New Nurses' Perceptions on Transition to Practice: A Thematic Analysis.
New Nurses' Perceptions on Transition to Practice: A Thematic Analysis.
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新护士对过渡到实践的看法：主题分析。
DOI：
10.1177/08445621221074872
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发表时间：
2023-03
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新护士向职场的过渡通常被描述为充满挑战和压力。对这种向实践过渡的担忧有很好的记录，假设过渡经历影响了新护士在劳动力和职业中的保留。在一项横断面调查中（N = 217），以评估加拿大安大略省的新护士过渡，包括一个开放式项目，以征求过渡经验的具体例子。对这些评论进行了专题分析，以确定新护士向实践过渡的促进因素和障碍。196名答复者提供了意见。出现了三个促进主题（支持性团队；感觉被接受，自信和准备；新毕业生保证）和四个障碍主题（感觉没有准备；令人沮丧的现实和不支持的文化；缺乏信心/感觉不确定；虚假的希望）。当前的COVID-19大流行加剧了对护理人员短缺的担忧，使留住新护士成为工作重点。报告的主题提供了对支持性工作环境对新护士过渡的贡献的见解。建议侧重于支持性环境和教育策略方面，包括最后的实习，以帮助护理学生发展自我效能感和为工作场所做准备。
New nurses’ transition to the workforce is often described as challenging and stressful. Concerns over this transition to practice are well documented, with the hypothesis that transition experiences influence the retention of new nurses in the workforce and profession. In a cross-sectional survey (N = 217) to assess new nurse transition in the province of Ontario, Canada, an open-ended item was included to solicit specific examples of the transition experience. The comments underwent thematic analysis to identify the facilitators and barriers of transition to practice for new nurses. Comments were provided by 196 respondents. Three facilitator themes (supportive teams; feeling accepted, confident, and prepared; new graduate guarantee) and four barrier themes (feeling unprepared; discouraging realities and unsupportive cultures; lacking confidence/feeling unsure; false hope) to new nurse transition emerged. Concerns of nursing shortages are heightened in the current COVID-19 pandemic, reinforcing the priority of retaining new nurses in the workforce. The reported themes offer insight into the contribution of a supportive work environment to new nurses’ transition. The recommendations focus on aspects of supportive environments and educational strategies, including final practicums, to assist nursing students’ development of self-efficacy and preparation for the workplace.