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      Factors Affecting Nurses’ Coping With Transition: An Exploratory Qualitative Study

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          Abstract

          Aim:

          One of the most important factors contributing to staff shortage is nurses’ ineffective coping with transitions. Changes in nurses’ official positions are usually associated with varying degrees of transition. Identification of affecting factors on nurses’ coping in responding to transition can promote quality of nursing activity and prevent nurses’ shortage. So the aim of this study was to explore factors affecting nurses’ coping with transitions.

          Methods:

          The participant of this exploratory qualitative study consisted of sixteen nurses that were work in medical wards of four hospitals in Qazvin, Iran. Data collected by semi-structured interviews. The data were analyzed by qualitative content analysis approach.

          Results:

          The main theme of the study was ‘inadequate preparation for transition’. This theme consisted of six categories including “staff training and development”, “professional relationships”, “perceived level of support”, “professional accountability and commitment”, “welfare services”, and “nursing staff shortage”.

          Conclusion:

          Nursing managers and policy makers need to pay special attention to the affecting factors on nurses’ coping with transition and develop effective strategies for facilitating it.

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          Most cited references36

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          Transition shock: the initial stage of role adaptation for newly graduated registered nurses.

          The aim of this paper is to provide a theoretical framework of the initial role transition for newly graduated nurses to assist managers, educators and seasoned practitioners to support and facilitate this professional adjustment appropriately. The theory of Transition Shock presented here builds on Kramer's work by outlining how the contemporary new graduate engaging in a professional practice role for the first time is confronted with a broad range and scope of physical, intellectual, emotional, developmental and sociocultural changes that are expressions of, and mitigating factors within the experience of transition. This paper offers cumulative knowledge gained from a programme of research spanning the last 10 years and four qualitative studies on new graduate transition. New nurses often identify their initial professional adjustment in terms of the feelings of anxiety, insecurity, inadequacy and instability it produces. The Transition Shock theory offered focuses on the aspects of the new graduate's roles, responsibilities, relationship and knowledge that both mediate the intensity and duration of the transition experience and qualify the early stage of professional role transition for the new nursing graduate. Transition shock reinforces the need for preparatory theory about role transition for senior nursing students and the critical importance of bridging undergraduate educational curricula with escalating workplace expectations. The goal of such knowledge is the successful integration of new nursing professionals into the stressful and highly dynamic context of professional practice.
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            Nursing profession in Iran: an overview of opportunities and challenges.

            Iran's health-care system has witnessed profound changes in the last decades. Despite its progress, the system has currently faced many challenges in one of the important subsystems, nursing. The present review article aimed to present an overview of the opportunities and challenges of the Iranian nursing system, based on recent literature. A broad search of the English and Persian-language literature was carried out, incorporating both electronic and manual components from 1999 to 2009. The results of the investigations among the searched literature are summarized. The major challenges are nursing shortages, job dissatisfaction, poor social position of nurses, the gap between theory and practice, lack of community-based nursing care, lack of an appropriate student recruiting system, and shortages in the nursing educational curriculums. The authors believe that media, political and public support play a pivotal role in improving the image of nursing in society, increasing motivation among Iranian nurses, and promoting the sociocultural climate and the welfare of nurses, which will result in higher levels of quality of care as well as greater patient satisfaction.
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              A longitudinal study of perceived level of stress, coping and self-esteem of undergraduate nursing students: an Australian case study.

              The aim of this study was to investigate the perception and sources of stress, coping mechanisms used, and self-esteem in nursing students during 3 years of their undergraduate nursing programme. The sample consisted of a cohort of nursing students going through 3 years of a nursing programme. The method was a descriptive correlational design. The questionnaire consisted of demographic data, the General Health Questionnaire (GHQ-12), Self-esteem Scale, and the modified Ways of Coping Scale. Data were analysed using frequency distributions, content analysis, and measures of correlation. Results indicated that students in year 1 experienced significantly less transient stress as compared with year 2; students in year 3 had more positive self-esteem than year 2 students. There were no significant differences with regard to chronic stress, avoidance and proactive coping, and negative self-esteem. Chronic and transient stress, as measured by GHQ, were significantly correlated (P < 0.01) with avoidance coping behaviours, and negative self-esteem. Positive self-esteem was significantly correlated (P < 0.01) with proactive coping behaviours. The four main stressors in the last three years for this cohort of students, in descending order are nursing studies, finance, family and health. They coped by using both problem-focused and emotion-focused coping skills. There is a need to review the nursing curriculum and evaluate what impacts on students' stress levels, and also introduce strategies to reduce the stress levels of nursing students.
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                Author and article information

                Journal
                Glob J Health Sci
                Glob J Health Sci
                Global Journal of Health Science
                Canadian Center of Science and Education (Canada )
                1916-9736
                1916-9744
                November 2014
                15 July 2014
                : 6
                : 6
                : 88-95
                Affiliations
                [1 ]School of Nursing and Midwifery, Tehran University of Medical Sciences, Iran
                [2 ]School of Nursing and Midwifery, Nursing and Midwifery Care Research Center, Tehran University of Medical Sciences, Iran
                [3 ]School of Nursing and Midwifery, Semnan University of Medical Sciences, Iran
                Author notes
                Correspondence: Reza, Negarandeh, School of Nursing and Midwifery, Nosrat St. Tohid Sq., Tehran, Iran. Tel: 98-21-6642-1685. E-mail: negarandeh@ 123456gmail.com
                Article
                GJHS-6-88
                10.5539/gjhs.v6n6p88
                4825481
                25363117
                dc601fe4-f6a5-4100-b706-58c56d8336c0
                Copyright: © Canadian Center of Science and Education

                This is an open-access article distributed under the terms and conditions of the Creative Commons Attribution license ( http://creativecommons.org/licenses/by/3.0/).

                History
                : 14 May 2014
                : 23 June 2014
                Categories
                Articles

                transition,coping,nurse,qualitative study
                transition, coping, nurse, qualitative study

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