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新毕业护士的过渡冲击体验:一项质性研究

Transition shock experience of newly graduated nurses: a qualitative study.

作者信息

Zhang Ziqi, Wang Ting, Zhao Yingnan, Shi Xiaoqing

机构信息

Nursing Department, The First Affiliated Hospital of Soochow University, Suzhou, People's Republic of China.

出版信息

Contemp Nurse. 2025 Feb;61(1):21-32. doi: 10.1080/10376178.2024.2432636. Epub 2024 Nov 28.

Abstract

AIM

This study aims to gain an in-depth understanding of the experience and requirements of newly employed nurses during their transition into professional roles. Furthermore, it aims to analyze the effects of transition shock on these nurses, identify the typical coping mechanisms they employ, and provide a reference for nursing administrators to explore and improve relevant interventions.

BACKGROUND

In the early stages of their careers, newly graduated nurses frequently encounter various challenging situations that might impact their job performance and professional growth. Over the past few years, experts have increasingly focused on transition shock. However, limited studies have been undertaken on the role adaptation factors related to freshly graduating nurses during their transition.

METHODS

The study's design and implementation were guided by the phenomenological method. Purposive sampling and semi-structured in-depth interviews were used to recruit 16 participants. Interviews were transcribed verbatim, and the data were analyzed using thematic techniques assisted by Nvivo coding software.

RESULTS

We analyzed interview data based on Duchscher's transition shock theoretical framework. A total of 3 themes and 12 sub-themes were distilled, which include perceptions and feelings when facing transition shocks (4 sub-themes), impacts of transition shocks (4 sub-themes), and strategies for coping with transition shocks (3 sub-themes).

DISCUSSION AND CONCLUSION

Newly recruited nurses are prone to suffer multidimensional problems and impacts during the transition process, mostly characterized by physical discomfort, psychological anxiety, and the need for social support and career development. Nursing managers should pay attention to the mental health status and changes of new nurses at different stages and proactively investigate and implement personalized interventions.

摘要

目的

本研究旨在深入了解新入职护士向专业角色转变过程中的经历和需求。此外,旨在分析转变冲击对这些护士的影响,确定他们常用的应对机制,并为护理管理人员探索和改进相关干预措施提供参考。

背景

在职业生涯早期,新毕业护士经常遇到各种具有挑战性的情况,这些情况可能会影响他们的工作表现和职业发展。在过去几年中,专家们越来越关注转变冲击。然而,关于刚毕业护士在转变过程中与角色适应相关因素的研究较少。

方法

本研究的设计和实施以现象学方法为指导。采用目的抽样和半结构化深度访谈的方法招募了16名参与者。访谈内容逐字转录,并使用Nvivo编码软件辅助的主题技术对数据进行分析。

结果

我们基于杜舍尔的转变冲击理论框架对访谈数据进行了分析。共提炼出3个主题和12个子主题,包括面对转变冲击时的认知和感受(4个子主题)、转变冲击的影响(4个子主题)以及应对转变冲击的策略(3个子主题)。

讨论与结论

新入职护士在转变过程中容易遭受多方面的问题和影响,主要表现为身体不适、心理焦虑以及对社会支持和职业发展的需求。护理管理者应关注新护士在不同阶段的心理健康状况和变化,积极调查并实施个性化干预措施。

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