Journal of Hayat
حیات
Hayat
Medical Sciences
http://hayat.tums.ac.ir
1
admin
1735-2215
2008-188X
fa
jalali
1405
1
1
gregorian
2026
4
1
32
1
online
1
fulltext
fa
تبیین چالشهای نودانشآموختگان پرستاری در انتخاب بیمارستانهای آموزشی برای ارایه خدمات بهداشتی/ درمانی: یک مطالعه کیفی
Challenges facing new graduate nurses in choosing teaching hospitals for healthcare service delivery: A qualitative study
مراقبتهاي پرستاري
Nursing Care
پژوهشي
Research
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">زمینه و هدف: </span></span></span></i></b><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">نودانشآموختگان پرستاری در تأمین نیروی انسانی بیمارستانها نقش مهمی دارند، اما ورود به بیمارستانهای آموزشی با چالشهایی همراه است؛ از اینرو ا</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">ین مطالعه با هدف</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""> تبیین چالشهای نودانشآموختگان</span></span></i><i> </i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">پرستاری در انتخاب بیمارستانهای آموزشی برای ارایه خدمات بهداشتی</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""> انجام گرفته است</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">.</span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black"></span></span></span></i></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.2pt">روش بررسی:</span></span></span></span></i></b><i> </i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="background:white"><span style="font-family:"B Yagut""><span style="color:black">این مطالعه کیفی- توصیفی، در سال 1402 با مشارکت 36 دانشجوی کارشناسی پرستاری دانشگاه علوم پزشکی تهران که به روش نمونهگیری هدفمند وارد مطالعه شدند، انجام گرفت. دادهها با مصاحبههای فردی نیمه ساختار یافته گردآوری شدند. تحلیل دادهها به صورت دستی و به روش تحلیل چارچوب و بررسی اعتبارسنجی داده</span></span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="background:white"><span style="font-family:"B Yagut""><span style="color:black">ها </span></span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="background:white"><span style="font-family:"B Yagut""><span style="color:black">با استفاده از روش </span></span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="background:white"><span style="font-family:"Times New Roman",serif"><span style="color:black">Guba</span></span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="background:white"><span style="font-family:"B Yagut""><span style="color:black"> و</span></span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="background:white"><span style="font-family:"Times New Roman",serif"><span style="color:black">Lincoln </span></span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="background:white"><span style="font-family:"B Yagut""><span style="color:black"> تعیین شد</span></span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.2pt">.</span></span></span></span></i></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="tab-stops:163.05pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:.1pt">یافتهها</span></span></span></span></i></b><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:.1pt">: </span></span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="background:white"><span style="font-family:"B Yagut""><span style="color:black">تحلیل دادهها منجر به استخراج 11 زیرطبقه و 5 طبقه اصلی شد. این طبقات شامل: چالشهای مرتبط با ارایه خدمات پرستاری (مانند بارکاری زیاد)، چالشهای روابط انسانی (از جمله نداشتن حق انتخاب بخش کاری)، چالشهای </span></span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="background:white"><span style="font-family:"B Yagut""><span style="color:black">مدیریت امور </span></span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="background:white"><span style="font-family:"B Yagut""><span style="color:black">مالی (نظیر تعویق در پرداخت حقوق و کارانه پرستاری)، چالشهای دسترسی به بیمارستان (از جمله </span></span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="background:white"><span style="font-family:"B Yagut""><span style="color:black">مسافت طولانی منزل تا بیمارستان آموزشی</span></span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="background:white"><span style="font-family:"B Yagut""><span style="color:black">) و چالشهای مرتبط به در اولویت نبودن اشتغال در بیمارستان (بهدلیل تمایل به ادامه تحصیل) بود</span></span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:.1pt">.</span></span></span></span></i></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">نتیجهگیری: </span></span></span></i></b><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">یافتهها نشان داد که نو</span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">­</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">دانشآموختگان پرستاری با مجموعهای از چالشها در فرایند انتخاب بیمارستان آموزشی روبهرو هستند. این یافتهها بیانگر آن است که سیاستگذاران و مدیران نظام سلامت باید به بهبود شرایط کاری، ارتقای حمایتهای انسانی و مالی، فراهمسازی دسترسی آسانتر و ایجاد انگیزههای شغلی توجه ویژه داشته باشند. بهرهگیری از این نتایج میتواند به تدوین راهکارهای مؤثر برای جذب و ماندگاری </span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">پرستاران تازه کار</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""> کمک کند.</span></span></i></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></span></span></i></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="vertical-align:top"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black"><span style="letter-spacing:-.1pt">Background & Aim:</span></span></span></span></b> <span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black">Newly graduated nurses play a vital role in fulfilling hospital workforce requirements; however, their transition into teaching hospitals is accompanied by numerous challenges. Thus, this study aimed to explore the challenges faced by newly graduated nurses when selecting teaching hospitals for healthcare service provision<span style="letter-spacing:-.1pt">.</span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="vertical-align:top"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black"><span style="letter-spacing:-.1pt">Methods & Materials:</span></span></span></span></b> <span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black"><span style="letter-spacing:-.1pt">This descriptive qualitative study was conducted in 2023 with the participation of 36 undergraduate nursing students from Tehran University of Medical Sciences, who were recruited through purposive sampling. Data were collected via semi-structured individual interviews. The data were analyzed manually using framework analysis, and the trustworthiness of the data was established based on Guba and Lincoln’s criteria</span></span></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="letter-spacing:-.1pt">.</span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="vertical-align:top"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black"><span style="letter-spacing:-.2pt"><span style="layout-grid-mode:line">Results:</span></span></span></span></span></b> <span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black">Data analysis led to the extraction of 11 subcategories and 5 main categories. The identified categories included: challenges related to nursing services (e.g., heavy workload); human relations challenges (e.g., lack of choice in preferred wards); financial challenges (e.g., salary and benefit delays); accessibility challenges (e.g., long commuting distance); and challenges related to the low priority of hospital employment (e.g., due to the intention to continue education)<span style="letter-spacing:-.2pt">.</span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black"><span style="letter-spacing:-.3pt"><span style="layout-grid-mode:line">Conclusion:</span></span></span></span></span></b> <span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black">The findings revealed that newly graduated nurses face a range of challenges throughout the process of selecting teaching hospitals. These results underscore the need for health policymakers and hospital managers to focus on improving working conditions, enhancing financial and human support, facilitating easier access, and offering motivational incentives. Utilizing these findings can contribute to the development of effective strategies for attracting and retaining newly graduated nurses in teaching hospitals</span></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">.</span></span></span></span></span></span></span><br>
بیمارستان آموزشی, ارایه خدمات بهداشتی, نودانشآموختگان پرستاری
teaching hospital, healthcare service delivery, new graduate nurses
70
87
http://hayat.tums.ac.ir/browse.php?a_code=A-10-1563-5&slc_lang=fa&sid=1
Naeimeh
Sarkhani
نعیمه
سارخانی