TY - JOUR AB - Inadequate transition to practice increases stress for new health care providers and threatens employment longevity. This integrative review aimed to synthesize the evidence on transition process for newly graduated registered nurses and advanced practice nurses in hospital settings and to identify enablers/barriers and mitigating strategies. Two databases were systematically searched for articles that described the process, strategies, participant perceptions, and implications of role transition with a final yield of 23 articles. Synthesis of the evidence revealed three major themes: (a) achieving competence for safe practice, (b) addressing stress during transition, and (c) reducing turnover. Emotional support for new graduates was instrumental to achieving clinical competence. Role transition adaptation was linked to anxiety, while emotional health was positively associated with retention. Developing best practices that address skill proficiency, attending to the emotional needs of new nurse graduates, and providing structured transition programs to improve clinical competence are the strategies of choice. AD - School of Nursing, University of Alabama Birmingham Hospital, Birmingham, AL, USA. Instructor, Neonatal Nurse Practitioner Specialty Track Coordinator, School of Nursing, University of Alabama at Birmingham, Birmingham, AL, USA. Dept. of Family, Community and Health Systems, School of Nursing, University of Alabama at Birmingham, Birmingham, AL, USA. AN - 33724088 AU - Reebals, C. AU - Wood, T. AU - Markaki, A. DA - Apr DO - 10.1177/0193945921997925 DP - NLM ET - 20210316 IS - 4 KW - *Clinical Competence Employment Humans *Personnel Turnover *advanced practice nurse (APN) *new graduate *registered nurse (RN) *retention *stress *transition to practice *workforce development LA - eng N1 - 1552-8456 Reebals, Crisi Orcid: 0000-0003-1493-670x Wood, Tara Orcid: 0000-0002-0638-5074 Markaki, Adelais Orcid: 0000-0002-2038-3139 Journal Article Review United States 2021/03/17 West J Nurs Res. 2022 Apr;44(4):416-429. doi: 10.1177/0193945921997925. Epub 2021 Mar 16. PY - 2022 SN - 0193-9459 SP - 416-429 ST - Transition to Practice for New Nurse Graduates: Barriers and Mitigating Strategies T2 - West J Nurs Res TI - Transition to Practice for New Nurse Graduates: Barriers and Mitigating Strategies VL - 44 ID - 13715 ER - TY - JOUR AB - OBJECTIVE: This evidence-based practice project assessed the impact of integrating mindfulness training into an existing nurse residency program. BACKGROUND: Stress and burnout are endemic in healthcare. The transition to practice is associated with stress and anxiety for newly graduated nurses. Evidence supports mindfulness-based interventions to mitigate stress and burnout and improve the workplace environment and patient outcomes. METHODS: This project employed a pre/post design to measure burnout, stress, and mindfulness, comparing means and standard deviations between intervention and comparison nurse residency cohorts. Mindfulness training was integrated at 4 points within the 1st 6 months of the residency program. RESULTS : The intervention cohort reported significantly less burnout and stress and more mindfulness at 6 months than the comparison group. CONCLUSIONS: Mindfulness training can be feasibly integrated into an existing nurse residency program to decrease stress and burnout for new graduate nurses during the transition to practice. AN - 156299209. Language: English. Entry Date: 20220422. Revision Date: 20220503. Publication Type: Article AU - McNulty, Denise Stage D. N. P. M. S. H. S. A. N. P. D. B. C. N. E. B. C. AU - LaMonica-Way, Carol C. O. B. AU - Senneff, Jo-Anne C. C. K. DB - cin20 DO - 10.1097/NNA.0000000000001137 DP - EBSCOhost IS - 4 KW - Mindfulness -- Education Stress, Occupational -- Prevention and Control Burnout, Professional -- Prevention and Control Stress Management -- Methods New Graduate Nurses -- Psychosocial Factors New Graduate Nurses -- Education Personnel Retention -- Evaluation Internship and Residency Nursing Practice, Evidence-Based Outcomes of Education -- Evaluation Human Male Female Young Adult Adult Pretest-Posttest Design Comparative Studies Mindfulness -- Evaluation Stress, Occupational -- Evaluation Burnout, Professional -- Evaluation Prospective Studies Entry Into Practice Quantitative Studies Questionnaires Scales Texas Nursing Staff, Hospital Coefficient Alpha Descriptive Statistics Data Analysis Software Clinical Trials N1 - clinical trial; research; tables/charts. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. Special Interest: Evidence-Based Practice. Instrumentation: Mindfulness Attention Awareness Scale (MAAS); Oldenburg Burnout Inventory (OBI); Casey-Fink Graduate Nurse Experience Survey (CFGNES); Physician Work-Life Study Single Item (PWLSSI). NLM UID: 1263116. PY - 2022 SN - 0002-0443 SP - E12-E18 ST - The Impact of Mindfulness on Stress and Burnout of New Graduate Nurses as a Component of a Nurse Residency Program T2 - JONA: The Journal of Nursing Administration TI - The Impact of Mindfulness on Stress and Burnout of New Graduate Nurses as a Component of a Nurse Residency Program UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=156299209&site=ehost-live&scope=site VL - 52 ID - 13740 ER - TY - JOUR AB - OBJECTIVE: This evidence-based practice project assessed the impact of integrating mindfulness training into an existing nurse residency program. BACKGROUND: Stress and burnout are endemic in healthcare. The transition to practice is associated with stress and anxiety for newly graduated nurses. Evidence supports mindfulness-based interventions to mitigate stress and burnout and improve the workplace environment and patient outcomes. METHODS: This project employed a pre/post design to measure burnout, stress, and mindfulness, comparing means and standard deviations between intervention and comparison nurse residency cohorts. Mindfulness training was integrated at 4 points within the 1st 6 months of the residency program. RESULTS: The intervention cohort reported significantly less burnout and stress and more mindfulness at 6 months than the comparison group. CONCLUSIONS: Mindfulness training can be feasibly integrated into an existing nurse residency program to decrease stress and burnout for new graduate nurses during the transition to practice. AD - Author Affiliations: Professional Development Leader (Dr McNulty) and Professional Development Leader (Mrs LaMonica-Way), Center for Professional Excellence, Houston Methodist Willowbrook Hospital; and Professional Practice Leader (Mrs Senneff), Center for Nursing Research, Education, and Practice, Houston Methodist - Texas Medical Center, Texas. AN - 35348491 AU - McNulty, D. S. AU - LaMonica-Way, C. AU - Senneff, J. A. C1 - The authors declare no conflicts of interest. DA - Apr 1 DO - 10.1097/nna.0000000000001137 DP - NLM IS - 4 KW - *Burnout, Professional/prevention & control *Education, Nursing, Graduate Humans *Internship and Residency *Mindfulness/education Stress, Psychological/prevention & control LA - eng N1 - 1539-0721 McNulty, Denise Stage LaMonica-Way, Carol Senneff, Jo-Anne Journal Article United States 2022/03/30 J Nurs Adm. 2022 Apr 1;52(4):E12-E18. doi: 10.1097/NNA.0000000000001137. PY - 2022 SN - 0002-0443 SP - E12-e18 ST - The Impact of Mindfulness on Stress and Burnout of New Graduate Nurses as a Component of a Nurse Residency Program T2 - J Nurs Adm TI - The Impact of Mindfulness on Stress and Burnout of New Graduate Nurses as a Component of a Nurse Residency Program VL - 52 ID - 13728 ER - TY - JOUR AB - When encountering death and suffering in oncology clinical practice, new resident nurses experience job-related distress such as compassion fatigue, empathic distress, and burnout. All of which contribute to lack of job satisfaction and failure to succeed in transition to professional practice. Literature reviewed demonstrated reflective practices have a positive effect on nurses' well-being and decrease the effects of work-related distress. Our large NCCN designated academic oncology center did not offer education to address this empathic distress syndrome. The purpose of this project was to create an interdisciplinary CE accredited class to demonstrate skills of reflective practice for new resident oncology nurses to strengthen their capacity to deal with empathic distress. An experienced oncology nurse in her graduate studies researched issues relative to new resident oncology nurse retention. Empathic distress was identified as a key factor. She collaborated with the spiritual care team to develop a 60-minute curriculum on reflective practice. The course was team taught by a nurse and a chaplain, in a virtual-live and recorded for on demand viewing format. Nurses (n=33) and resident nurses (n=1) from inpatient and ambulatory units comprised the audience. Feedback highlighted the importance of reflective practices in all clinical nurse practice. The provision of tools for reflective practices such as mindfulness, self-compassion, and grief rituals were identified as valuable. The collaboration between chaplaincy and nursing was seen as most useful in role modelling professional teamwork in addressing empathic distress. This presentation on reflective practice is now integrated into the basic orientation to all new resident oncology nurses at our large academic center. All staff accessibility to learning self-care techniques, such as reflective practices, have been found to alleviate the symptoms of compassion fatigue, empathic distress fatigue, and burnout and so improve oncology care outcomes. Collaborative efforts between oncology experts are essential components for education and support on death, suffering, and empathic distress for nurse residents' orientation as well as all staff. AD - Seattle Cancer Care Alliance, Seattle, WA AN - 155511003. Language: English. Entry Date: 20220308. Revision Date: 20220308. Publication Type: Article AU - Malick, Dana AU - Hansen, Amanda AU - Sanger, Briana AU - Shannon Dorcy, Kathleen DB - cin20 DO - 10.1188/22.ONF.E2 DP - EBSCOhost IS - 2 KW - Empathy Stress, Psychological Oncologic Nursing Interns and Residents Congresses and Conferences -- California California N1 - abstract; proceedings; research. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 7809033. PY - 2022 SN - 0190-535X SP - E81-E81 ST - REFLECTIVE PRACTICE FOR DEALING WITH EMPATHIC DISTRESS IN NEW RESIDENT ONCOLOGY NURSES...47th Annual Oncology Nursing Society Congress, April 27–May 1, 2022, Anaheim, CA T2 - Oncology Nursing Forum TI - REFLECTIVE PRACTICE FOR DEALING WITH EMPATHIC DISTRESS IN NEW RESIDENT ONCOLOGY NURSES...47th Annual Oncology Nursing Society Congress, April 27–May 1, 2022, Anaheim, CA UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=155511003&site=ehost-live&scope=site VL - 49 ID - 13741 ER - TY - JOUR AB - BACKGROUND: New nurses' transition to the workforce is often described as challenging and stressful. Concerns over this transition to practice are well documented, with the hypothesis that transition experiences influence the retention of new nurses in the workforce and profession. METHODS: In a cross-sectional survey (N = 217) to assess new nurse transition in the province of Ontario, Canada, an open-ended item was included to solicit specific examples of the transition experience. The comments underwent thematic analysis to identify the facilitators and barriers of transition to practice for new nurses. RESULTS: Comments were provided by 196 respondents. Three facilitator themes (supportive teams; feeling accepted, confident, and prepared; new graduate guarantee) and four barrier themes (feeling unprepared; discouraging realities and unsupportive cultures; lacking confidence/feeling unsure; false hope) to new nurse transition emerged. CONCLUSIONS: Concerns of nursing shortages are heightened in the current COVID-19 pandemic, reinforcing the priority of retaining new nurses in the workforce. The reported themes offer insight into the contribution of a supportive work environment to new nurses' transition. The recommendations focus on aspects of supportive environments and educational strategies, including final practicums, to assist nursing students' development of self-efficacy and preparation for the workplace. AD - RN, PhD; Trent/Fleming School of Nursing, 104270Trent University, 1600 West Bank Drive, Peterborough, ON, K9J 7B8, Canada. RN, PhD; School of Nursing, 4257Queen's University, 99 University Avenue, Kingston, Ontario, K7L 3N6, Canada. AN - 35068206 AU - Hallaran, A. J. AU - Edge, D. S. AU - Almost, J. AU - Tregunno, D. DA - Jan 24 DO - 10.1177/08445621221074872 DP - NLM ET - 20220124 KW - New nurse barriers facilitators thematic analysis transition to practice LA - eng N1 - 1705-7051 Hallaran, Amy J Orcid: 0000-0002-0474-7270 Edge, Dana S Orcid: 0000-0001-6644-1552 Almost, Joan Orcid: 0000-0001-6473-6138 Tregunno, Deborah Journal Article United States 2022/01/25 Can J Nurs Res. 2022 Jan 24:8445621221074872. doi: 10.1177/08445621221074872. PY - 2022 SN - 0844-5621 SP - 8445621221074872 ST - New Nurses' Perceptions on Transition to Practice: A Thematic Analysis T2 - Can J Nurs Res TI - New Nurses' Perceptions on Transition to Practice: A Thematic Analysis ID - 13678 ER - TY - JOUR AB - AIM: The purpose of this study was to have a better understanding of the experiences of new nurse graduates in their work environment and the perceived stressors during their transition into the role of registered nurse. BACKGROUND: The National Student Nurses' Association conducts an annual survey of all its members who are new graduates in the months following graduation. METHOD: The study used a qualitative design on a sample of 1,456 responses. Participants provided typed-in responses. Responses were sorted and coded using constant comparison method. Three independent judges aggregated interpretations through consensus. RESULTS: The themes that emerged were related to respondents' attempts to find balance and reflected the stress of the environment, expectations on self, and interactions with others that affected them. CONCLUSION: New graduates describe their transitions to the role of new nurse in words that suggest that their workplace environments are extremely stressful. AD - About the Authors Veronica D. Feeg, PhD, RN, FAAN, is associate dean, Barbara H. Hagan School of Nursing, Molloy College, Rockville Centre, New York. Diane J. Mancino, EdD, RN, CAE, FAAN, is executive director, National Student Nurses' Association, Brooklyn, New York. Diane D. Kret, MS, is director of professional practice development and education, St. John's Episcopal Hospital, Far Rockaway, New York, and a PhD candidate, Barbara H. Hagan School of Nursing, Molloy College. The authors are grateful to Jacklyn Kirk, MS, RN, a doctoral candidate at Molloy College, and Julie Conboy-Russo, MS, RN, a doctoral candidate and Jonas Nurse Leader Scholar at Molloy College, for their assistance in sorting, coding, and interpreting the narrative data. For more information, contact Dr. Feeg at vfeeg@molloy.edu. AN - 34610627 AU - Feeg, V. D. AU - Mancino, D. J. AU - Kret, D. D. C1 - The authors have declared no conflict of interest. DA - Jan-Feb 01 DO - 10.1097/01.Nep.0000000000000894 DP - NLM IS - 1 KW - Humans Surveys and Questionnaires *Workplace LA - eng N1 - Feeg, Veronica D Mancino, Diane J Kret, Diane D Journal Article United States 2021/10/06 Nurs Educ Perspect. 2022 Jan-Feb 01;43(1):30-34. doi: 10.1097/01.NEP.0000000000000894. PY - 2022 SN - 1536-5026 (Print) 1536-5026 SP - 30-34 ST - First Job Workplace Stressors for New Nurse Graduates in Their Own Words: A Secondary Analysis T2 - Nurs Educ Perspect TI - First Job Workplace Stressors for New Nurse Graduates in Their Own Words: A Secondary Analysis VL - 43 ID - 13726 ER - TY - JOUR AB - Mentorship programs are an emerging strategy in the nursing profession to support and develop new staff in the field; this 12-month structured program found those in the mentoring role benefit, too. The sample included 11 oncology RNs working in the inpatient acute hospital setting, serving as mentors in the oncology nurse residency program. The results were statistically significant for compassion satisfaction, and burnout scores decreased. Qualitative analysis of the open-ended questions revealed mentors felt confident they make a difference, enhanced professional growth, and reduced burnout. AD - University of Utah. AN - 35073292 AU - Drury, Z. AU - Kotobalavu, C. AU - Hofmann, L. AU - Austria, M. J. DA - Feb 1 DO - 10.1188/22.Cjon.27-30 DP - NLM IS - 1 KW - *Burnout, Professional/prevention & control Humans *Mentoring Mentors *Nurse Clinicians Pilot Projects *burnout *compassion fatigue *nursing shortage
 *oncology nurses LA - eng N1 - 1538-067x Drury, Zach Kotobalavu, Cassidy Hofmann, Linda Austria, Mary-Jean Journal Article United States 2022/01/25 Clin J Oncol Nurs. 2022 Feb 1;26(1):27-30. doi: 10.1188/22.CJON.27-30. PY - 2022 SN - 1092-1095 SP - 27-30 ST - Examining the Effects of a Structured Mentorship Program on the Nurse Mentor: A Pilot Study Engaging Oncology Nurses T2 - Clin J Oncol Nurs TI - Examining the Effects of a Structured Mentorship Program on the Nurse Mentor: A Pilot Study Engaging Oncology Nurses VL - 26 ID - 13727 ER - TY - JOUR AB - Mentorship programs are an emerging strategy in the nursing profession to support and develop new staff in the field; this 12-month structured program found those in the mentoring role benefit, too. The sample included 11 oncology RNs working in the inpatient acute hospital setting, serving as mentors in the oncology nurse residency program. The results were statistically significant for compassion satisfaction, and burnout scores decreased. Qualitative analysis of the open-ended questions revealed mentors felt confident they make a difference, enhanced professional growth, and reduced burnout. AD - Nurse practitioner in the Division of Nephrology Nurse manager in Inpatient Bone Marrow Transplant and Hematology at the Huntsman Cancer Institut Clinical associate professor in the College of Nursing Nurse manager of clinical staff education at the Huntsman Cancer Institute, all at the University of Utah in Salt Lake City AN - 154875527. Language: English. Entry Date: 20220203. Revision Date: 20220203. Publication Type: Article AU - Drury, Zach AU - Kotobalavu, Cassidy AU - Hofmann, Linda AU - Austria, Mary-Jean DB - cin20 DO - 10.1188/22.CJON.27-30 DP - EBSCOhost IS - 1 KW - Oncologic Nursing Mentorship Professional Development Nurses -- Education Staff Development Outcomes of Education Internship and Residency Human Pilot Studies Descriptive Research Multimethod Studies Leadership Quality of Working Life -- Evaluation Compassion Job Satisfaction Summated Rating Scaling Descriptive Statistics Burnout, Professional Adult Thematic Analysis Scales N1 - research; tables/charts. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Nursing; Peer Reviewed; USA. Instrumentation: Professional Quality of Life Scale (PROQOL). NLM UID: 9705336. PY - 2022 SN - 1092-1095 SP - 27-30 ST - Examining the Effects of a Structured Mentorship Program on the Nurse Mentor: A Pilot Study Engaging Oncology Nurses T2 - Clinical Journal of Oncology Nursing TI - Examining the Effects of a Structured Mentorship Program on the Nurse Mentor: A Pilot Study Engaging Oncology Nurses UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=154875527&site=ehost-live&scope=site VL - 26 ID - 13742 ER - TY - JOUR AB - To describe sources of stress and workplace social support reported by registered nurses at a level II neonatal intensive care unit. Thirteen semi-structured interviews with nurses were analyzed using qualitative content analysis. Inexperienced nurses found their work highly demanding and were dependent on help from experienced colleagues. More generally, a high workload and emotionally taxing situations were described as sources of stress. Peers provided valuable support, but the single-family room layout of the unit tended to impede contact among nurses. Support including further education was offered by the organization. Efforts to counteract the disadvantages of the single-family room layout for nurses are needed. While continuing to support new nurses, organizations should also pay attention to the needs of the most experienced. AD - Division of Neonatology, Sahlgrenska University Hospital, Gothenburg, Sweden Institute of Health and Care Sciences, University of Gothenburg, Gothenburg, Sweden AN - 154243446. Language: English. Entry Date: 20220110. Revision Date: 20220119. Publication Type: Article AU - Bry, Anna AU - Wigert, Helena DB - cin20 DO - 10.1016/j.jnn.2021.03.010 DP - EBSCOhost IS - 1 KW - Stress, Psychological Support, Social Registered Nurses Intensive Care Units, Neonatal Work Environment Human Qualitative Studies Content Analysis Semi-Structured Interview Job Experience Workload Job Satisfaction N1 - research. Journal Subset: Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Nursing; Peer Reviewed; UK & Ireland. NLM UID: 9602867. PY - 2022 SN - 1355-1841 SP - 37-41 ST - Stress and social support among registered nurses in a level II NICU T2 - Journal of Neonatal Nursing TI - Stress and social support among registered nurses in a level II NICU UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=154243446&site=ehost-live&scope=site VL - 28 ID - 13743 ER - TY - JOUR AB - AIM: To describe the organizational climate and interpersonal interactions experienced by registered nurses in a level III neonatal intensive care unit. BACKGROUND: Neonatal nurses have a demanding task in caring for a varied, highly vulnerable patient population and supporting patients' families. Nurses' psychosocial work environment affects quality of care as well as nurses' job satisfaction and organizational commitment. METHOD: Semi-structured interviews with thirteen nurses, covering numerous aspects of their psychosocial work environment, were analyzed using thematic analysis. RESULTS: High staff turnover and a preponderance of inexperienced nurses were described as stressful and detrimental to group cohesion. Work at the unit was considered overly demanding for newly qualified nurses, while senior nurses expressed frustration at the work of training new nurses who might not stay. While some were very satisfied with the group climate, others complained of a negative climate and incivilities from some experienced nurses towards new recruits. CONCLUSIONS: High turnover and variable competence among staff present challenges for maintaining a positive organizational climate. IMPLICATIONS FOR NURSING MANAGEMENT: Management should communicate a clear sense of the nature of neonatal intensive care when recruiting, foster group cohesion (e.g. by creating stable work teams) and reward commitment to working at the unit. AD - Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Division of Neonatology, Sahlgrenska University Hospital, Gothenburg, Sweden. AN - 35478366 AU - Bry, A. AU - Wigert, H. DA - Apr 27 DO - 10.1111/jonm.13650 DP - NLM ET - 20220427 KW - Group cohesion Hospital personnel management Industrial psychology Job satisfaction Qualitative research LA - eng N1 - 1365-2834 Bry, Anna Orcid: 0000-0002-1127-8177 Wigert, Helena Journal Article England 2022/04/29 J Nurs Manag. 2022 Apr 27. doi: 10.1111/jonm.13650. PY - 2022 SN - 0966-0429 ST - Organizational climate and interpersonal interactions among registered nurses in a neonatal intensive care unit: a qualitative study T2 - J Nurs Manag TI - Organizational climate and interpersonal interactions among registered nurses in a neonatal intensive care unit: a qualitative study ID - 13737 ER - TY - JOUR AB - New nurse practitioners (NPs) struggle with the transition to practice and feelings of uncertainty concerning roles and responsibilities. COVID-19 has added a new layer of stress. This pilot study used a qualitative case study design featuring semistructured interviews of 10 newly graduated primary care NPs. Data analysis revealed 2 main themes: (1) emotional burden, and (2) coping and support. Emerging themes highlight the resiliency of NPs, who cope and seek support when faced with emotional burdens. This study informs educators and employers on the needs of new NPs during a global pandemic in order to better support the future workforce. AN - 35342376 AU - Beebe, S. L. AU - McKague, D. K. AU - Wallington, S. F. C2 - PMC8940575 DA - Mar 23 DO - 10.1016/j.nurpra.2022.02.026 DP - NLM ET - 20220323 KW - Covid-19 nurse practitioner nursing education primary care resilience transition to practice LA - eng N1 - 1878-058x Beebe, Sarah L McKague, Dustin K Wallington, Sherrie F Journal Article 2022/03/29 J Nurse Pract. 2022 Mar 23. doi: 10.1016/j.nurpra.2022.02.026. PY - 2022 SN - 1555-4155 (Print) 1555-4155 ST - COVID-19 on New Primary Care Nurse Practitioners: A Qualitative Exploration T2 - J Nurse Pract TI - COVID-19 on New Primary Care Nurse Practitioners: A Qualitative Exploration ID - 13720 ER - TY - JOUR AB - The COVID-19 pandemic and nursing shortage has impacted new graduate nurse (NGN) careers. Many NGNs gain initial employment with intensive care areas, encountering unprecedented stress due to high patient acuities, technology, and deaths. Having not yet transitioned into nursing practice, the NGN can experience a reality shock. Nurses are responsible for the care of the dying patient in the intensive care setting, despite inconsistencies in undergraduate curricula on death and dying. Nurse residency programs provide transition-to-practice support and reduce the stressors experienced by NGNs. Residency programs which specifically include palliative care and/or end-of-life content can positively impact stress, burnout, and turnover rates in NGNs. AD - School of Nursing, Louisiana State University Health Sciences Center New Orleans, 1900 Gravier Street, #417, New Orleans, LA 70112, USA. Electronic address: cbaud4@lsuhsc.edu. School of Nursing, Louisiana State University Health Sciences Center New Orleans, 1900 Gravier Street, #5B7, New Orleans, LA 70112, USA. School of Nursing, Louisiana State University Health Sciences Center New Orleans, 1900 Gravier Street, #509, New Orleans, LA 70112, USA. AN - 35210028 AU - Baudoin, C. D. AU - McCauley, A. J. AU - Davis, A. H. C1 - Disclosure The authors have nothing to disclose. C2 - PMC8782740 DA - Mar DO - 10.1016/j.cnc.2021.11.007 DP - NLM ET - 20220122 IS - 1 KW - *covid-19 Critical Care *Education, Nursing, Graduate Humans *Nurses Pandemics SARS-CoV-2 End-of-life care Intensive care setting New graduate nurse Palliative care Residency programs Stress Transition LA - eng N1 - 1558-3481 Baudoin, Colette D McCauley, Aimme Jo Davis, Alison H Journal Article Review 2022/02/26 Crit Care Nurs Clin North Am. 2022 Mar;34(1):91-101. doi: 10.1016/j.cnc.2021.11.007. Epub 2022 Jan 22. PY - 2022 SN - 0899-5885 (Print) 0899-5885 SP - 91-101 ST - New Graduate Nurses in the Intensive Care Setting: Preparing Them for Patient Death T2 - Crit Care Nurs Clin North Am TI - New Graduate Nurses in the Intensive Care Setting: Preparing Them for Patient Death VL - 34 ID - 13733 ER - TY - JOUR AB - INTRODUCTION: Newly qualified nurses (NQNs) are one group at risk of early exit from the workforce. There is a need to reinforce the 'flaky bridge' (Health Education England [HEE] 2018) and ease 'transition shock' to facilitate NQN retention. AIMS: (1) establish the current state of the art in the UK for nurse retention and transition from student to Registered Nurse; (2) provide UK healthcare organisations, higher education institutions and individual nurses with an evidence-based approach to plan for successful transition; (3) develop an evidence-based toolkit that enables NQNs and their employers to identify, implement and evaluate an individualised approach to transition. METHODS: A rapid evidence assessment (REA) of NQN transition and retention was undertaken followed by 40 interviews with final year nursing students, NQNs, clinical leaders and academics and 113 written reflections from final year nursing students captured qualitative data on transition. A 'transition toolkit' was developed and used with one group of students (n=75) and data on retention and employment captured to determine impact on the number of nurses retained at the end of 12 months. RESULTS: A variety of formal and informal approaches that enhance and support transition were identified by the REA including having a formal orientation period; the initial placement; satisfaction with the unit and clinical supervision; empowerment; pre-registration employment; and low stress levels having had previous experience in the unit. Preceptorship was found to significantly increase NQNs competence, though no firm conclusions could be reached regarding the impact on retention. Qualitative data suggested that NQNs still experience transition shock and support during the transition period was important. Quantitative data indicated that most NQNs were employed full-time and working in local NHS hospitals. Most had undertaken employment during their programme and when qualified had not changed employer or role and did not plan to change. In the post-intervention group, most had engaged with the STaR project material and had accessed their place of first employment through the project. There were no statistically significant differences between cohorts, and no statistically significant relationships among the data. CONCLUSION: A supportive framework incorporating supernumerary status, preceptorship or equivalent, peer and organisational culture of support can help to ensure a smooth, seamless and comfortable transition. The link between NQN support and retention remains poorly evidenced. AD - PhD, RN, FRCP, FAAN, Professor of Nursing, Faculty of Health and Social Care,University of Hull, Hull HU6 7RX, UK, Email: R.Watson@hull.ac.uk. AN - 35363963 AU - Watson, R. DA - Oct-Dec DO - 10.7429/pi.2021.744255b DP - NLM IS - 4 KW - Humans *Nurses Preceptorship *Students, Nursing Workforce LA - eng N1 - Watson, Roger Congress Italy 2022/04/02 Prof Inferm. 