Research and Theory for Nursing Practice最新文献_第8页

Parents' Interactive Problem-Solving Behavior and Emotion Studied With Audio Compared With Video Source. 用音频和视频研究父母互动解决问题的行为和情感来源：《中国教育报》，2012 年 10 月。

IF 0.6 4区医学

Research and Theory for Nursing Practice Pub Date : 2022-03-15 DOI: 10.1891/RTNP-2022-0001

Karen Pridham, Janet Melby, Anthony Connor, Roger Brown, Yuliya Nemykina

{"title":"Parents' Interactive Problem-Solving Behavior and Emotion Studied With Audio Compared With Video Source.","authors":"Karen Pridham, Janet Melby, Anthony Connor, Roger Brown, Yuliya Nemykina","doi":"10.1891/RTNP-2022-0001","DOIUrl":"10.1891/RTNP-2022-0001","url":null,"abstract":"Background and purpose: Parents' communication and problem-solving interaction with each other and with clinicians influences the caregiving of infants with a chronic health problem, making in-depth study of this interaction critical for design of interventions to support caregiving. This study, however, has been severely limited by lack of observational methods that can be applied in home, clinic and community settings. The Iowa Family Interaction Rating Scales provide comprehensive description of communicative and problem-solving behavior and emotion, but have only been applied to video-recorded interaction. Audio recording, in contrast to video recording, has the advantage of being unobtrusive, readily accessible, and generally acceptable, increasing the opportunity for focused examination and intervention of parents' interaction with each other or with clinicians. Our study objective was to examine the agreement of scores obtained on parents' interactive problem-solving behavior coded with the Iowa Family Interaction Rating Scales using an audio-recorded source for coding compared with coding from a video-recorded source.Method: In secondary analysis, audio-recordings were derived from video recordings of 15 parent-parent interactions. Audio recordings were created and coded blind of the original video recording and coding.Results: Using Gwet's AC1 coefficient, agreement was at least moderate (0.61 - 0.80) for 69.1% of paired codes, signifying reliability of coding from audio recording for most codes.Implications for practice: Selected Iowa Family Interaction Rating Scales can be used with acceptable reliability for coding parents' interactive problem-solving behavior from audio source, advancing the study of parent interactive-problem solving behavior and potentially parents' problem solving with clinicians.","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2022-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9475443/pdf/nihms-1803708.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10247464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Using Margaret Newman's Health as Expanding Consciousness to Explore Pediatric Nurses' Pattern Recognition Process. 以纽曼的健康为扩展意识探讨儿科护士的模式识别过程。

IF 0.6 4区医学

Research and Theory for Nursing Practice Pub Date : 2022-02-01 DOI: 10.1891/RTNP-2021-0017

Kathleen Wilson Neal

{"title":"Using Margaret Newman's Health as Expanding Consciousness to Explore Pediatric Nurses' Pattern Recognition Process.","authors":"Kathleen Wilson Neal","doi":"10.1891/RTNP-2021-0017","DOIUrl":"https://doi.org/10.1891/RTNP-2021-0017","url":null,"abstract":"Background and purpose: This study explored pattern recognition practices of experienced pediatric nurses caring for children with chronic, complex healthcare needs and their families. Nurses worked in the inpatient settings of two different freestanding pediatric hospitals.Methods: Margaret Newman's theory of Health as Expanding Consciousness (1999) was used to explore the pediatric nurses' experiences. During interviews, participants (n = 8) related their stories in caring for these children and their families. Individual interview data were blended to examine themes.Results: Participants described people and events in practice that allowed them to use pattern recognition in the care of children with chronic, complex healthcare needs. Pattern recognition developed in acknowledgement of their past experiences in nursing, as well as with each individual patient and family.Implications for practice: Participants had the opportunity to reflect on relationships between their day-to-day practice and their experiences building knowledge and understanding in practice. They considered their abilities to move from skills and tasks to appreciating what each patient and family has taught them about their practice of pattern recognition.","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":"36 1","pages":"101-116"},"PeriodicalIF":0.6,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39930013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Psychometric Validation of the Korean Version of the Heart Failure-Specific Health Literacy Scale. 韩国版心力衰竭特定健康素养量表的心理计量学验证。

