Perceptions of New Graduate Nurses Regarding Their Competence in Nursing Skills

Year 2012, Volume: 19 Issue: 1, 62 - 72, 01.03.2012

Yard. Doç. Dr. Azize Karahan Yard. Doç. Dr. Ebru Kiliçarslan Törüner Öğr. Gör. Aysel Abbasoğlu Hem. Aysun Ceylan

Abstract

Objective: This descriptive and cross-sectional study was planned to investigate the perceptions of newly graduated nurses regarding their specific competences in a range of nursing practices and their needs for further training. Method: Data were collected between January 1 2008 and December 30 2008 for 124 newly graduated nurses starting work at a university hospital. The Clinical Practices Self-Assessment Tool was used for data collection. The senior ward nurse issued the tool to the nurses and explained the aims of the study 2 days after they first started work. Result: The nurses felt themselves most competent in the measurement of vital signs and hand washing, and least competent in disconnection of patients from mechanical ventilation and in the use of electronic devices. Conclusion: Newly trained nurses perceived themselves to be insufficiently prepared in several specific areas; this highlights the need for ongoing dialog between hospitals and educational establishments providing professional training for nurses.

Keywords

Competency, new graduated nurses, perception

Yeni Mezun Hemşirelerin Hemşirelik Becerilerinde Yetkinlikleri ile İlgili Algıları

Abstract

Amaç: Bu tanımlayıcı ve kesitsel çalışma yeni mezun hemşirelerin hemşirelik uygulamaları için gerekli olan özgün yeterliklerini ve ayrıca eğitim gereksinimlerine yönelik algılarını belirlemek amacıyla gerçekleştirilmiştir. Yöntem: Bir üniversite hastanesinde yeni mezun olarak işe başlayan 124 hemşirenin verisi 1 Ocak 2008 ve 30 Aralık 2008 tarihleri arasında toplanmıştır. Veri toplamak için Klinik Uygulamalarda Kendi Kendini Değerlendirme Formu kullanılmıştır. İşe başladıktan 2 gün sonra hemşirelere klinik sorumlu hemşiresi tarafından bu form açıklanmıştır. Bulgular: Hemşireler kendilerini yaşam bulguların alınması ve el yıkama ile ilgili ölçümlerde en yetkin ve elektronik araçların kullanımı ve mekanik ventilasyondan bir hastanın ayrılmasında en az yetkin olarak hissetmişlerdir. Sonuç: Yeni eğitim almış olan hemşireler bir çok spesifik alanda kendilerinin yetersiz olarak hazırlandıklarını algılamışlardır. Bu hemşireler için profesyonel eğitimin sağlanılmasında hastaneler ve eğitim kurumları arasında iletişimin sürdürülmesi gereksinimini vurgulamaktadır.