2021 Oct-Dec;74(4):255. doi: 10.7429/pi.2021.744255b. PY - 2021 SN - 0033-0205 (Print) 0033-0205 SP - 255 ST - Retaining newly Registered Nurses in the profession T2 - Prof Inferm TI - Retaining newly Registered Nurses in the profession VL - 74 ID - 13612 ER - TY - JOUR AB - OBJECTIVES: Recruitment and retention of nurses in intensive care units (ICU) has been challenging over the last few years. Rising demand is now exacerbated by the ongoing Covid-19 pandemic. Transition to ICU from other clinical areas is stressful resulting in significant nurse retention issues. This study therefore aimed to illuminate and explore new nurses' learning experiences in one large intensive care unit in the United Kingdom. METHODOLOGY/METHODS: Exploratory qualitative case study utilising two data collection methods: one to one interview with six new ICU nurses and focus groups with six senior/clinical education ICU nurses. SETTING: A large major trauma centre in London with over ninety ICU beds. FINDINGS: Findings indicate that ICU is a challenging learning environment for new nurses due to the large number of skills which must be developed in a short period of time. Forming supportive social relationships proved important in helping new ICU nurses learn and adapt to this complex clinical environment. The high-risk culture of ICU makes it harder to learn particularly for internationally educated nurses. Frequently changing shift patterns also impacts learning. CONCLUSION: Senior ICU nurses should be aware of the issues affecting new nurses and where possible alleviate the stress of working in this challenging environment. They should also consider individual circumstances whilst maintaining high quality education. Social support should be facilitated where possible and new nurses need to be aware of the realities of ICU work. AD - Kings College London, United Kingdom. Electronic address: carolyne.1.stewart@kcl.ac.uk. AN - 34266733 AU - Stewart, C. C1 - Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. DA - Dec DO - 10.1016/j.iccn.2021.103094 DP - NLM ET - 20210712 KW - *covid-19 Critical Care Humans Intensive Care Units *Nurses Pandemics Qualitative Research SARS-CoV-2 ICU education ICU nursing Learning in ICU New nurses in ICU LA - eng N1 - 1532-4036 Stewart, Carolyne Journal Article Netherlands 2021/07/17 Intensive Crit Care Nurs. 2021 Dec;67:103094. doi: 10.1016/j.iccn.2021.103094. Epub 2021 Jul 12. PY - 2021 SN - 0964-3397 SP - 103094 ST - Understanding new nurses' learning experiences in intensive care T2 - Intensive Crit Care Nurs TI - Understanding new nurses' learning experiences in intensive care VL - 67 ID - 13630 ER - TY - JOUR AB - BACKGROUND: The COVID-19 pandemic disrupted nursing education and required modification of instructional methods and clinical experiences. Given the variation in education, rapid transition to virtual platforms, and NCLEX-RN testing stressors, this cohort faced unique losses and gains influencing their transition into clinical practice. PURPOSE: This study examined the impact of COVID-19 and preparedness for professional practice of 340 new graduate nurses (NGNs) at an academic medical center. METHODS: This was a mixed-methods descriptive study focusing on how clinical experience loss or gains in the final semester affected the fears, concerns, and recommendations for NGNs. RESULTS: More than half (67.5%, n = 295) of NGNs reported changes to clinical experiences, ranging from 0 to 240 hours transitioned to virtual (n = 187; median, 51; interquartile range, 24-80). NGNs fear missing important details or doing something wrong in providing patient care. They identified the need for preceptor support, guidance, teaching, and continued practice of skills. CONCLUSION: Recommendations are clear communication with leadership, advocacy from the nurse residency program, and targeted clinical and emotional support for NGNs. AD - Author Affiliations: Nurse Residency Program Director (Ms Smith), Nurse Resident (Ms Robbins), Nurse Residency Program Lead (Ms Horst), and Senior Director of Nursing Research (Dr Ivory), Vanderbilt University Medical Center; Associate Dean of Nursing at Belmont University School of Nursing (Dr Buckner); and Assistant Dean for Academics, Generalist Nursing Practice at Vanderbilt University School of Nursing (Dr Jessee), Nashville, Tennessee. AN - 33988534 AU - Smith, S. M. AU - Buckner, M. AU - Jessee, M. A. AU - Robbins, V. AU - Horst, T. AU - Ivory, C. H. C1 - The authors declare no conflicts of interest. DA - Jul-Aug 01 DO - 10.1097/nne.0000000000001042 DP - NLM IS - 4 KW - *COVID-19/epidemiology *Clinical Competence/statistics & numerical data *Education, Nursing, Graduate/organization & administration Humans *Nurses/psychology Nursing Education Research Nursing Evaluation Research LA - eng N1 - 1538-9855 Smith, Susan M Buckner, Martha Jessee, Mary Ann Robbins, Veronica Horst, Tessa Ivory, Catherine H Journal Article United States 2021/05/15 Nurse Educ. 2021 Jul-Aug 01;46(4):209-214. doi: 10.1097/NNE.0000000000001042. PY - 2021 SN - 0363-3624 SP - 209-214 ST - Impact of COVID-19 on New Graduate Nurses' Transition to Practice: Loss or Gain? T2 - Nurse Educ TI - Impact of COVID-19 on New Graduate Nurses' Transition to Practice: Loss or Gain? VL - 46 ID - 13601 ER - TY - JOUR AB - OBJECTIVE: To explore the experiences of newly qualified registered graduate nurses' clinical and professional learning experiences, during their first six-months of post registration employment within a graduate nurse transition program in a Neonatal Intensive Care Unit (NICU). METHOD: Narrative inquiry with thematic analysis was used to explore the newly qualified registered graduate nurses' accounts via semi-structured interviews, conducted between January 2018 - January 2019, of their clinical and professional learning during their employment in the Neonatal Intensive Care Unit. SETTING: In total, eight newly qualified registered graduate nurses employed at two Western Australian Hospitals sites were recruited. FINDINGS: Themes identified included: feeling unprepared; experiences of horizontal violence; the need for a supportive structural environment and seeking feedback. Participants reported overwhelming feelings of stress, emotional exhaustion, concerns for patient safety and for some, fear of early career burnout. CONCLUSION: In this study, newly qualified registered graduate nurses were clinically underprepared for entering a Neonatal Intensive Care Unit with all participants reporting high levels of psychosocial distress. This was further compounded by a lack of structured support, horizontal violence, and inadequate or no regular feedback from preceptors, resulting from a negative workplace culture and poor educator behaviours. Recommendations for improving the experiences of newly qualified registered graduate nurses employed in the Neonatal Intensive Care are discussed. AD - Discipline of Nursing, College of Science, Health, Engineering and Education, Murdoch University, Western Australia, Australia. Electronic address: Renee.McKenzie@murdoch.edu.au. Division of Health Professions Education, School of Allied Health, Faculty of Health and Medical Sciences, The University of Western Australia, Crawley, Western Australia, Australia. Discipline of Nursing, College of Science, Health, Engineering and Education, Murdoch University, Western Australia, Australia. Electronic address: https://twitter.com/VickiCCope. Nursing and Midwifery, Monash University, Frankston, Victoria, Australia. Electronic address: https://twitter.com/GabbyBrand6. AN - 34247938 AU - McKenzie, R. AU - Miller, S. AU - Cope, V. AU - Brand, G. C1 - Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. DA - Dec DO - 10.1016/j.iccn.2021.103112 DP - NLM ET - 20210708 KW - Australia *Education, Nursing, Graduate Humans Infant, Newborn Intensive Care Units, Neonatal *Nurses Patient Safety Workplace Graduate Nurse Transition Program Narrative Inquiry Neonatal Intensive Care Unit Newly Qualified Nurses Newly Registered Graduate Nurse Practice Readiness Transition to Practice LA - eng N1 - 1532-4036 McKenzie, Renee Miller, Susan Cope, Vicki Brand, Gabrielle Journal Article Netherlands 2021/07/13 Intensive Crit Care Nurs. 2021 Dec;67:103112. doi: 10.1016/j.iccn.2021.103112. Epub 2021 Jul 8. PY - 2021 SN - 0964-3397 SP - 103112 ST - Transition experiences of newly qualified registered graduate nurses employed in a Neonatal Intensive Care Unit T2 - Intensive Crit Care Nurs TI - Transition experiences of newly qualified registered graduate nurses employed in a Neonatal Intensive Care Unit VL - 67 ID - 13618 ER - TY - JOUR AB - Aim: To assess the attitudes of newly graduated nurses in China toward their work environment and identify the factors affecting their perception. Background: Newly graduated nurses are the primary supply to cover the nursing shortage, but their stressful transition into clinical work has contributed to high turnover for decades. Although serving as a source of stress, the work environment can also be a source of support for new nurses. Methods: A total of 2361 new nurses at 31 tertiary hospitals in 20 provinces were surveyed from June to November 2018, using the Chinese version of the Practice Environment Scale-Nursing Work Index. Basic information and their perception about work environment were collected. Results: New nurses rated their work environment with an overall score of 84.67 (12.85). Multiple linear regression identified that education level, monthly income, hospital type and location, participation (or not) in standardized training programmes and having (or not) a mentor/preceptor were factors significantly associated with their perception of the work environment. Conclusion: The perception of newly graduated nurses in China was mainly positive overall. Nursing managers may take full advantage of factors affecting the perception of work environment to support newly graduated nurses better, to help their retention and transition. (PsycInfo Database Record (c) 2022 APA, all rights reserved) AD - Ma, Weiguang, School of Nursing, Chinese Academy of Medical Sciences, Beijing, China AN - 2022-13433-001 AU - Ma, Weiguang AU - Jiang, Yishan AU - Liang, Tao AU - Zhang, Huan AU - Ma, Fang DB - psyh DO - 10.1111/ijn.12929 DP - EBSCOhost IS - 6 KW - newly graduated nurses Practice Environment Scale‐ Nursing Work Index transition work environment Cross-Sectional Studies Humans Nurse Administrators Nurses Personnel Turnover Surveys and Questionnaires Workplace College Graduates Health Personnel Attitudes Nursing Working Conditions Income Level Occupational Stress Stress N1 - School of Nursing, Chinese Academy of Medical Sciences, Beijing, China. Other Publishers: Blackwell Publishing. Release Date: 20220331. Publication Type: Journal (0100), Peer Reviewed Journal (0110). Format Covered: Electronic. Document Type: Journal Article. Language: EnglishMajor Descriptor: College Graduates; Health Personnel Attitudes; Nurses; Nursing; Working Conditions. Minor Descriptor: Income Level; Occupational Stress; Stress. Classification: Professional Personnel Attitudes & Characteristics (3430). Population: Human (10); Male (30); Female (40). Location: China. Age Group: Adulthood (18 yrs & older) (300). Tests & Measures: Practice Environment Scale-Nursing Work Index-Chinese Version. Methodology: Empirical Study; Quantitative Study. References Available: Y. ArtID: e12929. Issue Publication Date: Dec, 2021. Publication History: Accepted Date: Jan 30, 2021; Revised Date: Jan 21, 2021; First Submitted Date: Oct 16, 2019. Copyright Statement: John Wiley & Sons Australia, Ltd. 2021. Sponsor: National Natural Science Foundation of China, China. Grant: 71704189. Recipients: No recipient indicated Sponsor: Youth Foundation of Chinese Academy of Medical Sciences/Peking Union Medical College. Grant: 2017330010. Recipients: No recipient indicated PY - 2021 SN - 1322-7114 1440-172X ST - Newly graduated nurses' perceptions of work environment: A cross‐sectional study in China T2 - International Journal of Nursing Practice TI - Newly graduated nurses' perceptions of work environment: A cross‐sectional study in China UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=psyh&AN=2022-13433-001&site=ehost-live&scope=site ORCID: 0000-0002-0314-8436 zy20061223@126.com VL - 27 ID - 13780 ER - TY - JOUR AB - AIM: To assess the attitudes of newly graduated nurses in China toward their work environment and identify the factors affecting their perception. BACKGROUND: Newly graduated nurses are the primary supply to cover the nursing shortage, but their stressful transition into clinical work has contributed to high turnover for decades. Although serving as a source of stress, the work environment can also be a source of support for new nurses. METHODS: A total of 2361 new nurses at 31 tertiary hospitals in 20 provinces were surveyed from June to November 2018, using the Chinese version of the Practice Environment Scale-Nursing Work Index. Basic information and their perception about work environment were collected. RESULTS: New nurses rated their work environment with an overall score of 84.67 (12.85). Multiple linear regression identified that education level, monthly income, hospital type and location, participation (or not) in standardized training programmes and having (or not) a mentor/preceptor were factors significantly associated with their perception of the work environment. CONCLUSION: The perception of newly graduated nurses in China was mainly positive overall. Nursing managers may take full advantage of factors affecting the perception of work environment to support newly graduated nurses better, to help their retention and transition. AD - School of Nursing, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China. Nursing Department, The First Affiliated Hospital of Kunming Medical University, Kunming, China. AN - 33837980 AU - Ma, W. AU - Jiang, Y. AU - Liang, T. AU - Zhang, H. AU - Ma, F. DA - Dec DO - 10.1111/ijn.12929 DP - NLM ET - 20210410 IS - 6 KW - Cross-Sectional Studies Humans *Nurse Administrators *Nurses Personnel Turnover Surveys and Questionnaires Workplace Practice Environment Scale-Nursing Work Index newly graduated nurses transition work environment LA - eng N1 - 1440-172x Ma, Weiguang Orcid: 0000-0002-0314-8436 Jiang, Yishan Liang, Tao Zhang, Huan Ma, Fang 71704189/National Natural Science Foundation of China/ 2017330010/Youth Foundation of Chinese Academy of Medical Sciences/Peking Union Medical College/ Journal Article Australia 2021/04/11 Int J Nurs Pract. 2021 Dec;27(6):e12929. doi: 10.1111/ijn.12929. Epub 2021 Apr 10. PY - 2021 SN - 1322-7114 SP - e12929 ST - Newly graduated nurses' perceptions of work environment: A cross-sectional study in China T2 - Int J Nurs Pract TI - Newly graduated nurses' perceptions of work environment: A cross-sectional study in China VL - 27 ID - 13635 ER - TY - JOUR AB - AIMS AND OBJECTIVES: To explore newly qualified nurses' support needs and their perceptions of online peer support. BACKGROUND: The experience of being a newly qualified nurse is stressful and isolating. Support from colleagues and peers can enhance perceptions of competence and confidence in newly qualified nurses, improve well-being and aid retention. However, despite initiatives such as preceptorship, support needs may remain unmet in busy clinical environments. Online support has potential to offer a partial solution to professional isolation, but there is a lack of research into how technology can support nurses' emotional and social well-being. DESIGN: A qualitative exploratory study was designed, employing semi-structured focus groups, analysed using thematic analysis. The study is reported in accordance with the COnsolidated criteria for REporting Qualitative research checklist. METHODS: Eight focus groups, supplemented by one individual interview, were conducted with newly qualified nurses between June 2018-January 2019. FINDINGS: Two main themes arose. The first was Drowning, a lot of the time with two sub-themes: (i) Feelings and emotions about being a Newly Qualified Nurse: 'Absolutely terrified' and (ii) Support within the role: 'Somebody you can count on'. The second was Potential advantages and disadvantages of online modality: 'Somebody is going to get in that phone!' which included three sub-themes (i) Potential advantages, (ii) Potential disadvantages and (iii) Preferences and recommendations. CONCLUSIONS: This study demonstrates that if barriers can be overcome, then online support has potential to contribute to newly qualified nurses' well-being. Further research is needed to explore technical and ethical issues around online support and evaluate its effectiveness for newly qualified nurses. RELEVANCE TO CLINICAL PRACTICE: Online support has the potential to add to existing strategies to support nurses during stressful times. This may be particularly relevant when many staff are working under increased pressure due to the COVID-19 pandemic. AD - Birmingham City University, Birmingham, UK. University of Bradford, Bradford, UK. Birmingham and Solihull Mental Health Foundation Trust, Birmingham, UK. Royal Wolverhampton NHS Trust, Wolverhampton, UK. AN - 33870599 AU - Jenkins, C. AU - Oyebode, J. AU - Bicknell, S. AU - Webster, N. AU - Bentham, P. AU - Smythe, A. DA - Oct DO - 10.1111/jocn.15798 DP - NLM ET - 20210419 IS - 19-20 KW - *covid-19 Clinical Competence Humans *Nurses Pandemics Perception Qualitative Research SARS-CoV-2 nursing workforce psychological well-being qualitative study resilience role development stress support LA - eng N1 - 1365-2702 Jenkins, Catharine Orcid: 0000-0003-3752-3203 Oyebode, Jan Bicknell, Sarah Webster, Natalie Orcid: 0000-0002-6888-3044 Bentham, Peter Smythe, Analisa The Burdett Trust for Nurses/ Journal Article England 2021/04/20 J Clin Nurs. 2021 Oct;30(19-20):2924-2934. doi: 10.1111/jocn.15798. Epub 2021 Apr 19. PY - 2021 SN - 0962-1067 SP - 2924-2934 ST - Exploring newly qualified nurses' experiences of support and perceptions of peer support online: A qualitative study T2 - J Clin Nurs TI - Exploring newly qualified nurses' experiences of support and perceptions of peer support online: A qualitative study VL - 30 ID - 13626 ER - TY - JOUR AB - BACKGROUND: Both clinical and nonclinical transition-to-practice courses have been offered to facilitate the transition from student to novice nurse. PROBLEM: Nonclinical transition-to-practice courses are less widely discussed in the literature; thus, their content and effectiveness have not been examined. APPROACH: Academic institutions with baccalaureate nursing programs were surveyed to determine if they offered a nonclinical transition-to-practice course and to identify the associated content. OUTCOME: Of 19 responding institutions, 15 reported having a nonclinical transition-to-practice course. Eighty-seven percent of the courses address ethical dilemmas, and 80% include delegation, interview preparation, stress management, and work/life balance. CONCLUSION: Although schools of nursing are urged to address students' transition to practice, there is considerable variation in the nonclinical topics addressed. Research is needed to provide guidance to maximize the impact of these nonclinical transition-to-practice courses on new nurses' transition experience. AD - Author Affiliations: PhD Candidate (Mrs Hampton), Richard and Marianne Kreider Endowed Professor in Nursing for Vulnerable Populations (Dr Smeltzer), and Assistant Professor (Dr Ross), Villanova University, M. Louise Fitzpatrick College of Nursing, Pennsylvania. AN - 32195765 AU - Hampton, K. B. AU - Smeltzer, S. C. AU - Ross, J. G. DA - Jan/Feb DO - 10.1097/nne.0000000000000816 DP - NLM IS - 1 KW - *Curriculum/standards *Education, Nursing, Baccalaureate/methods Humans Nursing Education Research Students, Nursing/statistics & numerical data LA - eng N1 - 1538-9855 Hampton, Kimberly B Smeltzer, Suzanne C Ross, Jennifer Gunberg Journal Article Review United States 2020/03/21 Nurse Educ. 2021 Jan/Feb;46(1):54-58. doi: 10.1097/NNE.0000000000000816. PY - 2021 SN - 0363-3624 SP - 54-58 ST - Nonclinical Transition-to-Practice Courses: A Review of Course Content T2 - Nurse Educ TI - Nonclinical Transition-to-Practice Courses: A Review of Course Content VL - 46 ID - 13609 ER - TY - JOUR AB - BACKGROUND: The transition of new nurses into practice has been identified as challenging, and new nurses report having intentions to leave (ITL) jobs. Concerns of ITL are worrisome for the nursing profession, especially when faced with the need to replace an aging nursing workforce and to maintain quality patient care. PURPOSE: Guided by components of Meleis et al.'s mid-range transition theory, the purpose of this study was to test a theoretical model linking transition and ITL, as well as the personal, community and societal conditions of transition. METHODS: A predictive, non-experimental design using cross-sectional data was employed. Ontario registered nurses, who had graduated within two years, were randomly selected to complete a mailed questionnaire in 2015 (N = 217). Structural equation modeling was undertaken to test the model. RESULTS: The new nurses reported a relatively positive transition; yet, 44% of the respondents indicated leaving their first job, and 1% departed the nursing profession. A revised model of the constructs showed a more adequate fit with the data, but overall, the hypothesized model was not supported and methodological validity of tools questioned. From the modeling, lower role stress led to a positive transition. CONCLUSIONS: Given organizational and governmental investments in orientation and transition programs, challenges in measuring transition and ITL requires additional research. Our findings highlight the value of organizations supporting new nurses by reducing role stress through reasonable workloads and expectations, which in turn contributes to a positive transition. AD - Trent/Fleming School of Nursing,Trent University, Peterborough, ON, Canada. School of Nursing, Queen's University, Kingston, ON, Canada. AN - 32993367 AU - Hallaran, A. J. AU - Edge, D. S. AU - Almost, J. AU - Tregunno, D. DA - Dec DO - 10.1177/0844562120957845 DP - NLM ET - 20200930 IS - 4 KW - Cross-Sectional Studies Humans *Intention Job Satisfaction Models, Theoretical *Nurses Personnel Turnover Surveys and Questionnaires Workforce Graduate nurses intention to leave new nurses retention transition LA - eng N1 - 1705-7051 Hallaran, Amy J Orcid: 0000-0002-0474-7270 Edge, Dana S Orcid: 0000-0001-6644-1552 Almost, Joan Orcid: 0000-0001-6473-6138 Tregunno, Deborah Journal Article United States 2020/10/01 Can J Nurs Res. 2021 Dec;53(4):384-396. doi: 10.1177/0844562120957845. Epub 2020 Sep 30. PY - 2021 SN - 0844-5621 SP - 384-396 ST - New Registered Nurse Transition to the Workforce and Intention to Leave: Testing a Theoretical Model T2 - Can J Nurs Res TI - New Registered Nurse Transition to the Workforce and Intention to Leave: Testing a Theoretical Model VL - 53 ID - 13628 ER - TY - JOUR AB - OBJECTIVE: This article describes the evaluation of a system-wide program to enhance new graduate nurse resident (NGNR) experience, enculturation, and commitment to the organization. BACKGROUND: Structured nurse residency programs support NGNR transition to the work environment and increase retention and organizational commitment. METHODS: The study used a descriptive, comparative design measuring NGNR perceptions of affective commitment, job satisfaction, job stress, and other variables over 3 times from baseline to 24 months. RESULTS: Findings demonstrated a reduction in affective commitment and an increase in nursing stress from baseline to 12 and 24 months of employment. The highest mean in intent to leave occurred at 12 months, highlighting the vulnerability of the NGNR at that time. CONCLUSIONS: Nurse leaders must consider resources supporting NGNRs beyond the traditional 12 months to ensure retention and organizational commitment, thereby decreasing intent to leave. AD - Author Affiliations: Director, Nursing Workforce Transitions (Dr Failla); Vice President (Dr Ecoff); Consultant, Research and Professional Development (Dr Stichler); and Clinical Nurse Specialist (Mr Pelletier), Terrence and Barbara Caster Institute for Nursing Excellence, Sharp HealthCare, San Diego, California. AN - 34817468 AU - Failla, K. R. AU - Ecoff, L. AU - Stichler, J. F. AU - Pelletier, L. R. C1 - Drs Failla and Ecoff are appraisers for the American Nurses Credentialing Center Practice Transition Accreditation Program. The authors declare no conflicts of interest. DA - Dec 1 DO - 10.1097/nna.0000000000001082 DP - NLM IS - 12 KW - Adult *Curriculum Education, Nursing/*organization & administration Female Humans Internship, Nonmedical/*organization & administration *Job Satisfaction Male Middle Aged Nursing Staff, Hospital/*education *Personnel Turnover Preceptorship/*organization & administration United States LA - eng N1 - 1539-0721 Failla, Kim Reina Ecoff, Laurie Stichler, Jaynelle F Pelletier, Luc R Journal Article United States 2021/11/25 J Nurs Adm. 2021 Dec 1;51(12):606-613. doi: 10.1097/NNA.0000000000001082. PY - 2021 SN - 0002-0443 SP - 606-613 ST - A 1-Year Accredited Nurse Residency Program's Effect on Intent to Leave T2 - J Nurs Adm TI - A 1-Year Accredited Nurse Residency Program's Effect on Intent to Leave VL - 51 ID - 13617 ER - TY - JOUR AB - BACKGROUND: Transitioning from education to practice is stressful for new nurses and those entering new roles and can lead to workforce attrition and burnout. This dynamic is likely complicated when graduates are transitioning to practice during a pandemic. PURPOSE: The purpose of this study was to describe recent nurse graduates' perceptions of the impact of the COVID-19 pandemic on their transition from education to practice. METHODS: We conducted an online survey of BSN, RN-BSN, and DNP students who graduated between December 2019 and April 2020 (n = 82), including demographics, employment information, and free-response questions about the impact of the pandemic on their transition experiences, post-graduation plans, and perceptions of nursing. We used a qualitative descriptive approach to content analysis to synthesize and summarize the data. RESULTS: Participants expressed three overarching concerns: 1) altered plans such as difficulty finding employment; 2) logistical, system-related stressors including licensing delays and chaotic onboarding; and 3) feeling pride in profession despite perceiving ambivalence in public discourse. CONCLUSION: COVID-19 exacerbated challenges often experienced by new graduates. Common stressors, intensified during the pandemic, could exert long-term effects on the workforce. Educators and healthcare organizations must work to ensure nursing graduates receive the necessary support for a successful transition. AD - College of Nursing, University of Utah, Salt Lake City, UT, United States of America. Electronic address: denise.crismon@utah.edu. College of Nursing, University of Utah, Salt Lake City, UT, United States of America. College of Nursing, University of Utah, Salt Lake City, UT, United States of America; School of Nursing, Oregon Health and Science University, Portland, OR, United States of America. College of Nursing, University of Utah, Salt Lake City, UT, United States of America; University of Utah Health, Salt Lake City, UT, United States of America. AN - 34742515 AU - Crismon, D. AU - Mansfield, K. J. AU - Hiatt, S. O. AU - Christensen, S. S. AU - Cloyes, K. G. DA - Sep-Oct DO - 10.1016/j.profnurs.2021.06.008 DP - NLM ET - 20210617 IS - 5 KW - *covid-19 *Education, Nursing, Baccalaureate Humans Pandemics Perception SARS-CoV-2 Covid-19 Nursing graduates Nursing perceptions Transition to nursing LA - eng N1 - 1532-8481 Crismon, Denise Mansfield, Kelly J Hiatt, Shirin O Christensen, Scott S Cloyes, Kristin G Journal Article United States 2021/11/08 J Prof Nurs. 2021 Sep-Oct;37(5):857-865. doi: 10.1016/j.profnurs.2021.06.008. Epub 2021 Jun 17. PY - 2021 SN - 8755-7223 SP - 857-865 ST - COVID-19 pandemic impact on experiences and perceptions of nurse graduates T2 - J Prof Nurs TI - COVID-19 pandemic impact on experiences and perceptions of nurse graduates VL - 37 ID - 13620 ER - TY - JOUR AB - BACKGROUND: The nursing shortage has been deemed a public health crisis as the turnover rate of newly licensed graduate nurses (NLGNs) continues to grow. One of five NLGNs are leaving the profession due to work dissatisfaction and feelings of inadequacy, risking patient safety. METHOD: A prospective, randomized controlled trial evaluated the impact of a 6‐week digital intervention (text messaging) on NLGNs' self‐reported stress, resiliency, sense of support, and intention to leave their jobs, organization, and profession. Messages to the experimental group (n = 10) conveyed emotional, esteem, and networking support, and messages to the control group (n = 11) were medical facts. RESULTS: The digital intervention in the form of medical facts increased the control group's sense of social support. Stress, resilience, and intention to leave their jobs, organizations, or profession did not change for either the control or experimental group. CONCLUSION: A digital intervention, such as text messaging, potentially can increase NLGNs' sense of support during their first year of hire. [J Contin Educ Nurs. 2021;52(8):367‐374.]