Mashao Kapari, Filmalter Celia, Heyns Tanya
Department of Nursing Science, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa.
Nurse Educ Pract. 2025 Jul;86:104396. doi: 10.1016/j.nepr.2025.104396. Epub 2025 May 10.
To explore the insights of stakeholders regarding the components that should be included in a program to facilitate the transition of novice nurses in emergency departments.
Novice nurses working in emergency departments are routinely confronted with substantial workloads, recurrent traumatic events, interpersonal conflicts and psychosocial challenges. These nurses need specific knowledge, skills and attitudes to function optimally. Inadequate support can hinder the clinical progression and potential assimilation of novice nurses into emergency departments, having a negative impact on transition outcomes. Over time, inadequately supported novice nurses may experience emotional and mental pressures, leading to occupational stress, decreased job satisfaction and increased nurse turnover.
Descriptive qualitative study.
We recruited participants from the emergency departments of three selected public hospitals in the Tshwane Central Health District, South Africa. The participants were selected via purposive, maximum variation and snowballing sampling using the following inclusion criteria: 1) trained emergency nurses, including managers, clinical facilitators and nurses providing direct patient care; and 2) had at least six months of working experience after obtaining a specialty qualification in emergency nursing. Twelve participants (n = 12) participated in the study. Data were collected via the World Café method and analyzed thematically.
The participants identified five components for inclusion in a program, namely, support systems, orientation, competencies, knowledge resources and reflective practice.
Novice nurses working in emergency departments need a comprehensive, formal program for successful transition. When adequately supported, novice nurses may develop positive perceptions of their working environment, increasing job satisfaction and retention.
探讨利益相关者对于急诊科新手护士过渡项目应包含的组成部分的见解。
在急诊科工作的新手护士经常面临大量的工作量、反复出现的创伤事件、人际冲突和心理社会挑战。这些护士需要特定的知识、技能和态度才能最佳地履行职责。支持不足会阻碍新手护士在急诊科的临床进展和融入，对过渡结果产生负面影响。随着时间的推移，支持不足的新手护士可能会经历情感和心理压力，导致职业压力、工作满意度下降和护士流失率增加。
描述性定性研究。
我们从南非茨瓦内中央卫生区选定的三家公立医院的急诊科招募参与者。采用目的抽样、最大差异抽样和滚雪球抽样的方法，根据以下纳入标准选择参与者：1）受过培训的急诊科护士，包括管理人员、临床辅导员和提供直接患者护理的护士；2）在获得急诊护理专业资格后至少有六个月的工作经验。十二名参与者（n = 12）参与了该研究。通过世界咖啡馆方法收集数据并进行主题分析。
参与者确定了项目应包含的五个组成部分，即支持系统、入职培训、能力、知识资源和反思性实践。
在急诊科工作的新手护士需要一个全面、正式的项目来实现成功过渡。在获得充分支持的情况下，新手护士可能会对其工作环境产生积极的看法，从而提高工作满意度并留住员工。