Keywords

Yeterlik, yeni mezun hemşire, algı

References

• Agency for Healthcare Research and Quality (AHRQ). 2003; [Evid Rep Technol43] Assess Making health care safer: A critical analysis of patient safety practices. URL: http://www.ahrq.gov/clinic/ ptsafety. June 16, 2006.
• McNiesh S. Demonstrating holistic clinical judgment preceptors perceptions of new graduate nurses. Holistic Nurse Practioner 2007; 21: 72-8.
• Hickey MT. Preceptor perceptions of new graduate nurse readiness for practice. JNSD, 2009; 25: 35-41.
• American Association College of Nursing (AACN). 2010; Nursing Shortage. URL: http://www.aacn. nche.edu/media/factsheets/nursingshortage.htm. July 8, 2010.
• National Council of State Boards of Nursing. 2006; The NCLEX-RN Examination Passing Standard Revised for Public Safety. URL: https://www.ncsbn.org/1090.htm. September 1, 2011.
• De Bellis A, Longson D, Glover P, Hutton A. The enculturation of our nursing graduates. Contemp Nurse 2001; 11: 84-94.
• Gerrish K. Still fumbling along? A comparative study of the newly qualified nurse’s perception of the transition from student to qualified nurse. J Adv Nurs 2000; 32: 473-80.
• Johnstone M. Poor working conditions and the capacity of nurses to provide moral care. Contemp Nurse 2002; 12: 7-15.
• Levett-Jones T, Fitzgerald M. A review of graduate nurse transition programs in Australia. Aust J Adv Nurs 2005; 23: 40-5.
• Dearmun A. Supporting newly qualified staff nurses: The lecturer practitioner contribution. J Nurs Manag 2000; 8: 159-65.
• Crooks D, Carpio B, Brown B, Black M, O’Mara L, Noesgarrd C. Development of professional confidence by post diploma baccalaureate nursing students. Nurse Educ Pract 2005; 5: 360-7.
• Casey K, Fink R, Krugman M, Propst J. The graduate nurse experience. J Nurs Adm 2004; 34: 303-11.
• Del Bueno D. A crisis in critical thinking. Nurs Educ Perspect 2005; 26: 278-82.
• Ironside PM. Safeguarding patients through continuing competency. J Contin Educ Nurs 2008; 39: 92-4.
• Tabari-Khomeiran R, Kiger A, Parsa-Yekta Z, Ahmadi F. Competence development among nurses: The process of constant interaction. J Contin Educ Nurs 2007; 38: 211.
• Connelly LM. Welcoming new employees. J Nurs Scholarsh 2005;37: 163-4.
• Roberts K, Lockhart R, Sportsman S. A competency transcript to assess and personalize new graduate competency. J Nurs Adm 2009; 39: 19-25.
• Berkow S, Virkstiv K, Stewart J, Conway L. Assessing new graduate nurse performance. Nurse Educ 2009; 34: 17-22.
• Messmer P, Abelleira A, Erb P. Code 50: An orientation matrix to track orientation cost. J Nurses Staff Dev 1995; 11: 261-4.
• Burns P, Poster EC. Competency development in new registered nurse graduates: Closing the gap between education and practice. J Contin Educ Nurs 2008; 39: 67-73.
• Marcum E, West R. Structured orientation for new graduates. J Nurs Staff Dev 2004; 20: 118-24.
• Santucci J. Facilitating the transition into nursing practice. J Nurs Staff Dev 2004; 20: 274-84.
• Karadag G, Ucan O. Hemsirelik egitimi ve kalite. Fırat Sağlık Hizmetleri Dergisi 2006; 1: 42-51.
• Wolff A, Pesut B, Regan S. New graduate nurse practice readiness: Perspectives on the context shaping our understanding and expectations. Nurse Educ Today 2010; 30:187-91.
• VanWyngeeren K, Stuart T. 2010; Increasing new graduate nurse retention from a student nurse perspective. RN Journal. URL: http://www.rnjournal.com/ journal_of_nursing/increasing_ new_ graduate_nurse_retention_4.htm. June 9, 2010.
• Khorshid L, Eser I, Zaybak A, Gunes UY, Cınar S. Hemsirelik yüksekokulu mezunlarının aldıkları lisans egitimine ilişkin görüşleri. Ege Üniversitesi Hemşirelik Yüksek Okulu Dergisi 2007; 23: 1-4.
• Orgun F, Ozturk N, Bayık Temel A. Hemsirelik öğrencilerinin öğretim sistemine iliskin gorüşleri ve önerileri. Ege Üniversitesi Hemşirelik Yüksek Okulu Dergisi 2007;23: 89-102.
• Hartigan I, Murphy S, Flynn AV, Walshe N. Acute nursing episodes which challenge graduate’s competence: Perceptions of registered nurses. Nurse Educ Pract 2010; 10(5): 291-7.
• Thobaben M, Robert DA, Badir A, Murayama H, Murashima S, Taguchi A. Exploring nursing education in The People’s Republic of China, Japan and Turkey. Contemp Nurse 2005;19: 5-16.
• Johnstone MJ, Kanitsaki O, Currie T. The nature and implications’ of support in graduate nurse transition programs: An Australian study. J Prof Nurs 2008; 24: 46-53.
• Rim Shin K, Jung D, Won Kim M, JU Lee Y, Eom JY. Clinical supervisors’ satisfaction with the clinical competence of newly employed nurses in Korea. Nurs Outlook 2010;58: 129-34.
• Lagana G, Anderson EH. Moisture dressings: The new standard in wound care. J Nurse Pract 2010; 6: 366-70.
• Irvin S. The experiences of the registered nurse caring for the person dying of cancer in a nursing home. Collegian 2000;7: 30-34.