新毕业护士过渡期休克体验的质性研究。

Contemporary nurse Pub Date : 2025-02-01 Epub Date: 2024-11-28 DOI:10.1080/10376178.2024.2432636
Ziqi Zhang, Ting Wang, Yingnan Zhao, Xiaoqing Shi
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摘要

目的:本研究旨在深入了解新入职护士在职业角色转型过程中的经历和需求。进一步分析过渡冲击对这些护士的影响,找出他们采用的典型应对机制,为护理管理者探索和完善相关干预措施提供参考。背景:刚毕业的护士在职业生涯的早期阶段,经常会遇到各种各样的具有挑战性的情况,这些情况可能会影响他们的工作表现和专业成长。在过去的几年里,专家们越来越关注过渡冲击。然而,关于新毕业护士转型过程中角色适应因素的研究有限。方法:采用现象学方法指导本研究的设计与实施。采用有目的抽样和半结构化深度访谈的方法,共招募了16名参与者。访谈被逐字记录下来,数据使用Nvivo编码软件辅助的专题技术进行分析。结果:我们基于Duchscher的过渡冲击理论框架对访谈数据进行分析。共提炼出3个主题和12个子主题,包括面对转型冲击时的感知和感受(4个子主题)、转型冲击的影响(4个子主题)和应对转型冲击的策略(3个子主题)。讨论与结论:新入职护士在转岗过程中容易遇到多方面的问题和影响,多表现为身体不适、心理焦虑、需要社会支持和职业发展。护理管理者应关注新护士在不同阶段的心理健康状况及变化,主动调查并实施个性化干预。
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Transition shock experience of newly graduated nurses: a qualitative study.

Aim: This study aims to gain an in-depth understanding of the experience and requirements of newly employed nurses during their transition into professional roles. Furthermore, it aims to analyze the effects of transition shock on these nurses, identify the typical coping mechanisms they employ, and provide a reference for nursing administrators to explore and improve relevant interventions.

Background: In the early stages of their careers, newly graduated nurses frequently encounter various challenging situations that might impact their job performance and professional growth. Over the past few years, experts have increasingly focused on transition shock. However, limited studies have been undertaken on the role adaptation factors related to freshly graduating nurses during their transition.

Methods: The study's design and implementation were guided by the phenomenological method. Purposive sampling and semi-structured in-depth interviews were used to recruit 16 participants. Interviews were transcribed verbatim, and the data were analyzed using thematic techniques assisted by Nvivo coding software.

Results: We analyzed interview data based on Duchscher's transition shock theoretical framework. A total of 3 themes and 12 sub-themes were distilled, which include perceptions and feelings when facing transition shocks (4 sub-themes), impacts of transition shocks (4 sub-themes), and strategies for coping with transition shocks (3 sub-themes).

Discussion and conclusion: Newly recruited nurses are prone to suffer multidimensional problems and impacts during the transition process, mostly characterized by physical discomfort, psychological anxiety, and the need for social support and career development. Nursing managers should pay attention to the mental health status and changes of new nurses at different stages and proactively investigate and implement personalized interventions.

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