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Work readiness, transition, and integration: The challenge of specialty practice.

Abstract：

AIM:To determine how extended orientation enhances the work readiness of new graduate nurses as they transitioned to their professional role in a specialty care hospital. BACKGROUND:Given increased complexity of care and high-patient acuity, there is concern about the work readiness of new graduate nurses in specialty areas. DESIGN:Qualitative exploratory study using an inductive approach. METHODS:An integrative literature review was conducted to abstract characteristics of work readiness among new graduate nurses. Semistructured interviews were conducted with 41 participants from a large paediatric specialty hospital in Ontario, Canada, in 2014. The sample of nurses was stratified and included nurse managers, new graduates, and preceptors. Interview texts were interpreted using thematic analysis. RESULTS:A framework for enhancing work readiness of new graduates transitioning to specialty care was developed from the interview and literature findings. Interview data demonstrate an extended orientation that includes mentorship, a gradual increase in clinical responsibilities, and involvement in the professional role during the early stages of a nurse's career can enhance work readiness of new graduates. Four key areas of work readiness were identified in the literature: personal characteristics, clinical characteristics, relational characteristics, and organizational acuity. CONCLUSION:Based on the study results, new graduate nurses can be an integral part of the team in specialty care provided certain conditions are met during their transition to practice. Our study gives further evidence that extended orientation enhances new graduates' work readiness as they transit to their professional role. :目的: 确定专科护理医院的应届护士过渡到专业角色时,专业角色的扩展方向改善他们的工作准备度。背景: 考虑到护理工作的复杂性和较高的病人敏锐度,专业领域应届护士的工作准备情况令人担忧。设计: 采用归纳方法进行定性探索性研究。方法: 对应届护士的工作准备特征进行综合文献综述。2014年,对加拿大安大略省一家大型儿科专科医院的41名参与者进行了半结构化采访。护士样本中进行了分层,由护士经理、应届毕业生和教师组成。访谈文本使用主题分析进行解释。结果: 根据访谈和文献发现,建立了提高应届毕业生过渡到专业护理工作准备度的框架。访谈数据显示了扩展方向,包括指导、临床责任的逐步增加,护士职业早期阶段专业角色的参与,这些可以提高应届生的工作准备度。文献确定了工作准备的四个关键领域:个人特征、临床特征、关系特征和组织敏锐度。结论: 根据研究结果,应届护士可以成为专业护理团队中不可或缺的一部分,前提是在过渡到实践的过程中满足某些条件。我们的研究进一步证明,当应届生转到专业岗位时,扩展的方向会提高他们的工作准备度。.

journal_name

J Adv Nurs

journal_title

Journal of advanced nursing

authors

Baumann A,Crea-Arsenio M,Hunsberger M,Fleming-Carroll B,Keatings M

doi

10.1111/jan.13918

subject

Has Abstract

pub_date

2019-04-01 00:00:00

pages

823-833

issue

eissn

0309-2402

issn

1365-2648

journal_volume

pub_type

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Work readiness, transition, and integration: The challenge of specialty practice.