Ahn Shinhye, Jeong Hye Won
Department of Nursing, Sunchon National University, Suncheon-si, Jeollanam-do, Republic of Korea.
Department of Nursing, Korea National University of Transportation, 61, Daehak-ro, Jeungpyeong-gun, Chungcheongbuk-do, 27909, Republic of Korea.
BMC Nurs. 2025 Aug 5;24(1):1016. doi: 10.1186/s12912-025-03625-5.
The gap between knowledge and clinical practice causes stress and reality shock, contributing to low job satisfaction and high turnover among new nurses; in 2023, the turnover rate in South Korea reached 52.4%. Korean preceptorship programs are often too brief to adequately support new nurses' adaptation. Clinical nurse educators (CNEs) play a crucial role in addressing these issues by offering knowledge transfer, emotional support, and career guidance. Therefore, strategies to strengthen CNEs' coaching and mentoring skills are essential to support new nurses' stable clinical adaptation. This study analyzed how CNEs mentored new hospital nurses by responding to their post-entry journals.
This study employed a quantitative content analysis. We used NetMiner 4.5.1 to conduct a text network analysis of 1,742 mentoring journal responses written by four CNEs for 120 new nurses at C University Hospital in South Korea between June 2021 and May 2022.
The keyword "attitude" had the highest frequency (726), emphasizing the clinical importance of fostering positive attitudes among new nurses. The keyword network had average centrality measures of degree (.15), closeness (.43), and betweenness (.05). Keywords with high centrality, such as "attitude," "importance," "performance," and "difficulty, highlighted mentoring practices focused on enhancing clinical judgment, nursing performance, and managing workplace challenges. Eigenvector analysis identified three subtopic groups with optimal modularity (.295). Subthemes included: 1) helping new nurses to improve their professional competence, 2) encouraging new nurses struggling to adapt to the field, and 3) empathy for new nurses' burdens and stress.
The findings revealed that the CNEs' mentoring feedback focused on encouraging new nurses to maintain a positive attitude, inspiring their personal and professional growth, and offering empathy and encouragement to help them cope with burdens and stress. Based on these findings, targeted training modules for CNEs and mentoring guidelines should be developed to further support new nurses' adaptation to clinical practice.
知识与临床实践之间的差距会导致压力和现实冲击，进而造成新护士工作满意度低和高离职率；2023年，韩国的离职率达到了52.4%。韩国的导师指导计划往往过于简短，无法充分支持新护士的适应过程。临床护士教育工作者（CNE）通过提供知识传授、情感支持和职业指导，在解决这些问题方面发挥着关键作用。因此，加强CNE指导和辅导技能的策略对于支持新护士稳定的临床适应至关重要。本研究分析了CNE如何通过回复新入职护士的日志来指导他们。
本研究采用定量内容分析法。我们使用NetMiner 4.5.1对2021年6月至2022年5月期间韩国C大学医院的4名CNE为120名新护士撰写的1742条指导日志回复进行文本网络分析。
关键词“态度”出现频率最高（726次），强调了培养新护士积极态度的临床重要性。关键词网络的平均中心性指标为度（.15）、接近度（.43）和中介中心性（.05）。具有高中心性的关键词，如“态度”、“重要性”、“表现”和“困难”，突出了侧重于提高临床判断力、护理表现和应对工作场所挑战的指导实践。特征向量分析确定了三个具有最佳模块性（.295）的子主题组。子主题包括：1）帮助新护士提高专业能力，2）鼓励难以适应该领域的新护士，3）对新护士负担和压力的同理心。
研究结果表明，CNE的指导反馈侧重于鼓励新护士保持积极态度，激发他们的个人和职业成长，并给予同理心和鼓励以帮助他们应对负担和压力。基于这些发现，应开发针对CNE的定向培训模块和指导指南，以进一步支持新护士适应临床实践。
