背景:根据过渡冲击理论,新注册护士在执业的第一年内面临着巨大的障碍。然而,对新注册精神科护士进入劳动力市场的经验知之甚少。
目的:目的是探索护理学和精神科护理学的新毕业生如何经历他们过渡到工作场所的过程,其中包括确定在过渡过程中帮助或挑战这些入门级专业人员的中介因素。
方法:由Charmaz开发的建构主义扎根理论方法被用来探索使用基于艺术的方法的第一年过渡期。
方法:在加拿大西部省份招募了13名注册护士和注册精神科护士的新毕业生参加了这项研究。三个以艺术为基础的研讨会在四点举行,八,从2020年秋季开始到2021年春季的12个月,在新型冠状病毒大流行期间,随后的成员检查将在2022年春季进行。
方法:共收集38个访谈和焦点组数据。以艺术为基础的活动包括沙盘和小雕像物体练习,拼贴,反思和主题写作,以及组概念图。通过使用Charmaz的方法论共同创造知识,参与者在研究人员的指导下,在过渡的第一年中选择了主要主题。使用恒定的比较分析方法对每个车间的艺术创作进行数据分析,讨论,和参与者产生的叙述性反思性写作作品。
结果:参与者处于个人和职业自我成长的基本心理社会过程中。通过与参与者共同构建知识,确定了三个实质性的相互联系的类别:(1)被扔进火中;(2)调整和适应团队环境;(3)培养自我和他人。
结论:研究结果为雇主招聘新毕业生和护理教育计划提供了许多建议,使毕业生为实践舞台做好准备。
BACKGROUND: According to the Transition Shock theory, new Registered Nurses face formidable obstacles within their first year of practice. However, little is known about the experience of new Registered Psychiatric Nurses entering the workforce.
OBJECTIVE: The aim was to explore how new graduates from nursing and psychiatric nursing experience their transition into the workplace that included identifying mediating factors that assist or challenge these entry-level professionals within their transition.
METHODS: Constructivist grounded theory methodology developed by Charmaz was utilized to explore the first-year transition period using art-based methods.
METHODS: A total of 13 new graduates practicing as Registered Nurses and Registered Psychiatric Nurse in a western Canadian province were recruited to participate in the study. Three art-based workshops occurred at four, eight, and 12-months starting in the fall of 2020 through the Spring of 2021 during the novel coronavirus pandemic with subsequent member checks in the Spring of 2022.
METHODS: A total of 38 interview and focus group data were collected. Art-based activities included sand tray and figurine object exercises, collaging, reflective and thematic writing, as well as group concept mapping. Through co-creation of knowledge using Charmaz\'s methodology, participants selected the major themes throughout their first year of transition with guided researcher facilitation. Data were analyzed using the constant comparative method of analysis for each workshop drawing on the art creations, discussion, and narrative reflective writing pieces generated by participants.
RESULTS: Participants were in a basic psychosocial process of growing personal and professional self. Through co-construction of knowledge with the participants, three substantive interconnected categories were identified: (1) Being thrown into the fire; (2) Adjusting and adapting to the team environment; and (3) Nurturing self and others.
CONCLUSIONS: The findings revealed many recommendations for employers hiring new graduates and nursing education programs preparing graduates for the practice arena.