專科護理師角色轉換歷程之壓力與調適

Pressure and Adjustment of the Transitioning Process towards Different Roles of Nursing Practitioners

10.29494/LN.202209_23(3).0003

黃瓊磁(Chiung-Tzu Huang)；蕭思美(Szu-Mei Hsiao)；林淑菁(Shu-Chin Lin)；梁露珍(Lu-Chen Liang)

專科護理師 ； 角色轉換 ； 壓力 ； 因應 ； 疲倦 ； nursing practitioner ； role transition ； stress ； coping ； burnout

領導護理

23卷3期（2022 / 09 / 01）

29 - 47

繁體中文

背景：專科護理師角色有助於提升護理專業多元性與自主性，但對新轉任之專科護理師面臨此新角色的壓力，如適應不良則易造成疲潰甚至出錯之可能。目的：探討專科護理師角色轉換之壓力與調適。方法：採質性研究內容分析法，訪談10位現職專科護理師。結果：專科護理師轉換歷程之壓力主要來自個人壓力、專業與跨專業壓力、及組織管理與期待；因應策略包含「外在舒壓」與「內在調適」。結論∕實務應用：新手專科護理師角色轉換歷程需要專科護理師角色學習典範，可正向提昇對專業能力認同度、提高自信及展現角色，本研究發現可提供未來學校課程規劃或醫院在職訓練之參考。

Background: The role of a nursing practitioner enhances both diversity and autonomy of the nursing profession. However the newly transferred nursing practitioner faces the pressure towards the new role, and it is easy to cause exhaustion and even the possibility of errors if it is not adjusted properly. Objective: To explore the pressure nursing practitioner encounter when adjusting towards the new role. Methods: The qualitative content analysis was used and data was collected from interviewing ten nursing practitioners. Results: The pressure from the transition encountered by nursing practitioner mainly comes from personal pressure, professional and inter-professional pressure, as well as organizational management and expectations; the coping strategies include ＂external stress relief＂ and ＂internal adjustment＂. Conclusions and practical application: The novice nursing practitioners require a role model to enhance his or her recognition of professional abilities in order to improve self-confidence, and hence better professional performance. The result of this study may serve as a reference for future school curriculum planning or hospital in-service training.

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