Brown M A, Olshansky E
Department of Family and Child Nursing, University of Washington School of Nursing, Seattle, USA.
Nurse Pract. 1998 Jul;23(7):46, 52-6, 58 passim.
The transition from student to primary care practitioner is exciting and challenging and offers seemingly limitless opportunities. This article presents results of a model generated from a longitudinal study of 35 newly graduated primary care nurse practitioners during their first year of practice. Stages of development include laying the foundation (recuperating from school, negotiating the bureaucracy, looking for a Job, and worrying); launching (feeling real, getting through the day, battling time, and confronting anxiety); meeting the challenge (increasing competence, gaining confidence, and acknowledging system problems); and broadening the perspective (developing system savvy, affirming oneself, and upping the ante). Anticipatory guidance is offered for new graduates and their mentors and colleagues. Mentors can provide crucial information about appropriate expectations and create key structures to facilitate new practitioners' needs for consultation and advice.
从学生转变为初级保健从业者令人兴奋且充满挑战，同时也提供了看似无限的机会。本文展示了一项纵向研究的模型结果，该研究针对35名新毕业的初级保健执业护士在其执业第一年的情况。发展阶段包括奠定基础（从学校恢复、应对官僚作风、找工作和焦虑）；起步（感受真实、度过每一天、与时间斗争和面对焦虑）；迎接挑战（提高能力、获得信心和认识系统问题）；以及拓宽视野（培养系统悟性、肯定自己和提高要求）。为新毕业生及其导师和同事提供了预期指导。导师可以提供有关适当期望的关键信息，并创建关键结构以满足新从业者咨询和建议的需求。
