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Experiences of Clinical Adaptation Crisis Faced by New Graduate Nurses Post- Preceptorship in General Hospitals

안혜란
(사)위기관리이론과실천 (Crisis and Emergency Management: Theory and Praxis)|2024.07|Journal of Safety and Crisis Management|제14권 제7호|pp. 23-33|DOI http://doi.org/10.14251/jscm.2024.7.23

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참고문헌

키워드

general hospitalqualitative studynew graduate nursepreceptorshipclinical adaptation

초록

This study aims to provide foundational insights for supporting new graduate nurses facing adaptation crises post-preceptorship by exploring their independent work experiences in general hospitals. Following COREQ guidelines, this phenomenological study analyzed data from 15 new graduate nurses who completed an average six week preceptorship and subsequently worked in a general hospital ward for six to eight months. Data were collected through one-on-one in-depth interviews and analyzed using Colaizzi's method. Four themes and nine subthemes emerged: “Filling the gaps alone”, “Work as a burden”, “Life intertwined with the hospital”, and “Strength to overcome crisis”. The provision of systematic support for new graduate nurses to adapt to clinical settings should extend beyond preceptorship. Furthermore, intentional efforts must be made to create an inclusive organizational culture, enabling new graduate nurses to overcome crises and successfully adapt to the clinical setting.

Abstract

This study aims to provide foundational insights for supporting new graduate nurses facing adaptation crises post-preceptorship by exploring their independent work experiences in general hospitals. Following COREQ guidelines, this phenomenological study analyzed data from 15 new graduate nurses who completed an average six week preceptorship and subsequently worked in a general hospital ward for six to eight months. Data were collected through one-on-one in-depth interviews and analyzed using Colaizzi's method. Four themes and nine subthemes emerged: “Filling the gaps alone”, “Work as a burden”, “Life intertwined with the hospital”, and “Strength to overcome crisis”. The provision of systematic support for new graduate nurses to adapt to clinical settings should extend beyond preceptorship. Furthermore, intentional efforts must be made to create an inclusive organizational culture, enabling new graduate nurses to overcome crises and successfully adapt to the clinical setting.

참고문헌 (43)

