Jerpseth Heidi, Jensen Kari Toverud
Faculty of Health sciences, Oslo Metropolitan University, Oslo, Norway.
SAGE Open Nurs. 2025 Mar 21;11:23779608251330041. doi: 10.1177/23779608251330041. eCollection 2025 Jan-Dec.
The World Health Organization has identified a shortfall of nurses. There is a risk that newly graduated nurses will leave the profession only a few years after completing their education. Little is known regarding the newly graduated nurses' experiences of practical readiness and development of professional authority during their first year of working.
To explore newly graduated nurses' experiences related to their practical readiness and their development of professional authority.
Qualitative design. Data was collected from March to April in 2022. The data consist of eight individual interviews with nurses who had been working for almost one year. The data was analysed using Braun and Clarke's reflexive thematic analysis.
Two themes were constructed: Ready or not, and being responsible with or without decision-making authority. The experience of preparedness was related to handling clinical judgement, clinical skills and nursing knowledge. The participants found their role in interdisciplinary cooperation challenging.
The nurses who felt prepared exhibited competence that integrated their personal abilities with clinical judgment, allowing them to apply their skills and knowledge across diverse situations. The participants revealed a discrepancy between perceived responsibility and the level of professional authority that resulted in frustration and a sense of being professionally overshadowed.
世界卫生组织已确定护士短缺。新毕业的护士有可能在完成学业仅几年后就离开该行业。对于新毕业护士在工作第一年的实践准备情况和专业权威发展经历，人们了解甚少。
探讨新毕业护士与其实践准备情况及专业权威发展相关的经历。
质性设计。于2022年3月至4月收集数据。数据包括对工作近一年的护士进行的八次个人访谈。采用布劳恩和克拉克的反思性主题分析法对数据进行分析。
构建了两个主题：准备好了还是没准备好，以及有无决策权时的责任承担。准备情况的体验与临床判断、临床技能和护理知识的处理有关。参与者发现他们在跨学科合作中的角色具有挑战性。
感觉有准备的护士展现出将个人能力与临床判断相结合的能力，使他们能够在各种情况下运用自己的技能和知识。参与者揭示了感知到的责任与专业权威水平之间的差异，这导致了挫败感和职业上被忽视的感觉。
