支持早期护士适应现场,精通护理,对提高患者护理质量具有重要意义。本研究旨在确定护理工作环境的影响,护理实践准备,以及对早期护士现场适应的乐观态度。对209名在医院工作经验≤3年的早期护士进行了描述性调查。收集的数据采用描述性统计分析,t检验,方差分析,皮尔逊相关系数,用SPSS程序进行回归分析。参与护士的平均场适应评分为2.90±0.40(总分=5),护理工作环境之间呈显著正相关(r=0.61,p<0.001)。护理实践准备(r=0.41,p<0.001),乐观(r=0.26,p<0.001)。回归分析显示,护理工作环境(β=0.38,p<0.001),工作满意度(β=0.33,p<0.001),护理实践准备度(β=0.24,p<0.001),离职意愿(β=0.17,p=0.001)显著影响早期护士的现场适应,解释力为56.1%(F=27.55,p<0.001)。结果表明,为了促进早期护士的现场适应,护理工作环境,工作满意度,应提高护理实践准备。护理工作环境的改善和现场适应的额外培训的发展将提高早期护士适应现场的能力,因此,提高护理质量。
Supporting early-stage nurses to adapt to the field and become proficient in nursing is important to improve the quality of patient care. This study aimed to determine the effects of the nursing work environment, nursing practice
readiness, and optimism on the field adaptation of early-stage nurses. A descriptive survey was conducted among 209 early-stage nurses with ≤3 years of work experience at hospitals. The collected data were analyzed using descriptive statistics, the t-test, ANOVA, Pearson\'s correlation coefficients, and regression analysis with the SPSS Program. The participating nurses\' mean field adaptation score was 2.90 ± 0.40 (total score = 5) and a significant positive correlation was found between nursing work environment (r = 0.61, p < 0.001), nursing practice
readiness (r = 0.41, p < 0.001), and optimism (r = 0.26, p < 0.001). The regression analysis revealed that the nursing work environment (β = 0.38, p < 0.001), job satisfaction (β = 0.33, p < 0.001), nursing practice
readiness (β = 0.24, p < 0.001), and turnover intention (β = 0.17, p = 0.001) significantly affect the field adaptation of early stage nurses; the explanatory power was 56.1% (F = 27.55, p < 0.001). The results suggest that to facilitate the field adaptation of early-stage nurses, the nursing work environment, job satisfaction, and nursing practice
readiness should be improved. Improvement in the nursing work environment and the development of additional training for field adaptation would enhance the ability of early-stage nurses to adapt to the field and, consequently, improve the quality of nursing care.