Hwang Eunhee, Kim Miyeong, Lee Yunkyeong
Department of Nursing, Wonkwang University, Iksan 54538, Republic of Korea.
Healthcare (Basel). 2024 Jul 19;12(14):1447. doi: 10.3390/healthcare12141447.
Supporting early-stage nurses to adapt to the field and become proficient in nursing is important to improve the quality of patient care. This study aimed to determine the effects of the nursing work environment, nursing practice readiness, and optimism on the field adaptation of early-stage nurses. A descriptive survey was conducted among 209 early-stage nurses with ≤3 years of work experience at hospitals. The collected data were analyzed using descriptive statistics, the -test, ANOVA, Pearson's correlation coefficients, and regression analysis with the SPSS Program. The participating nurses' mean field adaptation score was 2.90 ± 0.40 (total score = 5) and a significant positive correlation was found between nursing work environment (r = 0.61, < 0.001), nursing practice readiness (r = 0.41, < 0.001), and optimism (r = 0.26, < 0.001). The regression analysis revealed that the nursing work environment (β = 0.38, < 0.001), job satisfaction (β = 0.33, < 0.001), nursing practice readiness (β = 0.24, < 0.001), and turnover intention (β = 0.17, = 0.001) significantly affect the field adaptation of early stage nurses; the explanatory power was 56.1% (F = 27.55, < 0.001). The results suggest that to facilitate the field adaptation of early-stage nurses, the nursing work environment, job satisfaction, and nursing practice readiness should be improved. Improvement in the nursing work environment and the development of additional training for field adaptation would enhance the ability of early-stage nurses to adapt to the field and, consequently, improve the quality of nursing care.
支持早期护士适应工作领域并熟练掌握护理技能对于提高患者护理质量至关重要。本研究旨在确定护理工作环境、护理实践准备情况和乐观心态对早期护士工作领域适应的影响。对209名在医院工作经验≤3年的早期护士进行了描述性调查。使用描述性统计、t检验、方差分析、皮尔逊相关系数以及SPSS程序进行回归分析对收集到的数据进行分析。参与研究的护士的平均工作领域适应得分是2.90±0.40（总分=5），并且发现护理工作环境（r=0.61，P<0.001）、护理实践准备情况（r=0.41，P<0.001）和乐观心态（r=0.26，P<0.001）之间存在显著正相关。回归分析表明，护理工作环境（β=0.38，P<0.001）、工作满意度（β=0.33，P<0.001）、护理实践准备情况（β=0.24，P<0.001）和离职意愿（β=0.17，P=0.001）显著影响早期护士的工作领域适应；解释力为56.1%（F=27.55，P<0.001）。结果表明，为促进早期护士的工作领域适应，应改善护理工作环境、工作满意度和护理实践准备情况。改善护理工作环境并开展更多针对工作领域适应的培训将提高早期护士适应工作领域的能力，从而提高护理质量。
