Terry Daniel, Ryan Liz, Elliott Jessica, Tulleners Tracey, Stratton-Maher Di, Black Barbara, Southern Jo, Reedy Natasha, Ng Linda, Jayasinghe Thenuja, Gleeson Danielle, Buckley Joanne, Tan Jing-Yu Benjamin, Peck Blake
School of Nursing and Midwifery, University of Southern Queensland, Queensland, Australia; Centre for Health Research, University of Southern Queensland, Queensland, Australia; Institute of Health and Wellbeing, Federation University Australia, Victoria, Australia.
School of Nursing and Midwifery, University of Southern Queensland, Queensland, Australia; Centre for Health Research, University of Southern Queensland, Queensland, Australia.
Nurse Educ Pract. 2025 May;85:104360. doi: 10.1016/j.nepr.2025.104360. Epub 2025 Apr 26.
To explore the lived experience of Early Career Nurses four years post-graduation and identify factors influencing their decision to stay in or leave the profession.
The retention of Early Career Nurses is a critical issue globally, with many leaving the profession within the first few years. Various interventions have been implemented to support Early Career Nurses, but the complexities of retention require a more nuanced understanding, particularly for those in the latter stages of their transition.
A qualitative descriptive study.
Early Career Nurses who participated in a longitudinal study as undergraduate nursing students were interviewed 48 months after graduation. The study used phenomenological approach to explore key experiences and phenomena. Data were analysed using Thematic Analysis, adhering to COREQ guidelines.
Among the 25 participants, key themes identified included being 'Overworked and undervalued' and being 'Anchored by care.' Early Career Nurses experienced significant pressures, including incivility, poor management and staffing shortages, leading to a desire to leave the profession. However, a strong commitment to patient care and support from peers and family helped some Early Career Nurses remain in the profession.
The study highlights the need for systemic changes to support Early Career Nurses, including empathetic leadership, adequate training and supportive work environments. Addressing these issues is essential for the wellbeing of Early Career Nurses and maintaining high standards of patient care. Understanding the unique challenges faced by Early Career Nurses can inform strategies to improve retention and support their professional development.
探讨初出茅庐的护士毕业后四年的真实经历，并确定影响他们决定留在或离开该职业的因素。
初出茅庐的护士留用是全球范围内的一个关键问题，许多人在最初几年内就离开了该职业。已经实施了各种干预措施来支持初出茅庐的护士，但留用问题的复杂性需要更细致入微的理解，尤其是对于那些处于转型后期的护士。
一项定性描述性研究。
对本科护理专业学生时参与纵向研究的初出茅庐的护士在毕业后48个月进行访谈。该研究采用现象学方法来探索关键经历和现象。数据采用主题分析法进行分析，并遵循COREQ指南。
在25名参与者中，确定的关键主题包括“工作过度且未得到重视”和“因关爱而扎根”。初出茅庐的护士经历了巨大压力，包括不文明行为、管理不善和人员短缺，导致他们想要离开该职业。然而，对患者护理的坚定承诺以及来自同事和家人的支持帮助一些初出茅庐的护士留在了该职业中。
该研究强调需要进行系统性变革以支持初出茅庐的护士，包括富有同理心的领导、充分的培训和支持性的工作环境。解决这些问题对于初出茅庐的护士的福祉以及维持高标准的患者护理至关重要。了解初出茅庐的护士面临的独特挑战可为改善留用率和支持其职业发展的策略提供参考。