  1. Ackerson, Kelly, "Value of Nurse Residency Programs in Retaining New Graduate Nurses and Their Potential Effect on the Nursing Shortage", The Journal of Continuing Education in Nursing, 49(6), pp.282~288 (2018)
  2. Ahn, Sung Mi, "Generational Differences between Nurses Focus on Work Value and Job Engagement", Journal of Digital Convergence, 18(9), pp.199~210 (2020)
  3. Aukerman, Ranae, "The Lived Experience of Nurses Transitioning to Professional Practice during the COVID-19Pandemic", Nursing Forum, 57, pp.756~764 (2022)
  4. Brook, Judy, "Characteristics of Successful Interventions to Reduce Turnover and Increase Retention of Early Career Nurses : A Systematic Review", International Journal of Nursing Studies, 91, pp.47~59 (2019)
  5. Cao, Xiaoyi, "Effects of Resilience, Social Support, and Work Environment on Turnover Intention in Newly Graduated Nurses : The Mediating Role of Transition Shock", Journal of Nursing Management, 29, pp.2585~2593 (2021)
  6. Charette, Martin, "Effectiveness of Transition Programs on New Graduate Nurses’ Clinical Competence, Job Satisfaction and Perceptions of Support : A Mixed-Methods Study", Journal of Clinical Nursing, 32(7-8), pp.1354~1369 (2023)
  7. Chen, Chen-Mei, "The Effectiveness and Application of Mentorship Programmes for Recently Registered Nurses : A Systematic Review", Journal of Nursing Management, 22, pp.433~442 (2014)
  8. Choi, Heehwa, "Quality of Clinical Nursing Education for New Graduate Nurses : A Concept Analysis with a Hybrid Model", The Journal of Korean Academic Society of Nursing Education, 29(1), pp.27~40 (2023)
  9. Colaizzi, Paul F., "Existential-Phenomenological Alternatives for Psychology" (1978), Oxford University Press
  10. DiMattio, Mary Jane K., "Educating Generation Z : Psychosocial Dimensions of the Clinical Learning Environment that Predict Student Satisfaction", Nurse Education in Practice, 49, pp.102901~ (2020)
  11. Eckerson, Caitlin M., "The Impact of Nurse Residency Programs in the United States on Improving Retention and Satisfaction of New Nurse Hires : An Evidence-based Literature Review", Nurse Education Today, 71, pp.84~90 (2018)
  12. Goode, Colleen J., "Lessons Learned from 10 Years of Research on a Post-baccalaureate Nurse Residency Program", The Journal of Nursing Administration, 43(2), pp.73~79 (2013)
  13. "Nursing Workforce Placement Survey" (2024)[URL]
  14. Jeoung, Ja Yong, "Impact of Interpersonal Relationship Ability, Job Stress, and Stress Coping Type on Turnover Intention of Nurses in the Early Stage of Their Careers : Focusing on Job Stress", Korean Journal of Occupational Health Nursing, 27(1), pp.36~47 (2018)
  15. Ji, Eun A, "Factor Influencing New Graduate Nurses' Turnover Intention According to Length of Service", Journal of Korean Academy of Nursing Administration, 24(1), pp.51~60 (2018)
  16. Jun, Moon Hee, "Influencing Factors on Turnover Intention among New Nurses According to Preceptorship and On-the-job Training", The Journal of Learner-Centered Curriculum and Instruction, 21(15), pp.85~97 (2021)
  17. Kim, Eunjung, "Effects of Preceptors’Clinical Teaching Behavior on the Field Adaptation of New Graduate Nurses : Mediating Effects of Self-leadership and Resilience", Journal of Korean Academy of Nursing Administration, 29(5), pp.577~587 (2023)
  18. Kim, Hee Young, "The Effects of Preceptors'Transformational Leadership on Job Stress and Clinical Performance among New Graduate Nurses", Health Policy and Management, 22(3), pp.347~364 (2012)
  19. Kim, Jeong Rye, "Proficient Nurses Management Experience of Novice Nurse Turnover Intentions : Content Analysis", Journal of the Korea Contents Association, 23, pp.688~701 (2023)
  20. Kim, Ji-Hyun, "Factors Affecting the Turnover Intention of the New Graduated Nurses", Journal of the Korea Academia-Industrial Cooperation Society, 21(5), pp.312~319 (2020)
  21. Kim, Ju Hee, "Exploring Barriers and Facilitators for Successful Transition in New Graduate Nurses : A Mixed Methods Study", Journal of Professional Nursing, 36(6), pp.560~568 (2020)
  22. Kim, Mijung, "Education Programs for Newly Graduated Nurses in Hospitals : A Scoping Review", Korean Journal of Adult Nursing, 32(5), pp.440~454 (2020)
  23. Knaack, Phyllis, "Phenomenological Research", Western Journal of Nursing Research, 6(1), pp.107~114 (1984)
  24. Koo, Namyee, "Experience of Interpersonal-Conflict between Nurse Colleagues of Mid-Career Hospital Nurses", Journal of Korean Academy of Nursing Administration, 29(4), pp.421~432 (2023)
  25. Kovner, Christine T., "Estimating and Preventing Hospital Internal Turnover of Newly Licensed Nurses : A Panel Survey", International Journal of Nursing Studies, 60, pp.251~262 (2016)
  26. Lee, Hyesoon, "Newly Nurses' Experience in Their First Year of Practice", The Academy of Qualitative Research, 18(2), pp.131~144 (2017)
  27. Lee, Inyoung, "Outcomes of a Government Support Project for Clinical Nurse Educator and Policy Recommendations : From the Perspectives of Clinical Nurse Educators", Health & Nursing, 35(2), pp.39~47 (2023)
  28. Lincoln, Yvonna S., "Naturalistic Inquiry" (1985), Sage Publication
  29. Lyu, X. C., "What Influences Newly Graduated Registered Nurses’ Intention to Leave the Nursing Profession? An Integrative Review", BMC Nursing, 23(1), pp.57~ (2024)[DOI]
  30. Mowday, Richard T., "The Measurement of Organizational Commitment", Journal of Vocational Behavior, 14(2), pp.224~247 (1979)
  31. Patton, Michael Quinn, "Qualitative Research and Evaluation Methods" (2014), Sage Publications
  32. Quek, Genevieve J. H., "Perceptions, Experiences, and Needs of Nursing Preceptors and Their Preceptees on Preceptorship : An Integrative Review", Journal of Professional Nursing, 34(5), pp.417~428 (2018)
  33. Reebals, Crisi, "Transition to Practice for New Nurse Graduates : Barriers and Mitigating Strategies", Western Journal of Nursing Research, 44(4), pp.416~429 (2022)
  34. Rush, Kathy L., "Best Practices of Formal New Graduate Transition Programs : An Integrative Review", International Journal of Nursing Studies, 94, pp.139~158 (2019)
  35. See, Esther Cai Wah, "Role Transition of Newly Graduated Nurses from Nursing Students to Registered Nurses : A Qualitative Systematic Review", Nurse Education Today, 121, pp.105702~ (2023)
  36. Shorey, Shefaly, "Learning Styles, Preferences and Needs of Generation Z Healthcare Students : Scoping Review", Nurse Education in Practice, 57, pp.103247~ (2021)
  37. Sin, Kyung Mi, "A Concept Analysis on Reality Shock in Newly Graduated Nurses using the Hybrid Model", Korean Journal of Occupational Health Nursing, 26(1), pp.19~29 (2017)
  38. Squires, Allison, "Qualitative Research in Nursing and Health Professions Regulation", Journal of Nursing Regulation, 9(3), pp.15~26 (2018)
  39. Tong, Allison, "Consolidated Criteria for Reporting Qualitative Research(COREQ) : A 32-item Checklist for Interviews and Focus Groups", International Journal for Quality in Health Care, 19(6), pp.349~357 (2007)
  40. Tuckett, Anthony, "Transition to Practice Programs: What Australian and New Zealand Nursing and Midwifery Graduates Said. A Graduate eCohort Sub-Study", Journal of Australian College of Nursing, 24(2), pp.101~108 (2017)
  41. Van Camp, Jennifer, "The Effectiveness of Nurse Residency Programs on Retention : A Systematic Review", AORN Journal, 106(2), pp.128~144 (2017)
  42. Won, Hyo Jin, "A Review of Research on Self-Leadership in Nurses", Journal of Korean Academy of Nursing Administration, 19(3), pp.382~393 (2013)
  43. Yu, Mi, "Factors Affecting Turnover Intention for New Graduate Nurses in Three Transition Periods for Job and Work Environment Satisfaction", The Journal of Continuing Education in Nursing, 47(3), pp.120~131 (2016)

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