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新毕业围手术期护士向临床实践过渡的经历:一项定性探索性二次分析

Newly Graduated Perioperative Nurses' Experiences of Transitioning to Clinical Practice: A Qualitative Explorative Secondary Analysis.

作者信息

Kaldheim Hege Kristin Aslaksen, Munday Judy, Haddeland Kristine, Fossum Mariann

机构信息

Department of Health and Nursing Science, University of Agder, Grimstad, Norway.

School of Health, University of the Sunshine Coast, Petrie, Queensland, Australia.

出版信息

J Adv Nurs. 2025 Jun;81(6):3252-3267. doi: 10.1111/jan.16537. Epub 2024 Oct 19.

Abstract

AIM

The aim of this secondary analysis was to explore newly graduated perioperative nurses' experiences of transitioning to clinical practice to gain more in-depth knowledge of this phenomenon.

DESIGN

A qualitative explorative study of secondary data was used, and this study was reported following the Consolidated Criteria for Reporting Qualitative Research checklist.

METHODS

A secondary analysis of data collected between March 2019 and November 2020 via 16 semi-structured interviews with newly graduated perioperative nurses. The interviews were conducted 3 to 5 months after they graduated from five different educational institutions in Norway and entered clinical practice as perioperative nurses. A three-step phenomenological hermeneutical analysis inspired by Ricoeur's theory was applied: naïve reading, structural analysis and comprehensive understanding.

RESULTS

We identified three themes: expectations of competence, facilitation for newly graduated perioperative nurses and the transition from being a student to a newly qualified perioperative nurse.

CONCLUSIONS

Newly graduated perioperative nurses emphasised the critical role of supportive facilitation, manageable expectations and support from leaders and colleagues, which seemed essential for a successful transition to clinical practice.

IMPACT

This study addresses knowledge essential for universities, universities colleges and clinical practice, specifically healthcare organisations, to understand the transition process for newly graduated perioperative nurses. This can support the establishment of improved practices to ensure patient safety via more specific education and mentoring and more accurate expectations of competence.

PATIENT AND PUBLIC CONTRIBUTION

No patient or public contribution.

摘要

目的

本次二次分析的目的是探究新毕业的围手术期护士向临床实践过渡的经历,以更深入地了解这一现象。

设计

采用对二手数据的定性探索性研究,并依据《定性研究报告统一标准》清单报告本研究。

方法

对2019年3月至2020年11月期间通过对新毕业的围手术期护士进行16次半结构式访谈收集的数据进行二次分析。访谈在她们从挪威五所不同教育机构毕业并作为围手术期护士进入临床实践3至5个月后进行。应用了受里科尔理论启发的三步现象学诠释分析:朴素阅读、结构分析和全面理解。

结果

我们确定了三个主题:能力期望、对新毕业围手术期护士的促进以及从学生到新获得资格的围手术期护士的转变。

结论

新毕业的围手术期护士强调了支持性促进、可管理的期望以及领导和同事的支持的关键作用,这似乎是成功过渡到临床实践的关键。

影响

本研究探讨了大学、大学学院和临床实践(特别是医疗保健组织)了解新毕业围手术期护士过渡过程所需的重要知识。这可以支持建立改进措施,通过更具体的教育和指导以及更准确的能力期望来确保患者安全。

患者和公众参与

无患者或公众参与。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c55/12080083/195e5438f8ca/JAN-81-3252-g001.jpg

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