IF 0.6 4区医学

Research and Theory for Nursing Practice Pub Date : 2022-02-01 DOI: 10.1891/RTNP-2021-0007

Youn-Jung Son, Mi Hwa Won

{"title":"Psychometric Validation of the Korean Version of the Heart Failure-Specific Health Literacy Scale.","authors":"Youn-Jung Son, Mi Hwa Won","doi":"10.1891/RTNP-2021-0007","DOIUrl":"https://doi.org/10.1891/RTNP-2021-0007","url":null,"abstract":"Background and purpose: The goals of heart failure (HF) management include lowering adverse outcomes through optimal self-care. Health literacy has a significant role in ensuring optimal and effective HF self-care. Unfortunately, the proportion of low health literacy in HF patients is higher than those with other chronic diseases as well as the general population. Thus, healthcare providers need to screen HF patients. The HF-Specific Health Literacy Scale is a specific questionnaire to screen the health literacy in HF patients; however, the Korean version has not yet been validated. The study aimed to investigate the reliability and validity of the Korean version of the HF-Specific Health Literacy Scale.Methods: We adopted a cross-sectional study design with 386 outpatients with chronic HF from a tertiary care hospital in Cheonan, South Korea. Data were collected from April to December 2020.Results: The exploratory factor analysis revealed a three-factor (functional, communicative, and critical health literacy) 12-item structure of the scale. The result of the confirmatory factor analysis confirmed a good statistical fit for the data. The Korean version of the tool demonstrated satisfactory convergent and discriminant validity. The criterion validity analysis revealed significant correlation with general health literacy and knowledge about HF. The Korean version of the tool for 12 items had adequate overall internal consistency.Implications for practice: The Korean version of the HF-Specific tool can be easily utilized for assessing health literacy level for HF patient education. Moreover, the tool can help healthcare providers develop strategies for promoting HF patients' health literacy.","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":"36 1","pages":"47-65"},"PeriodicalIF":0.6,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39930010","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

A Theory for Understanding Parental Workload and Capacity to Care for Children With Medical Complexity. 理解父母照顾复杂医疗儿童的工作量和能力的理论。

IF 0.6 4区医学

Research and Theory for Nursing Practice Pub Date : 2022-02-01 DOI: 10.1891/RTNP-2022-0026

Patricia R Lawrence, Regena Spratling

{"title":"A Theory for Understanding Parental Workload and Capacity to Care for Children With Medical Complexity.","authors":"Patricia R Lawrence, Regena Spratling","doi":"10.1891/RTNP-2022-0026","DOIUrl":"https://doi.org/10.1891/RTNP-2022-0026","url":null,"abstract":"Background and purpose: Children with medical complexity (CMC) experience poor health outcomes despite the high cost of care, and their parents face challenges in providing complex care. Poor health outcomes may be related to an imbalance between parental demands to manage care and their ability to meet the demands needed to provide complex care. However, this phenomenon has not been explored. In addition, much of the existing research focused on CMC lacks an overarching theoretical framework. The purpose of this article is to outline factors that impact families of CMC described in the literature. This article proposes a modified framework using theory derivation, which highlights the concepts of parental workload and capacity and demonstrates how they are related to CMC health.Methods: A revised theoretical framework using theory derivation by Walker and Avant is presented using findings from the CMC literature that most affect the parents of these children.Results: Applying content from two existing theories using concepts of relevance results in a framework that provides richer insight into the relationship between parental workload and parental capacity, particularly when parental workload outweighs parental capacity. This framework allows for the examination of how an imbalance between workload and capacity impacts CMC health outcomes.Implications for practice: Although further study is needed to test the proposed theory, the framework can be used to examine these relationships with hopes of developing interventions to decrease parental workload and enhance parental ability.","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":"36 1","pages":"34-46"},"PeriodicalIF":0.6,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39930009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Effectiveness of a Transtheoretical Model-Based Foot Care Program in Improving Foot Care Behaviors and Self-Efficacy in Adults With Type 2 Diabetes: An Assessor-Blinded Randomized Controlled Trial. 一项基于跨理论模型的足部护理计划在改善成人2型糖尿病患者足部护理行为和自我效能方面的有效性:一项评估盲随机对照试验