. AN - CN-02296051 AU - Concilio, L. AU - Lockhart, J. S. AU - Kronk, R. AU - Oermann, M. AU - Brannan, J. AU - Schreiber, J. B. DO - 10.3928/00220124-20210714-06 IS - 8 KW - Education, Nursing, Graduate Humans Intention Job Satisfaction Licensure, Nursing [statistics & numerical data] Nurses [psychology] Nursing Evaluation Research Occupational Stress [psychology] Personnel Turnover Prospective Studies Resilience, Psychological Social Support Text Messaging M3 - Journal Article; Randomized Controlled Trial PY - 2021 SP - 367‐374 ST - Impact of a Digital Intervention on Perceived Stress, Resiliency, Social Support, and Intention to Leave Among Newly Licensed Graduate Nurses: a Randomized Controlled Trial T2 - Journal of continuing education in nursing TI - Impact of a Digital Intervention on Perceived Stress, Resiliency, Social Support, and Intention to Leave Among Newly Licensed Graduate Nurses: a Randomized Controlled Trial UR - https://www.cochranelibrary.com/central/doi/10.1002/central/CN-02296051/full VL - 52 ID - 13804 ER - TY - JOUR AB - AIM: To determine if levels of spiritual health, health-promoting behaviors, depressive symptoms and resilience change over time and determine if any variables have an impact on resilience among new nurses. BACKGROUND: Nurses provide patients with medical care and emotional support in high-stress environments. Resilience is a characteristic that allows one to adjust to these adverse situations. Resilience can help new nurses withstand the emotional stress of the workplace and improve nurse retention. METHOD: The study was conducted from 2017 to 2019 with a convenience sample of nursing students (N = 195). Data were collected at four timepoints with self-report questionnaires on spiritual health, health-promoting behaviors, resilience and the Beck Depression Inventory-II from 2017 to 2019. Three timepoints were collected during the fourth year of the student stage: fall semester (T1), spring semester (T2) and just prior to graduation (T3); the fourth timepoint was the novice stage (T4), after at least 3 months as a registered nurse. General estimating equations determined predictors of resilience. RESULTS: A total of 124 new nurses completed all questionnaires (63% response rate). Although mean scores fluctuated slightly during the student stage, the scores at T4 were significantly worse for spiritual health (Wald χ(2) = 30.23, p < .001), health-promoting behaviors (Wald χ(2) = 34.89, p < .001), depressive symptoms (Wald χ(2) = 46.75, p < .001) and resilience (Wald χ(2) = 21.54, p < .001). Spiritual health, health-promoting behaviors were positively correlated with resilience (p < .001); depressive symptoms were negatively correlated (p < .001). Controlling for the effect of time, resilience of novice nurses was positively associated with nursing school practicum grade, spiritual health and health-promoting behaviors (β = 10.30, p < .001; β = 12.14, p < .001; and β = 14.62, p < .001, respectively) and negatively associated with depressive symptoms (β = - 0.53, p < .001). CONCLUSIONS: Scores for all variables were similar over the three timepoints of the student stage. However, the significant changes at T4 compared with the student stage suggest the novice stage of nursing was challenging. Increasing resilience could reduce the challenges of transitioning to a hospital environment. Nursing educators and administrators could increase nursing students' resilience by restructuring the educational curricula. This could include helping nurses increase their spirituality and health-related behaviors and providing psychological support to reduce depressive symptoms. Increasing levels of resilience could reduce nurses' emotional stress and improve retention of new nurses. AD - Department of Nursing, Chang Gung University of Science and Technology, Division of Pediatric Hematology and Oncology, Chang Gung Memorial Hospital at Linkou, Taiwan, ROC. Electronic address: ycchiang@gw.cgust.edu.tw. Department of Nursing, Chang Gung University of Science and Technology, Taiwan, ROC. Electronic address: cathylee@gw.cgust.edu.tw. Administration Center of Quality Management Department, Chang Gung Medical Foundation, Taiwan, ROC. Electronic address: jec75@cgmh.org.tw. Department of Nursing, Chang Gung University of Science and Technology, Taiwan, ROC. Electronic address: clwu@mail.cgust.edu.tw. Department of Nursing, Chang Gung University of Science and Technology, Taiwan, ROC; Department of Nursing, Chang Gung Memorial Hospital at Linkou, Taiwan, ROC. Electronic address: yjshiao@gw.cgust.edu.tw. AN - 34628178 AU - Chiang, Y. C. AU - Lee, H. C. AU - Chu, T. L. AU - Wu, C. L. AU - Hsiao, Y. C. DA - Oct DO - 10.1016/j.nepr.2021.103219 DP - NLM ET - 20210930 KW - Depression Humans Longitudinal Studies *Nurses Spirituality *Students, Nursing Surveys and Questionnaires Workplace Health-promoting behaviors Nurse Resilience LA - eng N1 - 1873-5223 Chiang, Yi-Chien Lee, Hsiang-Chun Chu, Tsung-Lan Wu, Chia-Ling Hsiao, Ya-Chu Journal Article Scotland 2021/10/11 Nurse Educ Pract. 2021 Oct;56:103219. doi: 10.1016/j.nepr.2021.103219. Epub 2021 Sep 30. PY - 2021 SN - 1471-5953 SP - 103219 ST - The relationship between spiritual health, health-promoting behaviors, depression and resilience: A longitudinal study of new nurses T2 - Nurse Educ Pract TI - The relationship between spiritual health, health-promoting behaviors, depression and resilience: A longitudinal study of new nurses VL - 56 ID - 13654 ER - TY - JOUR AB - BACKGROUND: The conventional written tests and professional assessment have limitation in fair judgement of clinical competence. Because the examiners may not have total objectivity and may lack standardization throughout the assessment process. We sought to design a valid method of competence assessment in medical and nursing specialties. This work was aimed to develop an Objective Structured Clinical Exam (OSCE) to evaluate novice nursing practitioners' clinical competency, work stress, professional confidence, and career satisfaction. METHODS: A Quasi-experimental study (pre-post). Fifty-five novice nursing practitioners received the OSCE three-months following their graduation, which consisted of four stations: history taking, physical examination, problem-directed management, interpersonal communication, and the required techniques of related procedures. The examiners had to complete an assessment checklist, and the participants had to complete a pre-post questionnaire (modified from a Nursing Competency Questionnaire, a Stress scale, and Satisfaction with Learning scale). RESULTS: Among the novice nursing practitioners, 41 of them (74.5 %) passed the exam with a mean score of 61.38 ± 8.34. There was a significantly higher passing rate among nurses who were working in medical-surgical wards (85.7 %) and the intensive care unit-emergency department (77.8 %) compared to novice nursing practitioners working in other units. All the novice nursing practitioners at Station A had poor performance in assessing patients with a fever. OSCE performance was more associated with educational attainment and work unit, rather than the gender. Finally, the participants showed statistically significant increases in their clinical competency, confidence in their professional competence, satisfaction with the clinical practice, and decreased work stress after the OSCE. CONCLUSIONS: We found that the OSCE process had a positive educational effect, in providing a meaningful and accurate assessment of the competence of novice nursing practitioners. An appropriate OSCE program is vital for novice nursing practitioners, educators, and administrators. The effective application of OSCEs can help novice nursing practitioners gain confidence in their clinical skills. AD - Chang Gung Medical Education Research Centre, Chang Gung Memorial Hospital, Linkou, Taiwan. Department of Nursing Management, Chang Gung Medical Foundation Administration, Taoyuan, Taiwan. School of Nursing, Chang Gung University, Taoyuan, Taiwan. Department of Medical Research, National Taiwan University Hospital, Taipei, Taiwan. Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan. Division of Hemato-oncology, Department of Internal Medicine, College of Medicine, Chang Gung Memorial Hospital, Keelung & Chang Gung University, 222 Maijin Road, Keelung, Taiwan. yehtyng@gmail.com. AN - 34098937 AU - Chen, S. H. AU - Chen, S. C. AU - Lai, Y. P. AU - Chen, P. H. AU - Yeh, K. Y. C1 - The authors declare that they have no competing interests and no financial relationship with other organizations sponsoring this research. C2 - PMC8186223 DA - Jun 7 DO - 10.1186/s12912-021-00608-0 DP - NLM ET - 20210607 IS - 1 KW - clinical competence new nurses objective structured clinical exam (OSCE) occupational stress LA - eng N1 - 1472-6955 Chen, Sue-Hsien Chen, Shu-Ching Lai, Yo-Ping Chen, Pin-Hsuan Yeh, Kun-Yun MOS 105-2511-S-182A-001 MY3/Ministry of Science and Technology, Taiwan/ Journal Article 2021/06/09 BMC Nurs. 2021 Jun 7;20(1):91. doi: 10.1186/s12912-021-00608-0. PY - 2021 SN - 1472-6955 (Print) 1472-6955 SP - 91 ST - The objective structured clinical examination as an assessment strategy for clinical competence in novice nursing practitioners in Taiwan T2 - BMC Nurs TI - The objective structured clinical examination as an assessment strategy for clinical competence in novice nursing practitioners in Taiwan VL - 20 ID - 13665 ER - TY - JOUR AB - OBJECTIVE: The purpose of this study was to evaluate the psychometric properties of the Casey-Fink Graduate Nurse Experience Survey (CFGNES). BACKGROUND: Transitioning from the student role to professional nurse is challenging and stressful. Accurate measurement of role transition is important because of concerns regarding retention. METHODS: A secondary analysis of 71 919 graduate nurse responses to the CFGNES, collected 6 months into the Vizient/AACN residency program, was conducted. Psychometric testing included exploratory and confirmatory factor analysis. Internal consistency reliability was measured using Cronbach's α. RESULTS: Analysis revealed a consistent 5-factor solution. Factors were labeled job satisfaction, support, organize/prioritize care, role confidence, and professional socialization. Results demonstrated the CFGNES is a reliable and valid instrument for measuring perceptions of role transition. CONCLUSIONS: This study was needed to inform survey item revisions. The CFGNES continues to be valuable in providing voice to the needs of graduate nurses and evidence for improving nurse residency program outcomes. AD - Author Affiliations: Nurse Residency Program Coordinator (Dr Casey), Department of Nursing Education and Research, Denver Health; and Assistant Professor, College of Nursing, University of Colorado Anschutz Medical Campus, Aurora, Colorado; Assistant Professor (Dr Tsai), Department of Applied Statistics and Research Methods, University of Northern Colorado, Greeley; and Professor (Dr Fink), Department of Medicine and College of Nursing, University of Colorado Anschutz Medical Campus, Aurora, Colorado. AN - 33882551 AU - Casey, K. AU - Tsai, C. L. AU - Fink, R. M. C1 - The authors declare no conflicts of interest. DA - May 1 DO - 10.1097/nna.0000000000001008 DP - NLM IS - 5 KW - Clinical Competence/*standards Education, Nursing, Continuing/*organization & administration Humans Job Satisfaction Nursing Methodology Research Nursing Staff, Hospital/*education Program Evaluation Psychometrics Reproducibility of Results Students, Nursing/psychology Surveys and Questionnaires LA - eng N1 - 1539-0721 Casey, Kathy Tsai, Chia-Lin Fink, Regina M Evaluation Study Journal Article United States 2021/04/22 J Nurs Adm. 2021 May 1;51(5):242-248. doi: 10.1097/NNA.0000000000001008. PY - 2021 SN - 0002-0443 SP - 242-248 ST - A Psychometric Evaluation of the Casey-Fink Graduate Nurse Experience Survey T2 - J Nurs Adm TI - A Psychometric Evaluation of the Casey-Fink Graduate Nurse Experience Survey VL - 51 ID - 13603 ER - TY - JOUR AB - AIMS AND OBJECTIVES: This scoping review aims to identify whether transition programmes support new graduate nurses and nursing students in terms of dealing with workplace violence, bullying and stress and enhance new graduate nurses' resilience during the transition from education to clinical practice. BACKGROUND: Many new graduate nurses in their first year of employment experience issues at work such as violence, bullying and stress, which forces them to leave their jobs. Nursing students also experienced these issues during their clinical rotation. However, some hospitals and universities have developed transition programmes to help nursing students and new graduate nurses and ease their transition from education to clinical practice. Although transition programmes have been successful in increasing the retention rate for new graduate nurses, their impact on supporting new graduate nurses and nursing students in dealing with workplace violence, bullying and stress and in enhancing their resilience is unknown. DESIGN: A scoping review of the current literature (with no date limit) using the PRISMA-ScR checklist for reporting scoping reviews was utilised. METHOD: Following the scoping review framework of Arksey and O'Malley, a broad search (with no date limit) was performed in CINAHL, Scopus, Medline, Web of Science, ASSIA, PsycINFO, Embase, PROSPERO and ProQuest Dissertation databases. Reference lists of the included studies were searched. RESULTS: This review found that most transition programmes provide support for new graduate nurses when dealing with workplace violence, bullying and stress. Transition programmes varied in length, content and implementation. Preceptors' support, educational sessions and safe work environments are the most beneficial elements of transition programmes for supporting new graduate nurses. Education sessions about resilience provide new graduate nurses with knowledge about how to deal and cope with stressful situations in the work environment. We found no studies that focused on nursing students. CONCLUSION: The paucity of research on transition programmes' impact on workplace violence and bullying means that further research is recommended. This to determine which strategies support nursing students and new graduate nurses in clinical practice and to explore the effect of these programmes on experiences of workplace violence and bullying. RELEVANCE TO CLINICAL PRACTICE: Evidence indicates that there is a worldwide gap in how universities and colleges prepare nursing students for transitioning from the education system to clinical practice. New graduate nurses and nurse managers regularly report that their education did not fully provide them with the skills required for their transition to clinical practice. Transition programmes support new graduate nurses to deal with workplace violence and bullying and need to have structured implementation. Ongoing evaluation is required to ensure that the programmes meet the needs of nursing students and new graduate nurses and health organisations, improve new graduate nurses' transition to clinical practice safely, enhance their resilience to overcome issues in the workplace (such as violence, bullying and stress) and reduce their turnover. AD - Institute of Clinical Sciences, College of Medical and Dental Sciences, King Abdul-Aziz University, University of Birmingham, Birmingham, UK. Institute of Clinical Sciences, School of Nursing, The Medical School, University of Birmingham, Birmingham, UK. Institute of Clinical Sciences, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK. AN - 34811826 AU - Alshawush, K. AU - Hallett, N. AU - Bradbury-Jones, C. DA - Nov 22 DO - 10.1111/jocn.16124 DP - NLM ET - 20211122 KW - new graduate nurses nurse residency programmes nursing students stress transition programmes workplace bullying workplace violence LA - eng N1 - 1365-2702 Alshawush, Khadijah Orcid: 0000-0003-1692-4112 Hallett, Nutmeg Orcid: 0000-0003-3115-8831 Bradbury-Jones, Caroline Orcid: 0000-0002-5237-6777 Journal Article Review England 2021/11/24 J Clin Nurs. 2021 Nov 22. doi: 10.1111/jocn.16124. PY - 2021 SN - 0962-1067 ST - The impact of transition programmes on workplace bullying, violence, stress and resilience for students and new graduate nurses: A scoping review T2 - J Clin Nurs TI - The impact of transition programmes on workplace bullying, violence, stress and resilience for students and new graduate nurses: A scoping review ID - 13710 ER - TY - JOUR DA - 10 PY - 2021 ST - Preserving Patient Dignity (Formerly Patient Modesty) Volume 120 T2 - Bioethics Discussion Blog TI - Preserving Patient Dignity (Formerly Patient Modesty) Volume 120 UR - http://bioethicsdiscussion.blogspot.com/2021/11/preserving-patient-dignity-formerly.html ID - 13808 ER - TY - JOUR AD - School of Nursing, Shanxi Medical University, Shanxi 030001 China AN - 143422188. Language: Chinese. Entry Date: 20200528. Revision Date: 20200615. Publication Type: Article. Journal Subset: Asia AU - Tian, M. A. AU - Binquan, Wang AU - Yuling, L. I. DB - cin20 DO - 10.12102/j.issn.1009-6493.2020.09.013 DP - EBSCOhost IS - 9 KW - New Graduate Nurses -- Psychosocial Factors Education, Masters Reality Shock Stress, Psychological N1 - Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed. PY - 2020 SN - 1009-6493 SP - 1558-1560 ST - Research status quo on transition shock of new nurses with master degree T2 - Chinese Nursing Research TI - Research status quo on transition shock of new nurses with master degree UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=143422188&site=ehost-live&scope=site VL - 34 ID - 13746 ER - TY - JOUR AB - BACKGROUND: Healthcare workforce shortages are an international issue. This service development targets the contributory element of poor retention amongst newly qualified nurses. Resilience Based Clinical Supervision is underpinned by the principles of Compassion Focused Therapy. It aims to alleviate work related stress and support individuals to reframe their experiences through structured and reflective discussion. It incorporates skills which develop proficiency in mindfulness, distress tolerance and positive reframing. OBJECTIVES: To explore the acceptability, feasibility, and experience of Resilience Based Clinical Supervision to support transition to practice in newly qualified nurses. DESIGN: An extensive program of champion (N = 40) and cascade (N = 78) training for facilitators was implemented as a development of their standard transition to practice package. SETTINGS: Six pilot sites within the UK. PARTICIPANTS: Newly qualified nurses (266) received a minimum of six Resilience Based Clinical Supervision sessions over a one-year period. METHODS: Data were gathered via eleven focus groups (n = 48). A deductive and collaborative approach to content analysis was utilised to consider the perceived outcomes, challenges, experience and best practice amongst both facilitators and nurses' transitioning from student to registered practitioner. RESULTS: Analysis showed the new registrants were extending and accepting compassion to and from their peers, signifying the compassionate flow within the group setting. This was continued through the development of self-care strategies utilised in practice, which allowed compassion to flow into patient care and towards colleagues. CONCLUSIONS: The main perceived outcome of RBCS was recognised as restorative. However, the growth of skills for self-care, emotional intelligence, and confidence to challenge poor working conditions also indicated a developmental function. These perceived outcomes have the potential to result in positive implications for workforce retention. Importantly, findings draw attention to the importance of wider organisational commitment and structures which support and respond to RBCS facilitator and participant concerns. AD - University of Nottingham, United Kingdom of Great Britain and Northern Ireland. University of Nottingham, United Kingdom of Great Britain and Northern Ireland. Electronic address: grace.cook@lancashirecare.nhs.uk. Compassion Focus Therapist Compassionate Mind Foundation, United Kingdom of Great Britain and Northern Ireland. AN - 32947209 AU - Stacey, G. AU - Cook, G. AU - Aubeeluck, A. AU - Stranks, B. AU - Long, L. AU - Krepa, M. AU - Lucre, K. C1 - Declaration of competing interest There are no known conflicts of interests associated with this work. DA - Nov DO - 10.1016/j.nedt.2020.104564 DP - NLM ET - 20200904 KW - *Delivery of Health Care Empathy Focus Groups *Health Personnel Humans Workforce LA - eng N1 - 1532-2793 Stacey, Gemma Cook, Grace Aubeeluck, Aimee Stranks, Beth Long, Louisa Krepa, Miriam Lucre, Kate Journal Article Scotland 2020/09/19 Nurse Educ Today. 2020 Nov;94:104564. doi: 10.1016/j.nedt.2020.104564. Epub 2020 Sep 4. PY - 2020 SN - 0260-6917 SP - 104564 ST - The implementation of resilience based clinical supervision to support transition to practice in newly qualified healthcare professionals T2 - Nurse Educ Today TI - The implementation of resilience based clinical supervision to support transition to practice in newly qualified healthcare professionals VL - 94 ID - 13646 ER - TY - JOUR AB - BACKGROUND: In 2017, the National Academy of Medicine convened its Action Collaborative for Clinician Well-being and Resilience in an effort to stem the epidemic levels of burnout, depression, and suicide among healthcare clinicians. Nurses report higher rates of substance abuse, depression, and suicide than the national average. Newly licensed registered nurses (NLRNs) report high levels of burnout and stress. Suboptimal health in nurses is linked to medical errors. Few studies address the mental health and lifestyle behaviors of NLRNs or provide evidence-based solutions to improve these outcomes. AIMS: This study evaluated the 6-month effects of the MINDBODYSTRONG for Healthcare Professionals program on the mental health, healthy lifestyle behaviors, and job satisfaction of NLRNs participating in a nurse residency program. METHODS: A two-group randomized controlled trial was conducted with 89 NLRNs at a large, Midwestern academic medical center. The intervention group received eight 30- to 35-min weekly sessions as part of the MINDBODYSTRONG program, a cognitive behavioral skill-building program incorporating strategies to improve mental and physical health. The control group acted as the attention control group receiving eight weekly 30- to 35-min debriefing sessions as part of the normal nurse residency program. RESULTS: Data were collected at baseline, immediately postintervention, 3 months postintervention, and 6 months postintervention. The intervention group scored better on mental health outcomes, healthy lifestyle behaviors, and job satisfaction at 6 months postintervention than the control group. Significant improvements were found for depressive symptoms and job satisfaction; there were moderate to large positive effects for the MINDBODYSTRONG program on all variables. LINKING EVIDENCE TO ACTION: The MINDBODYSTRONG program sustained its positive effects across time and has excellent potential as an evidence-based intervention for improving the mental health, healthy lifestyle behaviors, and job satisfaction in NLRNs. AD - Buckeye Nurse Residency Program, The Ohio State University Wexner Medical Center, Columbus, OH, USA. The Ohio State University College of Nursing, Columbus, OH, USA. The Ohio State University, Columbus, OH, USA. MINDSTRONG Program, The Ohio State University College of Nursing, Columbus, OH, USA. AN - 31721425 AU - Sampson, M. AU - Melnyk, B. M. AU - Hoying, J. DA - Feb DO - 10.1111/wvn.12411 DP - NLM ET - 20191112 IS - 1 KW - Adaptation, Psychological Adult Female *Healthy Lifestyle Humans *Job Satisfaction Longitudinal Studies Male Mental Disorders/*diagnosis/epidemiology/psychology Nurses/*psychology/statistics & numerical data Perception Prospective Studies Psychometrics/instrumentation/methods/statistics & numerical data Time Factors anxiety depression evidence-based interventions healthy lifestyle behaviors job satisfaction mental health new nurses newly licensed registered nurses stress LA - eng N1 - 1741-6787 Sampson, Marlene Orcid: 0000-0002-6483-5117 Melnyk, Bernadette Mazurek Orcid: 0000-0002-7416-0758 Hoying, Jacqueline Sigma Theta Tau International/ Journal Article United States 2019/11/14 Worldviews Evid Based Nurs. 2020 Feb;17(1):16-23. doi: 10.1111/wvn.12411. Epub 2019 Nov 12. PY - 2020 SN - 1545-102x SP - 16-23 ST - The MINDBODYSTRONG Intervention for New Nurse Residents: 6-Month Effects on Mental Health Outcomes, Healthy Lifestyle Behaviors, and Job Satisfaction T2 - Worldviews Evid Based Nurs TI - The MINDBODYSTRONG Intervention for New Nurse Residents: 6-Month Effects on Mental Health Outcomes, Healthy Lifestyle Behaviors, and Job Satisfaction VL - 17 ID - 13653 ER - TY - THES AB - Background: The well-being of healthcare clinicians is considered a national crisis. Healthcare clinicians, including nurses, have higher rates of substance abuse, depression and suicide than the national average. Depression and poor health in nurses are linked to medical errors and patient dissatisfaction. Ninety-one percent of NLRNs report high stress levels resulting in stress-related illness, absenteeism and burnout. In 2017, the National Academy of Medicine launched the Action Collaborative on Clinician Well-being to develop evidence-based solutions to reduce this public health epidemic. The purpose of this study was to examine the effects of a Cognitive Behavioral Therapy (CBT) based skills building program entitled MINDBODYSTRONG for Healthcare Providers on perceived stress, anxiety, depressive symptoms, healthy lifestyle beliefs, healthy lifestyle behaviors, job satisfaction and work absences in NLRNs participating in a nurse residency program.Methods: A two-group, cluster randomization interventional pilot study was conducted using the MINDBODYSTRONG program. The attention control group received the usual nurse residency curriculum while the intervention group received the usual