Abstract
The purpose of this study is to clarify factors that influence of a full-fledged employee degree of early-career nurses, so as to obtain pedagogical suggestions for human resource development for nursing. A questionnaire survey was conducted with 696 nurses at a university hospital. The survey used a full-fledged employee scale (consisting of 9 factors and 45 items; rated on a 5-point Likert scale) and a category for experiential learning in nurses (consisting of experience 10 elements and knowledge/skill 8 elements). Of the 363 nurses (recovery rate: 52.2%), out of 322 valid responses (valid response rate: 88.7%),126 responses from nurses with 1–5 years of clinical experience were analyzed.
Multiple logistic regression analysis (forward stepwise selection, likelihood ratio) indicated that the elements of experiential learning in clinical settings which affect the full-fledged employee degree of early-career nurses in terms of experience are: the leadership role at workplace, sudden change/death of patient, difficult tasks/improving operations, guidance from senior nurses; and in terms of knowledge/skill are: views on nursing, membership. Results suggest that, since the improvement of full-fledged employee degree of early-career nurses is strongly affected by learning from challenging experiences as well as interaction with others, it is necessary to support nurses to consciously discuss the experiences of difficult situations and foster views on nursing.
