New graduate nurse transitioning: Necessary or nice?

Scott, Elaine S.; Engelke, Martha Keehner; Swanson, Melvin

doi:10.1016/j.apnr.2006.12.002

Cited by 174 publications

(201 citation statements)

References 23 publications

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“…Fresh nursing graduates encounter numerous challenges, but some studies have found that orientation, preceptorship, and mentorship programmes could help increase job satisfaction, confidence in caring for patients, and coping with stress. [5,[19][20][21] Existing studies identify the following eight areas of challenges encountered by fresh nursing graduates: 1) workload, 2) working environment, 3) relationship with colleagues, 4) expectations, 5) support, 6) communication, 7) clinical knowledge or skills, and 8) confidence.…”

Section: Literature Reviewmentioning

confidence: 99%

Challenges of fresh nursing graduates during their transition period

Wong

Wincy²,

Cheng³

et al. 2018

JNEP

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Objective: The shortage of nurses is an overwhelming problem worldwide. Numerous studies indicate that fresh nursing graduates encounter many challenges in their first year after graduation. These difficulties affect their psychological health and influence their perseverance which results in a high resignation rate. Hong Kong is not an exceptional case; therefore, the aim of this study was to explore the challenges encountered by fresh nursing graduates during the transition period in order to provide insights to academics and clinical administrators in order to facilitate the transition and alleviate the negative impacts, thus increasing the retention rate. Methods: This was a qualitative study and eight new nursing graduates (M = 4; F = 4) from the same local higher education institute were interviewed individually. Thematic coding was used to analyse the data. Results: Finally, nine themes were identified including eight areas of challenges and one common attribute. Workload, lack of knowledge, communication, expectation, change of role, working atmosphere, support and a blame/complaint culture are the common areas of challenges that they encounter in the transitional period. Furthermore, this study also found that new nursing graduates possess a common attribute, i.e. positive personal attitude which seems able to enhance their perseverance in this period. Conclusions: The identified themes are interrelated and all the stakeholders should join together and form a cycle of continuous improvement in order to improve the nursing programme and clinical supports to the fresh nursing graduates.

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Section: Literature Reviewmentioning

confidence: 99%

Challenges of fresh nursing graduates during their transition period

Wong

Wincy²,

Cheng³

et al. 2018

JNEP

View full text Add to dashboard Cite

show abstract

“…However some of these variables may be important to retention rather than the performance of new nurses. Another study found that length of the orientation and the new nurses" perception that it met their needs contributed positively to retention (Scott, Engelke & Swanson, 2008).…”

Section: Interventions Supporting Newly Graduated Nursesmentioning

confidence: 99%

Prince Edward Island: Building Capacity – The Implementation of a Critical Care/Emergency Program

Cotton

2012

cjnl

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The difficulties new nurses experience when first entering acute care work environments have been recognized since Kramer"s seminal work in the 1970s. Despite the implementation of interventions designed to help ease the transition, the literature continues to report that new graduates undergo stress when beginning their careers as nurses. The purpose of this study was to examine the effects of perceived demands, control, social support and self-efficacy on the job stress, job satisfaction and intention to leave of new nurses.The conceptual framework used in the study was Karasek"s (1979) Job DemandsControl-Support (JDC-S) model. This model posits that job demands increase employee stress, but that increasing control can alleviate the negative effects of high demands. Social support and self-efficacy were included in this study as potential moderators of the relationships between demands and control and the outcome variables. This was an exploratory study that utilized a cross-sectional survey was used to gather data. Surveys were mailed to the homes of new nurses working in acute care hospitals across Ontario, Canada.Data were received from 232 new nurses, a response rate of 23.8%. Nurses in the sample had an average of 18.2 months of experience. Data were analyzed using separate hierarchical iii regression models for each dependent variable. The results showed that the main effects of job demands, social support and self-efficacy provided partial support for the JDC-S model when examining job stress, job satisfaction and intention to leave the job. Only self-efficacy was significantly related to intention to leave the profession. There was no evidence of moderating effects of social support or self-efficacy. An understanding of factors in the work environment that influence new nurses may assist in supporting them during the transition. By exploring the effects of demands, control, social support and self-efficacy on new graduates" job stress, job satisfaction and intention to leave, this study may provide direction to nursing leaders who are working new nurses in acute care.iv ACKNOWLEDGEMENTS

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“…[14] Since the phenomenon of new graduate turnover was very expensive to hiring organizations, well-designed residency programs that support the new graduate nurses' transition into practice were one of the approaches used to increase levels of satisfaction in and retention of new graduates. [6,8,9,14,15] Scott, Engelke, and Swanson [16] emphasized the importance of orientation in the first job in promoting new graduates' job satisfaction and retention; while Fiedler, Read, Lane, Hicks, and Jegier [4] made a point of the leadership development in pursuing an advanced degree increased with longer employment of participants in their residency program. Banister, Bowen-Brady, and Winfrey [17] reported that the transition program that utilized one on one mentor-mentee relationship had a zero rate of attrition and very low job turnover among graduates.…”

Section: Literature Reviewmentioning

confidence: 99%

New RN residency program to improve clinical competency, confidence, and socialization skills of novice nurses

Kim

Lee

Eudey

et al. 2015

JNEP

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Objective: The transition to practice experience provides a useful process to integrate nursing knowledge, skills, and attitudes of newly graduated nurses before they assume the professional nurses' roles. The study examined the levels of perceived clinical competency, confidence, and professional role development skills of 114 culturally diverse novice nurses enrolled in 12-15 weeks of a collaborative RN residency program at a state funded California university during academic years 2009-2013. Methods: Descriptive pre-and post-program measures study assessed core competency and confidence of participants before and after the residency program using three instruments; a modified quality and safety education for nurses (QSEN) competency questionnaire, Preceptorship Experience Questionnaire, and Graduate Nurse Survey. Results: Compared to the pre-program sum, participants report to perceive the significantly higher levels of the post-program sum of competency skills in applying QSEN concepts and nursing process cycles that include assessment, planning, implementation, and evaluation as well as professional role development. Interestingly, participants report to feel it is very important to develop a trusting relationship with their preceptor and positive relationship with staff nurses. Participants also report to perceive the higher level of confidence in carrying out nursing care at the end of the program. Conclusions: Findings suggest that newly graduated nurses perceive the increased levels of clinical competency and confidence on their self-administered report after participating in the RN residency program.

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New graduate nurse transitioning: Necessary or nice?

Cited by 174 publications

References 23 publications

Challenges of fresh nursing graduates during their transition period

Challenges of fresh nursing graduates during their transition period

Prince Edward Island: Building Capacity – The Implementation of a Critical Care/Emergency Program

New RN residency program to improve clinical competency, confidence, and socialization skills of novice nurses

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