角色理论视角下新护士管理者角色转换的困难与需求

IF 3.8 3区 医学 Q1 NURSING
Ran Zhang MM, Tong Wang MM, Yana Xing MSN, Xue Sun MM, Qianqian Feng MSN, Fei Wu MSN, Wenshuang Wang MSN, Weixin Cai MM
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引用次数: 0

摘要

目的探讨新护士从普通护士角色向管理者角色转变所面临的挑战和需求。护理经理通常是根据临床专业知识,而不是证明的领导能力来选择的。他们的复杂角色和不断发展的医疗保健政策导致社会、机构、患者和工作人员的期望提高。从普通护士到管理人员的过渡阶段经常被忽视,这一阶段提出了不同的挑战和需求。澄清这些方面对于制定有效的护理政策和改进措施至关重要。方法采用现象学定性研究方法,于2023年4 - 6月在北京市某三级医院按照COREQ指南进行。采用基于角色理论的半结构化访谈指南对14名新护士管理人员进行了访谈。数据分析采用Nvivo 12.0和Colaizzi的专题分析。结果发现了角色模糊(适应困难、期望不清、处理不当)、角色冲突(工作与家庭不一致、管理、胜任力)、角色学习(自我提升、外部支持、弹性)和角色行为(总结经验、时间管理、提拔同事、研究能力)四个主题。确定新护士管理人员在角色转变过程中的困难和需求可以帮助医疗保健组织制定量身定制的培训、外部支持、积极心理学和学术进步策略。结论新护士管理人员面临明显的过渡障碍,需要全面支持。这促使医疗保健组织采用最佳实践来促进角色适应和人才发展。对护理和保健政策的影响为确保新的护士管理人员成功适应,应根据确定的过渡挑战和需要制定全面和有针对性的战略。这种支持将提高他们的能力和压力管理能力。护理政策制定者应鼓励新护士管理者参与政策和培训计划的制定。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Difficulties and needs of new nurse managers during role transition: A perspective from role theory

Aim

To investigate the challenges and needs of new nurse managers transitioning from staff nurses to manager roles.

Background

Nursing managers are often selected based on clinical expertise, not proven leadership skills. Their complex roles and evolving healthcare policies result in heightened expectations from society, institutions, patients, and staff. The often-overlooked transition phase from staff nurse to manager presents distinct challenges and needs. Clarifying these aspects is crucial for developing effective nursing policies and improvement initiatives.

Methods

A phenomenological qualitative study was conducted at a tertiary hospital in Beijing, following the COREQ guidelines from April to June 2023. Fourteen new nurse managers were interviewed using a semi-structured interview guide based on the role theory. Data were analyzed using Nvivo 12.0 and Colaizzi's thematic analysis.

Results

Four themes emerged, including role ambiguity (adjustment difficulties, unclear expectations, poor handling), role conflict (inconsistencies between work and family, management, competencies), role learning (self-improvement, external support, resilience), and role behaviors (summarizing experiences, time management, promoting coworkers, research capability).

Discussion

Identifying the difficulties and needs of new nurse managers during their role transition can help healthcare organizations develop tailored training, external support, positive psychology, and academic advancement strategies.

Conclusions

New nurse managers face significant transition obstacles, necessitating comprehensive support. This prompts healthcare organizations to adopt best practices for facilitating role adaptation and talent development.

Implications for nursing and health policy

To ensure the successful adaptation of new nurse managers, comprehensive and tailored strategies should be developed based on identified transition challenges and needs. This support will enhance their competencies and stress management. Nursing policymakers should encourage new nurse managers to participate in the formulation of policies and training programs.

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来源期刊
CiteScore
7.90
自引率
7.30%
发文量
72
审稿时长
6-12 weeks
期刊介绍: International Nursing Review is a key resource for nurses world-wide. Articles are encouraged that reflect the ICN"s five key values: flexibility, inclusiveness, partnership, achievement and visionary leadership. Authors are encouraged to identify the relevance of local issues for the global community and to describe their work and to document their experience.
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