20.500.12556/ReVIS-14063 POMEN TAKOJŠNJEGA VKLJUČEVANJA NOVOZAPOSLENIH DIPLOMIRANIH MEDICINSKIH SESTER V TIM ZDRAVSTVENE NEGE THE IMPORTANCE OF IMMEDIATE INTEGRATION OF NEWLY EMPLOYED GRADUATE NURSES INTO THE NURSING TEAM Teoretična izhodišča: Pomanjkanje zdravstvenega kadra je eden večjih izzivov sodobnih zdravstvenih sistemov. Prehod iz izobraževanja ali z drugega delovnega mesta je za novozaposlene medicinske diplomirane medicinske sestre pogosto zahteven, saj prinaša večjo odgovornost, več stresa in delo v novem okolju, ki zahteva hitro prilagajanje. V tem obdobju so pomembni uvajanje, vključevanje v tim in kakovostno mentorstvo, saj vplivajo na razvoj strokovne samozavesti, kompetentnosti in občutka pripadnosti v delovnem okolju. Neustrezno uvajanje lahko vodi v negotovost in napake pri delu, nezadovoljstvo in odhajanje zaposlenih, medtem ko dobro načrtovan in strukturiran proces uvajanja povečuje učinkovitost dela, varnost pacientov in splošno zadovoljstvo zaposlenih na delovnem mestu. Namen raziskave je preučiti pomen takojšnjega vključevanja novozaposlenih diplomiranih medicinskih sester v tim zdravstvene nege. Metode: Izvedli smo kvalitativno raziskavo s pomočjo polstrukturiranega intervjuja, ki omogoča poglobljeno razumevanje izkušenj in doživljanja posameznikov. Glede na cilje raziskave smo oblikovali predlogo za intervju, ki je bila sestavljena iz dveh delov in je imela 22 vprašanj. Prvi del se je nanašal na sociodemografske podatke intervjuvancev (spol, starost, izobrazba, delovna doba in delovna doba na trenutnem delovnem mestu), drugi del pa je vključeval vprašanja, povezana s prakso uvajanja novozaposlenih, vključevanjem v tim, občutkom pripadnosti, razvojem strokovne samozavesti, klinične kompetentnosti in vloge mentorstva. Rezultati: V raziskavo smo vključili namenski vzorec šestih novozaposlenih diplomiranih medicinskih sester, zaposlenih v Zdravstvenem domu Sevnica, ki imajo do tri leta delovnih izkušenj na trenutnem delovnem mestu. Rezultati raziskave kažejo, da je praksa uvajanja novozaposlenih diplomiranih medicinskih sester pogosto neenotna in odvisna od organizacije dela, kadrovskih razmer ter podpore sodelavcev in mentorja. Nekateri udeleženci raziskave so bili deležni strukturiranega in postopnega uvajanja, drugi pa so poročali o učenju predvsem skozi delo in lastno iniciativo. Takojšnje vključevanje v tim zdravstvene nege se je izkazalo kot pomemben dejavnik pri oblikovanju občutka pripadnosti, ki vpliva na počutje, motivacijo in uspešnost prilagajanja novozaposlenih. Udeleženci so pogosto poročali o začetni negotovosti in strahu, kar pa se je s časom, pridobivanjem izkušenj in podporo sodelavcev postopoma zmanjševalo. Strokovna samozavest se je razvijala postopno, predvsem z večanjem samostojnosti pri delu, pozitivnimi izkušnjami in ustreznim usmerjanjem mentorjev. Podobno se je klinična kompetentnost razvijala skozi povezovanje teoretičnega znanja s prakso, ponavljanjem postopkov in aktivnim vključevanjem v delo. Kot ključne dejavnike uspešnega uvajanja so udeleženci izpostavili dobro komunikacijo v timu, podporo sodelavcev, dostopnost mentorja, postopno uvajanje in možnost učenja skozi praktično delo. Razprava: Ugotovitve kažejo, da je uvajanje novozaposlenih diplomiranih medicinskih sester v praksi pogosto neenotno in odvisno od organizacije dela, podpore sodelavcev in kakovosti mentorstva. Pomembni dejavniki uspešnega vključevanja so občutek sprejetosti, pripadnosti timu, dobra komunikacija, postopno prevzemanje odgovornosti in delovnih nalog. Ugotovitve so skladne z literaturo, ki poudarja pomen strukturiranega, na dokazih podprtega uvajanja in kakovostnega mentorstva za večjo varnost delavcev in pacientov, kompetentnost, zadovoljstvo zaposlenih na delovnem mestu in s tem zadrževanje kadra na delovnem mestu. Theoretical Background: The shortage of healthcare personnel is one of the major challenges facing modern healthcare systems. The transition from education or another job is often demanding for newly hired registered nurses, as it brings greater responsibility, more stress, and work in a new environment that requires rapid adaptation. During this period, orientation, team