Supporting the novice nurse to fly: A literature review

The evolution from a newly graduated or novice nurse to a competent nurse can be challenging and difficult. This transition involves a tidal wave of emotions along with time needed to develop critical thinking skills, in order to apply their knowledge to patient situations, make decisions and respond with appropriate actions. The purpose of this paper was to explore the existing literature in the area of supports for novice nurses; by determining who is a novice nurse, what can plague a novice's transition, and how to support their successful transition. These results have been compared with the role of Clinical Nurse Expert at The Ottawa Hospital and overall, the findings suggest that a one year coaching program for novices is an effective strategy for supporting their transition, subsequently increasing their retention rates, as well as having a positive influence on the nursing profession, our patients and the healthcare system.     

驾驶风格对新手驾驶员危险知觉的影响

目的探讨驾驶风格对新手驾驶员危险知觉的影响,以期为新手驾驶员的培训、选拔工作提供理论支持。方法在辽宁省3个城市选取115名新手驾驶员完成多维度驾驶风格量表和驾驶员危险知觉情景问卷。结果①方差分析表明,危险知觉的驾龄、年龄差异显著(F=18.17,12.70;P0.001);②相关分析表明,男性冒险、愤怒、焦虑、分心以及女性冒险、愤怒、焦虑驾驶风格与危险知觉呈显著负相关(r=-0.357,-0.388,-0.403,-0.367,-0.465,-0.369,-0.395;P0.01);③回归分析表明,冒险和焦虑驾驶风格对危险知觉的预测作用显著(β=-0.124,-0.106;P0.01)。结论驾龄越长、年龄越大的驾驶员,危险知觉能力越高;驾驶过程中冒险和焦虑越多,危险知觉能力越低。     

Effective interventions for preventing work related physical health complaints in nursing students and novice nurses: A systematic review

From the start of their career, nursing students and novice nurses are at risk of developing physical health problems due to high physical workload, which may lead to early exit from nursing. To provide an overview of interventions preventing physical health problems in early career, a systematic review was performed. A comprehensive search of the literature was conducted up to December 2017. Primary outcome of interest was education/work dropout. Secondary outcomes were musculoskeletal symptoms. Independent authors selected studies, appraised quality and extracted data. After screening 7111 titles and abstracts, eleven studies were included. Seven studies evaluated interventions for moving/handling training. Four evaluated other interventions. None focused on our primary outcome education/work dropout. All studies reported on physical complaints among student nurses only. Overall, risk of bias was high and clinical heterogeneity prohibited pooling of data. Intervention effects were small and inconsistent. In conclusion, evidence for the effectiveness of interventions in the nursing curricula for the prevention/treatment of physical complaints is scarce and where available conflicting. We recommend high quality research on dropout due to physical health problems, as well as on the prevention/treatment of physical complaints.     

新护士照料住院疼痛患儿内心体验的质性研究

目的：了解新护士照料住院疼痛患儿时的内心体验。方法采用Colaizzi现象学研究方法,选择15名儿科新护士进行深度访谈,对结果进行笔录及分析。结果经过分析得出两大主题：住院患儿疼痛符合预料疼痛模式时,新护士将会有自我认同感、自信心;反之,新护士内心体验则表现为恐惧、无助、被否定感、不自信。结论新护士照料疼痛患儿的内心体验值得关注,应采取有效的干预措施,以提高新护士疼痛护理能力,保证儿科护理工作质量和安全。     

The phenomenon of caring from the novice student nurse's perspective: a qualitative content analysis

Background: Caring has been seen as a nursing term/concept, including all the aspects that are used to deliver nursing care to patients. Sometimes caring has been conceptualized as a relational expression of human concern and as a collection of human activities that assists others. Aim: This study is to identify and describe the nature of the concept ‘caring’ from the novice student nurse's perspective. Methods: A total of 127 Swedish novice student nurses wrote comments in essay form to the question: ‘what is your image of the concept caring?’ Data were analysed using qualitative content analysis, with the use of the theoretical framework: ‘doing’ and ‘being’. Findings: Three categories of caring were identified as ‘doing’, ‘being’ and ‘professionalism’. The phenomena of caring and the caring process could be illustrated as including hand (doing), heart (being) and brain (professionalism). Conclusions: It is now time to make care more visible as a principle of practice and of moral action. This could be explicit in a clear professional framework and incorporated more fully into nursing education programmes. Caring is to take care of the entire human being physically, emotionally and intellectually. Nurses need to use hand, heart and brain in order to fulfil their commitments.     

