Stress in novice nurses in new work environments: a systematic review.

IF 3 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Frontiers in Public Health Pub Date : 2024-10-30 eCollection Date: 2024-01-01 DOI:10.3389/fpubh.2024.1463751

Ángela Narbona-Gálvez, Juan Jesús García-Iglesias, Diego Ayuso-Murillo, Guadalupe Fontán-Vinagre, Juan Gómez-Salgado, Regina Allande-Cussó, Javier Fagundo-Rivera, Israel Macías-Toronjo, Carlos Ruiz-Frutos

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Abstract

Background: Inexperienced nursing care can compromise the quality of care and the well-being of patients. The aim of this study was to assess the main sources of stress encountered by nurses and novice nurses in a setting not previously experienced.

Methods: A systematic review was conducted following the PRISMA format in Pubmed, Scopus, Web of Science, and CINAHL electronic databases in March 2024. A total of 395 studies were identified, of which 16 met the inclusion criteria. Selection was made on the basis of topic relevance and methodological quality, assessed using the critical tools of the Joanna Briggs Institute (JBI).

Results: A total of 16 studies were included in this review. Of the 16 selected, 10 were cross-sectional studies, 3 were cohort studies, 2 were qualitative, and 1 was a systematic review. The studies revealed that the main stressors for novice nurses included time management, workload, and interpersonal relationships. The results underline that organizational factors, such as lack of support and high work demands, play a key role in generating stress.

Conclusion: Identifying and addressing the key challenges faced by novice nurses, such as workload, adjustment to the environment, professional expectations, and interpersonal relationships, is crucial to sustain their professional engagement and ensure the quality of health care. This understanding is essential for creating efficient policies and practices that enhance the occupational well-being and stability of nurses in the workforce.

Systematic review registration: https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42024520651, CRD42024520651.

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新护士在新工作环境中的压力：系统综述。

背景：护理经验不足会影响护理质量和病人的健康。本研究旨在评估护士和护士新手在没有经验的环境中遇到的压力的主要来源：方法：2024 年 3 月，按照 PRISMA 格式在 Pubmed、Scopus、Web of Science 和 CINAHL 电子数据库中进行了系统性综述。共确定了 395 项研究，其中 16 项符合纳入标准。根据主题相关性和方法学质量进行筛选，并使用乔安娜-布里格斯研究所（JBI）的关键工具进行评估：本综述共纳入了 16 项研究。在入选的 16 项研究中，10 项为横断面研究，3 项为队列研究，2 项为定性研究，1 项为系统综述。研究显示，新手护士的主要压力因素包括时间管理、工作量和人际关系。研究结果强调，缺乏支持和高工作要求等组织因素在产生压力方面起着关键作用：确定并解决新手护士面临的主要挑战，如工作量、环境适应、专业期望和人际关系，对于维持他们的专业参与和确保医疗质量至关重要。这种认识对于制定有效的政策和实践，提高护士的职业幸福感和工作稳定性至关重要。系统综述注册：https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42024520651，CRD42024520651。

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来源期刊

Frontiers in Public Health Medicine-Public Health, Environmental and Occupational Health

CiteScore

4.80

自引率

7.70%

发文量

4469

审稿时长

14 weeks

期刊介绍： Frontiers in Public Health is a multidisciplinary open-access journal which publishes rigorously peer-reviewed research and is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians, policy makers and the public worldwide. The journal aims at overcoming current fragmentation in research and publication, promoting consistency in pursuing relevant scientific themes, and supporting finding dissemination and translation into practice. Frontiers in Public Health is organized into Specialty Sections that cover different areas of research in the field. Please refer to the author guidelines for details on article types and the submission process.