"If somebody just showed me once how to do it": How are workplace cultures and practice development conceptualised and operationalised for early career nurses?
Journal
Nurse education today
ISSN: 1532-2793
Titre abrégé: Nurse Educ Today
Pays: Scotland
ID NLM: 8511379
Informations de publication
Date de publication:
Feb 2020
Feb 2020
Historique:
received:
21
06
2019
accepted:
07
11
2019
pubmed:
25
11
2019
medline:
24
9
2020
entrez:
25
11
2019
Statut:
ppublish
Résumé
An imminent nursing shortage mandates attention to retention of early career nurses. One factor that impacts on intention to stay in the profession is the ability to do the work. Early career nurses rely on supportive cultures to develop the practical skills and knowledge specific to particular workplaces. This study was conducted to determine the impact of workplace culture on practice development for early career nurses. We undertook a qualitative study using semi-structured interviews conducted with eleven early career nurses at a single metropolitan hospital in Melbourne, Australia. Interviews were transcribed verbatim and analysed using thematic analysis techniques. Themes identified were learning in the moment, active welcome, confidence, ambiguities in the culture of learning, bullying and navigating the space. Early career nurses conceive practice development as the acquisition of skills and knowledge particular to the immediate needs of their patients, which they learnt by asking questions. Developing confidence was integral to all aspects of practice development. Complexity and risk on the wards could negatively impact on confidence. Where welcome was explicit and overt the nurses felt that practice development was facilitated. Transition to practice programs supported nurses and some individual nurses were active in assisting nurses to develop. However, workplace cultures were at times indifferent to the learning needs of the early career nurses and some experienced poor workplace behaviour and bullying.
Sections du résumé
BACKGROUND
BACKGROUND
An imminent nursing shortage mandates attention to retention of early career nurses. One factor that impacts on intention to stay in the profession is the ability to do the work. Early career nurses rely on supportive cultures to develop the practical skills and knowledge specific to particular workplaces.
OBJECTIVES
OBJECTIVE
This study was conducted to determine the impact of workplace culture on practice development for early career nurses.
METHODS
METHODS
We undertook a qualitative study using semi-structured interviews conducted with eleven early career nurses at a single metropolitan hospital in Melbourne, Australia. Interviews were transcribed verbatim and analysed using thematic analysis techniques.
RESULTS
RESULTS
Themes identified were learning in the moment, active welcome, confidence, ambiguities in the culture of learning, bullying and navigating the space.
CONCLUSIONS
CONCLUSIONS
Early career nurses conceive practice development as the acquisition of skills and knowledge particular to the immediate needs of their patients, which they learnt by asking questions. Developing confidence was integral to all aspects of practice development. Complexity and risk on the wards could negatively impact on confidence. Where welcome was explicit and overt the nurses felt that practice development was facilitated. Transition to practice programs supported nurses and some individual nurses were active in assisting nurses to develop. However, workplace cultures were at times indifferent to the learning needs of the early career nurses and some experienced poor workplace behaviour and bullying.
Identifiants
pubmed: 31760348
pii: S0260-6917(19)30941-4
doi: 10.1016/j.nedt.2019.104267
pii:
doi:
Types de publication
Journal Article
Langues
eng
Pagination
104267Informations de copyright
Copyright © 2019 Elsevier Ltd. All rights reserved.