Components to include in a program to facilitate the transition of novice nurses in emergency departments: A descriptive qualitative study

IF 3.3 3区医学 Q1 NURSING

Nurse Education in Practice Pub Date : 2025-05-10 DOI:10.1016/j.nepr.2025.104396

Kapari Mashao , Celia Filmalter , Tanya Heyns

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引用次数: 0

Abstract

Aim

To explore the insights of stakeholders regarding the components that should be included in a program to facilitate the transition of novice nurses in emergency departments.

Background

Novice nurses working in emergency departments are routinely confronted with substantial workloads, recurrent traumatic events, interpersonal conflicts and psychosocial challenges. These nurses need specific knowledge, skills and attitudes to function optimally. Inadequate support can hinder the clinical progression and potential assimilation of novice nurses into emergency departments, having a negative impact on transition outcomes. Over time, inadequately supported novice nurses may experience emotional and mental pressures, leading to occupational stress, decreased job satisfaction and increased nurse turnover.

Design

Descriptive qualitative study.

Methods

We recruited participants from the emergency departments of three selected public hospitals in the Tshwane Central Health District, South Africa. The participants were selected via purposive, maximum variation and snowballing sampling using the following inclusion criteria: 1) trained emergency nurses, including managers, clinical facilitators and nurses providing direct patient care; and 2) had at least six months of working experience after obtaining a specialty qualification in emergency nursing. Twelve participants (n = 12) participated in the study. Data were collected via the World Café method and analyzed thematically.

Results

The participants identified five components for inclusion in a program, namely, support systems, orientation, competencies, knowledge resources and reflective practice.

Conclusion

Novice nurses working in emergency departments need a comprehensive, formal program for successful transition. When adequately supported, novice nurses may develop positive perceptions of their working environment, increasing job satisfaction and retention.

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促进急诊科新手护士过渡计划的组成部分：一项描述性定性研究

目的探讨利益相关者对应纳入计划的组成部分的见解，以促进急诊部门新手护士的过渡。在急诊科工作的新手护士通常面临着大量的工作量、反复发生的创伤事件、人际冲突和社会心理挑战。这些护士需要特定的知识、技能和态度才能发挥最佳作用。支持不足会阻碍临床进展和潜在的新护士进入急诊科的同化，对过渡结果产生负面影响。随着时间的推移，得不到充分支持的新护士可能会经历情绪和精神压力，从而导致职业压力、工作满意度下降和护士流动率增加。设计描述性定性研究。方法我们从南非Tshwane中央卫生区的三家公立医院的急诊科招募参与者。参与者采用有目的抽样、最大变异抽样和滚雪球抽样的方法，采用以下纳入标准：1)训练有素的急诊护士，包括管理人员、临床辅导员和直接为患者提供护理的护士；2)取得急诊护理专业资格证书后，具有6个月以上工作经验。12名参与者（n = 12）参加了研究。通过世界咖啡法收集数据并进行主题分析。结果参与者确定了项目的五个组成部分，即支持系统、导向、能力、知识资源和反思实践。结论急诊新护士需要一个全面、正规的培训方案，才能顺利过渡。在得到充分支持的情况下，新护士可能会对工作环境产生积极的看法，从而提高工作满意度和保留率。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Nurse Education in Practice NURSING-

CiteScore

5.40

自引率

9.40%

发文量

180

审稿时长

51 days

期刊介绍： Nurse Education in Practice enables lecturers and practitioners to both share and disseminate evidence that demonstrates the actual practice of education as it is experienced in the realities of their respective work environments. It is supportive of new authors and will be at the forefront in publishing individual and collaborative papers that demonstrate the link between education and practice.