integration, and quality mentoring are crucial, as they influence the development of professional confidence, competence, and a sense of belonging in the workplace. Inadequate onboarding can lead to uncertainty and errors on the job, dissatisfaction, and employee turnover, while a well-planned and structured onboarding process enhances work efficiency, patient safety, and overall employee satisfaction in the workplace. The purpose of this study is to examine the importance of the immediate integration of newly hired registered nurses into the nursing team. Methods: We conducted a qualitative study using a semi-structured interview, which allows for an in-depth understanding of individuals’ experiences and perceptions. In line with the study’s objectives, we designed an interview guide consisting of two parts and containing 22 questions. The first part focused on the sociodemographic data of the interviewees (gender, age, education, length of service, and length of service in the current position), while the second part included questions related to the onboarding process for new hires, team integration, sense of belonging, development of professional self-confidence, clinical competence, and the role of mentoring. Results: The study included a purposive sample of six newly hired registered nurses employed at the Sevnica Health Center, each with up to three years of work experience in their current position. Results: The study results show that the practice of onboarding newly hired registered nurses is often inconsistent and depends on work organization, staffing conditions, and support from colleagues and mentors. Some study participants experienced a structured and gradual onboarding process, while others reported learning primarily through on-the-job training and their own initiative. Immediate integration into the nursing team proved to be a significant factor in fostering a sense of belonging, which influences the well-being, motivation, and success of new hires in adapting to their roles. Participants frequently reported initial uncertainty and fear, which gradually diminished over time, with the accumulation of experience and support from colleagues. Professional confidence developed gradually, primarily through increased independence at work, positive experiences, and appropriate guidance from mentors. Similarly, clinical competence developed through the integration of theoretical knowledge with practice, repetition of procedures, and active involvement in the work. Participants identified good team communication, support from colleagues, mentor availability, gradual onboarding, and the opportunity to learn through practical work as key factors for successful onboarding. Discussion: The findings indicate that the onboarding of newly hired registered nurses in clinical practice is often inconsistent and depends on work organization, support from colleagues, and the quality of mentoring. Key factors for successful integration include a sense of acceptance, belonging to the team, good communication, and the gradual assumption of responsibilities and work tasks. The findings are consistent with the literature, which emphasizes the importance of structured, evidence-based onboarding and high-quality mentoring for greater worker and patient safety, competence, employee job satisfaction, and, consequently, staff retention. uvajanje novozaposlene diplomirane medicinske sestre mentorstvo tim zdravstvene nege strokovna samozavest klinična kompetentnost. orientation newly hired registered nurses mentoring nursing team professional confidence clinical competence. true false false Slovenski jezik Angleški jezik Diplomsko delo/naloga 2026-06-18 14:58:59 2026-06-18 14:59:00 2026-06-19 03:08:49 0000-00-00 00:00:00 2026 0 0 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 1970-01-01 25200 4406$$leon_kmetic_diplomska_naloga.pdf 4406$$leon_kmetic_diplomska_naloga.pdf 1 BF3290B81E9FAEA889A14289DF8B4AB3 ffc7aab7c1f50fe0d14a3e6e159624c6dd5d0a9accfd930832bddfb654d97318 17da0846-6b0d-11f1-be3d-001a4af901a5 https://revis.openscience.si/Dokument.php?lang=slv&id=17049 Univerza v Novem mestu - Fakulteta za zdravstvene vede 0 0 0