nurse residency curriculum in addition to 8-weekly sessions of the MINDBODYSTRONG program. A pre/posttest with a 3-month post-intervention follow up was used to evaluate the effects of the intervention on perceived stress, anxiety, depression, healthy lifestyle beliefs, healthy lifestyle behaviors, job satisfaction and absenteeism in NLRNs. Ninety-three NLRNs participating in the nurse residency program were recruited. Repeated measures ANOVA was used to analyze the data at three time points. Paired t-tests were used for comparing data from baseline to immediate post-test, immediate post-test to 3-month post-test, and baseline to 3-month post-test. Cohen's d was used to determine effect sizes, and Pierson's r was used to determine correlations among the variables.Results: Eighty-nine NLRNs, 42 in the control group and 47 in the intervention group, completed measures for all time points. The intervention group had significant improvement and moderate to large positive effects for stress, anxiety, depression and healthy lifestyle behaviors for all time points compared to the control group. The intervention group scored better and had a moderate to large positive effect for job satisfaction. There was a floor effect with work absence with too few NLRNs reporting calling off shifts to see a significant result or effect size.Conclusion: The MINDBODYSTRONG for Healthcare Providers Program was effective in improving the mental health and healthy lifestyle behaviors for this group of NLRNs. It also shows promise for improving job satisfaction and absenteeism in this population. A larger scale clinical trial that is fully powered is now needed to determine if the positive short-term effects of MINDBODYSTRONG can be sustained over a longer period of time. (PsycINFO Database Record (c) 2020 APA, all rights reserved) AN - 2019-68373-280 AU - Sampson, Marlene DB - psyh DP - EBSCOhost KW - cognitive behavioral skills nurses burnout absenteeism healthy lifestyle behaviors job satisfaction curriculum Employee Absenteeism Health Behavior Occupational Stress Cognitive Behavior Therapy Lifestyle N1 - Accession Number: 2019-68373-280. Other Journal Title: Dissertation Abstracts International. Partial author list: First Author & Affiliation: Sampson, Marlene; The Ohio State University, Nursing, US. Release Date: 20200210. Publication Type: Dissertation Abstract (0400). Format Covered: Electronic. Document Type: Dissertation. Dissertation Number: AAI27534777. ISBN: 978-1085657785. Language: EnglishMajor Descriptor: Employee Absenteeism; Health Behavior; Job Satisfaction; Nurses; Occupational Stress. Minor Descriptor: Cognitive Behavior Therapy; Curriculum; Lifestyle. Classification: Psychometrics & Statistics & Methodology (2200). Population: Human (10). Age Group: Adulthood (18 yrs & older) (300). Methodology: Empirical Study; Followup Study; Quantitative Study. PB - ProQuest Information & Learning PY - 2020 SN - 0419-4217 978-1085657785 ST - Intervention effects of a cognitive behavioral skills building program on newly licensed registered nurses TI - Intervention effects of a cognitive behavioral skills building program on newly licensed registered nurses UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=psyh&AN=2019-68373-280&site=ehost-live&scope=site VL - 81 ID - 13784 ER - TY - JOUR AB - Approximately 20% of all Swedish nurses experiences very high levels of burnout symptoms at some point during the first years of practice. Many factors are likely to be involved, and when developing methods to facilitate the nurse's transition from education into working life, a variety of stressors at both the organisational and individual level have to be considered. Previously, incomplete recovery has been suggested to mediate the relation between stressful working conditions and health impairment. For many, starting working as a nurse also means an introduction to shiftwork, which inevitably affects opportunities for sleep and recuperation due to interference with the circadian and homeostatic regulation of sleep. Given the vital role of sleep and recovery in the relationship between stress and development of impaired health, effective strategies for sleep and recuperation are hypothesised to be crucial in preventing the development of stress‐related symptoms among nurses. In addition, lack of sleep and recuperation results in fatigue, which is a major safety hazard threatening patient safety. The aim of the current study was to evaluate a preventive intervention for new nurses, supporting strategies for sleep and recuperation in relation to work related stress and shift work. Recruitment Newly graduated nurses were recruited at five Swedish hospitals. The recruitment was done via the introduction programmes, except from at one of the hospitals (which did not have such a programme) where the nurses instead were recruited via the different clinics. In total the intervention was implemented in eight different cohorts during 2017 and 2018. Approximately 462 newly graduated nurses were invited to participate in the study and 207 joined and answered the baseline questionnaire (45%). Design The participants were randomly assigned to intervention and control groups. The participants were followed with questionnaires Participants were followed with either questionnaires or questionnaires + intesive measures using diary, actigraphy and cognitive tests. Questionnaires were filled in before the intervention (baseline), one month after the intervention (post), and at six months after the intervention (follow‐up). The intensive measure was conducted at baseline and post intervention. The participants also got a short questionnaire to fill out at the start of session two and three, and two weeks after session three, in which they filled out which strategies they had used during the last couple of weeks. After the last session, participants were asked to evaluate the intervention using a short questionnaire. The intervention The intervention was a preventive programme focusing on beneficial strategies for sleep and recuperation in relation to work stress and shift work. The programme included three 2.5 hours‐group sessions every second week. The sessions were taking place at work during working hours. The intervention was based on knowledge from research on sleep, stress and work hours, as well as on cognitive behavioural therapy (CBT) techniques for sleep and stress management modified for shift workers. The regulation of sleep and wakefulness was explained by the three factors: 1) circadian rhythm, 2) homeostatic process, and 3) stress, referred to as the sleep formula. How these factors interacts with irregular work hours was explained. Participants were encouraged to reflect on their daily habits related to sleep and recovery. Also, a CBT‐model for analysing behaviours in stressful work situations were used in order to encourage participants to reflect on their usual behaviours and possible alternatives. As homework between sessions, the participants were encouraged to try possibly beneficial strategies for sleep and recuperation. The participants got written material, after every session, covering the content of the session. In addition, the participants got access to an adapted version of the biomathematical model (ArturNurse) to give participants an estimation of expected sleep lengths and fatigue levels toget er with tips of possible strategies to optimise sleep in relation to different shifts. AN - CN-02079850 AU - Nct KW - Burnout, Psychological Dyssomnias Fatigue Neurobehavioral Manifestations Occupational Stress Parasomnias Sleep Wake Disorders Sleepiness PY - 2020 ST - A Proactive Intervention Promoting Strategies for Sleep and Recovery in Nurses T2 - https://clinicaltrials.gov/show/NCT04246736 TI - A Proactive Intervention Promoting Strategies for Sleep and Recovery in Nurses UR - https://www.cochranelibrary.com/central/doi/10.1002/central/CN-02079850/full ID - 13806 ER - TY - JOUR AB - AIM: To explore changes in anxiety and work stress among new nurses in the first year of a 2-year residency programme. BACKGROUND: Few studies have examined the anxiety and work stress of new nurses in a residency programme. METHODS: This longitudinal study examined levels of anxiety and work stress among newly employed nurses over 1 year at 1 week and 1, 2, 3, 6, 9 and 12 months. Participants were purposively sampled from a medical centre in Taiwan. The Beck Anxiety Inventory and the Nurse Stress Checklist were used to measure anxiety and stress, respectively. RESULTS: The nurses (N = 200) generally perceived mild levels of anxiety and moderate work stress. However, anxiety and stress peaked at the first and second months. Levels stabilized by the sixth month. General ward nurses perceived higher stress levels than did those in emergency or operating rooms. CONCLUSIONS: Stress and work anxiety for new nurses peaked at 1-2 months of employment. IMPLICATIONS FOR NURSING MANAGEMENT: Nurse managers, preceptors and educators must work together with newly employed nurses in individualized learning and support, doing so to improve the transition experience and reduce levels of work stress and anxiety. AD - Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan, ROC. National Taipei University of Nursing and Health Sciences, Taipei, Taiwan, ROC. Chang Gung University of Science and Technology, Taoyuan, Taiwan, ROC. Oriental Institute of Technology, Taipei, Taiwan, ROC. Chang Gung University, Taoyuan, Taiwan, ROC. AN - 32743848 AU - Lin, Y. E. AU - Tseng, C. N. AU - Wang, M. F. AU - Wu, S. V. AU - Jane, S. W. AU - Chien, L. Y. DA - Oct DO - 10.1111/jonm.13114 DP - NLM ET - 20200817 IS - 7 KW - Anxiety/etiology Humans *Internship and Residency Longitudinal Studies *Nurses Taiwan anxiety new nurses nurse residency programme stress LA - eng N1 - 1365-2834 Lin, Yueh-E Orcid: 0000-0003-3216-2613 Tseng, Chien-Ning Wang, Mei-Fang Wu, Shu-Fang Vivienne Jane, Sui-Whi Chien, Li-Yu Orcid: 0000-0003-2473-4749 CMRPG391541/Chang Gung Medical Foundation/ Journal Article England 2020/08/04 J Nurs Manag. 2020 Oct;28(7):1598-1606. doi: 10.1111/jonm.13114. Epub 2020 Aug 17. PY - 2020 SN - 0966-0429 SP - 1598-1606 ST - Anxiety and work stress among newly employed nurses during the first year of a residency programme: A longitudinal study T2 - J Nurs Manag TI - Anxiety and work stress among newly employed nurses during the first year of a residency programme: A longitudinal study VL - 28 ID - 13629 ER - TY - JOUR AB - Aim: To explore changes in anxiety and work stress among new nurses in the first year of a 2-year residency programme. Background: Few studies have examined the anxiety and work stress of new nurses in a residency programme. Methods: This longitudinal study examined levels of anxiety and work stress among newly employed nurses over 1 year at 1 week and 1, 2, 3, 6, 9 and 12 months. Participants were purposively sampled from a medical centre in Taiwan. The Beck Anxiety Inventory and the Nurse Stress Checklist were used to measure anxiety and stress, respectively. Results: The nurses (N = 200) generally perceived mild levels of anxiety and moderate work stress. However, anxiety and stress peaked at the first and second months. Levels stabilized by the sixth month. General ward nurses perceived higher stress levels than did those in emergency or operating rooms. Conclusions: Stress and work anxiety for new nurses peaked at 1–2 months of employment. Implications for Nursing Management: Nurse managers, preceptors and educators must work together with newly employed nurses in individualized learning and support, doing so to improve the transition experience and reduce levels of work stress and anxiety. (PsycInfo Database Record (c) 2021 APA, all rights reserved) AD - Chien, Li‐Yu, Chang Gung University of Science and Technology, No. 261, Wenhua 1st Road, Guishan District, Taoyuan, Taiwan, 33303 AN - 2020-80859-017 AU - Lin, Yueh‐E AU - Tseng, Chien‐Ning AU - Wang, Mei‐Fang AU - Wu, Shu‐Fang Vivienne AU - Jane, Sui‐Whi AU - Chien, Li‐Yu DB - psyh DO - 10.1111/jonm.13114 DP - EBSCOhost IS - 7 KW - anxiety new nurses nurse residency programme stress Humans Internship and Residency Longitudinal Studies Nurses Taiwan Nursing Nursing Education Occupational Stress N1 - Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan. Other Publishers: Blackwell Publishing. Release Date: 20211104. Publication Type: Journal (0100), Peer Reviewed Journal (0110). Format Covered: Electronic. Document Type: Journal Article. Language: EnglishMajor Descriptor: Anxiety; Nurses; Nursing; Nursing Education; Occupational Stress. Classification: Professional Education & Training (3410). Population: Human (10); Male (30); Female (40). Location: Taiwan. Age Group: Adulthood (18 yrs & older) (300). Tests & Measures: Beck Anxiety Inventory-Chinese Version; Nurse Stress Checklist-Chinese Version. Methodology: Empirical Study; Longitudinal Study; Quantitative Study. References Available: Y. Page Count: 9. Issue Publication Date: Oct, 2020. Publication History: Accepted Date: Jul 23, 2020; Revised Date: Jul 2, 2020; First Submitted Date: Dec 2, 2019. Copyright Statement: John Wiley & Sons Ltd. 2020. Sponsor: Linkou Branch, Chang Gung Medical Foundation, Taiwan. Grant: CMRPG391541. Recipients: No recipient indicated PY - 2020 SN - 0966-0429 1365-2834 SP - 1598-1606 ST - Anxiety and work stress among newly employed nurses during the first year of a residency programme: A longitudinal study T2 - Journal of Nursing Management TI - Anxiety and work stress among newly employed nurses during the first year of a residency programme: A longitudinal study UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=psyh&AN=2020-80859-017&site=ehost-live&scope=site ORCID: 0000-0003-2473-4749 ORCID: 0000-0003-3216-2613 lychien@mail.cgust.edu.tw VL - 28 ID - 13782 ER - TY - JOUR AB - Aim: We sought to examine factors associated with organisational and professional turnover intention among nurse managers. Background: Turnover among nurse managers is an ongoing problem in many health care institutions worldwide. While many studies exist that have examined factors contributing to organisational turnover intention, surprisingly, little is known about which factors contribute to nurse managers' decisions to quit the profession. Methods: This cross‐sectional study involved 240 nurse managers working in 17 hospitals in the central Philippines. Five validated standardized scales were used for data collection. Results: The composite scores of the organisational and professional turnover intention measures were 2.75 and 1.97, respectively (Likert range: 1/strongly disagree to 5/strongly agree). Work–Family Conflict (β = 0.127; p < .05) and job satisfaction (β = −0.315; p < .001) were strongly associated with organisational turnover intention. Job stress was correlated with stronger professional (β = 0.200, p < .01) and organisational turnover intentions (β = 0.281; p < .001). Conclusion: Nurse managers reported a moderate level of organisational turnover intention and a low level of professional turnover intention. Job satisfaction, job stress, and Work–Family Conflict were identified as significant predictors of organisational and professional turnover intentions. Implications for Nursing Management: Turnover intention among nurse managers can be best addressed by exploring organisational measures such as a structured transition programme (e.g. nurse manager orientation, coaching, mentorship or preceptorship), leadership programme for new nurse managers and stress management interventions. Further, through provision of a work‐ and family‐friendly workplace and consistent career growth opportunities, retention of nurse managers may be enhanced. (PsycInfo Database Record (c) 2021 APA, all rights reserved) AD - Labrague, Leodoro J., College of Nursing, Sultan Qaboos University, Muscat, Oman AN - 2020-68101-015 AU - Labrague, Leodoro J. DB - psyh DO - 10.1111/jonm.13079 DP - EBSCOhost IS - 6 KW - job satisfaction job stress nursing turnover intention Work–Family Conflict nurse managers Employee Turnover Intention Management Personnel Nurses Occupational Stress Family Work Conflict N1 - Sultan Qaboos University, Muscat, Oman. Other Publishers: Blackwell Publishing. Release Date: 20210614. Publication Type: Journal (0100), Peer Reviewed Journal (0110). Format Covered: Electronic. Document Type: Journal Article. Language: EnglishMajor Descriptor: Employee Turnover; Intention; Management Personnel; Nurses; Occupational Stress. Minor Descriptor: Job Satisfaction; Nursing; Family Work Conflict. Classification: Professional Personnel Attitudes & Characteristics (3430). Population: Human (10); Male (30); Female (40). Location: Philippines. Age Group: Adulthood (18 yrs & older) (300). Tests & Measures: Organisational and Professional Turnover Intentions Measure; Perceived Stress Scale DOI: 10.1037/t02889-000; Work-Family Conflict Scale; Job Satisfaction Index DOI: 10.1037/t08600-000. Methodology: Empirical Study; Quantitative Study. References Available: Y. Page Count: 11. Issue Publication Date: Sep, 2020. Publication History: Accepted Date: Jun 21, 2020; Revised Date: Jun 16, 2020; First Submitted Date: Apr 20, 2020. Copyright Statement: John Wiley & Sons Ltd. 2020. PY - 2020 SN - 0966-0429 1365-2834 SP - 1275-1285 ST - Organisational and professional turnover intention among nurse managers: A cross‐sectional study T2 - Journal of Nursing Management TI - Organisational and professional turnover intention among nurse managers: A cross‐sectional study UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=psyh&AN=2020-68101-015&site=ehost-live&scope=site ORCID: 0000-0003-0315-4438 Leo7_ci@yahoo.com VL - 28 ID - 13783 ER - TY - JOUR AB - AIM: We sought to examine factors associated with organisational and professional turnover intention among nurse managers. BACKGROUND: Turnover among nurse managers is an ongoing problem in many health care institutions worldwide. While many studies exist that have examined factors contributing to organisational turnover intention, surprisingly, little is known about which factors contribute to nurse managers' decisions to quit the profession. METHODS: This cross-sectional study involved 240 nurse managers working in 17 hospitals in the central Philippines. Five validated standardized scales were used for data collection. RESULTS: The composite scores of the organisational and professional turnover intention measures were 2.75 and 1.97, respectively (Likert range: 1/strongly disagree to 5/strongly agree). Work-Family Conflict (β = 0.127; p < .05) and job satisfaction (β = -0.315; p < .001) were strongly associated with organisational turnover intention. Job stress was correlated with stronger professional (β = 0.200, p < .01) and organisational turnover intentions (β = 0.281; p < .001). CONCLUSION: Nurse managers reported a moderate level of organisational turnover intention and a low level of professional turnover intention. Job satisfaction, job stress, and Work-Family Conflict were identified as significant predictors of organisational and professional turnover intentions. IMPLICATIONS FOR NURSING MANAGEMENT: Turnover intention among nurse managers can be best addressed by exploring organisational measures such as a structured transition programme (e.g. nurse manager orientation, coaching, mentorship or preceptorship), leadership programme for new nurse managers and stress management interventions. Further, through provision of a work- and family-friendly workplace and consistent career growth opportunities, retention of nurse managers may be enhanced. AD - Sultan Qaboos University, Muscat, Oman. AN - 32589761 AU - Labrague, L. J. DA - Sep DO - 10.1111/jonm.13079 DP - NLM ET - 20200801 IS - 6 KW - Cross-Sectional Studies Humans Intention Job Satisfaction *Nurse Administrators Personnel Turnover Philippines Surveys and Questionnaires Work-Family Conflict job stress nursing turnover intention LA - eng N1 - 1365-2834 Labrague, Leodoro J Orcid: 0000-0003-0315-4438 Journal Article England 2020/06/27 J Nurs Manag. 2020 Sep;28(6):1275-1285. doi: 10.1111/jonm.13079. Epub 2020 Aug 1. PY - 2020 SN - 0966-0429 SP - 1275-1285 ST - Organisational and professional turnover intention among nurse managers: A cross-sectional study T2 - J Nurs Manag TI - Organisational and professional turnover intention among nurse managers: A cross-sectional study VL - 28 ID - 13610 ER - TY - JOUR AB - The transition period from student nurse to novice nurse is a stressful time. Patient outcomes, healthcare organizations, the new nurse, and the nursing profession can be negatively affected if the transition from nursing student to novice nurse is not a positive and successful experience. Currently, there are numerous interventions aimed at easing the transition for the new nurse with just as many instruments used to evaluate the success of the interventions in doing so. This integrative review examined quantitative studies that evaluated the outcomes of interventions implemented to ease the transition from student to professional nurse. The seven articles that met the criteria for this review discussed four types of programs and one curriculum revision and collectively used 14 instruments to measure a total of 18 concepts related to new nurse transition. Despite the significance of the studies' results that indicate interventions to ease the transition-to-practice experience are beneficial and can have a positive impact on areas such as job satisfaction and retention, overall findings from this integrative review suggest the need for greater standardization of concepts that should be evaluated and the instruments used to determine if new nurses are successfully transitioning into professional nursing. AD - Villanova University, M. Louise Fitzpatrick College of Nursing, 800 Lancaster Ave., Driscoll Hall, Villanova, PA 19085, United States. Electronic address: khampt01@villanova.edu. Richard and Marianne Kreider Endowed Professor in Nursing for Vulnerable Populations, Villanova University, M. Louise Fitzpatrick College of Nursing, United States. Villanova University, M. Louise Fitzpatrick College of Nursing, United States. AN - 33308555 AU - Hampton, K. B. AU - Smeltzer, S. C. AU - Ross, J. G. DA - Nov-Dec DO - 10.1016/j.profnurs.2020.08.002 DP - NLM ET - 20200806 IS - 6 KW - Humans *Students, Nursing Integrative review Novice nurse Student nurse Transition-to-practice LA - eng N1 - 1532-8481 Hampton, Kimberly B Smeltzer, Suzanne C Ross, Jennifer Gunberg Journal Article Review United States 2020/12/15 J Prof Nurs. 2020 Nov-Dec;36(6):551-559. doi: 10.1016/j.profnurs.2020.08.002. Epub 2020 Aug 6. PY - 2020 SN - 8755-7223 SP - 551-559 ST - Evaluating the transition from nursing student to practicing nurse: An integrative review T2 - J Prof Nurs TI - Evaluating the transition from nursing student to practicing nurse: An integrative review VL - 36 ID - 13608 ER - TY - JOUR AB - The "work-life balance" (WLB) issues of doctors are often neglected, contributing to the problems of recruitment and retention.[1] Many GPs are now working part-time and retiring early because of pressures of work.[2] SP , sp [3] And the 2017 I National GP Worklife Survey i shows only 49.9% of GPs are satisfied with work, 92.3% report pressure from "increasing workloads", and 46.0% of GPs plan to leave within the next 5 years.[4] GPs with increased work stress and intensity report higher levels of anxiety, depression, and dissatisfaction,[5] leading to poor WLB, with consequences of deteriorating health and burnout, perfunctory patient care, and increased healthcare system costs.[6] The NHS has expected doctors to be responsible for their own health, WLB, and wellbeing, following the General Medical Council's I Good Medical Practice i .[7] But could the UK learn from the experience of "the Mayo Clinic program" in the US,[6] which has improved doctors' wellbeing with organisational support following these nine steps? But many doctors have a good WLB, particularly by working part-time: I "I knew my balance was good" i , I "happier since doing locum work" i . First5 (the support network for newly qualified GPs in their first 5 years) and Associates in Training (AiT, the associate GP training programme) are encouraging more doctors to choose to become GPs. AD - Blackmore Vale, Dorset. GP Education Unit, Southampton University Hospital Trust, Southampton. University of Winchester, Winchester. AN - 144785804. Language: English. Entry Date: 20210717. Revision Date: 20211104. Publication Type: journal article. Journal Subset: Biomedical AU - Ferguson, Jeremy AU - Scallan, Samantha AU - Lyons-Maris, Johnny AU - Ball, Kerry DB - cin20 DO - 10.3399/bjgp20X712109 DP - EBSCOhost IS - 697 KW - Stress, Psychological Scales Questionnaires N1 - Europe; Peer Reviewed; UK & Ireland. Instrumentation: Appraisal of Self-Care Agency Scale; General Health Questionnaire (GHQ); Longitudinal Interval Follow-Up Evaluation (LIFE); Work Environment Scale (WES) (Moos et al). NLM UID: 9005323. PMID: NLM32732216. PY - 2020 SN - 0960-1643 SP - 411-412 ST - Exploring 'work-life balance' at appraisal and how this links with organisational support T2 - British Journal of General Practice TI - Exploring 'work-life balance' at appraisal and how this links with organisational support UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=144785804&site=ehost-live&scope=site VL - 70 ID - 13745 ER - TY - JOUR AB - In health care, it is crucial to ensure that new nurse graduates are equipped to deliver care that is safe, of high quality, patient-centered, and based on the best available evidence. Medication management encompasses many responsibilities and consumes a significant portion of a nurse's working day and is a substantial concern for students approaching the latter stages of their undergraduate education. The theoretical content on this area, as well as exposure to/hands-on experience in practice, can vary from program to program. It is nonetheless imperative to ensure that students feel adequately prepared and confident to undertake this responsibility. A recurring stressor reported anecdotally by student nurses within the authors' faculty is the area of medication administration and management and whether they feel ready for this responsibility. Listening to what students have to say in this regard should be one of the key drivers to shaping how best to prepare them. This article describes a pilot study of final-year students' self-reported level of readiness for oral medication administration in advance of becoming licensed registered nurses. METHODS: A non-experimental, descriptive pilot study was undertaken to ascertain perceptions of student preparedness for practice with regard to oral medication administration. A convenience sample of 24 final-year students undertaking a 4-year BSc (honors) in general nursing program in the Republic of Ireland was involved. Participation involved completion of a 17-item survey. The tool, "Preparedness for Oral Medication Administration Questionnaire," adapted by Aggar and Dawson (Nurse Educ Today 2014;34(6):899-903), originated from a 13-item competency-based assessment tool developed by Fisher and Parolin (Collegian 2000;7(3):21-27) to measure student nurses' clinical performance. RESULTS: From a sampling frame of 87 students, 24 students completed the survey, yielding a response rate of 28%. The total scale score produced in this sample was 63.3 (±13.1) out of a range of 17 to 102, Higher scores indicate greater perceived levels of preparedness for oral medication administration. This score (63.3) suggests that participants generally perceived that they are not as adequately prepared for their role in the administration of oral medication as they perceive they would need to be. Individual item means ranged from 2.58 (±1.1) to 4.71 (±.86). CONCLUSION: This pilot study revealed that students did not feel adequately prepared for their role in oral medication administration. Key contributors to this were pharmacology knowledge acquisition and application, along with lack of opportunities in practice to undertake oral medication administration roles and responsibilities. A streamlined approach to address these challenges involving nurse educators, clinical preceptors, and, most importantly students, is paramount. Despite the small scale of this single-site study, it did provide useful insight into students' perceptions of their readiness for oral medication administration and factors influencing this. AD - Joanne