The development,feasibility and acceptability of a coach-led intervention to ease novice community pharmacists’ transition to practice

BackgroundDespite reported benefits of transition support programmes for other healthcare professionals, no evidence-based support interventions exist to ease newly-registered novice community pharmacists' (NCPs) transition into practice.ObjectivesTo develop an intervention to provide psychosocial support, support the development of professional behaviours and skills of novice pharmacists in community pharmacy and conduct an evaluation.MethodsThe Medical Research Council (MRC) guidance for developing complex interventions was applied to develop a 17-week, pharmacist coach-led intervention, using a social media group, a face-to-face introductory workshop, two webinars, weekly case studies, portfolios (reflective logs and development plans) and a handbook. Twelve newly-registered NCPs participated. A coach log and semi-structured interviews collected data on feasibility, acceptability and perceived impact.ResultsFindings suggest the intervention was feasible and highly acceptable to NCPs, who perceived the coach and social media group to be the most valuable components. The coach was described as non-judgemental, approachable and collaborative. Provision of guided one-to-one reflection was viewed as useful for debriefing, feedback and meaningful reflection, and supported development of reflection-in-action. The face-to-face workshop was considered important for establishing rapport and trust. The social media group was most valued for providing an accessible, confidential and responsive support network, in which NCPs felt psychologically safe to learn. This component was reported to present opportunities for developmental discourse and shared reflection with peers, thus reducing the sense of professional isolation. NCPs reported that the intervention led to increases in meaningful learning, confidence, critical reasoning, self-awareness and self-reflection. The webinars and handbook were identified as the least valuable components.ConclusionsA transition-support intervention using an experienced pharmacist coach, delivered within a safe, supportive, albeit online facilitated learning environment, appeared feasible and valuable in supporting guided reflection and developmental discourse. This facilitates transformative learning, and supports NCPs to gain proficiency and become independent reflective practitioners.     

The effectiveness of humanoid diagram teaching strategy on care capacity and retention in novice nurses

AimTo examine the effectiveness of a Humanoid Diagram Teaching Strategy (HDTS) on care capabilities and retention of novice nurses.BackgroundGuiding novice nurses in clinical practice is a matter of concern and the use of diagrams in assisting the learning process and to promote learning efficiency has been acknowledged.DesignThis is a quasi-experimental study with asynchronous repeated measurements for the experimental and control groups.MethodsThe study was conducted in a medical centre in southern Taiwan with 24 novice nurses. The intervention, Humanoid Diagrams Teaching Strategy, contained three parts: the head and neck; trunk; and limbs. The HDTS was applied three time weekly. Each session lasted approximately 30 min and the training lasted 4 weeks. The effectiveness of HDTS was measured using Mini-CEX, CbD and retention rates in the 3rd and 6th months of novice nurses’ experience.ResultsAfter the HDTS, although increases in mini-CEX and CbD scores in the experimental group were greater than the control group, these differences were not statistically significant after considering the time interaction. But the 3rd month and 6th month novice nurses’ retention rates were statistically significantly different by comparing the differences under the time interaction effects in both groups.ConclusionsThe Humanoid Diagram Teaching Strategy is an effective tool for preceptors to use in assisting novice nurses in learning, improving their nursing care knowledge and technical skills and to increase their retention rate.     

Prognosis and prognostic factors of running-related injuries in novice runners: A prospective cohort study

Objectives

To investigate the prognosis and possible prognostic factors of running-related injuries (RRIs) in novice runners.

Novice nurses’ experiences from teamwork in the emergency department: A qualitative content analysis

Background and aimTeamwork is assumed crucial in nursing. Nevertheless, nursing shortages in medical centers have thus far compelled nurse managers to use novice nurses. The present study aimd to explaining the challenges and experiences of novice nurses regarding teamwork in emergency departments.Materials and methodsUsing qualitative content analysis, 11 novice nurses working at emergency department, participated in this study. Data were collected with semi structured interview and analyzed by Graneheim and Lundman.ResultsThe data analysis led to the emergence of four themes of “essential teamwork skills development”, “contradictory relationships between team members”, “unpleasant feelings and experiences”, and, “personal growth and maturation during teamwork”.ConclusionFostering different personal aspects as prerequisites for teamwork, novice nurses will be able to deal with unpleasant feelings and experiences as well as contradictory relationships between team members in an effective manner. This challenging experience will thus give rise to personal growth and maturation during teamwork among them in emergency department.