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Nyexaminerade sjuksköterskors upplevelser av ett introduktionsprogram: En deskriptiv kvalitativ studieRose, Anna-Karin January 2020 (has links)
Bakgrund: Under de senaste decennierna har sjuksköterskeutbildningen, sjuksköterskans yrkeskompetens och sjukvårdsverksamheten i Sverige genomgått omfattande förändringar. När nyexaminerade sjuksköterskor förväntas bekanta sig med arbetsmiljön och förväntningarna i yrket samtidigt som introduktionsperioden ska ske beskrivs situationen som komplex. Internationellt har introduktionsprogram visat sig främja nya sjuksköterskors arbetstillfredsställelse, kompetens, social tillhörighet samt antalet sjuksköterskor som valt att stanna i yrket. Det finns dock inga studier som undersökt vilka upplevelser nyexaminerade sjuksköterskor har av introduktionsprogram med avseende på övergång från studierna till yrkeslivet eller om det möjliggjort att förankra de kunskaper som uppnått under studierna. Syfte: Studiens syfte var att belysa nyexaminerade sjuksköterskors upplevelser av Region Skånes introduktionsprogram, med avseende på om det har underlättat övergången från utbildning till yrkeslivet, samt om det skapat ökade möjligheter för att förankra kunskaper i den nya professionen.Metod: En deskriptiv kvalitativ studie.Resultat: I resultatet framkom att introduktionsprogrammet hade underlättat övergången från studier till yrkeslivet, bidragit till att förankra kunskap och att kunskapen använts i arbetet som sjuksköterskor. Vidare framkom att upplevelser av programmet handlade om förväntningar, fördjupad kunskap, nätverk, profession och trygghet.Slutsats: Det finns vetenskapligt stöd för användning av introduktionsprogram för att säkerställa övergången mellan studier och yrkesliv. Samtidigt framkom information om vilka insatser som behöver göras för att förbättra introduktionsprogrammet och den första tiden i yrket för de nyexaminerade sjuksköterskorna. / Background: During recent decades, the nursing education, the nurse’s professional competence and the healthcare in Sweden have undergone extensive changes. The situation is described as complex when newly graduated nurses are expected to become acquainted with the work environment and expectations in the profession at the same time as the introduction period is to take place. Internationally, introductory programs have been shown to improve new nurses’ job satisfaction, skills, social affiliation and the number of nurses who have chosen to stay in the profession. However, there are no studies that have examined the experiences of newly graduated nurses of introductory programs regarding the transition from education to professional life, or whether they have made it possible to establish knowledge. Objective: The purpose of the study was to evaluate newly graduated nurses’ experiences of Region Skåne’s introductory program, concerning whether it has facilitated the transition from education to professional life, and whether it has created increased opportunities for anchoring knowledge in the new profession.Method: A descriptive qualitative study.Results: The results revealed that the introduction program had facilitated the transition from education to professional life, contributed to anchoring knowledge and that the knowledge was used in work as nurses. It was also found that experiences of the program were about expectations, in-depth knowledge, network, profession and security.Conclusion: There is scientific support for the use of introductory programs to ensure the transition between studies and professional life. At the same time, information emerged about what efforts need to be made to improve the introductory program and the first time in the profession for the newly graduated nurses.
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Organisation, practice and experiences of mouth hygiene in stroke unit care: a mixed methods studyHorne, Maria, McCracken, G., Walls, A., Tyrrell, P.J., Smith, C.J. 03 1900 (has links)
No / Aims and objectives
To (1) investigate the organisation, provision and practice of oral care in typical UK stroke units; (2) explore stroke survivors', carers' and healthcare professionals' experiences and perceptions about the barriers and facilitators to receiving and undertaking oral care in stroke units.
Cerebrovascular disease and oral health are major global health concerns. Little is known about the provision, challenges and practice of oral care in the stroke unit setting, and there are currently no evidence-based practice guidelines.
Design
Cross-sectional survey of 11 stroke units across Greater Manchester and descriptive qualitative study using focus groups and semi-structured interviews.
Methods
A self-report questionnaire was used to survey 11 stroke units in Greater Manchester. Data were then collected through two focus groups (n = 10) with healthcare professionals and five semi-structured interviews with stroke survivors and carers. Focus group and interview data were recorded, transcribed verbatim and analysed using framework approach.
Results
Eleven stroke units in Greater Manchester responded to the survey. Stroke survivors and carers identified a lack of oral care practice and enablement by healthcare professionals. Healthcare professionals identified a lack of formal training to conduct oral care for stroke patients, inconsistency in the delivery of oral care and no set protocols or use of formal oral assessment tools.
Conclusion
Oral care post-stroke could be improved by increasing healthcare professionals' awareness, understanding and knowledge of the potential health benefits of oral care post-stroke. Further research is required to develop and evaluate the provision of oral care in stroke care to inform evidence-based education and practice.
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