Cleary-Holdforth, MSc, PG Dip, BSc, RM, RGN, is a PhD candidate and an assistant professor (Nursing), School of Nursing and Human Sciences Dublin City University, Ireland. Therese Leufer, EdD(Bris), MA HEd(FHEA), PG Dip HEd, PG Cert(ImpSci), BSc, RNT, RGN, is assistant professor (nursing), School of Nursing and Human Sciences Dublin City University, Ireland. AN - 31789982 AU - Cleary-Holdforth, J. AU - Leufer, T. DA - Jan/Feb DO - 10.1097/dcc.0000000000000401 DP - NLM IS - 1 KW - Administration, Oral Adult *Clinical Competence Education, Nursing, Baccalaureate Female Humans Male Medication Errors/*prevention & control Models, Educational Nursing Education Research Pharmaceutical Preparations/*administration & dosage Pilot Projects Students, Nursing/*psychology Surveys and Questionnaires LA - eng N1 - 1538-8646 Cleary-Holdforth, Joanne Leufer, Therese Journal Article United States 2019/12/04 Dimens Crit Care Nurs. 2020 Jan/Feb;39(1):23-32. doi: 10.1097/DCC.0000000000000401. PY - 2020 SN - 0730-4625 SP - 23-32 ST - Senior Nursing Students' Perceptions of Their Readiness for Oral Medication Administration Prior to Final Year Internship: A Quantitative Descriptive Pilot Study T2 - Dimens Crit Care Nurs TI - Senior Nursing Students' Perceptions of Their Readiness for Oral Medication Administration Prior to Final Year Internship: A Quantitative Descriptive Pilot Study VL - 39 ID - 13689 ER - TY - JOUR AB - INTERVENTION: Experimental group:Stress Inoculation Training;Control Group:Normal Orientation Routine; CONDITION: Occupational Stress of Newly Graduated Nurses PRIMARY OUTCOME: Occupational Stress; SECONDARY OUTCOME: Transition Shock;Trait Coping Style;Anxiety Depression;Professional Identity;Intention to Leave; INCLUSION CRITERIA: (1) nursing graduates without clinical work experience (except clinical internship); (2)haven't had any similar stress management program among newly graduated nurses; (3) are willing to participate in the study. AN - CN-02166195 AU - ChiCtr PY - 2020 ST - The Effect of a Group-based Stress Inoculation Training Program for Newly Graduated Nurses in China: A Two-armed Randomized Controlled Trial T2 - https://trialsearch.who.int/Trial2.aspx?TrialID=ChiCTR2000032934 TI - The Effect of a Group-based Stress Inoculation Training Program for Newly Graduated Nurses in China: A Two-armed Randomized Controlled Trial UR - https://www.cochranelibrary.com/central/doi/10.1002/central/CN-02166195/full ID - 13803 ER - TY - JOUR AB - INTRODUCTION: The shortage of nurses is projected to grow, and the number of new graduate nurses (NGNs) who are predicted to replace expert nurses has increased. Meanwhile, those NGNs leaving their job within the first year, give various reasons for leaving, including workplace bullying and violence. In response, some hospitals and universities have developed nurse transition programmes such as nurse residency programmes and nurse internship programmes to attract NGNs and to assist in their changing status from education to practice. Although these programmes have been successful in decreasing the turnover rate for new nurses and are cost-effective, their impact on workplace bullying and violence has not been systematically reviewed and is yet to be determined. A scoping review will be conducted to address this gap. The aim is to identify current knowledge regarding the content of transition programmes and their impact in supporting NGNs dealing with workplace violence, bullying and stress. METHODS AND ANALYSIS: Arksey and O'Malley's scoping framework and the Joanna Briggs Institute scoping review guidance will guide the methodology process of the review. Published studies, with no date limit, will be identified through the electronic databases (CINAHL, Scopus, MEDLINE, Web of Science, ASSIA, PsycINFO, Embase, PROSPERO and ProQuest Dissertation) and reference lists. Primary key terms will be 'novice nurse', 'new graduate nurses' and 'transition programmes'. Two reviewers, guided by standardised procedures, will perform the study selection process independently. Data from the selected studies will be extracted using a data extraction form. Thematic analysis (for qualitative papers) and descriptive summary of the results (for quantitative papers) will be performed. ETHICS AND DISSEMINATION: Ethical approval is not required for this review. Findings will be used to inform future study designs to evaluate the transition programmes and disseminated via peer-reviewed journals and conferences. AD - School of Nursing, University of Birmingham, Birmingham, UK khadijahalshawosh@yahoo.com. School of Nursing, University of Birmingham, Birmingham, UK. AN - 33127633 AU - Alshawush, K. A. AU - Hallett, N. AU - Bradbury-Jones, C. C1 - Competing interests: None declared. C2 - PMC7604821 DA - Oct 30 DO - 10.1136/bmjopen-2020-038893 DP - NLM ET - 20201030 IS - 10 KW - *Bullying Humans Personnel Turnover Research Design Review Literature as Topic Students Violence *education & training (see medical education & training) *ethics (see medical ethics) *health services administration & management LA - eng N1 - 2044-6055 Alshawush, Khadijah Ali Orcid: 0000-0003-1692-4112 Hallett, Nutmeg Bradbury-Jones, Caroline Journal Article Research Support, Non-U.S. Gov't 2020/11/01 BMJ Open. 2020 Oct 30;10(10):e038893. doi: 10.1136/bmjopen-2020-038893. PY - 2020 SN - 2044-6055 SP - e038893 ST - Impact of transition programmes for students and new graduate nurses on workplace bullying, violence, stress and resilience: a scoping review protocol T2 - BMJ Open TI - Impact of transition programmes for students and new graduate nurses on workplace bullying, violence, stress and resilience: a scoping review protocol VL - 10 ID - 13632 ER - TY - JOUR AB - BACKGROUND: Newly graduated nurses have comparatively high levels of occupational stress. Previous studies have evaluated stress across this population as a whole; however, little is known about potentially different occupational stress responses among new nurses and the impact of demographic and work-related characteristics on occupational stress responses. OBJECTIVES: To determine differences in occupational stress levels of newly graduated nurses at different time points during the first 3 years of practice; to identify potential subgroups of nurses who perceive different occupational stress levels over time; and to evaluate differences in identified subgroups based on demographic and work-related characteristics. DESIGN: An observational longitudinal study. SETTINGS: Four tertiary hospitals in Shanghai were selected randomly using a computer-generated random number table. PARTICIPANTS: All 343 newly graduated nurses employed in the selected hospitals were invited to participate. The inclusion criteria were (1) newly graduated without nursing experience, excluding nursing internship; (2) current employment in in-patient departments/ICU/operation room; and (3) consented to participate. A total of 152 participants met criteria and completed all four points of data collection. METHODS: Participants completed an annual paper survey. Occupational stress levels were measured using the Job Stress Scale for Newly Graduated Nurses. Occupational stress scores at different time points were compared using latent growth modeling. Group-based trajectory modeling was performed to identify subgroups of occupational stress trajectory. ANOVA and Fisher's exact test were conducted to examine the differences of demographic characteristics between classes. RESULTS: The entire sample of newly graduated nurses experienced a significant decrease in occupational stress during the first three years. The best-fitting group-based trajectory model described three distinctive trajectories: low occupational stress (19.1% of sample); medium occupational stress (67.1%) and high occupational stress (13.8%). The low occupational stress subgroup had a higher proportion of nurses from Shanghai, and the majority were employed as contact- based nurses. In comparison, the high occupational stress subgroup had the largest proportion of nurses from other provinces (outside of Shanghai), almost half of participants were employed as "bianzhi" nurses, and the majority reported to be assigned preceptor by shift. CONCLUSIONS: Newly graduated nurses perceived occupational stress differently over time. Identified subgroups with different demographic characteristics have significantly different perceptions of occupational stress over the first three years of practice and future intervention programs such as peer-support programs or a standardized preceptorship should be tailored to meet the unique needs of these different subgroups. AD - Shanghai Jiao Tong University School of Nursing, 227 South Chongqing Road Huangpu District, Shanghai, China. University of Wisconsin-Madison School of Nursing, 701 Highland Avenue, Madison, WI, USA. Shanghai Jiao Tong University School of Nursing, 227 South Chongqing Road Huangpu District, Shanghai, China. Electronic address: zhangyqf@shsmu.edu.cn. AN - 31484083 AU - Zhang, Y. AU - Steege, L. M. AU - Pavek, K. U. AU - Brown, R. L. AU - Zhang, Y. DA - Nov DO - 10.1016/j.ijnurstu.2019.03.022 DP - NLM ET - 20190405 KW - Adult Female Humans Longitudinal Studies Male Models, Theoretical Nursing Staff/*psychology Occupational Stress/*psychology Young Adult Group-based trajectory modeling Longitudinal study Newly graduated nurses Occupational stress LA - eng N1 - 1873-491x Zhang, Yuanyuan Steege, Linsey M Pavek, Katie U Brown, Roger L Zhang, Yaqing Journal Article England 2019/09/05 Int J Nurs Stud. 2019 Nov;99:103332. doi: 10.1016/j.ijnurstu.2019.03.022. Epub 2019 Apr 5. PY - 2019 SN - 0020-7489 SP - 103332 ST - Identifying patterns of occupational stress trajectories among newly graduated nurses: A longitudinal study T2 - Int J Nurs Stud TI - Identifying patterns of occupational stress trajectories among newly graduated nurses: A longitudinal study VL - 99 ID - 13621 ER - TY - JOUR AB - An introduction is presented in which the author, a nurse, reflects upon challenges facing the nursing profession in Great Britain as of 2019. She discusses the plausible impact that Brexit (the scheduled withdrawal of the United Kingdom from the European Union) might have on the NHS, whether or not recruitment strategies will be needed to bring in new nurses, and how to care for an aging population. AD - Chair, Association of Stoma Care Nurses UK AN - 138617155. Language: English. Entry Date: 20190917. Revision Date: 20191001. Publication Type: Editorial AU - White, Maddie DB - cin20 DO - 10.12968/bjon.2019.28.16.S3 DP - EBSCOhost IS - 16 KW - Politics -- United Kingdom European Union National Health Programs Government Regulations Attitude to Change Workforce -- Psychosocial Factors Personnel Recruitment Congresses and Conferences Burnout, Professional -- Prevention and Control Stress Management Psychological Well-Being Technology -- Utilization N1 - editorial. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Nursing; Peer Reviewed; UK & Ireland. NLM UID: 9212059. PY - 2019 SN - 0966-0461 SP - S3-S3 ST - Let's share our concerns about the future T2 - British Journal of Nursing TI - Let's share our concerns about the future UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=138617155&site=ehost-live&scope=site VL - 28 ID - 13750 ER - TY - JOUR AB - AIM: To explore experiences of online peer support for newly qualified nurses. DESIGN: Qualitative study using semi-structured interviews and thematic analysis. METHOD: Phase one involves conducting focus groups with newly qualified nurses in the West Midlands area to refine the online peer support environment. Phase two involves 30-40 new nurses joining an online peer group for 3 months; participants will be able to access a general chat community alongside a more structured discussion board. Phase 3 will collect written interview data from all participants about their experiences of online peer support. Face-to-face interviews with 10-12 participants will also be undertaken. The study will run from May 2018-October 2019. FINDINGS: Data from focus groups, written and verbal interviews will be analysed using thematic analysis with the aid of NVivo software. Findings will be disseminated to participants and key stakeholders involved in the study and also via publication and networking events. CONCLUSION: If online peer support is found to be beneficial to new nurses, it may be adopted by local NHS trusts as part of an innovation scheme. IMPACT: It is important that the psychological well-being of nurses is addressed as more nurses are now leaving than joining the profession; this is an international concern. Online peer support may offer a sustainable and accessible means of promoting psychological well-being in the nursing workforce. In such a way, contributory factors to low retention rates such as burnout, stress and job dissatisfaction may also be reduced. AD - Birmingham and Solihull Mental Health NHS Foundation Trust, Birmingham, UK. Birmingham City University, Birmingham, UK. University of Bradford, Bradford, UK. AN - 30883875 AU - Webster, N. AU - Jenkins, C. AU - Oyebode, J. AU - Bentham, P. AU - Smythe, A. DA - Jul DO - 10.1111/jan.14001 DP - NLM ET - 20190410 IS - 7 KW - Focus Groups Humans *Internet Nursing Staff/*psychology *Peer Group *Social Support United Kingdom newly qualified nurses nursing online peer group qualitative smartphone social and emotional well-being social media support LA - eng N1 - 1365-2648 Webster, Natalie Orcid: 0000-0002-6888-3044 Jenkins, Catharine Orcid: 0000-0003-3752-3203 Oyebode, Jan Bentham, Peter Smythe, Analisa Orcid: 0000-0002-0711-6968 Burdett Trust for Nursing/ Journal Article England 2019/03/19 J Adv Nurs. 2019 Jul;75(7):1585-1591. doi: 10.1111/jan.14001. Epub 2019 Apr 10. PY - 2019 SN - 0309-2402 SP - 1585-1591 ST - Experiences of peer support for newly qualified nurses in a dedicated online group: Study protocol T2 - J Adv Nurs TI - Experiences of peer support for newly qualified nurses in a dedicated online group: Study protocol VL - 75 ID - 13623 ER - TY - JOUR AB - With the prevalent problem of nurse retention and the lack of confidence new nurses experience, it is critical for nurse residency programs to have supportive factors that enhance residency experiences. By incorporating mentorship, preceptors, and debriefing components into these programs, skills in communication, organization, clinical reasoning, stress management, and self-confidence increase. This quantitative study was a descriptive analysis of secondary data using a cross-sectional design. Two instruments were used to gather data, the Demographic Information Survey and the Evaluation of the RN Residency Survey. The sample was comprised of 1078 graduate nurses completing nurse residency programs throughout the United States. The findings indicated that higher residency ratings were significantly related to higher preceptor and debriefing experiences. Results also showed no significant interaction effects of reduced stress due to mentoring on the relationship between preceptorship experiences or debriefing experiences and ratings of nurse residency. Consequently, it is important that new nurses are given the opportunity to take part in programs offering mentorship, preceptors, and debriefing elements, as nursing residents have found them to be highly beneficial. Furthermore, debriefing sessions strengthened their skills and built confidence during their first year of employment. AD - Department of Nursing, The Sage Colleges, 65 First Street, Troy, NY, 12180, USA. Electronic address: vanpar@sage.edu. Department of Nursing, The Sage Colleges, 65 First Street, Troy, NY, 12180, USA. Electronic address: bartoa2@sage.edu. AN - 30708168 AU - Van Patten, R. R. AU - Bartone, A. S. DA - Feb DO - 10.1016/j.nepr.2019.01.007 DP - NLM ET - 20190124 KW - Adult Clinical Competence/standards Cross-Sectional Studies *Education, Nursing, Graduate Humans Internship, Nonmedical *Mentors *Preceptorship *Students, Nursing United States Debriefing Mentorship Nurse residency programs Preceptors LA - eng N1 - 1873-5223 Van Patten, Rosemarie R Bartone, Anne S Journal Article Scotland 2019/02/02 Nurse Educ Pract. 2019 Feb;35:63-68. doi: 10.1016/j.nepr.2019.01.007. Epub 2019 Jan 24. PY - 2019 SN - 1471-5953 SP - 63-68 ST - The impact of mentorship, preceptors, and debriefing on the quality of program experiences T2 - Nurse Educ Pract TI - The impact of mentorship, preceptors, and debriefing on the quality of program experiences VL - 35 ID - 13598 ER - TY - JOUR AB - Aims and objectives: To explore the transition to nursing practice experiences of first‐ and second‐career nursing students. Background: To address the nursing shortage, alternative educational programmes have been increasingly developed and implemented with to help individuals with prior career experiences transition into a career in nursing (second‐career nurses). However, we know little about the transition to practice experiences of second‐career nurses. Design: This mixed‐methods study utilised qualitative interviews with nurses who had completed a year of practice and a longitudinal survey of nurses' perceptions of stress, coping and burnout throughout their first year of nursing practice. Methods: Qualitative data (n = 15) were analysed using latent thematic analysis and following COREQ guidelines. Descriptive and effect size analysis of quantitative data (n = 122) was conducted in order to assess for significant differences across time points. Results: The thematic analysis identified three themes: Stressors and Coping, Prevalence of Burnout and Presenteeism, and Difficulty Describing Nursing's Role. The quantitative findings showed that participants' self‐compassion decreased over their first year of practice. Levels of stress, presenteeism and burnout increased by the year mark. These increases were meaningfully significant between time points. Conclusions: Differences in the stressors and coping of first‐ and second‐career nurses should be considered in developing transition to practice programmes for new nurses. Increasing rates of stress, burnout and presenteeism highlight the ongoing need to address these issues. Improving the nurse work environment may aid in the transition to nursing practice of both first‐ and second‐career nurses. Relevance to clinical practice: First‐ and second‐career nurses have increasing rates of stress, burnout and presenteeism that need to be addressed. However, there are differences in stressors and coping between first‐ and second‐career nurses. AD - College of Nursing, University of Arizona, Tucson Arizona School of Nursing, University of Wisconsin—Madison, Madison Wisconsin AN - 135199420. Language: English. Entry Date: 20190313. Revision Date: 20220407. Publication Type: Article AU - Rainbow, Jessica G. AU - Steege, Linsey M. DB - cin20 DO - 10.1111/jocn.14726 DP - EBSCOhost IS - 7/8 KW - Novice Nurses -- Psychosocial Factors Registered Nurses -- Psychosocial Factors Nursing Practice Transitional Programs Work Experiences Human Multimethod Studies Theory-Practice Relationship Nursing Shortage Career Planning and Development Qualitative Studies Interviews Prospective Studies Nurse Attitudes Stress, Occupational Coping Burnout, Professional Latent Structure Analysis Thematic Analysis Descriptive Statistics Practice Guidelines Effect Size Quantitative Studies Presenteeism Nursing Role Compassion Fatigue Work Environment Registered Nurses Student Attitudes Students, Nursing Convenience Sample Semi-Structured Interview Baccalaureate Nurses Checklists Reliability and Validity Male Female Coefficient Alpha N1 - research; tables/charts. Journal Subset: Peer Reviewed. Instrumentation: Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist. PY - 2019 SN - 0962-1067 SP - 1193-1204 ST - Transition to practice experiences of first‐ and second‐career nurses: A mixed‐methods study T2 - Journal of Clinical Nursing (John Wiley & Sons, Inc.) TI - Transition to practice experiences of first‐ and second‐career nurses: A mixed‐methods study UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=135199420&site=ehost-live&scope=site VL - 28 ID - 13753 ER - TY - JOUR AB - AIMS AND OBJECTIVES: To explore the transition to nursing practice experiences of first- and second-career nursing students. BACKGROUND: To address the nursing shortage, alternative educational programmes have been increasingly developed and implemented with to help individuals with prior career experiences transition into a career in nursing (second-career nurses). However, we know little about the transition to practice experiences of second-career nurses. DESIGN: This mixed-methods study utilised qualitative interviews with nurses who had completed a year of practice and a longitudinal survey of nurses' perceptions of stress, coping and burnout throughout their first year of nursing practice. METHODS: Qualitative data (n = 15) were analysed using latent thematic analysis and following COREQ guidelines. Descriptive and effect size analysis of quantitative data (n = 122) was conducted in order to assess for significant differences across time points. RESULTS: The thematic analysis identified three themes: Stressors and Coping, Prevalence of Burnout and Presenteeism, and Difficulty Describing Nursing's Role. The quantitative findings showed that participants' self-compassion decreased over their first year of practice. Levels of stress, presenteeism and burnout increased by the year mark. These increases were meaningfully significant between time points. CONCLUSIONS: Differences in the stressors and coping of first- and second-career nurses should be considered in developing transition to practice programmes for new nurses. Increasing rates of stress, burnout and presenteeism highlight the ongoing need to address these issues. Improving the nurse work environment may aid in the transition to nursing practice of both first- and second-career nurses. RELEVANCE TO CLINICAL PRACTICE: First- and second-career nurses have increasing rates of stress, burnout and presenteeism that need to be addressed. However, there are differences in stressors and coping between first- and second-career nurses. AD - College of Nursing, University of Arizona, Tucson, Arizona. School of Nursing, University of Wisconsin-Madison, Madison, Wisconsin. AN - 30520187 AU - Rainbow, J. G. AU - Steege, L. M. DA - Apr DO - 10.1111/jocn.14726 DP - NLM ET - 20181219 IS - 7-8 KW - *Adaptation, Psychological Adult Burnout, Professional/*psychology Career Choice Female Humans Interviews as Topic Male Nursing Staff, Hospital/*psychology Qualitative Research Students, Nursing/*psychology burnout coping graduate nurses registered nurses LA - eng N1 - 1365-2702 Rainbow, Jessica G Orcid: 0000-0002-5415-6049 Steege, Linsey M Orcid: 0000-0002-8508-7787 Jonas Philanthropies/ Eckburg Dissertation Award/ Journal Article England 2018/12/07 J Clin Nurs. 2019 Apr;28(7-8):1193-1204. doi: 10.1111/jocn.14726. Epub 2018 Dec 19. PY - 2019 SN - 0962-1067 SP - 1193-1204 ST - Transition to practice experiences of first- and second-career nurses: A mixed-methods study T2 - J Clin Nurs TI - Transition to practice experiences of first- and second-career nurses: A mixed-methods study VL - 28 ID - 13604 ER - TY - JOUR AB - The transition to practice period is a challenging and demanding time for new graduate nurses. Leaving the structured environment of nursing school and entering professional practice can cause reality and transition shock for the new nurse resulting in unsafe patient care, as well as intention to leave their position or the profession. Successful transition to practice depends on the new nurse building confidence and gaining essential clinical reasoning abilities while orienting to their role. In critical care settings, patient care is more complex and fast-paced, which adds another dimension of overall stress to the new graduate. Structured orientation programs with trained preceptors have been found to be the most successful means of preparing new graduate nurses for clinical practice. Ensuring preceptors are provided with education related to the development of clinical reasoning is essential to successfully assist new nurses in their transition to practice. Safe and effective patient care, especially in the critical care unit, is dependent upon having nurses who are well prepared for their role through being provided guidance and support from trained preceptors. AD - Kelly Powers, PhD, RN, CNE, is an assistant professor at the School of Nursing of The University of North Carolina at Charlotte, Charlotte, North Carolina. Elizabeth K. Herron, PhD, RN, CNE, CHSE, is an assistant professor at the School of Nursing of James Madison University, Harrisonburg, Virginia. Julie Pagel, MSN, RN, CCRN, SCRN, CNE-cl, is a service line educator at Carolinas HealthCare System/Atrium Health, Carolinas Medical Center, Charlotte, North Carolina. AN - 30946120 AU - Powers, K. AU - Herron, E. K. AU - Pagel, J. DA - May/Jun DO - 10.1097/dcc.0000000000000354 DP - NLM IS - 3 KW - Adult *Career Mobility *Education, Nursing Humans Nursing Staff, Hospital/*education *Preceptorship *Professional Competence Professional Practice/*standards Schools, Nursing LA - eng N1 - 1538-8646 Powers, Kelly Herron, Elizabeth K Pagel, Julie Journal Article United States 2019/04/05 Dimens Crit Care Nurs. 2019 May/Jun;38(3):131-136. doi: 10.1097/DCC.0000000000000354. PY - 2019 SN - 0730-4625 SP - 131-136 ST - Nurse Preceptor Role in New Graduate Nurses' Transition to Practice T2 - Dimens Crit Care Nurs TI - Nurse Preceptor Role in New Graduate Nurses' Transition to Practice VL - 38 ID - 13595 ER - TY - JOUR AB - BACKGROUND: Nurse residency programs (NRPs) provide new graduate nurses (NGNs) with social support and experiential activities as a formal transition to clinical practice. AIMS: The study was conducted to answer the question: What is the effectiveness of an NRP in retaining NGNs in a psychiatric-mental health setting? METHOD: This study used a quantitative time-sequenced comparative study of multiple cohorts of NGNs hired into an NRP at a freestanding hospital in California. RESULTS: The study yielded a turnover rate of 11.7% in Year 1 (88.3% retention) and 2.9% in Year 2 (97.1% retention rate), which are lower than reported turnover rates (17.5% and 33.5%, respectively). Significant correlations are described in the workplace domains of knowledge and skills, social support, organizational citizenship behavior, civility, coping self-efficacy, organizational and occupational commitment, person-organizational fit, and burnout. CONCLUSIONS: NRPs are effective in attracting and retaining competent, confident NGNs in psychiatric-mental health nursing. AD - 1 Luc R. Pelletier, MSN, APRN, PMHCNS-BC, FAAN, Sharp Mesa Vista Hospital, San Diego, CA; University of San Diego, San Diego, CA, USA. 2 Chandra Vincent, MSN, RN, Sharp Mesa Vista Hospital, San Diego, CA, USA. 3 Loralie Woods, MSN, RN-BC, Sharp Mesa Vista Hospital, San Diego, CA, USA. 4 Cheryl Odell, MSN, RN, NEA-BC, Sharp Mesa Vista Hospital, San Diego, CA, USA. 5 Jaynelle F. Stichler, DNS, RN, NEA-BC(R), FACHE, FAAN, Sharp HealthCare Center of Nursing Excellence, San Diego, CA, USA. AN - 30358479 AU - Pelletier, L. R. AU - Vincent, C. AU - Woods, L. AU - Odell, C. AU - Stichler, J. F. DA - Jan/Feb DO - 10.1177/1078390318807968 DP - NLM ET - 20181025 IS - 1 KW - Adolescent Adult Aged Burnout, Professional/*prevention & control/psychology California Female Humans Internship and Residency/*methods *Job Satisfaction Male Middle Aged Personnel Turnover/*statistics & numerical data Psychiatric Nursing/*education Social Support Young Adult *administration and management *inpatient psychiatry *professional issues *program evaluation *psychiatric nursing practice LA - eng N1 - 1532-5725 Pelletier, Luc R Orcid: 0000-0002-8617-6327 Vincent, Chandra Woods, Loralie Odell, Cheryl Stichler, Jaynelle F Journal Article United States 2018/10/26 J Am Psychiatr Nurses Assoc. 