Objective To investigate the experience and self-reshaping needs of head nurse at the later stage of career transformation under the background of delayed retirement,and to provide reference for nursing human resource management.Methods From January to February 2024,14 former or outgoing head nurses from a regional medical center were selected by purpose sampling method for semi-structured interview,and the interview data were analyzed by subject analysis method.Results Three themes and eight sub-themes were identified,namely,occupational iden-tity centrality,identity threat(weakened sense of dignity and value,differences in self-efficacy perception,changes in belonging,changes in perceived job meaning,continuous and inherited responsibilities,and differential treatment),and coping strategy preference(positive response to self-reshaping and institutional support needs).Conclusion Leav-ing the positior of head nurse is an unwelcome career break that requires the attention of individuals and healthcare organ-izations to work together to create a"departing transition friendly"hospital culture.
Head NurseDelayed RetirementCareer PlanningNursing Human ResourceIdentity Process TheoryNurs-ing Management