Problems Experienced By Newly Recruited Nurses in Japan: Results of Longitudinal Focus-Group Interviews with Nurses who had been Working for Three Months

Monday, 22 July 2013

Hisako Kobayashi, RN, MSN1
Sachiko Matsui, RN, MSN1
Kiyoe Watanabe, RN2
Kaori Miyata, RN1
(1)Depertment of Nursing Faculty of Nursing and Rehabilitation, AINO University, Osaka, Japan
(2)Depertment of Nursing Faculty of Nursing and Rehabilitation, Aino University, Osaka, Japan

Learning Objective 1: The learner will be able to understand that japanease newly recruited nurses devlope their self-awareness as nurses for three months.

Learning Objective 2: The learner will be able to find four categories of experiences with japanease newly recruited nurses.

Purpose: The purpose of the present study involving newly recruited nurses was to examine their problems and help them improve self-understanding; people who had been working as nurses for three months underwent group work sessions in small groups.

Methods: Seven nurses underwent 45-minute focus-group interviews twice a month (five times in total). The interviews were conducted with the approval of the research ethics committees of the medical institutions for which the nurses worked, and the interviews were analyzed using the grounded theory method.

Results: The analysis results were grouped into the following four categories: 1) “A sense of isolation” consisted of [skepticism over the culture on the ward] and [psychological strain resulting from relationships on the ward]; 2) “Signs that they have adapted themselves to the workplace” included [development of a sense of fellowship] and [comfort of having been accepted]; 3) “Their values not respected in the workplace”, consisting of [a decrease in motivation to work] and [their interest shifted to their own private lives], was due to the fact that few co-workers encouraged newly recruited nurses and they were disappointed with their mentors who mentioned about their personalities and backgrounds while teaching;

and 4) “An increase in self-awareness as nurses”, which was further grouped into three subcategories: [self-evaluation with a feeling of self-condemnation], which is attributed to their interest directed toward their own inner aspect, [consideration of the real situation in which they currently are], and [finding hope in work], which is associated with their reasons for devotion to work and hardships related to it.

Conclusion: These results suggest that, although most nurses first felt isolated in the workplace, they gradually recognized that they had been accepted by co-workers and developed a sense of fellowship with them, which improved their self-awareness as nurses.