Abstract
Purpose: In Japan, demand for nursing is high. However, some novice nurses are unable to adapt to the workplace, and subsequently quit. This study aimed at clarifying relationship issues between novice and senior nurses and examining measures that could be enforced in wards for novice nurses based on the results. Methods: An inductive analysis was conducted on qualitative data from semi-structured interviews with 11 newly hired nurses who had recently graduated from nursing school. The study period was from November 2016 to March 2017. Results: The analysis generated the following three themes related to potential workplace maladaptation: 1) Adaptation to the workplace: difficulty in forming relationships with senior nurses and adapting, 2) Workplace education system: education by preceptors and senior nurses, 3) Professional stance: qualities as a nurse. Conclusion: The results indicated that novice nurses had difficulties in adapting to the workplace as well as its education system in wards. Hence, it was necessary to create habits that would not overly burden others, but instead, spread the rules of the organization, help novice nurses to understand their responsibilities, and assist them in overcoming challenges.
Highlights
Japan’s baby boomer generation will enter late adulthood in 2025, and the demand for nursing and care will increase
This study aimed at clarifying relationship issues between novice and senior nurses and examining measures that could be enforced in wards for novice nurses based on the results
1) Adaptation to the workplace This category was named Adaptation to the workplace because it consisted of novice nurses who were having trouble building relationships necessary to work within the organization
Summary
Japan’s baby boomer generation will enter late adulthood in 2025, and the demand for nursing and care will increase. It has been reported that six months to a year after nurses take up employment, high stress caused by interpersonal relationships influences their desire to leave [1] [2]. The urgency to: clarify novice nurses’ problems at the workplace relating to interpersonal relationships with existing nursing staff; examine the problems in wards accepting novice nurses; and promote workplace adaptation. In relation to education of novice nurses, since 2010, training programs have been mandatory to ensure medical safety and prevent early turnover of novice nurses [3]. Efforts are being made to train novice nurses that require economic resources and time
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