Unveiling the challenges encountered by newly graduated nurses during night shifts:A descriptive qualitative study

新毕业护士在夜班期间遇到的挑战:质性研究

Objectives:Newly graduated nurses commence night shifts during a phase of heightened vulnerability to reality shock,exacerbating the challenges faced by these graduates.Therefore,this study aimed to identify the challenges experienced by newly graduated nurses when undertaking night shifts in order to help identify a strategy for supporting their adaptation to these shifts.Methods:Semi-structured personal interviews were used to collect data.Fifteen newly graduated nurses were selected to participate in the study by purposive sampling method from November 2021 to March 2022 in one of four general hospitals situated in the southwestern region of Japan.Semi-structured interviews were analyzed by using thematic analysis.Results:The analysis revealedfive central themes and nine subthemes:challenges in task efficiency(task organization challenges,challenges in time-constrained task performance),challenges in responding to patients’changing conditions(challenges in responding to patients’irregular conditions,challenges in responding to nighttime changes in patients’behaviors),challenges in independent practice(challenges in engaging in independent nursing practice,challenges in dealing with unexpected events),challenges in establishing collaborative relationships(challenges in working closely with other staff,challenges in establishing collaborative relationships during night shifts with limited resources),challenges in adapting to shift work(challenges in managing physical conditions for shift work).Conclusions:Newly graduated nurses often encounter challenges in performing their tasks during the transition period.When working night shifts,they face additional hurdles unique to nocturnal duties.Thefindings underscore the necessity for these graduates to develop night shift-specific readiness to effectively navigate the demands inherent in such work schedules.

目的刚毕业的护士在开始值夜班时,处于更容易受到现实冲击的阶段,这会加剧护士所面临的挑战。因此,本研究旨在确定新毕业护士在上夜班时遇到的挑战,以帮助管理者制订支持其适应夜班的策略。方法采用半结构式个人访谈法收集资料。于2021年11月至2022年3月,在日本西南部地区1所综合医院中,选取15名新毕业护士参与研究。采用主题分析法对数据进行分析。结果共提炼5个主题及9个子主题:工作效率的挑战(任务组织挑战、时间限制下的任务表现挑战);应对患者病情变化的挑战(应对患者突发情况的挑战、应对患者夜间行为变化的挑战);独立实践中的挑战(从事独立护理实践的挑战、应对突发事件的挑战);建立合作关系的挑战(与其他员工紧密合作的挑战、在资源有限的夜班期间建立合作关系的挑战);适应轮班工作的挑战(轮班工作物质条件管理方面的挑战)。结论新毕业的护士在过渡期执行任务时经常会遇到挑战,这些护士必须做好上夜班的准备,才能有效地应对这种工作安排的内在要求。