PDF(Pubmed)
Abstract：
BACKGROUND: The global shortage of nurses is a pressing issue affecting healthcare quality and patient outcomes. Nurse turnover is driven by work-related stress, and job dissatisfaction is persistent. In Saudi Arabia, many diploma-prepared nurses need more bridging programs to convert their diplomas into bachelor\'s degrees. Educational and organizational issues can limit the provision of quality nursing care. Differences in educational preparation influence nurses\' interpretations of patient safety and their roles within healthcare systems. Addressing the need for more policies and regulations regarding nurse turnover and the retention of diploma-prepared nurses is crucial. Thus, a comprehensive exploration of barriers and incentives for diploma-prepared nurses to complete their Bachelor of Science in Nursing (BSN) can lead to transformative institutional strategies, such as tuition compensation and clinical-academic collaborations. This study aims to fill this gap by understanding the current challenges, future trends, and solutions from stakeholders\' perspectives and developing tailored career pathways for diploma-prepared Nurses from the stakeholders\' perspective. Thus, it contributes to policy development and improved healthcare delivery and fosters a promising future for healthcare.
METHODS: This qualitative study employed a thematic analysis and grounded theory methodology as we delved into stakeholders\' perspectives to generate a substantive framework for overcoming obstacles and cultivating tailored career pathways for diploma-prepared nurses. A purposive sampling technique was used to choose participants, ensuring their rich, relevant, and diverse information based on their expertise, experience, and ability to provide valuable insights. Data were collected using one-on-one semi-structured questions for in-depth interviews.
RESULTS: Our findings revealed key concepts that were evident in the data. These concepts formed three main themes and several subthemes essential to understanding the current status of, challenges faced by, and career pathways for diploma-prepared nurses. The three main themes have emerged, and core categories have emerged under each theme accordingly. The results generated a practical framework, offering tangible solutions to overcome challenges and develop career pathways for diploma-prepared nurses.
CONCLUSIONS: The findings significantly affect policy development and healthcare delivery improvement. This suggests the need for policies that support diploma-prepared nurses in completing their BSN and the development of tailored career pathways that align with their educational background and career goals and the Kingdom\'s 2030 Vision.
METHODS: This qualitative study employed a thematic analysis and grounded theory methodology as we delved into stakeholders\' perspectives to generate a substantive framework for overcoming obstacles and cultivating tailored career pathways for diploma-prepared nurses. A purposive sampling technique was used to choose participants, ensuring their rich, relevant, and diverse information based on their expertise, experience, and ability to provide valuable insights. Data were collected using one-on-one semi-structured questions for in-depth interviews.
RESULTS: Our findings revealed key concepts that were evident in the data. These concepts formed three main themes and several subthemes essential to understanding the current status of, challenges faced by, and career pathways for diploma-prepared nurses. The three main themes have emerged, and core categories have emerged under each theme accordingly. The results generated a practical framework, offering tangible solutions to overcome challenges and develop career pathways for diploma-prepared nurses.
CONCLUSIONS: The findings significantly affect policy development and healthcare delivery improvement. This suggests the need for policies that support diploma-prepared nurses in completing their BSN and the development of tailored career pathways that align with their educational background and career goals and the Kingdom\'s 2030 Vision.
摘要：
背景：全球护士短缺是影响医疗质量和患者预后的紧迫问题。护士离职是由工作压力驱动的，工作的不满是持续的。在沙特阿拉伯,许多准备文凭的护士需要更多的衔接课程来将他们的文凭转化为学士学位。教育和组织问题可能会限制提供优质护理。教育准备的差异会影响护士对患者安全的解释及其在医疗保健系统中的作用。解决有关护士更替和保留文凭准备护士的更多政策和法规的需求至关重要。因此，全面探索文凭准备护士完成护理学学士（BSN）的障碍和激励措施，可以带来变革性的制度战略，如学费补偿和临床学术合作。这项研究旨在通过了解当前的挑战来填补这一空白，未来趋势,从利益相关者的角度和解决方案，并从利益相关者的角度为文凭准备的护士制定量身定制的职业路径。因此，它有助于政策制定和改善医疗保健服务，并为医疗保健创造一个充满希望的未来。
方法：这项定性研究采用了主题分析和扎根的理论方法，因为我们深入研究了利益相关者的观点，以产生克服障碍和为准备文凭的护士培养量身定制的职业道路的实质性框架。使用目的抽样技术选择参与者，确保他们富有，相关,以及基于他们的专业知识的多样化信息，经验,以及提供有价值见解的能力。使用一对一的半结构化问题收集数据，进行深入访谈。
结果：我们的发现揭示了数据中显而易见的关键概念。这些概念形成了三个主要主题和几个子主题，面临的挑战，和文凭准备护士的职业途径。三大主题已经出现,每个主题下都相应地出现了核心类别。结果产生了一个实用的框架，为准备文凭的护士提供切实的解决方案，以克服挑战并发展职业道路。
结论：这些发现显著影响了政策制定和医疗保健服务的改善。这表明需要制定政策，支持文凭准备护士完成他们的BSN，并制定符合他们的教育背景和职业目标以及王国2030年愿景的量身定制的职业道路。
方法：这项定性研究采用了主题分析和扎根的理论方法，因为我们深入研究了利益相关者的观点，以产生克服障碍和为准备文凭的护士培养量身定制的职业道路的实质性框架。使用目的抽样技术选择参与者，确保他们富有，相关,以及基于他们的专业知识的多样化信息，经验,以及提供有价值见解的能力。使用一对一的半结构化问题收集数据，进行深入访谈。
结果：我们的发现揭示了数据中显而易见的关键概念。这些概念形成了三个主要主题和几个子主题，面临的挑战，和文凭准备护士的职业途径。三大主题已经出现,每个主题下都相应地出现了核心类别。结果产生了一个实用的框架，为准备文凭的护士提供切实的解决方案，以克服挑战并发展职业道路。
结论：这些发现显著影响了政策制定和医疗保健服务的改善。这表明需要制定政策，支持文凭准备护士完成他们的BSN，并制定符合他们的教育背景和职业目标以及王国2030年愿景的量身定制的职业道路。
