The Mediating Effect of Professionalism in the Relationship between Clinical Competence and Field Adaptation in Newly Graduated Nurses

Youngsoon, Kim; Park, Kyung-Yeon

doi:10.11111/jkana.2013.19.4.536

Cited by 21 publications

(7 citation statements)

References 14 publications

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“…The average clinical competence in this study's subjects was 3.18, which was higher than 2.85 (Kim & Park, 2013) or 2.83 (Shin et al, 2010) reported in previous studies on newly graduated nurses, but this was attributable to the different measurement tools used. The subjects of this study scored about 63.60 on a scale of 100, and those in the previous study scored 71.25 and 70.75, indicating that the subjects of this study had low scores.…”

Section: Discussioncontrasting

confidence: 84%

“…The average field adaptation of the participants was 2.82, similar to the 2.79 ( Kim & Park, 2013 ) and 2.95 ( Ji, 2009 ) of the previous study conducted on newly graduated nurses using the same evaluation method, but it should be noted that there were differences in the working environment of the study subjects. There was no significant difference in the field adaptation according to the characteristics of the study subjects.…”

Section: Discussionsupporting

confidence: 79%

“…With the Fourth Industrial Revolution’s development of artificial intelligence, advancements in medical technology, longer life spans, and interest in health has increased, which raises social expectations for the medical service industry ( Choi, 2014 ). Nurses offer the majority of medical services in hospitals, and securing competent nursing employees is a key factor in a hospital’s ability to provide quality nursing care ( Kim & Park, 2013 ). However, turnover rates of newly graduated nurses are a worldwide concern, even 35%–60% of new nurses leaving their jobs in the first year in some countries ( Eckerson, 2018 ) and about one-third have strong intentions to resign within the first year ( Rudman et al, 2014 ).…”

Section: Introductionmentioning

confidence: 99%

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An Exploratory Study on the Mediating Effect of Clinical Competence in the Relationship Between Grit and Field Adaptation in Newly Graduated Nurses

Shin

2022

SAGE Open Nursing

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Introduction Even under difficult situations, individuals with psychological resources such as positive psychological capital and resilience are less likely to consider turnover. Grit is a psychological factor that predicts success at work in other industries, but little is known about its impact on newly graduated nurses. Objectives The study’s purpose is to investigate newly graduated nurses’ grit, clinical competence, and field adaptation as well as the mediating effect of clinical competence in the relationship between grit and field adaptation. Methods A total of 102 nurses from university hospitals located in W city took part in this investigation. Data were collected using a self-questionnaire and were analyzed using descriptive statistics, Pearson’s correlation coefficient, multiple regression, and mediation analysis with the SPSS/26.0 program. Results Grit was remarkably related to clinical competence (r = .53, p < .001) and field adaptation (r = .30, p = .003). Clinical competence was significantly related to field adaptation (r = .24 p = .02). However, the role of clinical competence as a mediating factor in the relationship between grit and field adaptation was not found to be significant (β = .11, p = .32). Conclusion Grit boosted clinical competence and had a direct effect on field adaptation. In order for newly graduated nurses to retain a consistent level of enthusiasm in their work, it is necessary to develop a program or strategies to improve their grit.

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Section: Discussioncontrasting

confidence: 84%

Section: Discussionsupporting

confidence: 79%

Section: Introductionmentioning

confidence: 99%

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An Exploratory Study on the Mediating Effect of Clinical Competence in the Relationship Between Grit and Field Adaptation in Newly Graduated Nurses

Shin

2022

SAGE Open Nursing

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“…17 The induction program is then considered as a mediating factor between the clinical competence and environment adaptation for novice nurses. 18 Nowadays, no efficient, scientific, and upto-date induction program exists for the novice nurses and in some cases qualification is not considered serious due to lack of working forces. Even in some cases, despite dissatisfaction of the head nurses about provision of work forces in the ICUs & NICU, novice nurses were employed in these wards.…”

Section: Introductionmentioning

confidence: 99%

The Effect of Nursing Residency Program on the Clinical Competency of Novice Nurses Working in the ICU & NICU from the Viewpoint of Head Nurses

