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A different world: The transition experiences of newly qualified children's nurses taking up first destination posts within children's community nursing teams in England

机译:与众不同的世界:新近合格的儿童护士在英格兰儿童社区护理团队中担任第一目的地的过渡经历

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The concept of transition is of fundamental concern to those seeking to prepare, recruit, and retain newly qualified staff. The pioneering work of researchers such as Kramer (1974) who explored the transition experiences of nurses has transcended international boundaries (Whitehead & Holmes, 2011) to influence the educational preparation of nurses worldwide. However, much of what we know about the transition experiences of newly qualified nurses is based on research with adult nurses and in the acute care settings. This article outlines the findings from a qualitative study about the experiences of a group of newly qualified children's nurses in England who had taken up first destination posts in community children's nursing teams at a time when such posts were novel, and had previously been met with some resistance. Data were collected using semi-structured interviews and fieldwork observation, and analyzed using a combination of thematic analysis (Braun & Clarke, 2006) and the framework approach (Ritchie & Lewis 2003; Smith & Firth 2011). The findings are outlined under the broad headings of "Shadowing," "The Visits," and "Emerging Identity" and support previous research that highlights how good formal support and the physical presence of a preceptor is valued by newly qualified nurses since it reduces occupational stress. However, the study also highlights the downside of such support which occurred because some accepted practices inadvertently reduced confidence and therefore inhibited a smooth transition. The ideal transition experience therefore necessitated a more individual approach, allowing for different rates of progression. The primary care environment allowed for such individuality which may account for the significant finding that the nurses in this study did not report feelings of reality shock (Kramer, 1974) as experienced by those in acute care settings. The study therefore highlights how the development of a new professional identity as a community children's nurse is not just dependent on the actions of the newly qualified nurse, but also of those with whom they work.
机译:过渡的概念对于那些寻求准备,招募和留住新合格员工的人来说,是一个根本的关注。克拉默(1974)等研究人员的开拓性工作探索了护士的过渡经验,已经超越了国际界限(Whitehead&Holmes,2011),影响了全球护士的教育准备。但是,我们对新合格护士的过渡经验了解的很多内容都是基于对成年护士和急诊护理环境的研究。本文概述了定性研究的结果,该研究是对一组英格兰新合格儿童护士的经历进行的,这些护士在新颖的时期曾在社区儿童护理团队中担任第一类目标职位,以前曾遇到过一些抵抗性。使用半结构化访谈和实地考察收集数据,并结合主题分析(Braun&Clarke,2006)和框架方法(Ritchie&Lewis 2003; Smith&Firth 2011)进行分析。研究结果在“阴影”,“探视”和“新兴身份”的广泛标题下进行了概述,并支持以前的研究,该研究强调了新合格的护士如何重视良好的正式支持和物理存在,因为它减少了职业强调。但是,该研究还强调了这种支持的缺点,因为某些公认的做法无意间降低了信心,因此抑制了平稳过渡。因此,理想的过渡经验需要采用更个性化的方法,以允许不同的进度。初级保健环境考虑到了这种个性,这可能是一项重要发现,即本研究中的护士没有报告急性护理环境中的实际震惊感(Kramer,1974)。因此,该研究强调了作为社区儿童护士的新职业身份的发展不仅取决于新任合格护士的行为,还取决于他们所工作的人的行为。

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