Transition Experiences of Newly Graduated Nurses

Yıl 2020, Cilt: 10 Sayı: 2, 113 - 119, 29.06.2020

Cennet Çiriş Yıldız , Yasemin Ergün

https://doi.org/10.33808/clinexphealthsci.604266

Cited By: 7

Öz

Objective: This is a qualitative study based on content analysis in order to reveal the transition experiences of nurses in the first year of their profession.

Methods: The study was carried out between January 2018 and March 2018 with 30 newly graduated nurses, who work in three Training and Research Hospitals, two University Hospitals and three Private Hospitals with JCI Quality Certificate and have a maximum of one year of professional experience. Data were collected through semi-structured in-depth individual interviews using face-to-face interviews.

Results: Themes defined in the transition process of newly graduated nurses were emotional, sociocultural and developmental, physical and intellectual. In general, transition experiences of individuals were greatly influenced by the support that is given to the new graduate, the experience, the predictability, sincerity and consistency of the relationships with the individuals they were in contact with, and the expectations of the institution or experienced employees. In the first year of their professional experience, graduates do not feel themselves qualified, comfortable, safe and secure, and experience emotional and physical exhaustion in a short time. In addition, changes in life patterns and routines have emerged as distracting developments or unexpected burdens, particularly for new graduates experiencing adaptation problems.

Conclusion: This study focused on the experiences of nurses during their first-year practice which is incredibly challenging for the new graduated nurses. It has been determined that formal and informal support programs are necessary for the new graduates to successfully start the profession.

Anahtar Kelimeler

Nurse, Nursing Staff, Nurse's Scope of Practice, Transition

Kaynakça

• Aiken LH, Cimiotti JP, Sloane DM, Smith HL, Flynn L, Neff DF. Effects of nurse staffing and nurse education on patient deaths in hospitals with different nurse work environments. Med Care. 2011; 49(12):1047-53. doi: 10.1097/MLR.0b013e3182330b6e.
• Delaney C. Walking a fine line: graduate nurses’ transition experiences during orientation. Journal of Nursing Education 2003; 42(10), 437–443.
• Duchscher JEB. Out in the real world: newly-graduated nurses in acute-care speak out. Journal of Nursing Administration 2001; 31(9), 426–439.
• Duchscher JEB. A process of becoming: the stages of new nursing graduate professional role transition. The Journal of Continuing Education in Nursing 2008; 39(10), 441–450.
• Duchscher JEB. Transition shock: the initial stage of role adaptation for newly graduated Registered Nurses. Journal of Advanced Nursing 2009; 65(5), 1103-1113. http://dx.doi.org/10.1111/j.1365-2648.2008.04898.x
• Gregg MF, Wakisaka T, Hayashi C. Nurse Managers’ Strategies for the Integration of Newly Graduated Nurses into Clinical Units in Japan: A Qualitative Exploratory Study. The Open Nursing Journal 2013; 2013, 7, 157-164
• Goode CJ, Glassman KS, Ponte PR, Krugman M, Peterma T. Requiring a nurse residency for newly licensed registered nurses. Nurs Outlook 66. 2018 329–332 DOI: https://doi.org/10.1016/j.outlook.2018.04.004
• Gordon CJ, Aggar C, Williams AM, Walker L, Willcock SM. and Bloomfield J. A transition program to primary health care for new graduate nurses: a strategy towards building a sustainable primary health care nurse workforce? BMC Nurs. 2014; 13: 34. doi: 10.1186/s12912-014-0034-x
• Hezaveh MS, Rafil F, Khosravi S, Seyedfatemi N, “The experience of stress among new clinical nurses." Nursing Practice Today 2014; 4: 199‒206.
• Kramer M. Reality Shock: Why Nurses Leave Nursing. C.V. Mosby Company, St Louis; 1974.
• Kelly J, Ahern K. Preparing nurses for practice: a phenomenological study of the new graduate in Australia. Journal Clinical Nursing 2008; 18(6):910-8.
• Kumaran S, Carney M. Role transition from student nurse to staff nurse: Facilitating the transition period. Nurse Education in Practice 2014; 14(6), 605-611
• Letourneau RM, Fater KH. Nurse Residency Programs: An integrative Review of the Literature. Nurs Educ Perspect 2015; 36(2):96-101. doi: 10.5480/13-1229.
• McKenna LG, Green C. Experiences and learning during a graduate nurse program: an examination using a focus group approach. Nurse Educ Pract. 2004;4(4):258-63. doi: 10.1016/j.nepr.2004.01.004.
• Mohammadi A, Sarhanggi F, Ebadi A, Daneshmandi M, Reiisifar A, Amiri F. Relationship between psychological problems and quality of work life of Intensive Care Unit Nurses. Iranian Journal of Critical Care Nursing (IJCCN) 2011; 4(3), 135-140.
• Papp I, Markkanen M, von Bonsdorff M. Clinical environment as a learning environment: student nurses' perceptions concerning clinical learning experiences. Nurse Educ Today 2003 ;23(4):262-8.
• Oermann MH, Garvin MF. Stresses and challenges for new graduates in hospitals. Nurse Education Today 2002; 22:225–230.
• Öztürk H, Kurt Ş, Serin GM, Bayrak B, Balık T, Demirbağ BC. Hastanelerde İşe Yeni Başlayan Hemşirelerin Sorunları. ACU Sağlık Bil Derg. 2016; (4):189-201
• Rush KL, Adamack M, Gordon J, Lilly M, Janke R. Best practices of formal new graduate nurse transition programs: an integrative review. Int J Nurs Stud. 2013; 50(3):345-56. doi: 10.1016/j.ijnurstu.2012.06.009.
• Silvestre J, Ulrich J, Johnson T, Spector N, Blegen M. A multisite study on a new graduate Registered Nurse transition to practice program: Return on investment. Nursing Economics 2017; 35(3), 110-118. Retrieved from https://www.ncsbn.org/11501.htm
• Spector N, Blegen MA, Silvestre J, Barnsteiner J, Lynn MR, Ulrich B, Alexander M. Transition to practice study in hospital settings. Journal of Nursing Regulation 2015; 5(4), 24–38.
• Sönmez B, Yıldırım A, “Difficulties experienced by newly-graduated nurses in Turkey: A qualitative study of the first six months of employment", Journal of Nursing Education and Practice 2016; 1: 104-110,
• Tiryaki MZ. “Aydınlar, Akademisyenler ve Entelektüeller: Savaş Bitti Şiirine Farklı Bir Bakış”. Insan ve Toplum; Istanbul. 2014; 4(8), DOI:10.12658/human.society.4.8.R0014
• Yıldırım A, Şimşek H. Sosyal Bilimlerde Nitel Araştırma Yöntemleri. (6th Ed.) Ankara: Seçkin Yayıncılık; 2006.
• Zerwekh J, Garneau, AZ. Nursing today: Transition and trends. Elsevier Health Sciences; 2013.