护士向长期护理以及家庭和社区护理部门过渡工作的经历：一项现象学探索。
Nurses' experiences in transitioning to work in the long-term care and home and community care sectors: A phenomenological exploration.
作者信息
Connelly Denise M, Hay Melissa E, Smith-Carrier Tracy, Guitar Nicole A, Prentice Kristin
机构信息
School of Physical Therapy, Faculty of Health Sciences, Western University, London, Ontario, N6G 1H1, Canada.
School of Humanitarian Studies, Royal Roads University, Victoria, British Columbia, Canada.
出版信息
BMC Nurs. 2024 Dec 4;23(1):885. doi: 10.1186/s12912-024-02524-5.
BACKGROUND
Nurses in long-term care (LTC) and home and community care (HCC) are well acquainted with the high workloads and manifold job stressors that pervade these sectors, making it increasingly difficult to employ and retain a strong workforce. In response, nursing bridging education programs have been proposed to enhance recruitment and retention. While the efficacy of such programs is supported, the transition to practice experience of new nurse graduates is often associated with feelings of under-preparedness. Understanding the lived experience of nurses transitioning into new roles in LTC and HCC after completing a bridging program may highlight areas of emphasis for future retention efforts.
METHODS
Hermeneutic phenomenology was employed to explore the experiences of new graduate Registered Practical Nurses (RPNs) and Registered Nurses (RNs) from a tuition reimbursement program supporting students enrolled in nursing bridging education from Personal Support Worker (PSW) to RPN/RN and/or RPN to RN in Ontario as they transitioned to practice within LTC and HCC. A series of in-depth semi-structured virtual interviews and iterative analysis explored the meaning of everyday experiences for nurse participants.
RESULTS
From twenty individual interviews (12 initial, 8 follow-up), the experience was embedded in a sense of fulfillment, further considered through four themes - benevolence; growth, eagerness, and anticipation to learn; building from within; and work-life balance.
DISCUSSION
This is the first phenomenological study to report on the meaning of the experience of transitioning to practice for new graduate nurses from bridging education programs as they (re)enter the workforce in LTC and HCC, offering rich insight into their experiences when moving into new roles.
CONCLUSIONS
By illuminating the nuances of this experience, the findings may encourage healthcare leaders to develop helpful policies, strategies, and workplace cultures in LTC and HCC that might better promote the recruitment and retention of nurses in these sectors.
背景
长期护理（LTC）以及家庭和社区护理（HCC）领域的护士非常熟悉这些部门普遍存在的高工作量和多种工作压力源，这使得招聘和留住一支强大的劳动力队伍变得越来越困难。作为回应，有人提出了护理衔接教育项目以提高招聘率和留用率。虽然此类项目的有效性得到了支持，但新毕业护士向实践经验的过渡往往伴随着准备不足的感觉。了解完成衔接项目后在LTC和HCC领域过渡到新角色的护士的实际经历，可能会突出未来留用工作的重点领域。
方法
采用诠释现象学方法，探索安大略省一项学费报销项目中的新毕业注册实用护士（RPN）和注册护士（RN）的经历。该项目支持从个人支持工作者（PSW）过渡到RPN/RN和/或从RPN过渡到RN的护理衔接教育学生，他们在LTC和HCC领域过渡到实践岗位。一系列深入的半结构化虚拟访谈和迭代分析探讨了护士参与者日常经历的意义。
结果
通过20次个人访谈（12次初次访谈，8次后续访谈），这种经历蕴含在一种成就感之中，进一步细分为四个主题——仁爱；成长、渴望和学习的期待；内在成长；以及工作与生活的平衡。
讨论
这是第一项现象学研究，报告了从衔接教育项目毕业的新毕业护士在（重新）进入LTC和HCC劳动力市场时向实践过渡的经历的意义，深入洞察了他们进入新角色时的经历。
结论
通过阐明这种经历的细微差别，研究结果可能会鼓励医疗保健领导者在LTC和HCC领域制定有益的政策、策略和工作场所文化，从而更好地促进这些领域护士的招聘和留用。
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