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Richard E, Kim SBC. Career decisions and aspirations of early-career nurses: Insights from a qualitative interpretative description study. J Adv Nurs 2024; 80:3333-3344. [PMID: 38131513 DOI: 10.1111/jan.16034] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2023] [Revised: 11/13/2023] [Accepted: 12/07/2023] [Indexed: 12/23/2023]
Abstract
AIM To explore the career decisions and aspirations of early-career registered nurses in New Brunswick, Canada. DESIGN A qualitative study using an interpretive description approach was conducted. METHODS Semi-structured one-on-one interviews were conducted with a purposive sample of nurses (n = 22) currently working in New Brunswick, Canada, with up to 5 years of experience from February to April 2022. RESULTS Participants described diverse career paths and aspirations. Personal factors affecting these included the desire for meaningful work, career satisfaction, work-life balance, spending time with family, working in a preferred location, and finances. Professionally, working conditions were the dominant factor influencing early-career nurses' career decisions and aspirations. Participants described how short staffing, safety, support, and scheduling influenced their day-to-day work, mental and physical health, job and career satisfaction, and intent to leave. CONCLUSION The findings highlighted the abundant and diverse career opportunities available to nurses early in their careers. Early-career nurses are interested in finding nursing positions with a high degree of person-job fit and value opportunities for ongoing professional education and growth. IMPACT This study in New Brunswick, Canada, explores early-career nurses' career decisions and aspirations during nursing shortages and the pandemic, emphasizing the importance of person-job fit. Recommendations include improving working conditions and career pathways to enhance the sustainability of the nursing profession. REPORTING METHOD Standards for Reporting Qualitative Research (SRQR). PATIENT OR PUBLIC CONTRIBUTION No patient or public contribution.
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Affiliation(s)
- Emily Richard
- Faculty of Nursing, University of New Brunswick, Moncton, New Brunswick, Canada
| | - Su Bin Chloe Kim
- Faculty of Nursing, University of New Brunswick, Fredericton, New Brunswick, Canada
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Team V, Bouguettaya A, Qiu Y, Turnour L, Banaszak‐Holl JC, Weller CD, Sussman G, Jones A, Teede H. Nurses' experiences of hospital-acquired pressure injury prevention in acute healthcare services in Victoria, Australia: A qualitative study using the Theoretical Domains Framework. Int Wound J 2024; 21:e14956. [PMID: 38949176 PMCID: PMC11215697 DOI: 10.1111/iwj.14956] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2024] [Revised: 06/15/2024] [Accepted: 06/16/2024] [Indexed: 07/02/2024] Open
Abstract
We investigated nurses' experiences of hospital-acquired pressure injury (PI) prevention in acute care services to better understand how PI prevention may be optimised. We used the Theoretical Domains Framework to systematically identify barriers and enablers to evidence-based preventive practices as required by the International Guideline. This study was one element of a complex capacity building project on PI surveillance and prevention within the acute health service partners of Monash Partners Academic Health Science Centre, an accredited academic health partnership located in Melbourne, Australia. We adopted a qualitative descriptive design. We interviewed 32 nurses that provided care in intensive care units, general wards and COVID wards of four acute care services. Nurses were recruited from four large acute care services (three public, one private) located in Melbourne. Most of them worked with patients who were at high risk of hospital-acquired PI on a daily basis. Interview transcripts were coded and analysed using thematic analysis guided by the Theoretical Domains Framework. The domains referred to most frequently by all participants included: Knowledge, Skills, Social/Professional Role and Identity, Beliefs about Capabilities, and Environmental Context and Resources. The key barriers discussed by nurses included gaps in nurses' knowledge and skills related to identification and staging of PI, heavy nursing workload and inadequate staffing levels, stigma and self-blame related to PI identification, and exacerbating impacts of the COVID-19 pandemic. Main facilitators discussed were training programmes, nursing audits and feedback, and teamwork. Participants suggested improvements including accessible and tailored training, visual reminders, and addressing heavy workloads and emotional barriers nurses face. Investing in tailored training initiatives to improve nurses' knowledge and organisational changes to address low level staffing and heavy workloads are urgently needed to support nurses in delivering optimal care and preventing hospital-acquired PI.
