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探索工作准备情况:一项关于新毕业护士自我认知的质性描述性研究。

Exploring work readiness: A qualitative descriptive study of self-perceptions among new graduate nurses.

作者信息

Yang Heng, Yang Lili, Chen Lixia, Liu Jinheng, Cui Shaomei, Zhang Liyan

机构信息

Department of Nursing, The Fourth Affiliated Hospital, Zhejiang University School of Medicine, Yiwu, Zhejiang, No.N1, ShangCheng Avenue, 322000, China.

出版信息

Heliyon. 2024 Mar 25;10(7):e28507. doi: 10.1016/j.heliyon.2024.e28507. eCollection 2024 Apr 15.

Abstract

BACKGROUND

Reduced work readiness is associated with elevated turnover rates, necessitating efforts to enhance the positive work readiness of newly graduated nurses to alleviate the shortage in the nursing workforce. Research into the work readiness of recent nursing graduates in China is still in its infancy. Most studies employ quantitative research methods, and further exploration of the self-perception of work readiness among new nurses in China is required.

OBJECTIVES

This study aimed to investigate genuine experiences and self-perceptions of work readiness among new graduate nurses.

DESIGN

A qualitative descriptive study.

METHODS

Sixteen new nurses from a provincial tertiary hospital in China were included in this study, which adhered to the consolidated criteria for reporting qualitative research (COREQ) checklist for reporting. The data collection process involved conducting semi-structured interviews from September to October 2021. Inductive content analysis was employed to analyze the interview data.

RESULTS

The study identified four themes encompassing new nurses' real-life experiences and self-perceptions of work readiness: psychological stress, emotional conflict, empathy fatigue, and ethical dilemmas. Psychological stress comprised three subthemes: knowledge and skill deficits, communication barriers, and fear. Empathy fatigue was primarily characterized by psychological and physical symptoms. Ethical dilemmas involved conflicts over differences in values and between clinical reality and standardized nursing practice.

CONCLUSION

Drawing from the self-perceptions of work readiness among new nurses found in this study, nursing administrators and educators must enhance the existing transition support program for new nurses. Additionally, the establishment of individualized training programs is recommended to further improve the work readiness of new nurses.

摘要

背景

工作准备度降低与离职率升高相关,因此有必要努力提高新毕业护士的积极工作准备度,以缓解护理劳动力短缺的问题。中国对近期护理专业毕业生工作准备度的研究仍处于起步阶段。大多数研究采用定量研究方法,还需要进一步探索中国新护士对工作准备度的自我认知。

目的

本研究旨在调查新毕业护士对工作准备度的真实经历和自我认知。

设计

一项定性描述性研究。

方法

本研究纳入了来自中国一家省级三级医院的16名新护士,并遵循报告定性研究的综合标准(COREQ)清单进行报告。数据收集过程包括在2021年9月至10月进行半结构式访谈。采用归纳性内容分析法对访谈数据进行分析。

结果

该研究确定了四个主题,涵盖新护士对工作准备度的现实生活经历和自我认知:心理压力、情感冲突、共情疲劳和伦理困境。心理压力包括三个子主题:知识和技能不足、沟通障碍和恐惧。共情疲劳主要表现为心理和身体症状。伦理困境涉及价值观差异以及临床现实与标准化护理实践之间的冲突。

结论

根据本研究中发现的新护士对工作准备度的自我认知,护理管理人员和教育工作者必须加强现有的新护士过渡支持计划。此外,建议制定个性化培训计划,以进一步提高新护士的工作准备度。

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