The impact of residency programs on new nurse graduates' clinical decision-making and leadership skills: A systematic review

AL-Dossary, Reem; Kitsantas, Panagiota; Maddox, P.J.

doi:10.1016/j.nedt.2013.10.006

Cited by 88 publications

(74 citation statements)

References 25 publications

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“…This outcome concurs with the study demonstrated by Lewallen and DeBrew [39] which reported that students in a successful residency program demonstrated professional behaviors and skills, including being positive, the ability to adapt to the clinical setting, and building relationships with nursing staff. In fact, AlDossary, Kitsantas, and Maddox [25] also concur with the study outcome in that they claim the transition program reduced the turnover in the first year of practice and promoted professional growth of the new graduates in competencies including hands-on nursing care, clinical decision making, and leadership skills.…”

Section: Discussionsupporting

confidence: 68%

“…In general, retention increased and new graduates appreciated the support received during their professional transition. [25][26][27][28] An internship program of Children's Memorial Hospital in Chicago that included classroom and skills lab learning, precepted orientation, professional transitioning sessions, and clinical learning exchanges contributed to increasing nursing recruitment and retention, significant cost savings, and increasing nursing satisfaction. [29,30] In another study of one-year outcomes of a post-baccalaureate residency program, Williams and colleagues [31] found that participants' job satisfaction improved on study variables such as, professional opportunities and control-responsibility at 12 months.…”

Section: Literature Reviewmentioning

confidence: 99%

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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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Section: Discussionsupporting

confidence: 68%

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

View full text Add to dashboard Cite

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“…In addition, using innovative teaching strategies can improve the development of higher level of nursing students' cognitive skills such as critical thinking, communication skills, clinical reasoning skills, problem solving skills, and decision making skills. [6][7][8] One of the most common innovative teaching strategies which are associated with the large body of literature that comes out of medical education is PBL (problem-based learning). [9,10] PBL is an inquiry based method like studentcentered approach that guides students to find the best solutions of real-world problems through cooperative group work.…”

Section: Introductionmentioning

confidence: 99%

The effect of problem-based learning on nursing students' decision making skills and styles

Thabet

Taha²,

Abood³

et al. 2017

JNEP

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Decision making skill is deemed to be a key feature of the nurse's role in today's health care organizations. Thus, educators should use innovative teaching strategies that grow students' competence in problem-solving and decision making skills like problem-based learning (PBL). The aim of this study is to determine the effect of problem-based learning on nursing students' decision making skills and styles. A quasi-experimental research design was utilized. The sample consisted of 84 students from the fourth year in the Faculty of Nursing, Minia University. Two tools were used: Nursing Students' Decision Making Skills Scale and Nursing Students' Decision Making Style. This study revealed that the mean scores of decision making skills in the study group students increased before and after applying PBL (before: 71 + 8.5, after: 116.3 + 10.4) with a statistical significant difference (p = .001). There was no statistical significant differences between the study and control groups (p = 1.000) before intervention. The most dominant decision-making style among the study and control groups in relation to before and after applying PBL was a behavioral decision style with no statistical significant differences. This study concluded that using PBL has a curial role in developing and improving nursing students' decision making skills; however, it has no effect on decision-making style.

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“…[2] Limiting professional entry to people with bachelor level qualifications is considered to be a vital step towards developing safe, quality nursing care in Saudi Arabia. [3] However, the country suffers from a severe shortage of nurses due to rapidly increasing demand in its health system.…”

Section: Introductionmentioning

confidence: 99%

The professional journey of Saudi nurse graduates: A lived experience

Alboliteeh

Magarey

Wiechula

2017

CNS

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Objective: To illuminate the lived experience of Saudi Nurse graduates during their early years in the workplace as professional nurses encompassing their experiences from being nurse students, preparations to become registered nurses, their struggles from being a student to a professional nurse, their cultural competence towards colleagues and patients in their new workplace, their impression of Nursing as a profession and other challenges they faced in especially on language and communication with their patients and colleagues. Methods: An interpretive phenomenological inquiry was utilized to inquire and discover the lived experiences of Saudi Nurse graduates to their job as nurses in different hospitals in Riyadh, Saudi Arabia. A total of 12 nurses were interviewed for this study in the course of 5 months. The interviews conducted with the 12 nurses were audiotaped recorded and subsequently transcribed in verbatim form and the Collaizi Method was used for the extraction of meanings from the interviews. Results: Five major themes were identified in the transcribed form of the interview and 11 subthemes emerged as well. The five major themes were educational preparation, transition into practice, cultural competence, image of nursing and language and communication. Conclusions: The study described the different challenges faced by Saudi nurse graduates from being students to professionals based from their experiences as newly employed staff nurses in different hospitals in Saudi Arabia. Their stories captured the story of novice nurses not only as a Saudi but may be true for other nationalities. These stories are shared by all nurses across the world who struggle to meet the demands of the nursing profession.

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The impact of residency programs on new nurse graduates' clinical decision-making and leadership skills: A systematic review

Cited by 88 publications

References 25 publications

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

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

The effect of problem-based learning on nursing students' decision making skills and styles

The professional journey of Saudi nurse graduates: A lived experience

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