Challenging Encounters as Experienced by Registered Nurses New to the Emergency Medical Service: Explored by Using the Theory of Communities of Practice

Autor/inn/en	Hörberg, Anna; Lindström, Veronica; Scheja, Max; Conte, Helen; Kalén, Susanne
Titel	Challenging Encounters as Experienced by Registered Nurses New to the Emergency Medical Service: Explored by Using the Theory of Communities of Practice
Quelle	In: Advances in Health Sciences Education, 24 (2019) 2, S.233-249 (17 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Hörberg, Anna)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1382-4996
DOI	10.1007/s10459-018-9862-x
Schlagwörter	Nurses; Medical Services; Socialization; Communities of Practice; Telecommunications; Content Analysis; Interviews; Psychological Patterns; Teamwork; Barriers; Professional Development; Models; Foreign Countries; Sweden + Suchen Sie Ihr Suchwort? Arzt; Socialisation; Sozialisation; Community; Telekommunikationstechnik; Inhaltsanalyse; Interviewing; Interviewtechnik; Analogiemodell; Ausland; Schweden
Abstract	The aim of this study was to explore challenging encounters experienced by registered nurses (RN) during their first year in the emergency medical service by using the social learning theory of communities of practice. During the first year in a new professional practice, a new RN experiences a transition during which the new professional identity is being formed. This is a challenging and demanding period of time. According to the learning theory of communities of practice by Lave and Wenger, individuals' learning and development in a new professional practice occurs through participation in social activity and is influenced by context. This study is based on the qualitative data from semi-structured interviews. Thirty-two RNs working in the Swedish emergency medical service were interviewed via telephone during the spring of 2017. A qualitative content analysis with deductive reasoning of the interviews was used. The analysis process generated the main category; "New RNs participation is challenged by unpredictability and uncertainty in practice." The main category was based on three generic categories; "Loneliness in an unpredictable context," "Uncertainty about the team," and "Uncertainty in action." The challenges new RNs encounter during the first year relate to all three dimensions of a community of practice; mutual engagement, joint enterprise and shared repertoire. The encountered challenges also relate to the EMS context. Taking into account all these aspects when designing support models for RN's professional development may be advantageous for creating positive development for RNs new to the EMS and/or similar practices. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2020/1/01