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      Exploring career choices of specialist nurse students: Their decision‐making motives. A qualitative study

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          Abstract

          Aims

          To explore Registered Nurses' motives to undergo specialist training and to choose a particular speciality.

          Design

          A descriptive qualitative interview study.

          Methods

          Semi‐structured interviews were conducted during 2021 with 20 Swedish specialist nurse students from different specialisation areas. Qualitative content analysis was used. The COREQ checklist was used to report the study.

          Results

          Specialist nurse students' motivations for further training were divided into three main categories with two sub‐categories each. The main categories were ‘toward new challenges and conditions in work life’, ‘contributions to the development and higher competencies in health care’ and ‘personal work and life experiences as ground for choice’.

          Conclusion

          Our study demonstrates the importance of motivating factors in the career choices of Specialist nurse students, such as personal challenges, desirable working conditions, career growth opportunities and personal experiences in the career choices. Creating a supportive work environment that helps to prioritise work‐life balance and offers the development of new skills might help retain nurses.

          No Patient or Public Contribution

          No patient or public contribution was used. However, if more nurses would choose to undergo specialist training, especially in areas facing significant shortages, it would most likely lead to improved health‐related outcomes for patients or populations.

          Related collections

          Most cited references26

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          Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups.

          Qualitative research explores complex phenomena encountered by clinicians, health care providers, policy makers and consumers. Although partial checklists are available, no consolidated reporting framework exists for any type of qualitative design. To develop a checklist for explicit and comprehensive reporting of qualitative studies (in depth interviews and focus groups). We performed a comprehensive search in Cochrane and Campbell Protocols, Medline, CINAHL, systematic reviews of qualitative studies, author or reviewer guidelines of major medical journals and reference lists of relevant publications for existing checklists used to assess qualitative studies. Seventy-six items from 22 checklists were compiled into a comprehensive list. All items were grouped into three domains: (i) research team and reflexivity, (ii) study design and (iii) data analysis and reporting. Duplicate items and those that were ambiguous, too broadly defined and impractical to assess were removed. Items most frequently included in the checklists related to sampling method, setting for data collection, method of data collection, respondent validation of findings, method of recording data, description of the derivation of themes and inclusion of supporting quotations. We grouped all items into three domains: (i) research team and reflexivity, (ii) study design and (iii) data analysis and reporting. The criteria included in COREQ, a 32-item checklist, can help researchers to report important aspects of the research team, study methods, context of the study, findings, analysis and interpretations.
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            World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects.

            (2013)
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              Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness.

              Qualitative content analysis as described in published literature shows conflicting opinions and unsolved issues regarding meaning and use of concepts, procedures and interpretation. This paper provides an overview of important concepts (manifest and latent content, unit of analysis, meaning unit, condensation, abstraction, content area, code, category and theme) related to qualitative content analysis; illustrates the use of concepts related to the research procedure; and proposes measures to achieve trustworthiness (credibility, dependability and transferability) throughout the steps of the research procedure. Interpretation in qualitative content analysis is discussed in light of Watzlawick et al.'s [Pragmatics of Human Communication. A Study of Interactional Patterns, Pathologies and Paradoxes. W.W. Norton & Company, New York, London] theory of communication.
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                Author and article information

                Contributors
                annika.tiliander@ki.se
                Journal
                Nurs Open
                Nurs Open
                10.1002/(ISSN)2054-1058
                NOP2
                Nursing Open
                John Wiley and Sons Inc. (Hoboken )
                2054-1058
                20 July 2024
                July 2024
                : 11
                : 7 ( doiID: 10.1002/nop2.v11.7 )
                : e2241
                Affiliations
                [ 1 ] Department of Clinical Science and Education, Södersjukhuset Karolinska Institutet Stockholm Sweden
                [ 2 ] Unit of Intervention and Implementation Research for Worker Health, Institute of Environmental Medicine Karolinska Institutet Stockholm Sweden
                Author notes
                [*] [* ] Correspondence

                Annika Tiliander, Department of Clinical Science and Education, Södersjukhuset, Karolinska Institutet, Stockholm, Sweden.

                Email: annika.tiliander@ 123456ki.se

                Author information
                https://orcid.org/0000-0002-4510-9515
                Article
                NOP22241 NOP-2024-Jan-0117
                10.1002/nop2.2241
                11259742
                39032132
                ff0a6627-0615-4a0d-87f7-dae1bddccd7e
                © 2024 The Author(s). Nursing Open published by John Wiley & Sons Ltd.

                This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.

                History
                : 16 January 2024
                : 07 June 2024
                Page count
                Figures: 0, Tables: 3, Pages: 11, Words: 7400
                Funding
                Funded by: Region Stockholm ALF projekt
                Award ID: RS2019‐1089
                Categories
                Empirical Research Qualitative
                Empirical Research Qualitative
                Custom metadata
                2.0
                July 2024
                Converter:WILEY_ML3GV2_TO_JATSPMC version:6.4.5 mode:remove_FC converted:20.07.2024

                career choice,decision‐making,nurse specialists,specialisation,training

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