中国硕士护士早期职业发展的障碍：一项定性研究。

IF 3.3 3区医学 Q1 NURSING

Nurse Education in Practice Pub Date : 2025-03-01 DOI:10.1016/j.nepr.2025.104339

Junjun Wu , Ying Wang , Jinru Ye , Huangliang Wen , Xiurong Song

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引用次数: 0

摘要

目的：本研究从中国硕士护士的角度探讨职业发展规划的障碍。背景：护理人员的素质与临床护理质量和患者满意度密切相关。协助受过高等教育的护士进行职业规划对降低辍学率至关重要。然而，对于高学历护士职业发展面临的障碍，国内外都没有相关研究。研究这些障碍可以为制定有针对性的临床护理教育和实践策略提供基础。设计：描述性定性设计。方法：采用半结构化访谈法收集资料，采用定性内容分析法进行分析。遵循COREQ指南。结果：17名护士（男2名，女15名）；年龄范围：26-29岁)，达到数据饱和。数据分析结果显示：(1)转型冲击，包括护理教育与临床实践的差距、职业成长预期与临床培训体系的差异、职业危机感知；(2)情境因素，包括外部较高期望、领导风格的影响、护理规范化培训体系的局限性；(3)缺乏必要的支持，包括医院和学校职业发展培训计划的局限性以及对工作环境的支持要求。结论：研究结果对护理教育专家、护理机构及临床护理部门（尤其是管理者）有一定的参考价值。具体而言，通过澄清高学历护士在职业发展规划中面临的障碍，研究结果可以为培训系统和实践的发展提供信息，以提高高学历护士的职业满意度和职业认同。

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Barriers to early career development for Chinese nurses with master’s degrees: A qualitative study

Aim

This study examined barriers to career development planning from the perspective of nurses with master’s degrees in China.

Background

The quality of nursing personnel is closely related to clinical nursing quality and patient satisfaction. Assisting highly educated nurses in career planning is crucial for reducing dropout rates. However, no domestic and international research has been done on the barriers to career development faced by highly educated nurses. Investigating these barriers can provide a foundation for developing targeted clinical nursing education and practice strategies.

Design

Descriptive qualitative design.

Method

Data were collected through semi-structured interviews and analyzed using qualitative content analysis. Following the COREQ guidelines.

Results

Seventeen nurses (two men and 15 women; age range: 26–29), reaching data saturation. Data analysis revealed eight subcategories in three categories: (1) transition shock, including the gap between nursing education and clinical practice, discrepancy between career growth expectations and clinical training system, and perceived professional crisis; (2) contextual elements, including external higher expectations, influence of leadership style, and limitations of the nursing standardized training system; and (3) lack of necessary support, including limitations of vocational development training programs in hospitals and schools and support requirements for the work environment.

Conclusion

The findings offer insights useful for nursing education experts and institutions and clinical nursing departments (especially their managers). Specifically, by clarifying the barriers faced by highly educated nurses in career development planning, the findings can inform the development of training systems and practices for enhancing highly educated nurses’ career satisfaction and professional identity.

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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.