What are the factors that influence a new graduate nurses transition into practice?
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 Under a Creative Commons license Open access AbstractObjectivesTo investigate the experience of newly graduated registered nurses (NGRNs) in Singapore following their initial 6–12 months of transition from nursing student to registered nurse. MethodsThis mixed-methods study consisted of two phases. In the first phase, data were collected via the administration of the online survey to 30 NGRNs. The questionnaire contained 42 items of the four-point Likert scale survey. In the second phase, a focus group interview was conducted with 5 NGRNs to gather complementary information regarding the major findings from the first phase. ResultsThe survey revealed despite most NGRNs (80%) in this study expressed overall satisfied with their transition, the item score was (2.97±0.61) out of 4, the majority (83.3%) also perceived their transition to professional practice being stressful, the item score was (3.07±0.74) out of 4.Three themes emerged from the interview, ‘personal transition experience’, ‘professional transition experience’, and ‘organizational transition experience’, which are entwined to construct overall NGRNs’ transition experiences. ConclusionsThis study reaffirms the theory-practice gap phenomenon. This signifies the need for closer collaboration between educational, healthcare industry and regulatory stakeholders to examine and address factors that influence their transition experience to better support them for workforce readiness. KeywordsHospital nursing staff Nursing students Role Singapore Cited by (0)© 2020 Chinese Nursing Association. Production and hosting by Elsevier B.V.
AbstractBackgroundFor many years there has been concern that new graduate nurses may not have been adequately prepared for the workplace, often framed in terms of whether they are work ready or practice ready and able to deal with the ‘reality shock’ of transitioning from student to clinician. This has prompted significant research to investigate the practice readiness of new graduate nurses. ObjectivesIdentify what is known about the practice readiness of new graduate nurses upon commencement of employment, how practice readiness changes over their first year of employment and explore the factors which influence practice readiness. DesignScoping review of existing reviews guided by the framework developed by Arksey and O'Malley, with search results based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Statement. MethodsMEDLINE, CINAHL, PsycINFO, Scopus and Web of Science were searched to identify literature reviews synthesising evidence about new graduate nurses, work readiness, practice readiness, competency and transition to practice. New graduate nurses were defined as nurses who were working in any clinical setting as a nurse within their first year of employment after graduation. Database searching was supplemented with snowball searching and limited to English language papers published between 2011 and 2020. Full-text copies of included reviews were imported into an NVivo (Version 12) database to facilitate analysis and synthesis of findings. ResultsForty-five reviews were included. The findings indicate that transition is influenced by a wide range of intrapersonal, interpersonal and organisational factors, many of which are beyond the control of new graduate nurses. The findings also suggest that, overall, there are no major concerns about the practice readiness of new graduate nurses consistently supported by strong evidence. However, there is evidence to suggest that they ‘lack confidence’ during the first few months of employment. ConclusionsThe ‘receptivity’ of the clinical environment to new graduate nurses appears to be a critical influence on their experience of transitioning from student to clinician and can also influence their readiness for the role of a registered nurse. Rather than focusing on the question of whether new graduate nurses are adequately prepared for the workplace, it may be time to shift the question to whether the workplace is ready to support new graduate nurses. The findings suggest two research priorities for advancing our understanding of workplace support for new graduate nurses. KeywordsCapability Clinical competence New graduate nurses Nurse Nurse education Nursing skills Practice readiness Reality shock Transition Work environment Cited by (0)© 2022 Elsevier Ltd. All rights reserved. What factors influence nursing practice?The nursing work environment is a multi-factor structure composed of five characteristics: (1) nurses' involvement in hospital affairs, (2) the basis of nursing quality, (3) the ability, leadership, and support of nurse managers, (4) adequate staffing and resources, and (5) the relationship between doctors and nurses.
What are the challenges for new graduate nurses?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.
What will be the biggest challenge transitioning from student to RN?Perhaps one of the biggest challenges new nurses face is learning how to improve time management and organizational skills.
Which factors influence the future of nursing practice quizlet?What factor has been most clearly identified as an influence on the future of nursing practice? Aging of the American population and increases in chronic illnesses. A group of nurses have a plan to implement evidence based practice for care of patients with pressure ulcers.
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