2019 Jan/Feb;25(1):66-75. doi: 10.1177/1078390318807968. Epub 2018 Oct 25. PY - 2019 SN - 1078-3903 SP - 66-75 ST - Effectiveness of a Psychiatric-Mental Health Nurse Residency Program on Retention T2 - J Am Psychiatr Nurses Assoc TI - Effectiveness of a Psychiatric-Mental Health Nurse Residency Program on Retention VL - 25 ID - 13607 ER - TY - JOUR AB - Transitioning into independent professional practice may be a difficult and trying process for newly licensed nurses, who may be at risk for burnout and quitting their jobs. Issues related to new nurses' well-being at work may also impact their personal lives. Using thematic analysis within the framework of Total Worker Health, this study examined factors related to the overall work, safety, and health of newly licensed nurses that should be addressed in work environments to promote well-being and prevent burnout and attrition. The main component of Total Worker Health is to find and understand the relevant issues that lead to safety and health risks in the workplace and affect workers' well-being at work and home. The overarching concept of Balance between Work and Life included three main themes: Health, Work Environment, and Learning to Be (a nurse). These themes with their subthemes described the difficulties participants had in balancing the complex interactions of work conditions and social life changes during the transition from student to professional nurse. Participants identified new physical health problems, mental health challenges, physical violence, lack of support structures at work, and alterations in family and friend relationships. However, they also developed protective factors from new connections with coworkers. These findings showed that new nurses are vulnerable to many factors at home and work that affect well-being and may lead to burnout and attrition. Implications include interventions at work that focus on health promotion, group support, and safety risk prevention through occupational nurse management. AD - Washington State University College of Nursing. AN - 31014189 AU - Oneal, G. AU - Graves, J. M. AU - Diede, T. AU - Postma, J. AU - Barbosa-Leiker, C. AU - Butterfield, P. DA - Oct DO - 10.1177/2165079919833701 DP - NLM ET - 20190423 IS - 10 KW - Adult Burnout, Professional Female Focus Groups Humans Male Middle Aged Nurses/*psychology *Occupational Health Oregon Qualitative Research Safety Washington *Work-Life Balance Workplace Workplace Violence mental health research work work & family balance workforce LA - eng N1 - 2165-0969 Oneal, Gail Orcid: 0000-0001-6439-2486 Graves, Janessa M Diede, Tullamora Postma, Julie Barbosa-Leiker, Celestina Butterfield, Patricia Journal Article United States 2019/04/25 Workplace Health Saf. 2019 Oct;67(10):520-528. doi: 10.1177/2165079919833701. Epub 2019 Apr 23. PY - 2019 SN - 2165-0799 SP - 520-528 ST - Balance, Health, and Workplace Safety: Experiences of New Nurses in the Context of Total Worker Health T2 - Workplace Health Saf TI - Balance, Health, and Workplace Safety: Experiences of New Nurses in the Context of Total Worker Health VL - 67 ID - 13624 ER - TY - JOUR AB - BACKGROUND: Evidence suggests that behavioral, social, and environmental factors may modify the effects of life stress on health and performance of new nurses as they transition to hospitals. OBJECTIVES: The aim of this study was to describe the methods of a project designed to investigate the role of social, behavioral, and environmental factors in modifying the adverse effects of stress on new nurses and to discuss demographic, health, and life stress characteristics of the cohort at baseline. METHODS: A prospective cohort design was used to conduct a comprehensive assessment of health endpoints, life stress, behaviors, personal traits, social factors, indicators of engagement and performance, and environmental exposures in nursing students. Adjusted odds ratios and analyses of covariance were used to examine associations between these factors at baseline. RESULTS: Health indicators in the cohort were comparable or better than in the broader United States population, and lifetime stress exposure was lower than among students from other majors. Exposure to more lifetime stressors was associated with greater risk for various health conditions, including hypertension, diabetes, and depression. Conversely, better social, environmental, behavioral, and personal profiles were associated with protective effects for the same health conditions. DISCUSSION: These data comprehensively summarize the lives of predominately Hispanic nursing students and highlight risk and resilience factors associated with their health and well-being. The findings are timely, as the nursing field diversifies in preparation to care for a diverse and aging population. Comprehensively assessing stress-health relationships among student nurses ought to inform the policies, practices, and curricula of nursing schools to better prepare nurses to thrive in the often-strenuous healthcare environment. AD - Hector A. Olvera Alvarez PhD, is Associate Professor, School of Nursing, University of Texas at El Paso. Elias Provencio-Vasquez PhD, RN, FAAN, FAANP, is Dean, College of Nursing, University of Colorado, Aurora. At the time this research was completed, he was Dean, School of Nursing, University of Texas at El Paso. George M. Slavich, PhD, is Associate Professor, Cousins Center for Psychoneuroimmunology and Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles. Jose Guillermo Cedeño Laurent, PhD, is Research Associate, T. H. Chan School of Public Health, Harvard University, Boston, Massachusetts. Matthew Browning, PhD, is Assistant Professor, Department of Recreation, Sport and Tourism, University of Illinois, Urbana-Champaign. Gloria McKee-Lopez, PhD, RN, is Associate Professor, School of Nursing, University of Texas at El Paso. Leslie Robbins, PhD, APRN, FAANP, ANEF, is Associate Professor, School of Nursing, University of Texas at El Paso. John D. Spengler, PhD, is Professor, T. H. Chan School of Public Health, Harvard University, Boston, Massachusetts. AN - 31693551 AU - Olvera Alvarez, H. A. AU - Provencio-Vasquez, E. AU - Slavich, G. M. AU - Laurent, J. G. C. AU - Browning, M. AU - McKee-Lopez, G. AU - Robbins, L. AU - Spengler, J. D. C1 - The authors have no conflicts of interest to report. C2 - PMC7004871 C6 - NIHMS1535166 DA - Nov/Dec DO - 10.1097/nnr.0000000000000383 DP - NLM IS - 6 KW - Adolescent Adult Cohort Studies Female Health Behavior Health Status Humans Life Style Male Middle Aged Socioeconomic Factors Stress, Psychological/*epidemiology Students, Nursing/*psychology United States Young Adult LA - eng N1 - 1538-9847 Olvera Alvarez, Hector A Provencio-Vasquez, Elias Slavich, George M Laurent, Jose Guillermo Cedeño Browning, Matthew McKee-Lopez, Gloria Robbins, Leslie Spengler, John D G12 MD007592/MD/NIMHD NIH HHS/United States K08 MH103443/MH/NIMH NIH HHS/United States Journal Article Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't 2019/11/07 Nurs Res. 2019 Nov/Dec;68(6):453-463. doi: 10.1097/NNR.0000000000000383. PY - 2019 SN - 0029-6562 (Print) 0029-6562 SP - 453-463 ST - Stress and Health in Nursing Students: The Nurse Engagement and Wellness Study T2 - Nurs Res TI - Stress and Health in Nursing Students: The Nurse Engagement and Wellness Study VL - 68 ID - 13597 ER - TY - JOUR AB - AIMS: To explore the transition experiences of newly graduated registered nurses with particular attention to patient safety. BACKGROUND: New graduate registered nurses' transition is accompanied by a degree of shock which may be in tune with the described theory-practice gap. The limited exposure to clinical settings and experiences leaves these nurses at risk of making errors and not recognising deterioration, prioritising time management and task completion over patient safety and care. DESIGN: Qualitative descriptive approach using semi-structured interviews. METHODS: Data were collected during 2017-18 from 11 participants consenting to face-to-face or telephone semi-structured interviews. Interviews were transcribed verbatim, and data were analysed using thematic analysis techniques assisted by Nvivo coding software. The study follows the COREQ guidelines for qualitative studies (see Supplementary File 1). RESULTS: Key themes isolated from the interview transcripts were as follows: patient safety and insights; time management; making a mistake; experiential learning; and transition. Medication administration was a significant cause of stress that adds to time management anguish. Although the new graduate registered nurses' clinical acumen was improving, they still felt they were moving two steps forward, one step back with regards to their understanding of patient care and safety. CONCLUSION: Transition shock leaves new graduate registered nurses' focused on time management and task completion over patient safety and holistic care. Encouragement and support needed to foster a safety culture that foster safe practices in our new nurses. RELEVANCE TO PRACTICE: Having an understanding of the new graduate registered nurses' experiences and understanding of practice will assist Graduate Nurse Program coordinators, and senior nurses, to plan and provide the relevant information and education during these initial months of transition to help mitigate the risk of errors occurring during this time. AD - Murdoch University, Perth, WA, Australia. Edith Cowan University, Joondalup, WA, Australia. AN - 30803103 AU - Murray, M. AU - Sundin, D. AU - Cope, V. DA - Jul DO - 10.1111/jocn.14839 DP - NLM ET - 20190320 IS - 13-14 KW - Adult *Attitude of Health Personnel Female Humans Medical Errors/prevention & control/psychology Middle Aged Nurses/*psychology *Patient Safety Problem-Based Learning Qualitative Research Time Management/psychology Young Adult confidence new graduate nurses patient safety qualitative transition LA - eng N1 - 1365-2702 Murray, Melanie Orcid: 0000-0002-6335-1356 Sundin, Deborah Cope, Vicki Journal Article England 2019/02/26 J Clin Nurs. 2019 Jul;28(13-14):2543-2552. doi: 10.1111/jocn.14839. Epub 2019 Mar 20. PY - 2019 SN - 0962-1067 SP - 2543-2552 ST - New graduate nurses' understanding and attitudes about patient safety upon transition to practice T2 - J Clin Nurs TI - New graduate nurses' understanding and attitudes about patient safety upon transition to practice VL - 28 ID - 13596 ER - TY - JOUR AB - WHAT IS ALREADY KNOWN ABOUT THE TOPIC?: Newly qualified nurses often feel overwhelmed by the challenges of the work environment and struggle to transition into healthcare work environments. Nurses require opportunities during the transition period to develop both competence and confidence in their ability to practise independently. WHAT THE PAPER ADDS TO EXISTING KNOWLEDGE?: Newly qualified mental health nurses experience fear during their adaptation period, especially when they perceive mental healthcare users as dangerous and the working environment as risky, with little concern for their safety. Nurses new to the mental health environment learn from accepting responsibility, taking on challenges and making adjustments, in order to develop confidence as mental healthcare professionals. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: Nursing management should ensure a safe and supportive mental healthcare environment. The potential for and consequences of negative stereotyping of patients among mental health nurses should be acknowledged and addressed as it may hinder the smooth adaptation of newly qualified nurses. Although stressful experiences can help mental health nurses to develop confidence and skills to manage future demanding situations, newly qualified nurses need to be given appropriate support and debriefing to ensure challenging situations do not "go the wrong way" and decrease confidence levels. Abstract Introduction Much has been written about the experiences of newly qualified nurses in their first year of employment, yet not much has been heard from the perspectives of newly qualified nurses working in mental health facilities. Aim To explore and describe the adaptation process of newly qualified nurses working in public mental health facilities in South Africa. Method Following a qualitative descriptive design, 11 newly qualified nurses in their first 6-18 months of employment were purposively selected from three public mental health facilities in South Africa. Data collected through unstructured individual interviews were thematically analysed. Results Four themes emerged from the analysis: fear related to the mental healthcare environment; self-doubt upon meeting the expectations of the inter-professional team; ways to adjust to the challenges; and confidence as mental healthcare professionals. Discussion During the adaptation process newly qualified nurses working in mental health facilities need support to overcome their initial fears and develop self-confidence in both managerial and therapeutic realms. Implications for practice Management of mental healthcare facilities needs to be cognisant of the importance of creating a supportive and safe environment that discourages negative stereotyping of patients and fosters newly qualified nurses' adaptation. AD - Department of Nursing Science, University of Pretoria, Pretoria, South Africa. AN - 31099077 AU - Mabala, J. AU - van der Wath, A. AU - Moagi, M. DA - Jun DO - 10.1111/jpm.12525 DP - NLM ET - 20190531 IS - 5-6 KW - Adult Female *Hospitals, Psychiatric Humans Male Nursing Staff, Hospital/*psychology *Psychiatric Nursing Qualitative Research South Africa Young Adult career adaptation mental health nursing newly qualified professional nurse nursing education LA - eng N1 - 1365-2850 Mabala, Jaftaline van der Wath, Annatjie Orcid: 0000-0001-5117-9272 Moagi, Miriam Orcid: 0000-0001-7291-1418 Journal Article England 2019/05/18 J Psychiatr Ment Health Nurs. 2019 Jun;26(5-6):175-184. doi: 10.1111/jpm.12525. Epub 2019 May 31. PY - 2019 SN - 1351-0126 SP - 175-184 ST - Newly qualified nurses' perceptions of working at mental health facilities: A qualitative study T2 - J Psychiatr Ment Health Nurs TI - Newly qualified nurses' perceptions of working at mental health facilities: A qualitative study VL - 26 ID - 13631 ER - TY - JOUR AB - AIM: The present study aims to describe and evaluate a group mentorship programme for graduating nursing students following the first pilot testing. BACKGROUND: A mentoring relationship has been found to be beneficial in easing the challenging transition from nursing student to nurse. However, very few mentoring programmes have been formally developed to pair students with clinical nurses before graduation. METHODS: A group mentoring programme for graduating nursing students was developed where clinical nurse mentors met with student mentees twice before graduation and once shortly after graduation to address relevant challenges. Mentees and mentors completed a survey after the last session. RESULTS: Eighteen mentees and 12 mentors completed the survey. Results suggest a high level of satisfaction with the programme from both mentees and mentors, as well as a positive impact on mentees' transition into the workplace and levels of stress and self-confidence. CONCLUSIONS: The pilot testing of the group mentorship programme is believed to have been successful. IMPLICATIONS FOR NURSING MANAGEMENT: This pilot project highlights the value to nursing leadership of group mentoring partnerships between academic and clinical settings, which can improve the integration of new nurses in the workplace and increase mentors' awareness of the needs of these nurses. AD - Ingram School of Nursing, McGill University, Montréal, Canada. AN - 30198617 AU - Lavoie-Tremblay, M. AU - Sanzone, L. AU - Primeau, G. AU - Lavigne, G. L. DA - Jan DO - 10.1111/jonm.12649 DP - NLM ET - 20180910 IS - 1 KW - Adult Female Humans Leadership Male Mentors/*psychology Pilot Projects Program Evaluation/methods Self Efficacy Students, Nursing/*psychology/statistics & numerical data Surveys and Questionnaires Workplace/psychology graduating nursing student mentorship self-confidence stress transition LA - eng N1 - 1365-2834 Lavoie-Tremblay, Mélanie Orcid: 0000-0001-8707-9855 Sanzone, Lia Primeau, Gilbert Lavigne, Geneviève L McGill Nursing Collaborative for Education and Innovation in Patient- and Family-Centered Care/ Journal Article England 2018/09/11 J Nurs Manag. 2019 Jan;27(1):66-74. doi: 10.1111/jonm.12649. Epub 2018 Sep 10. PY - 2019 SN - 0966-0429 SP - 66-74 ST - Group mentorship programme for graduating nursing students to facilitate their transition: A pilot study T2 - J Nurs Manag TI - Group mentorship programme for graduating nursing students to facilitate their transition: A pilot study VL - 27 ID - 13616 ER - TY - JOUR AB - PROBLEM: Without a doubt, the transition to a professional nursing role is a challenging and stressful experience for many new nurses, regardless of where they are employed; yet, no study has been conducted to comprehend in detail the transition experiences of newly graduated nurses employed in a resource-scarce rural health care setting. PURPOSE: This study describes the transition experiences of newly graduated Filipino nurses during their initial clinical placement process. METHODS: A qualitative phenomenological approach using structured interviews with 15 newly graduated Filipino nurses were used along with the Coliazzi's methodological framework for data analysis. FINDINGS: Four distinct themes emerged from the content analysis, as follows: experiencing transition shock, feeling pressured, learning excitement, and needing support. CONCLUSIONS: Similar to the findings of other international studies, newly graduated Filipino nurses described their transition experiences as a stressful and challenging journey. Both academic and nursing administration team members can play key roles in facilitating a smooth transition and the integration of new nurses into the nursing workforce through the employment of evidence-based educational and structured organizational strategies. AD - College of Nursing, Sultan Qaboos University, Muscat, Oman. College of Nursing, Kent State University, Tuscarawas, Ohio. Graduate School, Emilio Aguinaldo College, Manila, Philippines. AN - 30775787 AU - Labrague, L. J. AU - McEnroe-Pettite, D. AU - Leocadio, M. C. DA - Apr DO - 10.1111/nuf.12330 DP - NLM ET - 20190218 IS - 2 KW - Adaptation, Psychological Adult *Attitude of Health Personnel Female Humans Male Nurse's Role/*psychology Nursing Staff, Hospital/*psychology Philippines Poverty Qualitative Research *Rural Health Stress, Psychological/*psychology Young Adult new graduate novice nursing reality shock transition transition shock LA - eng N1 - 1744-6198 Labrague, Leodoro J Orcid: 0000-0003-0315-4438 McEnroe-Pettite, Denise Leocadio, Michael C Journal Article United States 2019/02/19 Nurs Forum. 2019 Apr;54(2):298-306. doi: 10.1111/nuf.12330. Epub 2019 Feb 18. PY - 2019 SN - 0029-6473 SP - 298-306 ST - Transition experiences of newly graduated Filipino nurses in a resource-scarce rural health care setting: A qualitative study T2 - Nurs Forum TI - Transition experiences of newly graduated Filipino nurses in a resource-scarce rural health care setting: A qualitative study VL - 54 ID - 13633 ER - TY - JOUR AB - PURPOSE: The preceptor-newly graduated nurse (NGN) relationship is integral to the successful experience of clinical teaching and learning and new nurses' transition. However, interpersonal conflicts between them are common. Little is known whether their anger contributes to their level of job satisfaction and burnout. This study aimed to examine the effects of each nurse's anger on job satisfaction and burnout in preceptor-NGN dyads. METHODS: A cross-sectional, correlational survey design was used. This study involved 121 preceptor-newly graduate nurse dyads in two hospitals in South Korea. Nurses completed a questionnaire about demographics, the State-Trait Anger Expression Inventory-Korean version, a job satisfaction measure, and the Copenhagen Burnout Inventory. This study adopted the Actor-Partner Interdependence Model to handle dyadic data. RESULTS: Preceptor nurses reported higher frequencies of feeling anger than did new nurses and appear to have higher levels of trait anger, anger-out, and burnout. Both the preceptors' and NGNs' trait anger was positively associated with preceptors' burnout. Suppressing anger was closely related to the nurses' own job satisfaction and burnout. Preceptors with a higher level of anger-control had higher job satisfaction, and NGNs with a higher level of anger-control had less burnout. CONCLUSION: The results indicate that preceptors and new nurses appear to experience significant anger, which is closely associated with their job satisfaction and burnout during their preceptorship. Anger management training programs geared toward educating both preceptors and new nurses about appropriate anger expression in the workplace should be developed to retain valuable nurses. AD - School of Nursing, University of Maryland Baltimore, Baltimore, MD, USA. College of Nursing Science, Kyung Hee University, Seoul, Republic of Korea. Electronic address: ekyun@khu.ac.kr. AN - 31562929 AU - La, I. S. AU - Yun, E. K. DA - Oct DO - 10.1016/j.anr.2019.09.002 DP - NLM ET - 20190926 IS - 4 KW - *Anger Burnout, Professional/*psychology Humans Interpersonal Relations *Job Satisfaction Nurses/*psychology *Preceptorship Republic of Korea Workplace/psychology anger burnout, professional job satisfaction preceptorship LA - eng N1 - 2093-7482 La, In Seo Yun, Eun Kyoung Journal Article Multicenter Study Korea (South) 2019/09/29 Asian Nurs Res (Korean Soc Nurs Sci). 2019 Oct;13(4):242-248. doi: 10.1016/j.anr.2019.09.002. Epub 2019 Sep 26. PY - 2019 SN - 1976-1317 SP - 242-248 ST - Effects of Trait Anger and Anger Expression on Job Satisfaction and Burnout in Preceptor Nurses and Newly Graduated Nurses: A Dyadic Analysis T2 - Asian Nurs Res (Korean Soc Nurs Sci) TI - Effects of Trait Anger and Anger Expression on Job Satisfaction and Burnout in Preceptor Nurses and Newly Graduated Nurses: A Dyadic Analysis VL - 13 ID - 13664 ER - TY - JOUR AB - BACKGROUND: Newly graduated nurses' pre-employment health lifestyles play particularly important roles in their smooth adaptation to and retention in clinical nursing; however, the longitudinal relationship between pre-employment health lifestyles and work outcomes, such as turnover, remains underexamined. To identify the health lifestyle profiles of specific populations of interest, recent studies have employed multifaceted approaches using health behaviors and/or statuses. OBJECTIVES: To identify the pre-employment health lifestyle profiles of newly graduated nurses, and to examine the longitudinal relationships between health lifestyle profiles and actual turnover. DESIGN: Descriptive and prospective longitudinal study design. SETTINGS: One tertiary hospital in Seoul, South Korea. PARTICIPANTS: A total of 464 newly graduated nurses who started work between September 2014 and December 2015. METHODS: The outcome was actual turnover-whether participants had resigned from the organization and the days they worked up to December 31, 2017. We measured eight health lifestyle variables on the first day of orientation before ward placement (i.e., at baseline): quantity and quality of sleep, eating three meals a day, having a regular diet, alcohol consumption, moderate exercise, depression, and self-rated health. We employed latent class analysis to identify the health lifestyle profiles of new nurses, and used Cox proportional hazards regression to examine the longitudinal relationships between health lifestyle profiles and actual turnover. RESULTS: We classified newly graduated nurses' pre-employment health lifestyle profiles into two groups: unhealthy lifestyle (15.6%) and discordant (84.4%). Compared with the new nurses in the discordant group, those in the unhealthy lifestyle group had significantly higher probabilities of resigning (HR = 2.38, 95% CIs of HR = 1.62-3.50); this relationship remained significant after adjusting for perceived job stress at six weeks of work (HR = 2.26, 95% CIs of HR = 1.50-3.39). CONCLUSIONS: This study identified significant differences in the patterns of newly graduated nurses' pre-employment health lifestyles; our analysis showed that classification in the unhealthy lifestyle group was a turnover risk factor. Given that new nurses' health lifestyles affect work outcomes, hospitals should implement organizational and educational initiatives to encourage healthy lifestyles. In considering pre-employment health lifestyle profiles, hospitals should also monitor novice nurses' adaptation and wellness. Nursing education should include strategies to enhance nursing students' own health. Further extensive longitudinal studies should seek to identify the health lifestyle profiles of heterogeneous nurse populations. AD - Chung-Ang University College of Nursing, Seoul, Republic of Korea. Electronic address: hankihye@cau.ac.kr. University of Ulsan Department of Clinical Nursing, Seoul, Republic of Korea. Electronic address: kimyhee@amc.seoul.kr. Asan Medical Center Department of Nursing, Seoul, Republic of Korea. Electronic address: hylee@amc.seoul.kr. University of Texas at Austin School of Nursing, TX, USA. Electronic address: sungjulim0623@gmail.com. AN - 31233956 AU - Han, K. AU - Kim, Y. H. AU - Lee, H. Y. AU - Lim, S. DA - Oct DO - 10.1016/j.ijnurstu.2019.05.014 DP - NLM ET - 20190531 KW - Adult *Employment Female Humans *Life Style Longitudinal Studies Male *Nursing Staff *Personnel Turnover Prospective Studies Health lifestyle Latent class analysis Longitudinal analysis Newly graduated nurse Turnover LA - eng N1 - 1873-491x Han, Kihye Kim, Yeon-Hee Lee, Hye Young Lim, Sungju Journal Article England 2019/06/25 Int J Nurs Stud. 2019 Oct;98:1-8. doi: 10.1016/j.ijnurstu.2019.05.014. Epub 2019 May 31. PY - 2019 SN - 0020-7489 SP - 1-8 ST - Pre-employment health lifestyle profiles and actual turnover among newly graduated nurses: A descriptive and prospective longitudinal study T2 - Int J Nurs Stud TI - Pre-employment health lifestyle profiles and actual turnover among newly graduated nurses: A descriptive and prospective longitudinal study VL - 98 ID - 13677 ER - TY - BOOK AB - Incivility and bullying in the workplace within the nursing profession has recently become a topic of interest. However, nurses bullying nurses in the workplace has historically been a longstanding problem. The old adage of nurses eat their young has been whispered on clinical units and academic campuses for years by nurses. Deemed as a means of initiating new nurses to clinical settings by giving them the most complex patient cases and watching as they either survive or rise above the stress, senior nurses determined the worthiness of their younger counterparts being able to handle the nursing profession. In academic settings, new faculty, likewise tested by senior faculty, are given high credit loads and difficult courses in absence of adequate mentorship and support. Ironically, a profession founded upon caritas has failed to care for its own. Shortages of nurses and the mass availability of nursing jobs, has been used to mask why nurses resign from positions in academia and clinical practice areas. Turnover intentions seldom investigated as to the involvement of uncivil conduct within the workplace, left cultures that permitted incivility, to remain unchanged. However, research now acknowledges that bullying and incivility in fact contribute to nurse resignations. It is now time for nurses to have a voice and hold themselves, their colleagues, and the organizations in which they are employed, accountable for not permitting cultures of bullying and incivility in the work environment. The American Nurses Association (ANA) upholds a zero tolerance for workplace incivility and bullying. Hence, given that the ANA is the professional organization that develops and encourages nurses to adhere to a code of ethics and conduct, as a profession we have violated the ANA stance consistently. If you are a nurse that has tolerated bullying and incivility in the workplace, it ends now. Organizations that knowingly fail to address or protect nurses that are experiencing physical and emotional attacks on a consistent basis at work, are accountable to the repercussions of ignoring the problem. Toxic workplaces not only contribute to a reduction in work productivity, but in health care, place patients at risk for medical errors. Health care innovation, evidenced-based practice, research, magnet status achievement, specialized credentialing, and high reliability organizational strategies are just some areas that health care organizations have implemented to address risks for errors and create cultures of safety. Further implementation is necessary in the development and maintenance of cultures of inclusion whereby toleration of bullying and incivility is not condoned. Unaddressed, like a deep wound exposed to the open air, incivility and bullying will continue to fester, infecting the profession of nursing. (PsycINFO Database Record (c) 2020 APA, all rights reserved) AN - 2019-36187-000 AU - Green, Cheryl CY - Hershey, PA DB - psyh DO - 10.4018/978-1-5225-7341-8 DP - EBSCOhost KW - incivility nursing professionals clinical environment academic environment emerging research & opportunities bullying Nurses Nursing Occupational Stress Working Conditions Nursing Education N1 - Accession Number: 2019-36187-000. Partial author list: First Author & Affiliation: Green, Cheryl; Southern Connecticut State University, New Haven, CT, US. Release Date: 20200213. Publication Type: Book (0200), Authored Book (0240). Format Covered: Print. ISBN: 9781522573418, ISBN Hardcover; 9781522573425, ISBN Digital (undefined format). Language: EnglishMajor Descriptor: Nurses; Nursing; Occupational Stress; Working Conditions; Bullying. Minor Descriptor: Nursing Education. Classification: Professional Personnel Attitudes & Characteristics (3430). Population: Human (10). Age Group: Adulthood (18 yrs & older) (300). Intended Audience: Psychology: Professional & Research (PS). Page Count: 181. PB - Medical Information Science Reference/IGI Global PY - 2019 SN - 2327-9354 2327-9370 9781522573418 9781522573425 ST - Incivility among nursing professionals in clinical and academic environments: Emerging research and opportunities T2 - Advances in medical technologies and clinical practice (AMTCP); ISSN: 2327-9354 (Print), 2327-9370 (Electronic) TI - Incivility among nursing professionals in clinical and academic environments: Emerging research and opportunities UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=psyh&AN=2019-36187-000&site=ehost-live&scope=site ID - 13789 ER - TY - JOUR AB - BACKGROUND: Registered mental health nurses report dissatisfaction with the level of medication knowledge demonstrated by undergraduate nurses. However, little is known about which particular areas staff nurses are concerned about, and how they feel education can be enhanced in both academic and clinical settings. OBJECTIVE: To investigate the views of staff nurses on the delivery of medication education to undergraduate mental health nurses. DESIGN: A qualitative descriptive design was adopted. METHODS: Two focus groups were held with registered nurses in two acute mental health facilities. Data were analysed using qualitative content analysis. RESULTS: The first theme reports on the difficulties staff nurses observed with both undergraduate and newly qualified nurses around medication. It was noted that these individuals had difficulties interpreting medication charts/Kardexes, and were unable to provide medication-related education to service users. The second theme reports on strategies to enhance medication education, as recommended by participants. It was suggested that more practical education should be delivered in academic settings, with a focus on simulation and presentations from clinical staff. In the clinical settings, it was suggested that preceptors should provide education at less busy times on the ward. CONCLUSIONS: This study gives insight into areas in which education needs to be strengthened, in order to improve the medication knowledge of undergraduate and newly qualified nurses. Further research is needed to develop evidence-based strategies to enhance this education. AD - School of Nursing and Midwifery, University College Cork, Ireland. Electronic address: john.goodwin@ucc.ie. School of Nursing and Midwifery, University College Cork, Ireland. AN - 30925342 AU - Goodwin, J. AU - Kilty, C. AU - Harman, M. AU - Horgan, A. DA - Jun DO - 10.1016/j.nedt.2019.03.005 DP - NLM ET - 20190321 KW - Adult Attitude of Health Personnel Curriculum/standards Education, Nursing, Baccalaureate/methods Female Focus Groups/methods Humans Male Psychiatric Nursing/methods/standards Qualitative Research Stress, Psychological/*etiology/psychology Students, Nursing/*psychology Clinical competence Medication errors Medication management Nursing Pharmacology Students LA - eng N1 - 1532-2793 Goodwin, John Kilty, Caroline Harman, Mark Horgan, Aine Journal Article Scotland 2019/03/30 Nurse Educ Today. 