Despite the global rise in the number of nurses upgrading from Registered Nursing (RN) to a Bachelor of Science in Nursing (BSN), studies have indicated that successful role transition is difficult once the nurses return to their previous workplaces. Guided by the Transitional Theory, this study investigates the factors that influence the transition from basic to advanced roles among RN to BSN nurses in Uganda, Africa. This study employed a descriptive correlational design. Using convenience sampling, fifty-one (51) RN to BSN nurses completed the semi-structured questionnaires. All the study participants (100%) described themselves as having transitioned from RN to BSN role. In bivariate linear regression, personal factors that were found to predict successful role transition included holding a managerial role, being aware and prepared for the role transition, and positive role transition experiences. Role transition motivators that predicted successful role transition included: job promotion, internal desire for self-development, and career development. One community factor – that is the support of doctors/physicians during the RN to BSN transition – predicted unsuccessful role transition. Societal factors deterring successful role transition included lack of support from other colleagues and the perception that BSN learning was not applicable to the RN clinical setting. In multivariate linear regression, only sub-scales of personal factors such as advanced skills mastery and positive personal experiences predicted successful role transition. The study suggests that personal factors influence successful role transition more than external factors.

中文翻译：

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乌干达中部三家选定医院中影响 RN 护士向 BSN 护士过渡到高级角色的因素

尽管全球从注册护理 (RN) 升级到护理理学学士 (BSN) 的护士人数有所增加，但研究表明，一旦护士返回之前的工作场所，成功的角色转换就很困难。在过渡理论的指导下，本研究调查了影响非洲乌干达 RN 护士到 BSN 护士从基础角色到高级角色转变的因素。本研究采用了描述性相关设计。使用便利抽样，五十一 (51) 名 RN 至 BSN 护士完成了半结构化调查问卷。所有研究参与者 (100%) 都表示自己已从 RN 角色转变为 BSN 角色。在双变量线性回归中，发现预测成功角色转换的个人因素包括担任管理角色、了解角色转换并为角色转换做好准备以及积极的角色转换经历。预测成功角色转换的角色转换激励因素包括：工作晋升、自我发展的内在愿望和职业发展。一个社区因素——即从 RN 到 BSN 过渡期间医生/医生的支持——预示着角色过渡会不成功。阻碍角色成功转型的社会因素包括缺乏其他同事的支持以及认为 BSN 学习不适用于 RN 临床环境的看法。在多元线性回归中，只有高级技能掌握和积极的个人经历等个人因素的子量表才能预测成功的角色转变。研究表明，个人因素比外部因素更能影响成功的角色转换。