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Gaining acceptance, insight and ability to act: A process evaluation of a preventive stress intervention as part of a transition-to-practice programme for newly graduated nurses
Department of Clinical Neuroscience, Karolinska Institutet, Stockholm (SWE); Department of Health and Welfare, Dalarna University, Falun (SWE).
Department of Clinical Neuroscience, Karolinska Institutet, Stockholm (SWE).
University West, Department of Health Sciences, Section for nursing - graduate level. (LOVHH)ORCID iD: 0000-0003-0084-4636
2023 (English)In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, p. 1-15Article in journal (Refereed) Epub ahead of print
Abstract [en]

Aim:

To investigate how NGNs perceived and applied an intervention for preventing stress-related ill health embedded in a transition-to-practice programme when enter-ing their professional life.

Design:

A qualitative exploratory descriptive design was selected for this study to gain insights and perspectives on the adoption and utilization of the intervention.

Methods:

In this qualitative methodology process evaluation, semi-structured and audio-recorded interviews were conducted with a sample of 49 nurses. Data were collected between December 2016 and July 2017, and were sorted in NVivo 12 Plus, followed by thematic analysis.

Results:

The analysis resulted in three change processes stimulated by the intervention: (a) Building acceptance of being new; (b) Gaining insight into professional devel-opment and health and (c) Practical steps for skills development, healthy habits and better-organized work. In addition to the three themes, barriers that hindered the progression of the processes were also described. Each process influenced the development of the others by stimulating a deeper understanding, motivation to change and courage to act. Several barriers were identified, including the use of cognitively demanding intervention tools, fatigue, high work demands, inconvenient work hours and a hostile social climate on the ward.

Conclusion:

This process evaluation showed that newly graduated nurses used knowledge from the intervention and adopted new behaviours largely in accordance with how the intervention was intended to work.

Impact:

When entering a new profession, it is crucial to receive a well-thought-out, structured and targeted introduction to the new professional role, tasks and work group. Nurses stated that the intervention increased their understanding of the role as new nurses and their insight into how to develop skills that promoted better functioning and recovery. The intervention also stimulated the development of new health behaviour and some new learning strategies.

Place, publisher, year, edition, pages
2023. p. 1-15
Keywords [en]
intervention, interviews, introduction, nurses, onboarding, prevention, proactive behaviour, process evaluation, recovery, stress
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
URN: urn:nbn:se:hv:diva-20713DOI: 10.1111/jan.15820ISI: 001044146500001PubMedID: 37550853Scopus ID: 2-s2.0-85167362290OAI: oai:DiVA.org:hv-20713DiVA, id: diva2:1822995
Funder
AFA Insurance, 14007
Note

CC BY 4.0

Available from: 2023-12-29 Created: 2023-12-29 Last updated: 2024-01-15

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Skyvell Nilsson, Maria

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