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Comparison of student nurses' expectations and newly qualified nurses' experiences regarding clinical practice: A secondary analysis of a cross‐sectional survey
Journal of Advanced Nursing ( IF 3.8 ) Pub Date : 2024-05-07 , DOI: 10.1111/jan.16211
Andrea Koppitz 1 , Frank Spichiger 1, 2 , Anita Keller‐Senn 3 , Marika Bana 1 , Claudia Huber 1 , Derek Christi 1 , Thomas Bucher 4 , Thomas Volken 4
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AimTo compare student nurses' expectations and newly qualified nurses' experiences regarding clinical practice in Switzerland 1 year after graduation.DesignA secondary explorative analysis of a cross‐sectional survey.MethodsThe data were sourced from the Swiss National Graduate Survey of Health Professionals covering six universities of applied sciences between 2016 and 2019, with information on three cohorts of bachelor student nurses, with a 1‐year follow‐up between each year. The participants were 533 bachelor‐prepared nursing graduates.ResultsThe student nurses' overall expectations included the following top two prioritized aspects: ‘contributing to something important’ and ‘adequate time to spend with patients’. Newly graduated nurses' clinical practice experiences demonstrated that not all expectations were met 1 year after graduation. The largest gaps were found in ‘adequate time to spend with patients’, ‘work–life balance’ and experiencing ‘good management’.ConclusionThe most crucial expectation gaps are related to having sufficient time to spend with patients and a good work–life balance. The most important result is whether there is a shortage of places for nurses to work rather than the oft‐cited shortage of nurses.Implications for the Profession and/or Patient CareThe expectations of Swiss newly qualified nurses can be better met by an assessment in the first year about which individual perceptions of workplace characteristics cause them to make choices to change something about their work, affect their job satisfaction or influence their intention to stay.ImpactFew of the student nurses' expectations were met 1 year after graduation, therefore Swiss healthcare institutions should improve needs assessments to strengthen the nurse workforce starting early in employment. The results underscore the importance of a constructive management culture, such as that in magnet hospitals in the United States which underpins the philosophy of changing in nursing. The results can be used internationally as a benchmark and as a basis for introducing potential interventions for nurse retention.Reporting MethodThis study was reported following the Standardized Reporting of Secondary Data Analyses Checklist.Patient or Public ContributionThere were no patient or public contributions.Trial and Protocol RegistrationThis study has not been registered.

中文翻译:

实习护士对临床实践的期望与新合格护士的经验比较:横断面调查的二次分析

目的比较瑞士学生护士毕业一年后对临床实践的期望和新合格护士的经验。设计了一项横断面调查的二次探索性分析。方法数据来源于瑞士国家卫生专业人员研究生调查,涵盖瑞士六所大学2016 年至 2019 年间的应用科学,提供三组本科生护士的信息,每年进行一年的随访。参与者是 533 名本科护理毕业生。结果实习护士的总体期望包括以下两个最重要的方面:“为重要的事情做出贡献”和“有足够的时间与患者相处”。新毕业护士的临床实践经验表明,毕业一年后并非所有期望都能得到满足。最大的差距存在于“有足够的时间陪伴患者”、“工作与生活的平衡”以及体验“良好的管理”。 结论 最重要的期望差距与有足够的时间与患者相处以及良好的工作与生活平衡有关。最重要的结果是护士工作场所是否短缺,而不是经常提到的护士短缺。对专业和/或患者护理的影响瑞士新晋护士的期望可以通过评估来更好地满足第一年,个人对工作场所特征的看法会导致他们做出改变工作的选择,影响他们的工作满意度或影响他们的留在意向。影响 毕业一年后,很少有学生护士的期望得到满足,因此瑞士医疗机构应改进需求评估,以加强从就业初期就开始的护士队伍建设。结果强调了建设性管理文化的重要性,例如美国磁力医院的管理文化,它支撑着护理变革的理念。结果可在国际上用作基准,并作为引入护士保留的潜在干预措施的基础。报告方法本研究是根据二次数据分析清单的标准化报告进行报告的。患者或公众贡献没有患者或公众贡献。试验和协议注册本研究尚未注册。
更新日期:2024-05-07
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