Employing newly qualified nurses to work in hospices: A qualitative interview study

• Published in: Journal of advanced nursing 2020-07, Vol.76 (7), p.1717-1727
• Main Authors: Rolt, Lucy, Gillett, Karen
• Format: Article
• Language: English
• Subjects: Campaigns; Clinical skills; Clinical training; Communication skills; Employment; end‐of‐life; Health care; hospice; Hospices; Interviews; Newly qualified; Nurse led services; Nurses; Nursing; palliative care; preceptorship; Professional attitudes; Professional development; Professional training; Qualitative research; Recruitment; Reimbursement; Skill development; Transferability; Trauma centers; Workplaces
• ISSN: 0309-2402; 1365-2648
• DOI: 10.1111/jan.14359

Aim To establish an understanding of the experiences of newly qualified nurses’ working in hospices from the perspective of both newly qualified and senior nurses. Design A qualitative interview study. Methods Semi‐structured interviews with six newly qualified nurses and five senior nurses from four UK hospices were conducted between March – July 2017. Results The hospices involved in this study were among the first to recruit newly qualified nurses. Participants believed that newly qualified nurses coped well with hospice working and received unique opportunities for professional development. Participants identified the value of formal and informal support, however, newly qualified nurses faced negative attitudes from some established staff. Newly qualified nurses expressed concerns about a perceived lack of technical clinical skills training, however, they highlighted gaining end‐of‐life care and communication skills that would be transferrable to other settings. Participants highlighted the need to allocate more time for education and formal support including preceptorship. Senior staff did not necessarily expect newly qualified nurses to remain in long‐term hospice employment suggesting that they could disseminate their hospice learning to future workplaces. Conclusion This study supports recruitment strategies that increasingly target newly qualified nurses to work in hospices with findings suggesting that hospices can be a suitable environment for recent graduates to work in. The senior nurses in this study viewed the employment of newly qualified nurses in a positive light but shared the concerns of newly qualified nurses regarding skills training. Impact At a time when hospices need to expand if they are going to meet demand for their services, they along with most areas of healthcare face difficulties recruiting and retaining registered nurses. To increase the appeal of hospice employment, recruitment campaigns aimed at newly qualified nurses should emphasize the transferability of skills gained in hospice settings. 目的 从新合格护士和老护士的角度处罚,了解新护士在医院中的工作经历。 设计 访谈式的定性研究。 方法 在2017年3月至7月间,对来自英国4家医院的6名新合格护士和5名老护士进行半结构式的访谈。 结果 参与本研究的临终关怀机构是最早招募新合格护士的机构之一。受访者认为,新合格护士能很好地应对临终关怀工作,取得独特的职业发展机会。受访者确认了正式和非正式支持的价值,不过,新合格护士会面临来自一些老员工的负面的态度。新合格护士表达了缺少技术临床技能培训的顾虑。然而,他们强调指出其收获了临终关怀和沟通技能,而这些技能可以转用于其他的环境。受访者还强调,最好在教育和正式的支持,包括指导在内,分配更多的时间。老职员并不一定期望新合格护士继续长期从事临终关怀工作,这意味着他们可以将临终关怀学习的知识带入以后别的工作场所。 结论 本研究支持加大面向临终关怀机构工作的新合格护士的招聘策略。研究结果表明,临终关怀机构的工作环境适合应届毕业生。本研究中的老护士对新合格护士的招聘持积极