Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Jun 1;41(6):434-441.
doi: 10.1097/CIN.0000000000000971.

Capturing New Nurses' Experiences and Supporting Critical Thinking: Text Network Analysis of Critical Reflective Journals

Sun Hee Seon  1 , Hye Won Jeong, Deok Ju, Jung A Lee, Shin Hye Ahn
Affiliations

Capturing New Nurses' Experiences and Supporting Critical Thinking: Text Network Analysis of Critical Reflective Journals

Sun Hee Seon et al. Comput Inform Nurs. .

Abstract

This study analyzed the contents of critical reflective journals written by new nurses during their orientations using a text network. This study aimed to find ways to reduce turnover and improve clinical field adaptability among new nurses. The authors analyzed the content of reflective journals written by 143 new nurses from March 2020 to January 2021. Text network analysis was performed using the NetMiner 4.4.3 program. After data preprocessing, frequency of occurrence, degree centrality, closeness centrality, betweenness centrality, and eigenvector community were analyzed. In total, 453 words were extracted and refined, and words with high simple frequency and centrality were "incompetence," "preparation," "explanation," "injection," "time," "examination," and "first try." "Medication" had the highest frequency of occurrence, and "incompetence" was the most important keyword in the centrality analysis. In addition, component analysis and eigenvector community analysis revealed three sub-theme groups: (1) basic nursing skills required for new nurses, (2) insufficient competency, and (3) explanation of nursing work. Significantly, this study is the first to use the text network method to analyze the subjective experiences of the critical reflective journals of new nurses. In conclusion, changes are needed to improve the education system for new nurses and promote efficient sharing of nursing tasks.

PubMed Disclaimer

Figures

FIGURE 1
FIGURE 1
Keyword network analysis of the reflective journal of new nurses.
FIGURE 2
FIGURE 2
Visualization of subgroup analysis from the reflective journal of new nurses.
See this image and copyright information in PMC

References

    1. Zuriguel-Pérez E, Falcó-Pegueroles A, Agustino-Rodríguez S, del Carmen Gómez-Martín M, Roldán-Merino J, Lluch-Canut MT. Clinical nurses' critical thinking level according to sociodemographic and professional variables (phase II): a correlational study. Nurse Education in Practice. 2019;41: 102649. 10.1016/j.nepr.2019.102649. - DOI - PubMed
    1. Kim YH, Min J, Kim SH, Shin S. Effects of a work-based critical reflection program for novice nurses. BMC Medical Education. 2018;18(1): 30. 10.1186/s12909-018-1135-0. - DOI - PMC - PubMed
    1. Vand Tamadoni B, Shahbazi S, Seyedrasooli A, Gilani N, Gholizadeh L. A survey of clinical competence of new nurses working in emergency department in Iran: a descriptive, cross-sectional study. Nursing Open. 2020;7(6): 1896–1901. 10.1002/nop2.579. - DOI - PMC - PubMed
    1. Willers S, Jowsey T, Chen Y. How do nurses promote critical thinking in acute care? A scoping literature review. Nurse Education in Practice. 2021;53: 103074. 10.1016/j.nepr.2021.103074. - DOI - PubMed
    1. Schön DA. Educating the Reflective Practitioner: Toward a New Design for Teaching and Learning in the Professions. Hoboken, NJ: Jossey-Bass; 1987:28.