新進護理人員的學習經驗

Learning Experiences of Newly Graduated Nurses

曾淑倩(Shu-Chien Tzeng) ； 周傳姜(Chuan-Chiang Chou)

《榮總護理》 33卷2期 (2016/06) Pp. 186-195

https://doi.org/10.6142/VGHN.33.2.186

摘要

本研究源於護理人力流失率高，卻缺乏對新進護理人員主觀學習經驗的瞭解。本研究目的在瞭解新進護理人員的學習經驗。研究採深度訪談法，以立意取樣共有八位研究參與者，所得資料以「類別－內容」模式加以分析。新進護理人員生活經驗歸納為四大主題：一、期待與現實之間的鴻溝；二、溝通的窘境；三、心力交瘁待知音；四、蛻變或幻滅，分別呈現於八個面向。研究結果顯示新進護理人員進入臨床工作一年之內面臨多重的工作壓力及扮演多重角色，是否能獲得適當地支持與重視，影響其繼續留任的動機。本研究期望藉此結果，提供行政管理與教育訓練者研擬有效改善策略之參考。

關鍵字

新進護理人員 ； 深度訪談 ； 學習經驗

並列摘要

The turnover rate among nursing staff is exceptionally high. However, little qualitative research has been conducted on the learning experiences and perceptions of new graduates. The results of this study may provide crucial information to healthcare providers in administration and education for developing strategies to reduce the turnover rate. The purpose of this research was to explore learning experiences of newly graduated nurses. This qualitative study used an in-depth interview method with purposive sampling. Eight newly graduated nurses were interviewed. Data were analyzed using category-content analysis. Four major themes were identified: (1) a gap between expectations and reality; (2) communication embarrassment; (3) mental and physical exhaustion, and (4) metamorphosis or disillusionment. These themes were presented in eight aspects. The results showed that newly graduated nurses entering clinical work faced multiple sources of pressure and played numerous roles during their first year. If nurses receive appropriate support and attention, they might be more highly motivated to continue their work. According to these results, specific recommendations are provided for nursing administrators and the design and implementation of clinical in-service training.

並列關鍵字

newly graduated nurses ； in-depth interview method ； learning experiences

參考文獻

張慧蘭、盧美秀、林秋芬(2010)．應屆畢業新進護理人員離職相關因素之探討．醫護科技期刊，12(3)，161-172。

張惠甄、陳佩英、郭素青(2004)．醫院設立分院時新進護理人員工作壓力源及其影響因素．健康管理學刊，2(1)，37-50。

張美珍、周汎澔(2007)．教學卓越與教育評鑑衝擊下之台灣護理教育現況與未來發展趨勢．嘉基護理，7(2)，10-14。

鍾鳳嬌、周鳳珍(2007)．新進護理人員照護肺結核病患之壓力與調適．美和技術學院學報，26(1)，55-71。

黃千惠(2004)．行政院衛生署所屬醫院新進護理人員工作壓力及其相關因素之調查研究．未發表的碩士論文．台北：台北醫學大學。