2019 Jun;77:18-23. doi: 10.1016/j.nedt.2019.03.005. Epub 2019 Mar 21. PY - 2019 SN - 0260-6917 SP - 18-23 ST - "A great stress among students" - mental health nurses' views of medication education: A qualitative descriptive study T2 - Nurse Educ Today TI - "A great stress among students" - mental health nurses' views of medication education: A qualitative descriptive study VL - 77 ID - 13661 ER - TY - JOUR AB - BACKGROUND: Symptoms of burnout among new professionals is a well-recognized problem but there is a lack of prevention programs. Effective interventions are based on an understanding of the processes that contribute to the development of a problem and suggest how it may be addressed. OBJECTIVE: Using the framework of organizational socialization, the objective of this study was to investigate if development of the socialization processes role clarity, social acceptance, and task mastery affects development of symptoms of burnout among new professionals and may specifically be targeted in transition-to-practice programs to prevent symptoms of burnout from occurring. We conducted this investigation by examining the relations between role clarity, social acceptance, task mastery, and symptoms of burnout the first year after professional entry, as well as the relations between changes in the socialization processes and changes in symptoms of burnout during the first three years following professional entry in a sample of new nurses. METHOD: Relationships between the socialization processes and symptoms of burnout were modeled using a linear latent growth model and data from a nationally representative sample of 1210 new registered nurses. RESULTS: Role clarity, social acceptance, and task mastery were related to symptoms of burnout cross-sectionally and longitudinally. Task mastery was the most important explanatory variable. CONCLUSIONS: The results suggest that an intervention designed to support the development of the socialization processes may be effective in preventing symptoms of burnout among new nurses. Interventions targeting role clarity, social acceptance, and task mastery during the first professional year may be expected to have effects during the following years as well, extending the value and importance of such interventions. AD - Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden. Department of Health Care Sciences, Palliative Research Center, Ersta Sköndal Bräcke University College, Stockholm, Sweden. AN - 31104043 AU - Frögli, E. AU - Rudman, A. AU - Lövgren, M. AU - Gustavsson, P. DO - 10.3233/wor-192892 DP - NLM IS - 4 KW - Burnout, Professional/*complications/etiology/psychology Humans Longitudinal Studies Nurse's Role/*psychology Nurses/psychology *Psychological Distance Psychometrics/instrumentation/methods Sweden *Task Performance and Analysis Universities/organization & administration/statistics & numerical data Organizational socialization growth model stress transition LA - eng N1 - 1875-9270 Frögli, Elin Rudman, Ann Lövgren, Malin Gustavsson, Petter Journal Article Netherlands 2019/05/20 Work. 2019;62(4):573-584. doi: 10.3233/WOR-192892. PY - 2019 SN - 1051-9815 SP - 573-584 ST - Problems with task mastery, social acceptance, and role clarity explain nurses' symptoms of burnout during the first professional years: A longitudinal study T2 - Work TI - Problems with task mastery, social acceptance, and role clarity explain nurses' symptoms of burnout during the first professional years: A longitudinal study VL - 62 ID - 13655 ER - TY - JOUR AB - BACKGROUND: Transitioning into a new professional role is challenging. Unfortunately, little is currently known about how to reduce experiences of stress among new professionals. The socialization processes role clarity, task mastery, and social acceptance are assumed to reduce experiences of stress as they mediate new professionals' acquisition of knowledge, skills, attitudes, and behaviors. However, little prospective data is available on the actual effect of the processes on stress. OBJECTIVES: To prospectively investigate how the socialization processes relate to experiences of stress among new nurses during the first three months of professional working life. Specifically, to investigate development over time, as well as how episodes of increased or decreased levels of the socialization processes relate to concurrent levels of stress. The general purpose of this investigation was to examine the suitability of the socialization processes as targets of an intervention seeking to reduce stress among new professionals. DESIGN: An intensive longitudinal study with weekly data collections over three months. PARTICIPANTS: 264 newly graduated Swedish nurses who started their first job during the period of the study. METHODS: The participants were followed prospectively during 14 consecutive weeks after their professional entry. Data on stress (Stress and Energy Questionnaire), role clarity (General Questionnaire for Psychological and Social Factors at Work), task mastery, and social acceptance (Needs Satisfaction and Frustration Scale) were collected weekly using digital surveys (mean response rate 82.7%). Data was analyzed using a multilevel model for intensive longitudinal data. RESULTS: For the typical nurse, stress decreased by 0.13 units per month, role clarity and task mastery increased by 0.08 and 0.05 units, and social acceptance decreased by 0.08 units. In addition, the slopes of 95 percent of the new nurses varied within 1.18 (stress), 0.72 (role clarity), 0.44 (task mastery), and 0.86 (social acceptance) units of the typical nurse. Most importantly, when the new nurses experienced higher levels of task mastery, role clarity, and social acceptance, they experienced lower levels of stress (within-person parameter estimates: task mastery -0.40, p = .001; role clarity -0.34, p = .001; and social acceptance -0.33, p = .001). CONCLUSIONS: Supporting the development of the socialization processes could be one theoretically based strategy to reduce levels of stress among new nurses. As stress among new professionals is not unique to the nursing profession, and the processes are considered important mediators of new professionals' adaptation in general, the results from this study should likely be generalizable to other professions. AD - Department of Clinical Neuroscience, Karolinska Institutet, Nobels väg 9, 171 65, Solna, Stockholm, Sweden. Electronic address: Elin.Frogeli@ki.se. Department of Clinical Neuroscience, Karolinska Institutet, Nobels väg 9, 171 65, Solna, Stockholm, Sweden. Electronic address: Ann.Rudman@ki.se. Department of Clinical Neuroscience, Karolinska Institutet, Nobels väg 9, 171 65, Solna, Stockholm, Sweden. Electronic address: Petter.Gustavsson@ki.se. AN - 30677589 AU - Frögéli, E. AU - Rudman, A. AU - Gustavsson, P. DA - Mar DO - 10.1016/j.ijnurstu.2018.10.007 DP - NLM ET - 20190103 KW - Adult Female Health Knowledge, Attitudes, Practice Humans Longitudinal Studies Male Middle Aged Nursing Staff/*psychology *Professional Role *Psychological Distance *Stress, Psychological Sweden *Task Performance and Analysis Adjustment Burnout Intensive longitudinal design Intervention New professionals Nurses Prospective Stress Transition LA - eng N1 - 1873-491x Frögéli, Elin Rudman, Ann Gustavsson, Petter Journal Article England 2019/01/25 Int J Nurs Stud. 2019 Mar;91:60-69. doi: 10.1016/j.ijnurstu.2018.10.007. Epub 2019 Jan 3. PY - 2019 SN - 0020-7489 SP - 60-69 ST - The relationship between task mastery, role clarity, social acceptance, and stress: An intensive longitudinal study with a sample of newly registered nurses T2 - Int J Nurs Stud TI - The relationship between task mastery, role clarity, social acceptance, and stress: An intensive longitudinal study with a sample of newly registered nurses VL - 91 ID - 13674 ER - TY - JOUR AB - AIM: To increase understanding of strategies graduate nurses use on a day-to-day basis to integrate themselves into pre-existing social frameworks. BACKGROUND: Being a graduate nurse and transitioning from a novice to beginner in the first year of clinical practice is stressful, challenging and overwhelming due to steep learning curves and adjusting to working in professional environments. How graduate nurses socially adapt and fit into ward cultures is a hurdle to successful transition and can be difficult. DESIGN: A qualitative constructivist grounded theory methodology was used. METHODS: Seven adult, Registered Nurses were recruited using a purposive sampling technique. Participants were undertaking a graduate nurse transition programme, in one of two acute care, adult public hospitals in South Australia. Data collection conducted in 2016 used individual interviews consisting of open-ended questions in an unstructured format. Transcripts were transcribed verbatim. Data analysis processes included initial and focused coding, theory building, memo-writing and theoretical sampling. RESULTS: Three main categories: self-embodiment and self-consciousness, navigating the social constructs and raising consciousness, supported by subcategories describe the main strategies graduate nurses use to facilitate adaptation into complex clinical environments and ward cultures. Subsequent concept and theory development explains how graduate nurses find the social and professional balance to fit in. CONCLUSIONS: Understanding the graduates' adaptation strategies can inform improvements in graduate nurse transition programmes. Facilitating and enhancing graduate nurse adaptation is the precursor in creating more resilient nurses ready to face the challenges that exist in today's work environments. AD - Monash Nursing and Midwifery, Monash University, Clayton, Vic., Australia. School of Nursing, McMaster University, Hamilton, ON, Canada. Department of Health Professions, Swinburne University, Melbourne, Vic., Australia. AN - 30375010 AU - Feltrin, C. AU - Newton, J. M. AU - Willetts, G. DA - Mar DO - 10.1111/jan.13884 DP - NLM ET - 20181120 IS - 3 KW - *Adaptation, Psychological Adult Female Grounded Theory Humans Male Nurse's Role/*psychology Nursing Staff, Hospital/*psychology Qualitative Research South Australia Workplace/*psychology acculturation adaptation fitting in newly qualified nurses occupational psychological social identity socialization LA - eng N1 - 1365-2648 Feltrin, Caterina Orcid: 0000-0002-8742-9023 Newton, Jennifer M Orcid: 0000-0002-0270-8497 Willetts, Georgina Journal Article England 2018/10/31 J Adv Nurs. 2019 Mar;75(3):616-627. doi: 10.1111/jan.13884. Epub 2018 Nov 20. PY - 2019 SN - 0309-2402 SP - 616-627 ST - How graduate nurses adapt to individual ward culture: A grounded theory study T2 - J Adv Nurs TI - How graduate nurses adapt to individual ward culture: A grounded theory study VL - 75 ID - 13637 ER - TY - JOUR AB - The objective of this systematic review update is to evaluate recent available research on the effectiveness of strategies and interventions aiming to assist the transition from student to newly qualified nurse for job satisfaction, confidence, competence, knowledge, stress, anxiety, retention, turnover and costs. AD - The Wales Centre for Evidence Based Care: a Joanna Briggs Institute Centre of Excellence. AN - 30204714 AU - Edwards, D. AU - Carrier, J. AU - Hawker, C. DA - Feb DO - 10.11124/jbisrir-2017-003755 DP - NLM IS - 2 KW - Humans Internship and Residency/*methods Job Satisfaction Mentors Personnel Turnover/*trends Preceptorship Program Evaluation/statistics & numerical data Students, Nursing/*psychology/statistics & numerical data LA - eng N1 - 2202-4433 Edwards, Deborah Carrier, Judith Hawker, Clare Journal Article Systematic Review Australia 2018/09/12 JBI Database System Rev Implement Rep. 2019 Feb;17(2):157-163. doi: 10.11124/JBISRIR-2017-003755. PY - 2019 SN - 2202-4433 SP - 157-163 ST - Effectiveness of strategies and interventions aiming to assist the transition from student to newly qualified nurse: an update systematic review protocol T2 - JBI Database System Rev Implement Rep TI - Effectiveness of strategies and interventions aiming to assist the transition from student to newly qualified nurse: an update systematic review protocol VL - 17 ID - 13679 ER - TY - JOUR AB - • Intrapersonal, interpersonal, and organizational factors were positively interrelated. • Multilevel influences were negatively associated with burnout/turnover intent. • Multilevel influences collectively predict new graduate transitional outcomes. • New nurses' with higher psychological capital have lower burnout/turnover intent. AD - Boston Children's Hospital, Department of Nursing, Boston, MA, United States AN - 137250472. Language: English. Entry Date: 20190703. Revision Date: 20190703. Publication Type: Article AU - Dwyer, Patricia A. AU - Hunter Revell, Susan M. AU - Sethares, Kristen A. AU - Ayotte, Brian J. DB - cin20 DO - 10.1016/j.apnr.2019.04.005 DP - EBSCOhost KW - New Graduate Nurses -- Psychosocial Factors Burnout, Professional -- Prevention and Control Personnel Turnover Support, Psychosocial Social Capital Organizational Structure Empowerment Leadership Human Male Female Adult Middle Age United States Conceptual Framework Cross Sectional Studies Exploratory Research Questionnaires Descriptive Statistics Inferential Statistics Data Analysis Software Power Analysis Coefficient Alpha Pearson's Correlation Coefficient Bivariate Statistics Personnel Retention Interpersonal Relations Scales Funding Source Emotions N1 - research; tables/charts. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. Instrumentation: Maslach Burnout Inventory; Anticipated Turnover Scale (ATS); Psychological Capital Questionnaire (PCQ); Authentic Leadership Questionnaire (ALQ); Conditions for Workplace Effectiveness Questionnaire II (CWEQ-II). Grant Information: This study was funded by a grant from Theta Kappa Chapter of Sigma Theta Tau International.. NLM UID: 8901557. PY - 2019 SN - 0897-1897 SP - 37-44 ST - The influence of psychological capital, authentic leadership in preceptors, and structural empowerment on new graduate nurse burnout and turnover intent T2 - Applied Nursing Research TI - The influence of psychological capital, authentic leadership in preceptors, and structural empowerment on new graduate nurse burnout and turnover intent UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=137250472&site=ehost-live&scope=site VL - 48 ID - 13751 ER - TY - JOUR AB - Introduction: Entering working life as a newly graduated nurse is stressful and for many it is an introduction to shiftwork. This study examines whether an intervention targeting strategies for sleep and recuperation in relation to work related stress and shiftwork could prevent development of symptoms of burnout, insomnia and ill‐health. Methods: 209 newly graduated nurses were recruited at fve Swedish hospitals and randomly assigned into experiment (intervention) and control groups. The intervention involved attending group education on strategies for sleep and recuperation, based on cognitive behavioural therapy techniques for sleep but modifed for shiftworkers (three 2.5h sessions). Participants completed a questionnaire at baseline, one‐ and six months after the intervention, comprising the Shirom Melamed Burnout Questionnaire (SMBQ), Insomnia Severity Index (ISI), Somatic Symptom Scale‐8 (SSS8) and the Work Home Interference scale (WHI). After dropouts the experiment and control groups consisted of 82 and 110 nurses respectively, at baseline. Group by time interactions were examined in multilevel analyses. Results: There was a group by time interaction in SMBQ global scores and in the SMBQ indexes of listlessness, physical fatigue and cognitive weariness, but not tension. Symptom levels were similar in both groups at baseline, becoming lower in the experiment group relative to the control group at frst follow‐up, then returning to approximate parity at six months follow‐up. Similar patterns were found for WHI. There was a group by time interaction in the SSS8 ratings, with the control group reporting more symptoms at baseline, then approaching the inter vention g roup's levels at the last follow‐up. ISI showed no interaction. Discussion: Supporting nurses' strategies for sleep and recuperation when starting shiftwork may be more benefcial for preventing development of burnout symptoms and achieving a full work‐life balance than for health or sleep problems. Such interventions may need to be followed up with booster sessions. AN - CN-02051481 AU - Dahlgren, A. AU - Epstein, M. AU - Reinius, M. AU - Gustavsson, P. AU - Soderstrom, M. KW - *fatigue *insomnia *nurse *shift work *teaching Adult Burnout Cognitive behavioral therapy Conference abstract Controlled study Female Follow up Human Insomnia Severity Index Job stress Listlessness Male Multilevel analysis Parity Prevention Questionnaire Randomized controlled trial Shift worker Tension Work‐life balance M3 - Journal: Conference Abstract PY - 2019 SP - 8‐ ST - Teaching strategies for sleep and recuperation to new nurses who are starting shiftwork: can it mitigate fatigue and ill-health? Results from a randomized controlled trial T2 - Sleep science TI - Teaching strategies for sleep and recuperation to new nurses who are starting shiftwork: can it mitigate fatigue and ill-health? Results from a randomized controlled trial UR - https://www.cochranelibrary.com/central/doi/10.1002/central/CN-02051481/full VL - 12 ID - 13807 ER - TY - JOUR AB - Stress is a well-recognized phenomenon in the nursing profession, particularly for new nurses. This study (a) assessed nurse residents' experience with a stress management program and (b) informed adjustments to the program. Analysis of qualitative data revealed three themes: (a) enhanced personal and professional development, (b) sensitivity to learner needs, and (c) fostering the principles of mindfulness. A stress management program has the potential to positively enhance the new nurse's transition to work. AD - Sherry S. Chesak, PhD, RN, is Nurse Scientist, Department of Nursing, Nursing Research Division, Mayo Clinic, Rochester, Minnesota, and Assistant Professor of Nursing, Mayo Clinic College of Medicine and Science, Rochester, Minnesota. Karen H. Morin, PhD, RN, ANEF, FAAN, is Professor Emerita, University of Wisconsin-Milwaukee. Susanne Cutshall, DNP, APRN, CNS, APHN-BC, NBC-HWC, is Integrative Health Specialist, Division of General Internal Medicine, Section of Integrative Medicine and Health, Mayo Clinic, Rochester, Minnesota. Marny Carlson, MS, RN, RN-BC, is Nursing Education Specialist, Mayo Clinic, Rochester, Minnesota, and Assistant Professor of Nursing, Mayo Clinic College of Medicine and Science, Rochester, Minnesota. M. Ellen Joswiak, DNP, RN, RN-BC, is Nursing Education Specialist, Mayo Clinic, Rochester, Minnesota, and Assistant Professor of Nursing, Mayo Clinic College of Medicine and Science, Rochester, Minnesota. Jennifer L. Ridgeway, PhD, is Principal Health Services Analyst, Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, Minnesota. Kristin S. Vickers, PhD, LP, is Professor of Psychology, Mayo Clinic College of Medicine and Science, Rochester, Minnesota. Amit Sood, MD, FACP, is a Professor of Medicine (Retired), Mayo Clinic, Rochester, Minnesota; Executive Director, Global Center for Resiliency and Well-Being, Rochester, Minnesota; and Visiting Scholar, Viterbo University, LaCrosse, Wisconsin. AN - 31651555 AU - Chesak, S. S. AU - Morin, K. H. AU - Cutshall, S. AU - Carlson, M. AU - Joswiak, M. E. AU - Ridgeway, J. L. AU - Vickers, K. S. AU - Sood, A. DA - Nov/Dec DO - 10.1097/nnd.0000000000000589 DP - NLM IS - 6 KW - Adult Education, Nursing, Graduate Female Focus Groups Humans *Internship and Residency Male Mindfulness *Nurse's Role Qualitative Research *Resilience, Psychological *Staff Development Stress, Psychological/*psychology Young Adult LA - eng N1 - 2169-981x Chesak, Sherry S Morin, Karen H Cutshall, Susanne Carlson, Marny Joswiak, M Ellen Ridgeway, Jennifer L Vickers, Kristin S Sood, Amit Journal Article United States 2019/10/28 J Nurses Prof Dev. 2019 Nov/Dec;35(6):337-343. doi: 10.1097/NND.0000000000000589. PY - 2019 SN - 2169-9798 SP - 337-343 ST - Stress Management and Resiliency Training in a Nurse Residency Program: Findings From Participant Focus Groups T2 - J Nurses Prof Dev TI - Stress Management and Resiliency Training in a Nurse Residency Program: Findings From Participant Focus Groups VL - 35 ID - 13638 ER - TY - JOUR AB - BACKGROUND: Cultural competency has been identified as an essential curricular element in undergraduate and graduate nursing programmes. Supporting successful transition to practice is essential for retaining graduate nurses in the workforce and meeting the demand for cultural diversity in health care services. OBJECTIVES: This study aimed to explore the teaching and learning interactions of transition cultural competence from the perspective of mentors of newly graduated nurses in a Taiwanese postgraduate nursing programme. DESIGN: A qualitative design that utilised focus group interviews was adopted for this study. A framework approach-a content and thematic analysis strategy-was used to analyse the interviews. SETTING: The study setting consisted of two hospitals in northern Taiwan. PARTICIPANTS: The study participants consisted of 24 new graduate nurse mentors. METHODS: Three focus group sessions were conducted (two at a medical centre and one at a district hospital), where the participants were interviewed. RESULTS: Four themes were derived from the data-transition process, teaching strategies according to the transition stage, learning after overcoming clinical stress, and awareness of cultural diversity among new graduate nurses. The clinical routine and physical stress of caring for patients did not allow the newly graduated nurses to appropriately demonstrate cultural competence in the first three months. Mentors were only able to provide resources for new graduate nurses when they first started to care for patients in cultural groups. The point of catalysis was when learners finally gained awareness of cultural differences, and, consequently, they could encounter the teaching and learning process. CONCLUSION: The different learning stages and teaching strategies illustrated the interactive process between new nurses and educators. Facilitating the cultural awareness of learners is a challenge for teachers who provide cultural competence training. This model could serve as a reference for curriculum and clinical training programmes. AD - School of Nursing, Chang Gung University of Science and Technology, No. 261, Wen-Hua 1st Rd., Kwei-Shan, Tao-Yuan 33303, Taiwan, ROC; Department of Nursing, Linkou Chang Gung Memorial Hospital, Linkou, No. 261, Wen-Hua 1st Rd., Kwei-Shan, Tao-Yuan 33303, Taiwan, ROC. Department of Health Promotion and Health Education, College of Education, National Taiwan Normal University, Taiwan, ROC; Department of Nursing, Sijhih Cathay General Hospital, N0.2, Lane 59, Jiancheng Rd., Sijhih Dist., New Taipei City, Taiwan, ROC. Electronic address: irene0723@cgh.org.tw. Education Department, Chang Gung Memorial Hospital, 6.West Sec. Chiapy Road, Putzu City, Chiayi Hsien, Taiwan, ROC; Nursing department, Shu Zen College of Medicine and Management, No.452, Huanqiu Rd. Luzhu Dist., Kaohsiung City 82144 Taiwan, ROC. Electronic address: kan200068@cgmh.org.tw. Department of Health Management, I-Shou University, No. 8, Yida Rd., Jiaosu Village Yanchao District, Kaohsiung City 82445, Taiwan, ROC. Electronic address: hililin@isu.edu.tw. School of Nursing, Chang Gung University of Science and Technology, No. 261, Wen-Hua 1st Rd., Kwei-Shan, Tao-Yuan 33303, Taiwan, ROC; Chang Gung Medical Education Research Centre, Taiwan, ROC; School of Nursing, Chang Gung University, Taiwan, ROC. Electronic address: g22021@cgmh.org.tw. AN - 31108382 AU - Chang, L. C. AU - Chiu, C. W. AU - Hsu, C. M. AU - Liao, L. L. AU - Lin, H. L. DA - Aug DO - 10.1016/j.nedt.2019.05.020 DP - NLM ET - 20190510 KW - *Cultural Competency Delivery of Health Care/*methods *Education, Nursing, Graduate Focus Groups Humans Internship, Nonmedical *Learning *Mentors Nursing Education Research Qualitative Research *Students, Nursing Taiwan Time Factors Cultural competence Cultural diversity awareness New graduate nurse (NGN) Nurse residency programme LA - eng N1 - 1532-2793 Chang, Li-Chun Chiu, Ching-Wen Hsu, Chih-Ming Liao, Li-Ling Lin, Hui-Ling Journal Article Scotland 2019/05/21 Nurse Educ Today. 