Background and Purpose Patients admitted to intensive care units (ICUs) are critically ill and suffer from life-threatening sickness of injury. To work in ICU, registered nurses require additional knowledge and skills. While practices regarding the hire of new graduate nurses (NGNs) into settings such as the ICU vary, it is common that NGNs are being hired. However, NGNs in general, are at a higher risk for turnover within the profession as compared to their more experienced colleagues. NGNs in ICU settings may be at higher risk of turnover due to the complexity of the care context. It is of particular importance that the experiences of NGNs in ICU be explored with the intent of identifying what these nurses experience but also to consider how they can be best supported during a period of transition. This manuscript reports the findings from a mixed design study that sought to understand the transition of a cohort of NGNs over a period of 2 years. Methods This study used both a purposive and convenience sample of NGNs. The qualitative component incorporated Thorne's (2016) interpretive description. Face-to-faceinterviews were completed. Results Five themes were identified: an emotional transition, a social transition, a transitioning mindset, transitioning through firsts, and transitioning with confidence. Within each theme, there is a distinct difference and elements of transition were evident. Findings demonstrate that the NGNs appeared to be more confident in their skills and in their nursing practice over time. Findings from this study provide important insight into the experiences of NGNs in ICUs.

中文翻译：

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新的研究生护士过渡到重症监护室：纵向研究的定性见解-第1部分。

背景和目的进入重症监护病房（ICU）的患者病危，并患有危及生命的疾病。要在ICU工作，注册护士需要额外的知识和技能。尽管在诸如ICU之类的环境中聘用新的研究生护士（NGN）的做法有所不同，但雇用NGN是很常见的。但是，与经验丰富的同事相比，一般而言，NGN在该行业内的离职风险更高。由于护理环境的复杂性，ICU环境中的NGN可能有更高的离职风险。尤其重要的是，在确定重症监护病房中的NGN经历时，既要确定这些护士的经历，又要考虑在过渡时期如何最好地为他们提供支持。该手稿报告了一项混合设计研究的结果，该研究旨在了解NGN群体在2年内的过渡情况。方法：本研究使用了目的性和便利性的NGN样本。定性成分纳入了Thorne（2016）的解释性描述。面对面的采访已经完成。结果确定了五个主题：情感转变，社会转变，思维转变，初次转变和自信转变。在每个主题内，都有明显的差异，过渡元素也很明显。研究结果表明，随着时间的推移，NGN似乎对其技能和护理实践更有信心。这项研究的发现提供了有关ICU中NGN经验的重要见解。