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新获得资格的护士和助产士在过渡期间继续专业发展的经验:一项横断面研究。

Newly qualified nurses' and midwives' experience with continuing professional development during transition: A cross-sectional study.

机构信息

Department of Health Sciences, University of Genoa, Via A. Pastore 1, Genoa 16132, Italy.

Department of Translational Research and New Surgical and Medical Technologies, University of Pisa, Via Savi 67, Pisa 56100, Italy; European Centre of Excellence for Research in Continuing Professional Development, Faculty of Nursing and Midwifery, Royal College of Surgeons in Ireland, Dublin, Ireland.

出版信息

Nurse Educ Pract. 2024 Oct;80:104123. doi: 10.1016/j.nepr.2024.104123. Epub 2024 Sep 3.

DOI:10.1016/j.nepr.2024.104123
PMID:39241664
Abstract

AIM

To explore newly qualified nurses and midwives' experience of continuing professional development (CPD) and factors associated with CPD participation during newly qualified nurses and midwives' transition, such as job satisfaction and intention to leave.

BACKGROUND

Newly qualified nurses and midwives find it difficult to make the transition to their first registered post. During the transition, professional support through CPD is essential to build competence and confidence and increase job satisfaction and retention.

DESIGN

A cross-sectional study.

METHODS

This study was conducted from September 2021 to October 2022. The online survey, consisting of 83 items, included: the Questionnaire of Professional Development of Nurses (Q-PDN), the McCloskey/Mueller Satisfaction Scale, three questions about Intention to Leave and two open-ended questions. The analysis was conducted by combining the results from the three European countries. Descriptive and logistic regression analyses were performed. The participants were Newly qualified nurses and midwives from Ireland, Italy and Croatia RESULTS: A total of 476 Newly qualified nurses and midwives completed the survey. Of these, 32 % (n=152) were satisfied with opportunities to participate in CPD activities and 54.8 % (n=261) had participated in a formal CPD programme. Most newly qualified nurses and midwives (89.1 %, n=424) agreed that they would like to participate in a formal CPD programme. Almost half of the participants (46.4 %, n=219) had thought of leaving the profession in the previous 12 months. We found that 'having participated in a programme to support newly qualified nurses (OR=0.29; p<.001), 'participating in mandatory CPD activities' (OR=0.76; p=0.016) and 'working in the clinical area of community' (OR=0.31; p<.001) or in maternity (OR=0.46; p=0.040) were positively associated with better job satisfaction.

CONCLUSIONS

Participation in support programs during the transition period contributes to increasing job satisfaction for newly qualified nurses and midwives. During their transition, newly qualified nurses and midwives need more support from their institution managers, in terms of ensuring a better learning environment, as well as formal and informal supports.

摘要

目的

探讨新入职护士和助产士的继续专业发展(CPD)体验,以及与新入职护士和助产士过渡期间 CPD 参与相关的因素,如工作满意度和离职意向。

背景

新入职护士和助产士在过渡到第一个注册岗位时会感到困难。在过渡期间,通过 CPD 提供专业支持对于建立能力和信心、提高工作满意度和保留率至关重要。

设计

一项横断面研究。

方法

本研究于 2021 年 9 月至 2022 年 10 月进行。在线调查包括 83 个项目,包括护士专业发展问卷(Q-PDN)、McCloskey/Mueller 满意度量表、三个关于离职意向的问题和两个开放式问题。分析结果结合了来自爱尔兰、意大利和克罗地亚的三个欧洲国家的数据。进行描述性和逻辑回归分析。共有 476 名新入职护士和助产士完成了调查。其中,32%(n=152)对参与 CPD 活动的机会感到满意,54.8%(n=261)参加过正式的 CPD 计划。大多数新入职护士和助产士(89.1%,n=424)表示愿意参加正式的 CPD 计划。近一半的参与者(46.4%,n=219)在过去 12 个月中曾考虑过离开该行业。我们发现,“参加过支持新入职护士的计划”(OR=0.29;p<.001)、“参加强制性 CPD 活动”(OR=0.76;p=0.016)和“在社区临床领域工作”(OR=0.31;p<.001)或在产科(OR=0.46;p=0.040)与更好的工作满意度呈正相关。

结论

在过渡期间参加支持计划有助于提高新入职护士和助产士的工作满意度。在过渡期间,新入职护士和助产士需要从机构管理人员那里获得更多支持,包括确保更好的学习环境,以及正式和非正式的支持。

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