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Development of a Conceptual Model of Resilience in New Graduate Nurses

机译:新毕业生护士抗逆力概念模型的建立

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To explore experiences of stress-tolerance among new graduate nurses and to develop a conceptual model of resilience. The formation rules of the conceptual model can be found. It's necessary to examine resilience positively affecting new nurses at different stages of transition period. Using a grounded theory approach, 12 outstanding new nurses aged 20-26 years whose working time was more than 12 months but less than 24 months were interviewed. Dynamic adjustment process was the core category of the conceptual model of resilience, including three sub-processes, (focus on self-survival, clinical environment, and patient), fifteen major categories and thirty sub-categories. The process consisted of three main phases: ‘Paying Attention to Self-Survival', 'Caring for Clinical Situations', and 'Caring for Patients'. The feedback of head nurses can make new nurses recognize their strengths and weaknesses, and feel the warmth from the leaders, which is favorable to the improvement of new nurses' working ability. Flexible scheduling likely creates a good working atmosphere and maintains the mental health of new nurses, which can make them learned much skills from the senior nurses, and help them smoothly adapt to the work environment. The personalized instructions and career-planning are crucial to strengthen the resilience of new nurses. External supports mean that the nurses can obtain the supports and help from a partner, family or friends, which become a key factor to affect the resilience of the nurse. Self-management, right values, independent learning, a firm belief and other personal factors are important internal factors for promoting the development of nurses' resilience. This conceptual model can be used to understand connotation of resilience in new graduate nurses, and to facilitate nurses' role transition. It's likely to provide reference for nursing managers to formulate relevant strategies, greatly reducing the turnover rate and alleviating the shortage of nurses in global nursing workforce.
机译:探索新毕业生护士的耐压体验,并建立复原力的概念模型。可以找到概念模型的形成规则。有必要检查在过渡期的不同阶段对新护士产生积极影响的弹性。使用扎根的理论方法,采访了12位年龄在20-26岁之间的杰出新护士,他们的工作时间超过12个月但不到24个月。动态调整过程是复原力概念模型的核心类别,包括三个子过程(关注自我生存,临床环境和患者),十五个主要类别和三十个子类别。该过程包括三个主要阶段:“注意自我生存”,“照顾临床情况”和“照顾病人”。护士长的反馈可以使新护士意识到自己的长处和短处,并感受到领导者的热情​​,这有利于提高新护士的工作能力。灵活的日程安排可能会营造良好的工作氛围,并保持新护士的心理健康,这可以使他们从高级护士那里学到很多技能,并帮助他们顺利适应工作环境。个性化的指导和职业规划对于增强新护士的适应能力至关重要。外部支持意味着护士可以从伴侣,家人或朋友那里获得支持和帮助,这成为影响护士韧性的关键因素。自我管理,正确的价值观,独立学习,坚定的信念和其他个人因素是促进护士适应能力发展的重要内部因素。此概念模型可用于了解新毕业护士的弹性内涵,并促进护士的角色过渡。可以为护理管理者制定相关策略,大大降低离职率,减轻全球护理人员中护士短缺提供参考。

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