Newly Graduate Registered Nurses’ Experiences of Transition to Clinical Practice: A Systematic Review

Kreedi, Fatmah; Brown, Michael; Marsh, Lynne; Rogers, Katherine

doi:10.12691/ajnr-9-3-4

Cited by 14 publications

(20 citation statements)

References 38 publications

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“…During this period, NGRNs are confronted with a number of challenges, such as work overload and unsupportive work environments that can affect their professional life and transition experiences [ 20 ]. The findings were similar across studies with many linkages to NGRN turnover, namely unsupportive work environments, work stress, fear of inadequacy, significant gaps between theoretical and practical knowledge, frustration, and excessive workloads [ 12 , 19 ]. Similarly, studies from Canada [ 21 ], the USA [ 22 ], and Singapore [ 23 ] acknowledged that NGRNs found this transition period very stressful.…”

Section: Introductionsupporting

confidence: 63%

“…It is widely recognised globally that the transition from student nurse to registered nurse is a challenging time in the career of NGRNs [ 18 , 19 ]. During this period, NGRNs are confronted with a number of challenges, such as work overload and unsupportive work environments that can affect their professional life and transition experiences [ 20 ].…”

Section: Introductionmentioning

confidence: 99%

“…When set within the wider global context of nursing shortages today and in the coming decades, and the challenges and needs of NGRNs, there is a pressing need to more fully understand these issues in the Kuwaiti context and to identify possible solutions [ 18 , 19 ]. However, to date, this has not been reflected in either the design or reporting of the research studies conducted in Kuwait investigating the experience of transition from student nurse to registered nurse of Kuwaiti national NGRNs in clinical practice.…”

Section: Introductionmentioning

confidence: 99%

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The Experience of the Transition from a Student Nurse to a Registered Nurse of Kuwaiti Newly Graduated Registered Nurses: A Qualitative Study

2022

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Background: The experience of the transition from a student nurse to a registered nurse is a challenging period for newly graduated registered nurses. Aim: To explore newly graduated registered nurses’ experiences of transition from student to registered nurse in clinical practice. Design: A qualitative approach using semi-structured interviews conducted with 12 Kuwaiti newly graduated registered nurses. Findings: The findings generated three themes: nursing support; education preparation; and psychological wellbeing. Discussion and conclusion: This study is the first in Kuwait aiming to understand Kuwaiti national newly graduated registered nurses’ transition experiences from student nurses to registered nurses in clinical practice. While the study revealed that newly graduated registered nurses received limited organisational support, the nursing policymakers in health care organisations and nursing education in Kuwait need to develop plans to improve newly graduated registered nurses’ knowledge, skills and confidence and align them with the roles and realities of actual nursing practice, to improve retention. There is a need to change the societal image of nursing in Kuwait by highlighting the importance of the nursing profession within the health care delivery. The study recommends further research on newly graduated registered nurses’ transition experiences into their new nursing roles to identify the factors behind their decision to stay or to leave, as this could offer possible solutions to address newly graduated registered nurses’ retention in the future.

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Section: Introductionsupporting

confidence: 63%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The Experience of the Transition from a Student Nurse to a Registered Nurse of Kuwaiti Newly Graduated Registered Nurses: A Qualitative Study

2022

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“…Limited clinical education and hospital based professional resources are cited as key factors. 5 There is a gap in the current literature regarding the impact of the COVID-19 pandemic on hospital-based programs for transition to practice, and how organizational nurse residency programs have been affected by the pandemic, 1 yet attention to these programs is warranted. Recognizing the impact of the pandemic on pre-licensure education and clinical preparation, this hallmark transition period for new graduates is bound to be more stressful and challenging.…”

Section: Introductionmentioning

confidence: 99%

“…NGRNs are describing the transition period as stressful due to increased responsibility and challenges organizing, prioritizing and delegating patient care. Limited clinical education and hospital based professional resources are cited as key factors 5 …”

Section: Introductionmentioning

confidence: 99%

New graduate registered nurses: Risk mitigation strategies to ensure safety and successful transition to practice

Smith

DesRoches

Street

et al. 2022

J of Healthc Risk Manag

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The COVID‐19 pandemic has impacted traditional pathways for new graduate registered nurses (NGRN's) transition to practice. In response to stay at home emergency orders in 2020, NGRN's experienced changes in pre‐licensure curriculum, clinical practicums, NCLEX testing, and licensure, all which influence preparedness for professional practice. The adverse impact on education and clinical training extends to all nursing students who attended higher education institutions of learning during 2020 to present and is a significant consideration with new graduates over the long‐term, whom will be caring for patients in healthcare settings. Well before this pandemic, literature identified that NGRN's were predisposed to knowledge‐practice gaps and lacked situational awareness. Recent nursing research emerging from the pandemic reveals a potentiating negative impact of the abbreviated pre‐licensure experiences on patient safety in the clinical setting. In the current healthcare environment, it is preemptive for healthcare institutions and schools of nursing to work cohesively to ensure patient safety through an increased emphasis on evidence‐based approaches to reduce patient harm and mitigate harm when it does occur. Further, in response to the increased demand for nurses by healthcare organizations, considerations for safety, risk management, and ethical care must be considered during the transition to practice for NGRN's.

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The relationships among perceived stress, resilience, sleep quality and first‐month retention of newly employed nurses: A cross‐sectional survey

Lin

et al. 2023

Nursing Open

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Aim Newly employed nurses are subject to high workplace stress, which leads to a low retention rate. Resilience can reduce burnout among nurses. The aim of this study was to explore the relationships among perceived stress, resilience, sleep quality of new nurses during initial employment, and their impacts on first‐month retention. Design This is a cross‐sectional study design. Methods We used a convenience sampling method to recruit 171 new nurses between January and September 2021. The Perceived Stress Scale, Resilience Scale, and Pittsburgh Sleep Quality Inventory (PSQI) were conducted in the study. Logistic regression analysis was used to explore the impacts on first‐month retention for newly employed nurses. Results The initial perceived stress, resilience, and sleep quality of the newly employed nurses were not correlated with the first‐month retention rate. Forty‐four per cent of the newly recruited nurses had sleep disorders. Resilience, sleep quality, and perceived stress of newly employed nurses were significantly correlated. Newly employed nurses assigned to their desired wards had lower perceived stress than their peers.

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Newly Graduate Registered Nurses’ Experiences of Transition to Clinical Practice: A Systematic Review

Cited by 14 publications

References 38 publications

The Experience of the Transition from a Student Nurse to a Registered Nurse of Kuwaiti Newly Graduated Registered Nurses: A Qualitative Study

The Experience of the Transition from a Student Nurse to a Registered Nurse of Kuwaiti Newly Graduated Registered Nurses: A Qualitative Study

New graduate registered nurses: Risk mitigation strategies to ensure safety and successful transition to practice

The relationships among perceived stress, resilience, sleep quality and first‐month retention of newly employed nurses: A cross‐sectional survey

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