Department of Nursing, Chonnam National University Hospital, Gwangju, Korea.
College of Nursing, Chonnam National University, Gwangju, Korea.
J Korean Acad Nurs. 2024 Aug;54(3):358-371. doi: 10.4040/jkan.24034.
This study aimed to analyze the experiences of new nurses during their first year of hospital employment to gather data for the development of an evidence-based new nurse residency program focused on adaptability.
This study was conducted at a tertiary hospital in Korea between March and August 2021 with 80 new nurses who wrote in critical reflective journals during their first year of work. NetMiner 4.5.0 was used to conduct a text network analysis of the critical reflective journals to uncover core keywords and topics across three periods.
In the journals, over time, degree centrality emerged as "study" and "patient understanding" for 1 to 3 months, "insufficient" and "stress" for 4 to 6 months, and "handover" and "preparation" for 7 to 12 months. Major sub-themes at 1 to 3 months were: "rounds," "intravenous-cannulation," "medical device," and "patient understanding"; at 4 to 6 months they were "admission," "discharge," "oxygen therapy," and "disease"; and at 7 to 12 months they were "burden," "independence," and "solution."
These results provide valuable insights into the challenges and experiences encountered by new nurses during different stages of their field adaptation process. This information may highlight the best nurse leadership methods for improving institutional education and supporting new nurses' transitions to the hospital work environment.
本研究旨在分析新护士在医院工作第一年的经历，为开发以适应能力为重点的循证新护士住院医师培训计划收集数据。
本研究于 2021 年 3 月至 8 月在韩国的一家三级医院进行，共有 80 名新护士在工作的第一年期间在批判性反思期刊中撰写了文章。使用 NetMiner 4.5.0 对批判性反思期刊进行文本网络分析，以揭示三个时期的核心关键词和主题。
在期刊中，随着时间的推移，度中心度逐渐显现，1 至 3 个月为“学习”和“患者理解”，4 至 6 个月为“不足”和“压力”，7 至 12 个月为“交接班”和“准备”。1 至 3 个月的主要子主题为：“查房”、“静脉穿刺”、“医疗器械”和“患者理解”；4 至 6 个月为“入院”、“出院”、“氧疗”和“疾病”；7 至 12 个月为“负担”、“独立”和“解决方案”。
这些结果为新护士在其领域适应过程的不同阶段所面临的挑战和经历提供了有价值的见解。这些信息可能突出了最佳的护士领导方法，以改善机构教育并支持新护士向医院工作环境的过渡。