Monshizadeh

Nasiriani

Khodayarian

et al. 2020

WJPN

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Background: The ultimate goal of nursing is to ensure the recovery and health of patients through providing high quality care. However, novice nurses who are working in clinical settings need help and are not aware of the system's expectations. In this study, we investigated the effect of a nursing residency program on the clinical competence of novice nurses working in the intensive care units of Yazd governmental hospitals from the viewpoint of head nurses. Methods: In this interventional study, the clinical competence of 31 novice nurses was studied. The participants were randomly assigned into two groups of experimental and control. The nursing residency program consisted of 20 hours of training, support, and counseling in eight months for the experimental group. Data gathering tool in this study was a clinical competence questionnaire for novice nurses. The head nurses filled out the questionnaires before, immediately after, and three months after the training course. Data were then analyzed by SPSS (version 22) and running independent t-test, and repeated analysis of variance. Results: according to the viewpoint of the head nurses, The clinical competence scores of novice nurses working in the ICUs & NICU, were (150.15 ± 23.1), (174.35 ± 2.75), and (168.3 ± 32.45) for the experimental group and (134.75 ± 24.75), (116.05 ± 29.7), and (146.3 ± 22) for the control group before, immediately after, and three months after the intervention, respectively. The difference between mean scores of two groups was not significant before the intervention and three months later, although of the mean scores of two groups differed significantly before the intervention and immediately after the intervention. With respect to clinical competence scores, the different between two groups was significant in three stages. Conclusion: The results on the efficacy of nursing residency program in improving the clinical competence of novice nurses working in the ICUs & NICU were positive from the viewpoint of heads nurses. Accordingly, we propose execution of programs related to all issues over which nurses need to upgrade their clinical competencies and for the novice nurses of other parts of the hospital.

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“…In Korea, previous studies on the clinical competence of new nurses include predictors of clinical competence in new graduate nurses [7], the relationship between clinical competence and field adaptation [10], the effect of a practical work-oriented education program on the ability of newly recruited nurses in execution of clinical competency [11], the relationship between critical thinking disposition and clinical competence [12], etc. Related studies on career adaptability are as follows: factors related to organizational socialization of new nurses [6], influence of workplace bullying and resilience on organizational socialization [13], resilience and organizational socialization [14], professional self-concept and organizational socialization [15], and the effect of a new nurse-preceptor exchange relationship on organizational socialization [16].…”

Section: Introductionmentioning

confidence: 99%

The Effect of New Nurses’ Clinical Competence on Career Adaptation

Lee¹,

Lee²

2019

Preprint

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14Background 15 New nurses need a certain period of time to adapt to the organization due to a lack of clinical 16 competence, and also immaturity in social skill. The purpose of this study was to evaluate the effects 17 of new nurses' clinical competence on career adaptation in order to use the results as basic information 18 for developing education programs to improve their adaptability in clinical practice. 19 20 Method 21 This study employed a descriptive survey to investigate the clinical competence and the career 22 adaptability of new nurses working in a general hospital. The study subjects were 61 new nurses with 23 less than one year of work experience and data was collected from June, 2018 to July, 2019. Data was 24 analyzed using frequency analysis, descriptive statistics, t-test, ANOVA, Pearson's correlation 25 coefficients, and multiple regression analysis.26 27 Results 28On average, the study subjects have worked for 11.33±1.51 months. In this study, the average clinical 29 competence of new nurses was 2.21±0.61, and career adaptability was 3.00±0.39. The clinical 30 competence of new nurses was positively correlated with career adaptability (r=.453, p<.001). Among 31 the sub-categories of clinical competence, developing professional and legal implementation were 32 found to affect career adaptability (t=2.24, p=.030). 33 34 Conclusion 35The clinical competence of the new nurses was shown to positively affect their career adaptability, and 36 it was confirmed that developing professional and legal implementation in the subcategories of clinical 37 competence affected the career adaptability of the new nurses. Thus, it is necessary to establish a 3 38 program that provides support for new nurses to enable them to build professional identities that they 39 can be proud of. 40 41 Introduction 58 With the recent advances in medical technology and the improvement of people's living and 59 educational standards, interest in quality medical services, as well as demand for high quality 60 nursing care, have increased. Accordingly, nurses must acquire sufficient medical knowledge 61 and competent skills [1]. However, new nurses are facing many challenges in the fast-paced 62 hospital environment while also experiencing high stress and maladjustment [2]. 63 New nurses are those who have graduated from a nursing college in Korea and obtained a 64 nurse's license with working experience of less than 12 months after being employed in a 65 medical institution [3]. New nurses face a lot of stress in their clinical careers after their first 66 year of graduation as they have to deal with the gap between high expectations and reality in 67 the following aspects: their practical skills; demand for knowledge and skills required for 68 nursing work; three-shift working environment; increased responsibility for nursing behavior; 69 subtle interpersonal relationships with colleagues; and formation of interpersonal relationships 70 with patients and caregivers [4, 5]. In addition, new nurses need a certain period o...

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The Mediating Effect of Professionalism in the Relationship between Clinical Competence and Field Adaptation in Newly Graduated Nurses

Cited by 21 publications

References 14 publications

An Exploratory Study on the Mediating Effect of Clinical Competence in the Relationship Between Grit and Field Adaptation in Newly Graduated Nurses

An Exploratory Study on the Mediating Effect of Clinical Competence in the Relationship Between Grit and Field Adaptation in Newly Graduated Nurses

The Effect of Nursing Residency Program on the Clinical Competency of Novice Nurses Working in the ICU & NICU from the Viewpoint of Head Nurses

The Effect of New Nurses’ Clinical Competence on Career Adaptation

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