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Author: Melinda M. Wildermuth
Publisher:
ISBN:
Category :
Languages : en
Pages :
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Author: Melinda M. Wildermuth
Publisher:
ISBN:
Category :
Languages : en
Pages :
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Author:
Publisher:
ISBN:
Category :
Languages : en
Pages : 426
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Forty years after Kramer's (1974) seminal work, Reality Shock, new graduate nurses continue to have difficulty transitioning to the registered nurse (RN) role. The purpose of this phenomenological study explores the lived experience of new graduate nurses who completed a Veterans Affairs externship program in their senior year of nursing coursework and its perceived impact on their successful transition into the practice role 3-24 months following graduation. Benner's (1984) Novice-to-Expert Model, Karmer's (1974) Reality Shock Theory, and Selder's (1989) Life Transition Theory support a framework for this study. Twelve telephone interviews were conducted using van Manen's (1990) method for researching the lived experience. One overarching theme "feeling confident" and three main categories, "transitioning to the RN role," "making decisions," and "interacting with professionals," were identified from the data. Externship programs assist the student to comfortably and smoothly transition as a new graduate nurse by offering additional clinical and practice experiences. Given the complexity of today's health care environment, there is a growing need to better prepare the graduate nurse for their transition into nursing practice. Externship programs can serve this purpose.
Author: JoAnn Graham Zerwekh
Publisher:
ISBN: 9780721669014
Category : Medical
Languages : en
Pages : 140
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Author: Joan S. Palladino
Publisher: ProQuest
ISBN: 9781109108873
Category : Nurses
Languages : en
Pages : 384
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The purpose of this study was to investigate the transition experience of new graduate nurses during their first work experience after graduating from a baccalaureate undergraduate nursing program. A case study approach was used to examine a community hospital in Connecticut. A random sample of baccalaureate prepared new graduate nurses who graduated in May 2007, and were in the first year of working as registered nurses, was chosen. The research question examined how new graduate nurses perceived the supports provided within their transition experience. The study examined the supports through Benner's (1982) developmental theory of nursing. The four supports included: support during orientation, support from experienced nurses, supports to develop time management skills and support from their undergraduate nursing education. The four research questions addressed each of these supports. The study used three methods of data collection. Twelve new graduate nurses completed the quantitative survey, eight participated in the individual interview and four new graduate nurses participated in the focus group interview. The conclusions included the following: new graduate nurses were supported by the learning environment of the orientation; new graduate nurses perceived a supportive network was available to them within the hospital environment; time management skills are essential for the transition to entry nursing practice; new graduate nurses were assisted by their undergraduate school experiences during the transition period. Recommendations for practice have implications for making new graduates successful in a nursing career. Hospital orientations should provide preceptors who encourage autonomy and are consistent and provide emotional support and need to provide support in the transition period by mentoring and encouraging guidance from experienced nurses. Hospitals also need to provide clinician guidance and organizational resources to assist with time management, and offer intern programs to students prior to graduation. Undergraduate nursing programs should incorporate more clinical time to help the new graduate nurse transition into nursing practice. Recommendations for further research might involve a qualitative in-depth study regarding time management as well as an in depth case study examining new graduate nurses perceived level of support during the orientation period.
Author: Marianne Elizabeth Olson
Publisher:
ISBN:
Category : Job satisfaction
Languages : en
Pages : 422
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Author: Marlene Kramer
Publisher: Mosby
ISBN:
Category : Business & Economics
Languages : en
Pages : 274
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Author: Rachael A. Croy
Publisher:
ISBN:
Category : Burn out (Psychology)
Languages : en
Pages : 0
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Introduction: This review aims to explore the positive and negative factors affecting the transition to practice of new graduate nurses and how those factors may contribute to the development of burnout. Methods: CINAHL Complete, ProQuest, and PubMed databases were searched using the Boolean search terms “burnout” AND “new nurse OR new graduate nurse OR newly licensed nurse OR new registered nurse.” Articles were reviewed for their relevance to the search criteria. Then, themes were identified based on the articles’ findings of contributors to a positive or negative transition experience for new graduate nurses. Results and Discussion: Common contributors to a negative transitional experience included incongruence between expectations and reality, perceptions of poor leadership support, workplace environment, interpersonal relationships, and intrapersonal factors. The themes promoting a positive transitional experience included authentic leadership, resilience, and comradery. Conclusions: A negative transition as a new graduate nurse enters practice can contribute to the development of burnout. Attempts to mitigate this have mostly focused on the role of authentic leadership and resiliency development programs. The solution to burnout may involve looking upstream at the antecedent factors associated with it in order to design strategies to mitigate or ease their effects. -- Abstract
Author: Kayla Donegan
Publisher:
ISBN:
Category : Nurses
Languages : en
Pages : 106
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The transition from student nurse to professional nurse often causes feelings of stress and inadequacy in new graduate nurses. Feelings associated with student nurse transition can be eased by a variety of interventions. One important intervention is the maximization of the final practicum experience. The final practicum experience often provides student nurses vital time in the clinical setting, where they can solidify their knowledge and practice their nursing skills. To measure the effectiveness of the final practicum the Preparedness for Graduate Nursing Practice Questionnaire was used to determine levels of self-reported preparedness using a senior group of associate degree nursing students. The results confirm the importance of the final practicum experience properly preparing student nurses for their transition into professional practice. Study results confirm the importance of evaluating the effectiveness of the final practicum and tailoring it to meet the needs of student nurses to maximize potential benefits.
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309208955
Category : Medical
Languages : en
Pages : 700
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The Future of Nursing explores how nurses' roles, responsibilities, and education should change significantly to meet the increased demand for care that will be created by health care reform and to advance improvements in America's increasingly complex health system. At more than 3 million in number, nurses make up the single largest segment of the health care work force. They also spend the greatest amount of time in delivering patient care as a profession. Nurses therefore have valuable insights and unique abilities to contribute as partners with other health care professionals in improving the quality and safety of care as envisioned in the Affordable Care Act (ACA) enacted this year. Nurses should be fully engaged with other health professionals and assume leadership roles in redesigning care in the United States. To ensure its members are well-prepared, the profession should institute residency training for nurses, increase the percentage of nurses who attain a bachelor's degree to 80 percent by 2020, and double the number who pursue doctorates. Furthermore, regulatory and institutional obstacles-including limits on nurses' scope of practice-should be removed so that the health system can reap the full benefit of nurses' training, skills, and knowledge in patient care. In this book, the Institute of Medicine makes recommendations for an action-oriented blueprint for the future of nursing.
Author: Anne-Marie Brady
Publisher:
ISBN:
Category :
Languages : en
Pages :
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