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Z世代护士适应三级医院工作的经历:一项扎根理论研究

Experiences of Generation Z Nurses Adapting to Work in a Tertiary Hospital: A Grounded Theory Study.

作者信息

Moon Youngji, Lee Sunhee

机构信息

College of Nursing, The Catholic University of Korea, Seoul, Korea.

出版信息

J Adv Nurs. 2025 Apr;81(4):2050-2060. doi: 10.1111/jan.16439. Epub 2024 Aug 29.

DOI:10.1111/jan.16439
PMID:39206854
Abstract

AIM

To investigate the adaptation process of Generation Z nurses at a tertiary hospital in Korea.

DESIGN

This qualitative study using grounded theory.

METHODS

The participants were 17 Generation Z nurses who were working at tertiary hospitals in Korea. Data were collected through in-depth interviews from September 2022 to July 2023.

FINDINGS

Eight categories and 19 concepts were extracted. The core category was 'accepting deficient myself as a nurse in a vertical culture', which consisted of three phases: chaos, endeavouring to adapt and accepting myself. In the adaptation process at the tertiary hospital, most of the participants felt embarrassed by tasks. The most of them tended to stay away from stressors and endeavour to improve their competence. The participants who had familiarity and a sense of belonging and achievement tended to acknowledge themselves.

CONCLUSIONS

This study provides help in suggesting the importance of a horizontal organisational culture to Generation Z nurses. Also, the support of senior nurses is needed to encourage Generation Z nurses to accept deficient themselves.

IMPLICATIONS FOR THE PROFESSION

Generation Z nurses tended to feel confused by the vertical culture, uncertainty of work and daunting tasks; excessive criticism and rebuke seems to make Generation Z nurses feel a sense of shame. The family-centred culture of nursing organisations could cause conflicts for Generation Z nurses who tend to separate their personal lives from work.

IMPACT

Generation Z nurses had no difficulty acquiring knowledge because they had the skills to search for the necessary information, but they experienced difficulty applying this knowledge in practice and becoming familiar with their role as a nurse.

REPORT METHODS

We adhered to relevant EQUATOR guidelines of the Consolidated Criteria for Reporting Qualitative Research (COREQ).

PATIENT OR PUBLIC INVOLVEMENT AND ENGAGEMENT

No patient or public involvement.

摘要

目的

调查韩国一家三级医院中Z世代护士的适应过程。

设计

这项定性研究采用扎根理论。

方法

参与者为17名在韩国三级医院工作的Z世代护士。数据于2022年9月至2023年7月通过深入访谈收集。

结果

提取了8个类别和19个概念。核心类别是“在垂直文化中接受作为护士有缺陷的自己”,它由三个阶段组成:混乱、努力适应和接受自己。在三级医院的适应过程中,大多数参与者对任务感到尴尬。他们中的大多数人倾向于远离压力源并努力提高自己的能力。有熟悉感、归属感和成就感的参与者倾向于认可自己。

结论

本研究有助于向Z世代护士表明横向组织文化的重要性。此外,需要资深护士的支持来鼓励Z世代护士接受有缺陷的自己。

对该职业的启示

Z世代护士往往会因垂直文化、工作的不确定性和艰巨的任务而感到困惑;过度的批评和指责似乎会让Z世代护士感到羞耻。护理组织以家庭为中心的文化可能会给倾向于将个人生活与工作分开的Z世代护士带来冲突。

影响

Z世代护士在获取知识方面没有困难,因为他们具备搜索必要信息的技能,但他们在将这些知识应用于实践以及熟悉护士角色方面遇到困难。

报告方法

我们遵循了定性研究报告统一标准(COREQ)的相关EQUATOR指南。

患者或公众参与

无患者或公众参与。

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