IF 0.6 4区医学

Research and Theory for Nursing Practice Pub Date : 2022-02-01 DOI: 10.1891/RTNP-D-21-00006

Duygu Kes, Fatime Sahin, Aysegul Ertinmaz Ozkan, Seda Erem Basmaz

{"title":"Effectiveness of a Transtheoretical Model-Based Foot Care Program in Improving Foot Care Behaviors and Self-Efficacy in Adults With Type 2 Diabetes: An Assessor-Blinded Randomized Controlled Trial.","authors":"Duygu Kes, Fatime Sahin, Aysegul Ertinmaz Ozkan, Seda Erem Basmaz","doi":"10.1891/RTNP-D-21-00006","DOIUrl":"https://doi.org/10.1891/RTNP-D-21-00006","url":null,"abstract":"This study aimed to evaluate the effects of a transtheoretical model (TTM)-based foot care program on foot self-care behaviors and self-efficacy among adults with type 2 diabetes (T2DM). A prospective, assessor-blinded, randomized controlled trial was conducted between January 2020 and October 2020 at the endocrinology outpatient unit of a hospital in the north-west Turkey. The sample was composed of 51 adults with T2DM randomly allocated to the intervention group (n = 25) and control group (n = 26). The intervention group received the TTM-based foot care program during a 6-month period. The data were analyzed using the two-way repeated measure analysis of variance (ANOVA). After intervention, the intervention group's the diabetic foot care self-efficacy scale scores increased significantly at 3 and 6 months, compared with the control group. Similarly, the intervention group's the foot self-care behavior scale scores also increased significantly at 3 months and 6 months.","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":"36 1","pages":"3-19"},"PeriodicalIF":0.6,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39930008","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Beyond Colloquial Use: A Concept Analysis of Family Care Management in A Chronic-Conditions Context. 超越口语使用:慢性病背景下家庭护理管理的概念分析。

IF 0.6 4区医学

Research and Theory for Nursing Practice Pub Date : 2022-02-01 DOI: 10.1891/RTNP-2021-0012

Haiyan Sun, Yang Qin, Liping Xia

{"title":"Beyond Colloquial Use: A Concept Analysis of Family Care Management in A Chronic-Conditions Context.","authors":"Haiyan Sun, Yang Qin, Liping Xia","doi":"10.1891/RTNP-2021-0012","DOIUrl":"https://doi.org/10.1891/RTNP-2021-0012","url":null,"abstract":"Background and purpose: Family care management is a colloquial concept that is widely applied to health and social care worldwide. Despite that the concept has been in use in a variety of contexts for decades, a substantial number of scientific papers apply it with seemingly little consistency. In this study, we therefore report a concept analysis of family care management within a chronic-conditions context from the nursing perspective.Methods: A review of recent nursing and health-related literature covering the years 2000-2020 was performed on the concepts of family care, family nursing, family management, and care management. Nineteen studies were extracted for this analysis. Utilizing the Walker and Avant concept-analysis strategy, we defined attributes and analyzed the antecedents and their consequences.Results: The concept is defined from the perspective of health professionals. Five key attributes of family care management were identified: supervising situations, providing guidance, creating partnerships, a philosophical foundation, and a management style. Antecedents to the conductance of family care management included chronic health status, demographic and socioeconomic factors, and shortage of resources. The outcome of family care management was then described with respect to both positive and negative aspects.Implication for practice: Family care management is a highly abstract concept. We described two sub-concepts in need of clarification, including dynamic management behavior and a static management frame. Without a clear understanding of family care management, the concept is at risk of being relegated to a vague colloquial expression. Developing a theory of family care management might position the concept in a theoretical context, and could provide health providers with a point of reference for meaningful family care management strategies within their practices.","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":"36 1","pages":"66-100"},"PeriodicalIF":0.6,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39930012","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Patients' Evaluation of the Quality of Emergency Care Services in Jordan: Integration of Patient Centeredness Model. 约旦患者对急诊服务质量的评价：以患者为中心模式的整合。

IF 0.6 4区医学

Research and Theory for Nursing Practice Pub Date : 2021-11-30 DOI: 10.1891/RTNP-D-21-00037

