The Challenges of Transition to Practice Expressed Through the Lived Experience of New-to-Practice Nurses
DOI:
https://doi.org/10.33940/culture/2022.12.1Keywords:
transition to practice, lived experience of new nurses, patient safetyAbstract
Background: The nurse’s transition into practice is challenging. The need to facilitate a safe transition into practice and retain nurses is crucial in today’s healthcare.
Objective and Design: The qualitative study aim was to describe the lived experiences of new nurses’ safe transition into practice and their perceptions of functioning as safe practitioners.
Method: This descriptive, phenomenological arm of a larger, mixed methods study (Safety Transition Education to Practice study) interviewed 11 nurses with varied clinical backgrounds regarding their first six months as licensed nurses. Semistructured, one-to-one interviews with nurses representing geographical locations across the nation were conducted. Colaizzi’s method of analysis was used to extract themes.
Results: The data revealed five themes with subthemes. The most universal theme was lack of practical knowledge (skills dexterity, real-world knowledge), followed by impostor syndrome, safety culture (unsafe environment, lack of supplies, lack of mentoring/management), internalized fear, and seeking the sage.
Conclusion: The experiences support the understanding that transition to practice is overwhelming and uncertain. Academic faculty and practice nurses’ cooperative efforts can aid novice nurses in safe transition to practice through academic curriculum enhancement, preceptors, and nurse residency programs working toward narrowing the academic practice gap.
References
Hallaran AJ, Edge DS, Almost J. New Nurses’ Perceptions on Transition to Practice: A Thematic Analysis. Can J Nurs Res. Advance online publication. 2022. doi:10.1177/08445621221074872
Keykaleh MS, Safarpour H, Yousefian S, Faghisolouk F, Mohammadi E, Ghomian Z. The Relationship Between Nurse’s Job Stress and Patient Safety. Open Access Maced J Med Sci. 2018;6(11):2228–2232. https://doi.org/10.3889/oamjms.2018.351
Clark CM, Springer P. Nurse Residents’ First-Hand Accounts on Transition to Practice. Nurs Outlook. 2012; 60, E2-E8. doi:10.1016/j.outlook.2001.08.003
Hampton K. Smeltzer S. Ross JG. The Transition From Student Nurse to Practicing Nurse: An Integrative Review of Transition to Practice Programs. Nurs Educ Pract. 2021;52:103031. doi:10.1016/j.nepr.2021.103031.
Lincoln YS, Guba EG. Naturalistic Inquiry. 1985. Sage Publications, Inc.
Colaizzi PF. Psychological Research as the Phenomenologist Views It. In R. S. Valle and K. Mark (Eds.), Existential Phenomenological Alternatives for Psychology. Oxford University Press; 1978:48-71.
Lin PS, Viscardi MK, McHugh MD. Factors Influencing Job Satisfaction of New Graduate Nurses Participating in Nurse Residency Programs: A Systematic Review. J Contin Educ Nurs. 2014;45(10):439–452. https://doi.org/10.3928/00220124-20140925-15
Pillai S, Manister NN, Coppolo MT, Ducey MS, McManus-Penzerro J. Evaluation of a Nurse Residency Program. J Nurses Prof Dev. 2018;34(6):E23–E28. https://doi.org/10.1097/NND.0000000000000499
Institute of Medicine. The Future of Nursing: Leading Change, Advancing Health. The National Academies Press; 2011.
American Association of Colleges of Nursing. The Essentials: Core Competencies for Professional Nursing Education. Association of Colleges of Nursing; 2021.
Benner P. From Novice to Expert. Excellence and Power in Clinical Nursing Practice (Commemorative ed.). 2001. Prentice Hall Health.
Merriam-Webster. “Impostor syndrome.” Merriam-Webster.com dictionary. https://www.merriam-webster.com/dictionary/impostor%20syndrome. Accessed September 14, 2022.
Aiken L, Sloane D, Barnes H, Cimiotti J, Jarrin O, McHugh M. Nurses’ and Patients’ Appraisals Show Patient Safety in Hospitals Remains a Concern. Health Aff.2018; 37(11). https://doi.org/10.1377/hlthaff.2018.0711
Amaniyan S, Ove Faldaas B, Logan P, Vaismoradi M. Learning From Patient Safety Incidents in the Emergency Department: A Systematic Review. J Emer Med. 2020;58(2):234-244. https://doi.org/10.1016/j.jemermed.2019.11.015.
National Council of State Boards of Nursing. “Transition to Practice.” NCSBN website. https://www.ncsbn.org/nursing-regulation/practice/transition-to-practice.page. Accessed December 2, 2022.
Santucci J. Facilitating the Transition Into Nursing Practice: Concepts and Strategies for Mentoring New Graduates. J Nurses Staff Dev. 2004;20(6):274-284. https://doi.org/10.1097/00124645-200411000-00007
McDonald R, Waring J. Creating a Safety Culture: Learning From Theory and Practice. In P. Waterson (Ed.), Patient Safety Culture: Theory, Methods and Application. Taylor & Francis Group; 2014:119-136. https://archive.org/details/patientsafetycul0000unse/page/118/mode/2up
Bagnasco A, Timmins F, de Vries JM, Aleo G, Zanini M, Catania G, Sasso L. Understanding and Addressing Missed Care in Clinical Placements – Implications for Nursing Students and Nurse Educators. Nurs Educ Today. 2017;56:1-5. https://doi.org/10.1016/j.nedt.2017.05.015
American Nurses Credentialing Center. Practice Transition Accreditation Program Manual. 2020. https://www.nursingworld.org/organizational-programs/accreditation/ptap/
Commission on Collegiate Nursing Education. Standards for Accreditation of Entry-to-Practice Nurse Residency Programs. 2015. https://www.aacnnursing.org/Portals/42/CCNE/PDF/CCNEEntry-to-Practice-Residency-Standards-2015.pdf
Uleman BF, Witte CE, Speckhard ST, Fenske CL. Transition to Practice: The Use of Virtual Clinical Replacement During the COVID-19 Pandemic and Its Impact on New Graduate Nurse Readiness. Nurs Educ Perspect. 2022;43(5):292-296. doi:10.1097/01.NEP.0000000000001015
Kiger CL, Draucker CB, Otte JL. The Attributes and Influence of Individuals Associated With Newly Licensed Registered Nurses in Nurse Residency Programs. A Guide for Program Development. J Nurses Prof Dev. 2022; Advance online publication. doi: 10.1097/NND.0000000000000869
