧。融入的愿望受到语言、歧视、缺乏社会支持以及职业身份发展的负面影响。结论:卡塔尔NGN的职业角色过渡涉及个人、人际、组织和文化因素的复杂相互作用。通过提供可获得的、滋养性的多层次社会支持来促进社会化并提高临床实践能力,可以改善他们的经历。通过让学生为过渡做好准备并在他们实习的第一年提供过渡支持来管理期望,将改善他们的经历。杜舍尔的过渡冲击理论为这种支持提供了有关过渡经历的见解。

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本文引用的文献

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A longitudinal, mixed methods investigation of newly qualified nurses' workplace stressors and stress experiences during transition.一项针对新入职护士在过渡期间工作压力源和压力体验的纵向混合方法研究。
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The experiences of newly graduated nurses during their first year of practice in the Sultanate of Oman - A case study.阿曼苏丹国新护士在执业第一年的经历——一项案例研究。
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