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Affiliation(s)
- Victoria Team
- School of Nursing and MidwiferyMonash UniversityClaytonVictoriaAustralia
- Monash Partners Academic Health Science CentreClaytonVictoriaAustralia
| | - Ayoub Bouguettaya
- School of Nursing and MidwiferyMonash UniversityClaytonVictoriaAustralia
| | - Yunjing Qiu
- School of Nursing and MidwiferyMonash UniversityClaytonVictoriaAustralia
- School of Nursing and MidwiferyUniversity of Technology SydneyUltimoNew South WalesAustralia
| | - Louise Turnour
- School of Nursing and MidwiferyMonash UniversityClaytonVictoriaAustralia
| | - Jane C. Banaszak‐Holl
- Department of Health Services Administrations, School of Health ProfessionsThe University of Alabama at BirminghamBirminghamAlabamaUSA
| | - Carolina D. Weller
- School of Nursing and MidwiferyMonash UniversityClaytonVictoriaAustralia
| | - Geoffrey Sussman
- Austin HealthMelbourneVictoriaAustralia
- Department of General Practice, Faculty of Medicine, Nursing and Health ScienceMonash UniversityMelbourneVictoriaAustralia
| | - Angela Jones
- Monash Partners Academic Health Science CentreClaytonVictoriaAustralia
| | - Helena Teede
- Monash Partners Academic Health Science CentreClaytonVictoriaAustralia
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Ding Y, Tang H, Zhang Y, Peng Q, Dong W, Lu G, Chen C. The effect of work readiness on work well-being for newly graduated nurses: The mediating role of emotional labor and psychological capital. J Nurs Scholarsh 2024. [PMID: 38654402 DOI: 10.1111/jnu.12976] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2023] [Revised: 04/05/2024] [Accepted: 04/10/2024] [Indexed: 04/25/2024]
Abstract
OBJECTIVE To investigate the relationship between work readiness and work well-being for newly graduated nurses and the mediating role of emotional labor and psychological capital in this relationship. METHODS A cross-sectional survey was conducted in mainland China. A total of 478 newly graduated nurses completed the Work Readiness Scale, Emotional Labour Scale, Psychological Capital Questionnaire, and Work Well-being Scale. Descriptive statistical methods, Pearson correlation analysis, and a structural equation model were used to analyze the available data. RESULTS Newly graduated nurses' work readiness was significantly positively correlated with work well-being (r = 0.21, p < 0.01), deep acting (r = 0.11, p < 0.05), and psychological capital (r = 0.18, p < 0.01). Emotional labor and psychological capital partially mediated the relationship between work readiness and work well-being. Additionally, emotional labor and psychological capital had a chain-mediating effect on the association. CONCLUSIONS AND CLINICAL RELEVANCE Work readiness not only affects newly graduated nurses' work well-being directly but also indirectly through emotional labor and psychological capital. These results provide theoretical support and guidance for the study and improvement of newly graduated nurses' work well-being and emphasize the importance of intervention measures to improve work readiness and psychological capital and the adoption of deep-acting emotional-labor strategies.
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Affiliation(s)
- Yueming Ding
- Institute of Nursing and Health, School of Nursing and Health, Henan University, Kaifeng, Henan, China
| | - Haishan Tang
- Institute of Nursing and Health, School of Nursing and Health, Henan University, Kaifeng, Henan, China
| | - Yiming Zhang
- Institute of Nursing and Health, School of Nursing and Health, Henan University, Kaifeng, Henan, China
| | - Qianwen Peng
- Institute of Nursing and Health, School of Nursing and Health, Henan University, Kaifeng, Henan, China
| | - Wanglin Dong
- Institute of Nursing and Health, School of Nursing and Health, Henan University, Kaifeng, Henan, China
| | - Guangli Lu
- Institute of Business Administration, School of Business, Henan University, Kaifeng, Henan, China
| | - Chaoran Chen
- Institute of Nursing and Health, School of Nursing and Health, Henan University, Kaifeng, Henan, China
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McClunie-Trust P, Jarden R, Marriott P, Winnington R, Dewar J, Shannon K, Jones S, Jones V, Turner R, Cochrane L, Macdiarmid R. Graduate entry nursing students' development of professional nursing self: A scoping review. Int J Nurs Stud 2024; 151:104670. [PMID: 38215688 DOI: 10.1016/j.ijnurstu.2023.104670] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2023] [Revised: 11/26/2023] [Accepted: 12/03/2023] [Indexed: 01/14/2024]
Abstract
BACKGROUND Accelerated graduate entry nursing programmes require students to rapidly socialise to the profession. Professional identity is an important element of becoming a nurse. OBJECTIVE This scoping review aimed to synthesise published literature reporting the development of professional identity, belongingness and self-concept as a nurse in students enrolled in a pre-registration graduate entry nursing programme. DESIGN Scoping review. SETTING Graduate entry nursing programmes. PARTICIPANTS Graduate entry nursing students. METHOD Following a pre-registered protocol, we searched electronic databases for publications investigating graduate entry nursing students' development of professional identity, belongingness and self-concept. Screening, data extraction and analysis were initially in duplicate and independent, and then by consensus. RESULTS Of the 871 records identified, twenty met the inclusion criteria. Publications were from the USA, Australia, New Zealand, Canada, and the UK. We identified one overarching theme of 'professional nursing self', with four sub-themes: 1) professional socialisation, 2) professional self-concept, 3) developing nursing agency, and 4) identity formation. Socialisation into nursing and belongingness to the profession occurred concurrently as students moved through their programme of learning. Due to the accelerated nature of the programmes, rapid professional socialisation was required, supported by positive relationships in the clinical setting. Strategies that enhanced belongingness and wellbeing enabled students to feel connected to the profession. CONCLUSIONS The development of professional identity in graduate entry nursing students is impacted by their rapid professional transition through an accelerated programme. Students' growing sense of nursing agency is embodied in their experiences of thinking and acting as a nurse. Their previous professional identity is then reconstituted in their new graduate selves; educational programmes support this transition. TWEETABLE ABSTRACT Scoping review finds professional identity development in graduate entry nursing students is rapid in accelerated preregistration degrees #belonging #connection.
