AIM:This paper is a report of a study to identify Norwegian undergraduate nursing students' career preferences at the beginning and end of their nursing education programme, together with their reasons for these preferences. BACKGROUND:International studies have shown that recruitment and retention of nurses in areas such as aged care and psychiatric nursing is difficult. It is important to know why some working areas are popular whilst others are not, so that nursing schools produce graduates who meet the needs of the community. METHODS:All students starting their nursing education programme in 2001/2002 in five Norwegian university colleges were invited to complete questionnaires at the beginning and end of their nursing education programme. In phase 1, 620 of 782 commencing students completed questionnaires (response rate 79.2%). In their third year, phase 2, 473 questionnaires were distributed (response rate 82.6%, n = 386). The questionnaire included closed questions about career preferences and open-ended questions seeking the reasons for the preferences. RESULTS:The study revealed changes in preferences between the beginning and the end of the nursing education programme. In phase 1, midwifery and paediatric nursing were ranked highest and in phase 2 working in medical/surgical ward, midwifery and psychiatric nursing were preferred. Working in aged care institutions remained unpopular throughout. Clinical experiences and professional challenges were often given as reasons for preferences. CONCLUSION:Nursing educators, clinical nurses and policymakers must reconsider their priorities and improve working conditions for nurses in aged care in order to meet society's need for nurses.

译文

目的:本文是一项研究报告,旨在确定挪威本科护理学生在其护理教育计划的开始和结束时的职业偏好,以及他们偏爱这些职业的原因。
背景:国际研究表明,在老年护理和精神病护理等领域很难招募和留用护士。重要的是要知道为什么有些工作区域很受欢迎,而另一些工作场所却不受欢迎,这样护士学校才能培养出满足社区需求的毕业生。
方法:在挪威的五所大学中,所有于2001/2002年开始护理教育计划的学生都应在其护理教育计划的开始和结束时填写问卷。在第1阶段中,有782名新生中的620名完成了问卷(答复率为79.2%)。在第三年的第二阶段中,分发了473份问卷(答复率为82.6%,n = 386)。问卷包括有关职业偏好的封闭式问题和寻求偏好的开放式问题。
结果:该研究揭示了护理教育计划开始和结束之间偏好的变化。在第1阶段,助产士和儿科护理的排名最高,在第2阶段在医学/外科病房工作,则优先选择助产士和精神病护理。在老年护理机构的工作始终不受欢迎。通常将临床经验和专业挑战作为偏爱的原因。
结论:护理教育者,临床护士和决策者必须重新考虑其优先事项并改善老年护理护士的工作条件,以满足社会对护士的需求。

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