Mahmoud Al-Kalaldeh, Esraa Al-Bdour, Ghada Abu Shosha

{"title":"Patients' Evaluation of the Quality of Emergency Care Services in Jordan: Integration of Patient Centeredness Model.","authors":"Mahmoud Al-Kalaldeh, Esraa Al-Bdour, Ghada Abu Shosha","doi":"10.1891/RTNP-D-21-00037","DOIUrl":"10.1891/RTNP-D-21-00037","url":null,"abstract":"Background and purpose: Accreditation is viewed to enhance the total quality of healthcare. The present study aims at assessing patients' perspectives toward the quality of emergency healthcare services at different hospitals with different characteristics in Jordan. The elements of patients' perception were aligned with the conceptual framework of Patient Centeredness Model.Methods: This descriptive cross-sectional study was carried out in four emergency departments from different healthcare sectors and accreditation statuses in Jordan. Less urgent/nonurgent, alert, and cooperative patients were identified directly after the completion of emergency treatment. The perspectives of patients about the quality of emergency services were evaluated by 10 domains articulated in a validated accident and emergency questionnaire.Results: A total of 276 patients were enrolled in the study. Private sector scored higher in all assessment domains in both accredited and nonaccredited hospitals in comparison with the government sector. Accredited government hospitals scored higher in patients' evaluation for \"doctor and nurse,\" \"investigations,\" \"pain,\" and \"overall respect of medical staff\" domains than nonaccredited government hospitals. The overall experience was significantly different between accredited and nonaccredited government hospitals.Implications for practice: Quality of emergency care services should be assessed through various dimensions related to patients' perspectives. Patients' perception toward the quality of emergency health services is evidently enhanced by accreditation especially in the government sector.","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2021-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39680004","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prenatal Motivation for Caregiving Issues: A Pilot Study of Mothers Expecting Healthy Infants and Infants With Complex Congenital Heart Disease. 产前护理问题动机：针对健康婴儿和患有复杂先天性心脏病婴儿的母亲的试点研究。

IF 0.6 4区医学

Research and Theory for Nursing Practice Pub Date : 2021-09-13 DOI: 10.1891/RTNP-D-20-00101

Karen Pridham, Anne Chevalier McKechnie, Tondi M Harrison, Roger Brown

{"title":"Prenatal Motivation for Caregiving Issues: A Pilot Study of Mothers Expecting Healthy Infants and Infants With Complex Congenital Heart Disease.","authors":"Karen Pridham, Anne Chevalier McKechnie, Tondi M Harrison, Roger Brown","doi":"10.1891/RTNP-D-20-00101","DOIUrl":"10.1891/RTNP-D-20-00101","url":null,"abstract":"Background and purpose: The prenatal preparing women do for infant caregiving is understudied. In this pilot, multimethods study, we examined motivation for preparing for infant caregiving of women in their third trimester of pregnancy expecting either a healthy infant or an infant with complex congenital heart disease (CCHD).Methods: Eleven women expecting a healthy infant and four expecting an infant with CCHD completed a questionnaire and were interviewed. Preparing was reported in context of expectations, intentions, and goals and in personal, family, and infant conditions. Motivation for preparing was expressed through an interview about caregiving issues women were working on. Intensity of motivation was estimated by self-report of the time infant caregiving issues were in thought or action. Effect sizes were calculated for between group differences in motivation intensity. Interview data were examined with directed content analysis.Results: Intensity of motivation was higher for women expecting an infant with CCHD for issues of Knowing What and How to prepare. Women expecting an infant with CCHD reported uncertainty about how they would feed their babies given their health condition. Interviews yielded new motivations encompassing issues of family and working with the parent partner.Implications: Assessment of issues women are working on prenatally, indicating motivations for preparing for infant caregiving, and of the intensity of motivations advances culturally-attuned and family-centered preparation. Knowledge of these issues and motivation intensity could orient clinical care to supporting women in developing well-informed expectations, intentions, and goals culturally suited to postnatal learning and infant needs.","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2021-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39415876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Conducting Online Healthcare Research With Open-Ended Questions in the Age of COVID-19: A Critical Review. 在 COVID-19 时代使用开放式问题开展在线医疗保健研究：批判性评论。