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Affiliation(s)
| | - Rebecca Jarden
- Department of Nursing, University of Melbourne, Parkville, Victoria 3010, Australia; Austin Health, 145 Studley Road, Melbourne, Victoria, Australia.
| | | | - Rhona Winnington
- Auckland University of Technology, 90 Akoranga Drive, Northcote, 0627 Auckland, New Zealand.
| | - Jan Dewar
- Auckland University of Technology, 90 Akoranga Drive, Northcote, 0627 Auckland, New Zealand.
| | - Kay Shannon
- Auckland University of Technology, 90 Akoranga Drive, Northcote, 0627 Auckland, New Zealand.
| | - Sophie Jones
- The University of Melbourne, Parkville, Victoria 3010, Australia; Department of Clinical Haematology, The Royal Children's Hospital, Haematology Research Group, Murdoch Children's Research Institute, Melbourne, Victoria, Australia.
| | | | - Rosemary Turner
- The University of Melbourne, Parkville, Victoria 3010, Australia.
| | - Lindy Cochrane
- The University of Melbourne, Parkville, Victoria 3010, Australia.
| | - Rachel Macdiarmid
- Auckland University of Technology, 90 Akoranga Drive, Northcote, 0627 Auckland, New Zealand.
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Chang HY, Lee IC, Tai SI, Ng NY, Shiau WL, Yu WP, Cheng TCE, Teng CI. Professional engagement: Connecting self-efficacy to actual turnover among hospital nurses. J Adv Nurs 2023; 79:4756-4766. [PMID: 37334431 DOI: 10.1111/jan.15737] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2022] [Revised: 05/08/2023] [Accepted: 06/01/2023] [Indexed: 06/20/2023]
Abstract
AIMS To examine how nurses' self-efficacy impacts professional engagement (professional opportunities exploration and workplace improvement participation), nurses' turnover intention and further on actual turnover. BACKGROUND The problem of nursing shortage has become a common global issue. Nurses' self-efficacy could reduce nurses' turnover intention. However, whether professional engagement could connect nurses' self-efficacy and their actual turnover remains unknown. DESIGN This study adopts a three-wave follow-up design. METHODS This study uses proportionate random sampling to survey nurses in a large medical centre in Taiwan. Totally, 417 participants were enrolled from December 2021 to January 2022 (first wave) and followed up from February 2022 to March 2022 (second wave). The data of nurses' actual turnover (or not) were traced in May 2022 (third wave). STROBE statement was chosen as the EQUATOR checklist. RESULTS Self-efficacy was positively linked to outcome expectation, which is positively linked to professional opportunities exploration. Self-efficacy was positively linked to career interest and workplace improvement participation. Professional engagement was negatively linked to nurses' intention to leave the target hospital, which was positively linked to actual turnover. CONCLUSION This study uniquely finds that professional engagement is the key to the mechanism underlying the influence of nurse' self-efficacy on their actual turnover. IMPACT Our findings impact nursing management that professional engagement is as well important as nurses' self-efficacy, with an aim to maintain the professional nursing workforce. PATIENT OR PUBLIC CONTRIBUTION Nurses complete the questionnaires, return them to the investigators and permit investigators to check their personnel data.
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Affiliation(s)
- Hao-Yuan Chang
- School of Nursing, National Taiwan University, Taipei, Taiwan
| | - I-Chen Lee
- Department of Industrial and Business Management, Chang Gung University, Taoyuan City, Taiwan
- Craniofacial Research Center, Chang Gung Memorial Hospital at Linkou, Taoyuan City, Taiwan
- Department of Business and Management, Ming Chi University of Technology, Taipei, Taiwan
| | - Shih-I Tai
- Graduate Institute of Management, Chang Gung University, Taoyuan City, Taiwan
| | - Nga Yan Ng
- Department of Industrial and Business Management, Chang Gung University, Taoyuan City, Taiwan
| | - Wen-Lung Shiau
- Department of Information Management, Chang Gung University, Taoyuan City, Taiwan
| | - Wen-Pin Yu
- Department of Nursing, Chang Gung Medical Foundation, Chang Gung Memorial Hospital, Taoyuan City, Taiwan
- Chang Gung University of Science and Technology, Taoyuan City, Taiwan
| | - T C E Cheng
- Faculty of Business, Department of Logistics and Maritime Studies, The Hong Kong Polytechnic University, Hong Kong SAR, PRC
| | - Ching-I Teng
- Department of Business and Management, Ming Chi University of Technology, Taipei, Taiwan
- Graduate Institute of Management, Chang Gung University, Taoyuan City, Taiwan
- Department of Physical Medicine and Rehabilitation, Chang Gung Memorial Hospital, Taoyuan City, Taiwan
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