Abstract：
The transition of new nurses from training to employment in rural practice can be difficult in the best of times. The COVID-19 pandemic amplified challenges in supporting new nurses transitioning from education to employment. Drawing together Benner\'s novice-to-expert model and the concept of human flourishing, this article reports on research that explored new nurses\' experiences transitioning from training to employment in rural nursing during the initial years of the COVID-19 pandemic, using case study methodology combining an online recruitment survey and in-depth semi-structured interviews. Participants identified a lack of on-the-job training and mentorship, feeling unprepared for the acuity of patients and concerns about patient safety, feeling unprepared for leadership roles, feeling unsupported by management, feeling fatigued and anxious, and a lack of optimism about the future of rural health care. On the positive side, participants reported valuing social connections and teamwork, gratitude from patients, and a sense of community, as well as increasing competency at work. Their stories and self-rated flourishing revealed both strengths and challenges in transitioning to practice in rural settings during times of adversity. This research can inform theories of nursing development as well as policies and practices that support new nurses to thrive in rural contexts.
摘要：
在农村实践中，新护士从培训到就业的过渡在最佳时期可能很困难。COVID-19大流行加剧了支持新护士从教育过渡到就业的挑战。将本纳的新手到专家的模型和人类繁荣的概念结合起来，本文报道了在COVID-19大流行的最初几年中，探索农村护理新护士从培训过渡到就业的经验的研究，使用案例研究方法，结合在线招聘调查和深入的半结构化访谈。与会者认为缺乏在职培训和指导，对患者的敏锐度和对患者安全的担忧感到毫无准备，对领导角色没有准备，感觉没有管理层的支持，感到疲劳和焦虑，以及对农村医疗保健的未来缺乏乐观。积极的一面,参与者报告说，他们重视社会关系和团队合作，患者的感激之情,和社区意识，以及提高工作能力。他们的故事和自我评价的繁荣揭示了在逆境时期过渡到农村环境中实践的优势和挑战。这项研究可以为护理发展理论以及支持新护士在农村环境中茁壮成长的政策和实践提供信息。