IF 0.6 4区医学

Research and Theory for Nursing Practice Pub Date : 2021-09-13 DOI: 10.1891/RTNP-D-20-00160

Hyacinth O Ukuhor

{"title":"Conducting Online Healthcare Research With Open-Ended Questions in the Age of COVID-19: A Critical Review.","authors":"Hyacinth O Ukuhor","doi":"10.1891/RTNP-D-20-00160","DOIUrl":"10.1891/RTNP-D-20-00160","url":null,"abstract":"Background: Worldwide, there is a remarkable increase in Internet use, with a current penetration rate of 62%. This widespread Internet use and the global coronavirus disease (COVID-19) preventive measures provide opportunities for data collection using the Internet in healthcare research. No recent studies have been conducted regarding the methodological issues of asynchronous Internet research that employed opened-ended questions to explore providers' and patients' experiences.Purpose: This study utilizes prior research to explore methodological issues that affect online research using open-ended questions to obtain health data.Methods: The electronic databases searched were PubMed, CINAHL, and full-text Ovid. Reference lists and the Journal of Medical Internet Research were manually searched. The search strategy was based on the PRISMA flow diagram. Articles published between January 2003 and May 2020 were searched. Inclusion criteria were asynchronous online researcher-led studies that used open-ended questions to explore healthcare issues. Methodological issues were extracted from the selected studies.Results: The evidence suggests that factors such as technical/website study/survey design issues, smartphone study applications, use of reminders, incentives, overrecruiting participants, using a combination of asynchronous and synchronous methods, trustworthiness, ethical and security issues affect the quality of data obtained in online health research.Implications for practice: Asynchronous online research methods with open-ended questions could be used to collect high-quality data from patients, healthcare providers, and other participants in self-isolation, quarantine, and in diverse locations. However, researchers should be aware of the identified methodological issues. Future research could explore methodological issues and data quality in combined asynchronous and synchronous data collection methods.","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2021-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39415877","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Part 2: New Graduate Nurse Transition Into the Intensive Care Unit: Summative Insights From a Longitudinal Mixed-Methods Study. 第二部分：重症监护病房新毕业护士的过渡：一项纵向混合方法研究的总结性启示。

IF 0.6 4区医学

Research and Theory for Nursing Practice Pub Date : 2021-09-13 DOI: 10.1891/RTNP-D-21-00014

Michelle Lalonde, Cheryl Anne Smith, Sandra Wong, Jamie Anne Bentz, Brandi Vanderspank-Wright

{"title":"Part 2: New Graduate Nurse Transition Into the Intensive Care Unit: Summative Insights From a Longitudinal Mixed-Methods Study.","authors":"Michelle Lalonde, Cheryl Anne Smith, Sandra Wong, Jamie Anne Bentz, Brandi Vanderspank-Wright","doi":"10.1891/RTNP-D-21-00014","DOIUrl":"10.1891/RTNP-D-21-00014","url":null,"abstract":"Background and purpose: To address the nursing shortage, it is increasingly common for hospitals to hire new graduate nurses into intensive care units (ICU). New graduates in intensive care likely experience needs beyond those of their peers outside of critical care contexts. Yet, relatively little is known about the experiences of this unique population. The purpose of this study was to explore the transition experience of a cohort of new graduate nurses in the ICU over a 2-year period.Methods: A longitudinal mixed-methods convergent design using a purposive and convenience sample of new graduate nurses working in an ICU. Surveys were administered and in-depth qualitative interviews were conducted at four points in time over a 2-year period.Results: Participants identified a number of skills that remained difficult, as well as less comfort in performing a number of nursing interventions, over the four time points. In addition, they highlighted a decline in their perception of receiving encouragement and feedback from their manager. Participants identified that a lack of confidence was a barrier to transition and that improved orientation and work environment could further support them in their journey. Certain aspects of their work environment, such as peer support, were identified as most satisfying, whereas the environment and system were least satisfying.Implications for practice: The results provide a greater understanding of the transition experienced by new graduate nurses in the ICU. In addition, the results may provide the ICU leadership team with potential areas to further support the transition of new graduates within this critical care environment.","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2021-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39415878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0