2019 Aug;79:74-79. doi: 10.1016/j.nedt.2019.05.020. Epub 2019 May 10. PY - 2019 SN - 0260-6917 SP - 74-79 ST - Examining the implementation of teaching and learning interactions of transition cultural competence through a qualitative study of Taiwan mentors untaking the postgraduate nursing program T2 - Nurse Educ Today TI - Examining the implementation of teaching and learning interactions of transition cultural competence through a qualitative study of Taiwan mentors untaking the postgraduate nursing program VL - 79 ID - 13672 ER - TY - JOUR AB - For the past 10 years, the United States has been experiencing a critical shortage of registered nurses (RNs), and data suggest this trend will continue through 2025. Compensation for RN burnout cannot be achieved by simply hiring new nurses because the rate of graduation is less than the rate of need. During this period of critical shortage, federal healthcare reforms, most notably the Patient Protection and Affordable Care Act (PPACA) of 2010, have placed additional demands on physicians and nurses. These trends have led to increased RN dissatisfaction, moral distress, and subsequent turnover. Literature reviews, case studies, and methodological pieces regarding moral distress in new graduate pediatric nurses were studied, and 34 articles were analyzed; articles before 2010 were excluded unless considered a sentinel piece. Results show new graduate pediatric RNs experience moral distress as they transition from academia to the professional setting, which leads to rates of new graduate RN turnover that outpace nurses of all other tenure. With the goal of decreasing RN turnover, this article briefly examines factors that contribute to moral distress in new graduate pediatric nurses and explores unit-based interventions to reduce levels of moral distress. Interventions found to decrease moral distress include early detection of moral distress, fostering feelings of nurse engagement, participation in ethics education, promotion of mindfulness, and the creation of pediatric palliative care teams within hospital units. AD - RN, CPNP-AC, is a Nurse, Children's Hospital of Philadelphia, and a Graduate Student, University of Pennsylvania School of Nursing, Philadelphia, PA AN - 137059027. Language: English. Entry Date: 20190621. Revision Date: 20190624. Publication Type: Article AU - Bong, Heather E. DB - cin20 DP - EBSCOhost IS - 3 KW - Pediatric Nurse Practitioners New Graduate Nurses Personnel Turnover -- Ethical Issues Morals Stress, Psychological -- Psychosocial Factors Education, Continuing (Credit) Work Environment -- Psychosocial Factors Patient Protection and Affordable Care Act -- Legislation and Jurisprudence -- United States United States Empowerment Work Engagement Internship and Residency Ethics, Nursing -- Education Simulations Mindfulness Work-Life Balance Interprofessional Relations Hospice and Palliative Nursing Personnel Turnover -- Economics Health Care Reform -- Standards N1 - CEU. Note: For CE pages see website: www.pediatricnursing.net/ce. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. NLM UID: 7505804. PY - 2019 SN - 0097-9805 SP - 109-114 ST - Understanding Moral Distress: How to Decrease Turnover Rates of New Graduate Pediatric Nurses T2 - Pediatric Nursing TI - Understanding Moral Distress: How to Decrease Turnover Rates of New Graduate Pediatric Nurses UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=137059027&site=ehost-live&scope=site VL - 45 ID - 13752 ER - TY - JOUR AB - Background: Evidence suggests that behavioral, social, and environmental factors may modify the effects of life stress on health and performance of new nurses as they transition to hospitals. Objectives: The aim of this study was to describe the methods of a project designed to investigate the role of social, behavioral, and environmental factors in modifying the adverse effects of stress on new nurses and to discuss demographic, health, and life stress characteristics of the cohort at baseline. Methods: A prospective cohort design was used to conduct a comprehensive assessment of health endpoints, life stress, behaviors, personal traits, social factors, indicators of engagement and performance, and environmental exposures in nursing students. Adjusted odds ratios and analyses of covariance were used to examine associations between these factors at baseline. Results: Health indicators in the cohort were comparable or better than in the broader United States population, and lifetime stress exposure was lower than among students from other majors. Exposure to more lifetime stressors was associated with greater risk for various health conditions, including hypertension, diabetes, and depression. Conversely, better social, environmental, behavioral, and personal profiles were associated with protective effects for the same health conditions. Discussion: These data comprehensively summarize the lives of predominately Hispanic nursing students and highlight risk and resilience factors associated with their health and well-being. The findings are timely, as the nursing field diversifies in preparation to care for a diverse and aging population. Comprehensively assessing stress–health relationships among student nurses ought to inform the policies, practices, and curricula of nursing schools to better prepare nurses to thrive in the often-strenuous healthcare environment. (PsycInfo Database Record (c) 2020 APA, all rights reserved) AD - Alvarez, Hector A. Olvera, University of Texas at El Paso, 500 West University Avenue, El Paso, TX, US, 79968 AN - 2019-70430-008 AU - Alvarez, Hector A. Olvera AU - Provencio-Vasquez, Elias AU - Slavich, George M. AU - Laurent, Jose Guillermo Cedeño AU - Browning, Matthew AU - McKee-Lopez, Gloria AU - Robbins, Leslie AU - Spengler, John D. DB - psyh DO - 10.1097/NNR.0000000000000383 DP - EBSCOhost IS - 6 KW - childhood adversity environmental exposure health disparities inflammation mental health Nursing Students Occupational Stress Stress Student Attitudes Behavior Modification Environmental Effects Environmental Stress Nurses Student Engagement Psychological Engagement N1 - School of Nursing, University of Texas at El Paso, El Paso, TX, US. Release Date: 20201210. Publication Type: Journal (0100), Peer Reviewed Journal (0110). Format Covered: Electronic. Document Type: Journal Article. Language: EnglishGrant Information: Alvarez, Hector A. Olvera. Major Descriptor: Nursing Students; Occupational Stress; Stress; Student Attitudes. Minor Descriptor: Behavior Modification; Environmental Effects; Environmental Stress; Nurses; Student Engagement; Psychological Engagement. Classification: Professional Personnel Attitudes & Characteristics (3430). Population: Human (10); Male (30); Female (40). Location: US. Age Group: Adulthood (18 yrs & older) (300); Young Adulthood (18-29 yrs) (320); Thirties (30-39 yrs) (340); Middle Age (40-64 yrs) (360). Tests & Measures: Stress and Adversity Inventory for Adults; Adverse Childhood Experiences Questionnaire; Maslach Burnout Inventory-General Survey. Methodology: Empirical Study; Longitudinal Study; Prospective Study; Quantitative Study. Supplemental Data: Experimental Materials Internet. Page Count: 11. Issue Publication Date: Nov-Dec, 2019. Publication History: Accepted Date: Feb 3, 2019. Copyright Statement: All rights reserved. Wolters Kluwer Health, Inc. 2019. Sponsor: JPB Foundation. Other Details: JPB Environmental Health Fellowship. Recipients: No recipient indicated Sponsor: National Institutes of Health, National Institutes on Minority Health and Health Disparities. Grant: 5G12MD007592. Recipients: Alvarez, Hector A. Olvera Sponsor: Sponsor name not included. Other Details: Orville Edward Egbert, MD Chair endowment. Recipients: Robbins, Leslie Sponsor: Harvard T. H. Chan School of Public Health, Hoffman Program on Chemicals and Health, US. Recipients: No recipient indicated PY - 2019 SN - 0029-6562 1538-9847 SP - 453-463 ST - Stress and health in nursing students: The nurse engagement and wellness study T2 - Nursing Research TI - Stress and health in nursing students: The nurse engagement and wellness study UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=psyh&AN=2019-70430-008&site=ehost-live&scope=site holvera@utep.edu VL - 68 ID - 13785 ER - TY - JOUR DA - 8 PY - 2019 ST - Preserving Patient Dignity (Formerly: Patient Modesty):Volume 104 T2 - Bioethics Discussion Blog TI - Preserving Patient Dignity (Formerly: Patient Modesty):Volume 104 UR - http://bioethicsdiscussion.blogspot.com/2019/08/preserving-patient-dignity-formerly.html ID - 13810 ER - TY - JOUR DA - 7 PY - 2019 ST - Preserving Patient Dignity (Formerly: Patient Modesty):Volume 103 T2 - Bioethics Discussion Blog TI - Preserving Patient Dignity (Formerly: Patient Modesty):Volume 103 UR - http://bioethicsdiscussion.blogspot.com/2019/07/preserving-patient-dignity-formerly.html ID - 13809 ER - TY - JOUR AB - Background: The midwifery profession has been under pressure for many years with the rising birthrate, lack of funding in the National Health Service (NHS) and the complex needs of women and their families giving birth in the 21st century. There are not enough midwives to care for them and now a third of the workforce are nearing retirement, taking with them valuable skills. Added to that are the high demands of the job where staff are taking time off work and/or leaving the profession due to work-related stress and professional burnout. Burnout is defined as emotional exhaustion, which can lead to low morale, depression and depersonalisation of clients (McCormack & Cotter 2013). Reductions in staffing mean colleagues have to take on the extra workload, dictating the quality of care women receive and how midwives are supported in their role. This is a dangerous situation, which must be addressed to ensure that women and their families experience a safe and positive birth. Methods: Four pieces of primary research using the Copenhagen Burnout Inventory (CBI) were reviewed to understand what factors influence professional burnout in midwives. Findings: Mid wives who are under 40 years of age and have less than ten years' experience are experiencing high levels of professional burnout especially when working full-time hours in hospital clinics. Additionally women who are single and not co-habiting also score high for burnout. Conversely midwives working caseloads with responsibility for their workload and shift patterns score significantly less than midwives who work full-time in a standard care model. Working on call also does not contribute to stress where midwives have a flexible contract. Conclusion: Newly qualified midwives (NQMs) should receive a comprehensive preceptorship throughout their transition from novice to expert with extra support during the first ten years. Additionally the number of hours a NQM is contracted for should be considered especially when working in hospital clinics. As recommended by numerous reports and highlighted in this review, government funding and health policies must support NHS trusts to implement caseload midwifery with flexible contracts where possible. Continuity of carer will reduce professional burnout in midwives and ensure safe staffing levels are consistent throughout maternity services. AD - Midwife at York Teaching Hospitals Foundation Trust AN - 128897297. Language: English. Entry Date: 20180417. Revision Date: 20180615. Publication Type: Article AU - Welford, Claire DB - cin20 DP - EBSCOhost IS - 1 KW - Burnout, Professional Midwives Maternal Health Services Human National Health Programs Workforce Personnel Shortage Stress, Occupational Workload Quality of Health Care Scales Preceptorship Continuity of Patient Care Personnel Staffing and Scheduling Systematic Review Medline CINAHL Database Psycinfo Work Experiences N1 - research; systematic review; tables/charts. Journal Subset: Editorial Board Reviewed; Europe; Expert Peer Reviewed; Nursing; UK & Ireland. Special Interest: Evidence-Based Practice. Instrumentation: Copenhagen Burnout Inventory (CBI). NLM UID: 9887374. PY - 2018 SN - 0961-5555 SP - 35-40 ST - What factors influence professional burnout in mid wives? T2 - MIDIRS Midwifery Digest TI - What factors influence professional burnout in mid wives? UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=128897297&site=ehost-live&scope=site VL - 28 ID - 13758 ER - TY - JOUR AB - High stress levels are experienced by student nurses throughout their professional education, with the chaotic ever-changing clinical environment being a predominant source of stress. Clinical nursing faculty have a critical role to recognize the stress their students experience in the clinical environment and understand its significance. A qualitative descriptive design was used to provide a rich description of clinical nursing faculty perceptions of undergraduate baccalaureate nursing student clinical stress. A purposive sample of 14 clinical nursing faculty with at least 4 semesters of clinical nursing faculty experience from accredited, generic baccalaureate nursing programs in the Northeast region of the United States participated in open-ended interviews using a semi-structured format. Sample size adequacy was justified when saturation of data was achieved. Interviews were digitally recorded and transcribed, and qualitative content and thematic analysis were used to sort the descriptive data to generate themes. The first purpose of this study was to describe and understand clinical nursing faculty perceptions of undergraduate baccalaureate nursing student stress in the clinical environment. The four themes that surfaced from the interview data were: feeling overwhelmed when encountering the unknown, which included the sub-themes of facing self-doubt and experiencing insecurity in nursing actions; enduring uncivil clinical interactions, struggling with personal life factors, and contending with nursing faculty interactions. The second purpose of this study was to understand how clinical nursing faculty manage undergraduate baccalaureate nursing student stress in this environment. The theme, promo ting an optimal clinical learning environment, and sub-theme of being attentive to student stress in the clinical setting captured the participants' responses. Transitions Theory is presented as a theoretical framework supporting the findings of this study, as the undergraduate baccalaureate nursing student transitions into the clinical environment. The application of the five themes and related sub-themes described in this study to Transitions Theory assists in further understanding clinical nursing faculty perceptions of undergraduate baccalaureate nursing student clinical stress. Implications of this study from the perspective of nursing science and research offer a view of nursing student clinical stress from the clinical nursing faculty educating undergraduate baccalaureate nursing students in the clinical environment to advance the science of nursing education. Implications for nursing education include providing faculty a clearer understanding of the stress phenomenon, so they may better educate a student and evaluate a student' progress in the clinical environment to decrease nursing student clinical stress. In nursing practice, study findings may aid in the identification of strategies to decrease undergraduate baccalaureate nursing student clinical stress, thus being transferable to new graduate nurses, nursing preceptors working with new graduate nurses, and the onboarding of new nurses. Future research may include intervention studies with clinical faculty to decrease nursing student clinical stress and improve nursing student clinical outcomes. AN - 131796524. Language: English. Entry Date: 20180920. Revision Date: 20180920. Publication Type: Article AU - Stubin, Catherine A. DB - cin20 DP - EBSCOhost KW - Faculty, Nursing Faculty Attitudes Students, Nursing, Baccalaureate -- Psychosocial Factors Stress, Psychological Learning Environment, Clinical Human United States Qualitative Studies Descriptive Research Purposive Sample Semi-Structured Interview Thematic Analysis Conceptual Framework Faculty-Student Relations Stress Management Faculty Role N1 - research; doctoral dissertation. UMI Order AAI10821740 PY - 2018 SN - 9780355988260 SP - 1-1 ST - Clinical Nursing Faculty Perceptions of Undergraduate Baccalaureate Nursing Student Stress in the Clinical Environment T2 - Clinical Nursing Faculty Perceptions Of Undergraduate Baccalaureate Nursing Student Stress In The Clinical Environment TI - Clinical Nursing Faculty Perceptions of Undergraduate Baccalaureate Nursing Student Stress in the Clinical Environment UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=131796524&site=ehost-live&scope=site ID - 13755 ER - TY - JOUR AB - Background and Purpose: Preceptors play a key role in the transition experience of new nurses. Preceptorship is a stressful role and is influenced by contextual factors. There is a lack of sufficient understandings of the perspectives and lived experiences of Iranian nurse preceptors of preceptorship. The aim of this study was to explore the perspective and lived experiences of Iranian nurse preceptors of preceptorship. Methods: A qualitative design using a hermeneutic phenomenological approach was used. Six Iranian nurse preceptors were chosen using a purposeful sampling method from a large paediatric teaching hospital in an urban area of Iran. Data was collected using in-depth semi-structured interviews and was analysed using the Diekelmann et al.'s method of hermeneutic phenomenological analysis. Results: The data analysis resulted in the development of a constitutive pattern of 'living with moral distress', which was constituted of two major themes: 'asking for and being unable' and 'the experience of conflict'. Implications for Practice: The findings of this study can improve nurses' understandings of the preceptor's role and associated factors influencing the implementation of the preceptorship programme. 'Moral distress' caused by the preceptor role can influence nurse preceptors' mental health and also the patient care outcomes. More studies are required to explore this phenomenon in different contexts and cultures and design strategies for reducing the burden of taking this role on nurse preceptors. Also, policies are needed for developing a formal preceptor support system to help preceptors take this stressful and demanding role in healthcare settings. AD - Tabriz University of Medical Sciences, Tabriz, Iran shahbazish@tbzmed.ac.ir. Tabriz University of Medical Sciences, Tabriz, Iran. Iran University of Medical Sciences, Tehran, Iran. Nord University, Bodø, Norway. AN - 30567909 AU - Shahbazi, S. AU - Valizadeh, S. AU - Borimnejad, L. AU - Rahmani, A. AU - Vaismoradi, M. DA - Nov DO - 10.1891/1541-6577.32.4.355 DP - NLM IS - 4 KW - Faculty, Nursing/*psychology Humans Interviews as Topic Iran *Moral Obligations *Nurse's Role *Preceptorship clinical practice hermeneutics moral distress new nurses phenomenology preceptor preceptorship LA - eng N1 - Shahbazi, Shahla Valizadeh, Sousan Borimnejad, Leili Rahmani, Azad Vaismoradi, Mojtaba Journal Article United States 2018/12/21 Res Theory Nurs Pract. 2018 Nov;32(4):355-369. doi: 10.1891/1541-6577.32.4.355. PY - 2018 SN - 1541-6577 (Print) 1541-6577 SP - 355-369 ST - Living With Moral Distress: The Perspectives and Experiences of Iranian Nurse Preceptors T2 - Res Theory Nurs Pract TI - Living With Moral Distress: The Perspectives and Experiences of Iranian Nurse Preceptors VL - 32 ID - 13627 ER - TY - JOUR AB - Preceptorship is a commonly used clinical teaching method for new nurses, and perceptions regarding it are varied and come from many sources. The aim of this integrative review is to explore the perceptions of preceptorship from preceptors and newly graduated nurses. Three electronic databases were searched for relevant articles and the Joanna Briggs Institute's critical appraisal tools were used to assess for suitability before inclusion in the review. Twenty articles were included eventually. A total of six focus areas were identified: (a) role of the preceptor, (b) preceptor preparation and support, (c) challenges of being a preceptor, (d) preceptorship significance for newly graduated nurses, (e) needs of newly graduated nurses, and (f) factors affecting the preceptor-preceptee relationship. The impact of preceptorship is significant and especially so on newly graduated nurses who are going through a transition as they enter the workforce. The preceptor functions to teach and additionally provide psychosocial support to the preceptee. Preceptors need to receive preceptor education to effectively carry out their role. Awareness of the preceptor's role by nursing managers can aid in optimizing preceptorship outcomes. Preceptorship helps to ease the stressful transition that new graduates experience. Preceptorship has a potential in nursing retention when utilized in nursing with newly graduated nurses. Hence, perceptions of preceptorship from preceptor-preceptee pairs of varying ethnic backgrounds, nationalities, educational qualifications, and generations can be further explored. AD - Changi General Hospital, 2 Simei Street 3, 529889, Singapore. Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, Level 2, Clinical Research Centre, Block MD 11, 10 Medical Drive, 117597, Singapore. Electronic address: nurssh@nus.edu.sg. AN - 30243699 AU - Quek, G. J. H. AU - Shorey, S. DA - Sep-Oct DO - 10.1016/j.profnurs.2018.05.003 DP - NLM ET - 20180512 IS - 5 KW - Education, Nursing, Baccalaureate Humans Inservice Training/*methods Nursing Staff, Hospital/*psychology *Perception Preceptorship/*methods Clinical preceptor Graduate Nurse Orientation Perception Preceptorship LA - eng N1 - 1532-8481 Quek, Genevieve J H Shorey, Shefaly Journal Article Review United States 2018/09/24 J Prof Nurs. 2018 Sep-Oct;34(5):417-428. doi: 10.1016/j.profnurs.2018.05.003. Epub 2018 May 12. PY - 2018 SN - 8755-7223 SP - 417-428 ST - Perceptions, Experiences, and Needs of Nursing Preceptors and Their Preceptees on Preceptorship: An Integrative Review T2 - J Prof Nurs TI - Perceptions, Experiences, and Needs of Nursing Preceptors and Their Preceptees on Preceptorship: An Integrative Review VL - 34 ID - 13599 ER - TY - JOUR AB - Purpose: To describe symptoms, triggers, and outcomes of compassion fatigue (CF) among newly licensed registered nurses in southern Arizona. Background: Compassion fatigue is an occupational hazard unique to workers in the caring professions. Symptoms reflect burnout, which stems from the work environment, and the internal response to witnessing the grief of others, known as secondary traumatic stress. Newly licensed registered nurses are a unique population, as they are in their first months of honing their professional practice and advocating for themselves without the help of an academic institution. There is no evidence that new nurses are immune to the risk of compassion fatigue. Method: Two workshops were developed to reduce risk of compassion fatigue among newly licensed registered nurses (N = 4), through education and skills training. Participants were educated regarding the phenomenon of compassion fatigue or coping strategies, and each content area included dialogue. Dialogues were analyzed for commonalities of experiences, symptoms, triggers, and outcomes of compassion fatigue. Findings: Participants reported fatigue and burnout due to lack of institutional support, the rapid transition from supervised student nurse to autonomy, lack of technical knowledge, and expectation to work on additional trainings from home. The lack of ability and comfort to advocate for oneself caused high anxiety; participants noted that this skill is not learned in nursing school and develops only with actual nursing experience. Participants admitted to having poor boundaries, which allows patients, co-workers, and the institution to 'take advantage' of their novice status. Despite feeling compassion fatigue, all participants noted that they still have compassion for their patients. Implications: Burnout appears to be a significant risk factor of compassion fatigue development in the new registered nurse. New nurses depend more on their didactic education as they transition into full autonomy. These participants desired longer, more supportive training programs via residencies lasting at least several months. The new nurse should have training in professional advocacy that does not jeopardize interprofessional or interpersonal relationships. Participants describe that they still have compassion for their patients; a new phrase may be indicated to describe the phenomenon. AD - The University of Arizona AN - 131796531. Language: English. Entry Date: 20180920. Revision Date: 20190507. Publication Type: Article AU - Marks, Stephanie Laev DB - cin20 DP - EBSCOhost KW - Compassion Fatigue -- Symptoms -- Arizona Compassion Fatigue -- Risk Factors Compassion Fatigue -- Adverse Effects New Graduate Nurses -- Psychosocial Factors Human Arizona Burnout, Professional -- Complications Work Environment Compassion Fatigue -- Prevention and Control New Graduate Nurses -- Education Coping -- Education Compassion Fatigue -- Education Support, Psychosocial Professional Autonomy Nursing Knowledge Experiential Learning Professional Boundaries N1 - research; doctoral dissertation. UMI Order AAI10786597 PY - 2018 SN - 9780355943900 SP - 1-1 ST - Compassion Fatigue among Recent Bachelor of Science in Nursing New Graduates T2 - Compassion Fatigue Among Recent Bachelor Of Science In Nursing New Graduates TI - Compassion Fatigue among Recent Bachelor of Science in Nursing New Graduates UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=131796531&site=ehost-live&scope=site ID - 13756 ER - TY - JOUR AB - AIM: This review appraised and synthesized evidence relating to new nurses' stress experiences during the transition period. BACKGROUND: Although stress among nursing professionals has been a subject of several systematic reviews in the recent years, there is still scarcity of systematic evidence examining job stress in new nurses. METHODS: This is an integrative review of original studies conducted from 2002 onwards examining new nurses' stress experiences. Five databases were used to retrieve relevant articles such as CINAHL, SCOPUS, PubMed, PsycINFO and MEDLINE. Twenty-one articles were included in this review. FINDINGS: New nurses perceived low to moderate levels of stress mainly from heavy workloads and lack of professional nursing competence. Individual and organizational factors that might contribute to their stress experiences were rarely explored. CONCLUSION: This integrative review evaluated and synthesized available evidence examining stress in new nurses and contributed to the literature regarding stress in nursing professionals. The findings of this review may offer specific information to nurse administrators that can relate to the stress encountered by new nurses who enter into healthcare facilities. IMPLICATIONS FOR NURSING AND HEALTH POLICY: Findings of this review may provide valuable input to assist nurse administrators in developing and implementing organizational measures to reduce stress in new nurses while maximizing and facilitating their integration into the nursing workforce. Such measures may include the following: establishment of a well-structured transition programme, provision of an adequate orientation and senior staff mentorship, stress management programmes, in-service educational programmes and exposure to clinical simulation scenarios. AD - Sultan Qaboos University, Muscat, Sultanate of Oman. Kent State University Tuscarawas, USA. AN - 29266201 AU - Labrague, L. J. AU - McEnroe-Petitte, D. M. DA - Dec DO - 10.1111/inr.12425 DP - NLM ET - 20171220 IS - 4 KW - Clinical Competence Humans *Nursing *Occupational Stress Workload heavy workloads job stress new nurse novice nurse nurse nursing competence psychological adaptation psychological stress transition period LA - eng N1 - 1466-7657 Labrague, L J Orcid: 0000-0003-0315-4438 McEnroe-Petitte, D M Journal Article Systematic Review England 2017/12/22 Int Nurs Rev. 2018 Dec;65(4):491-504. doi: 10.1111/inr.12425. Epub 2017 Dec 20. PY - 2018 SN - 0020-8132 SP - 491-504 ST - Job stress in new nurses during the transition period: an integrative review T2 - Int Nurs Rev TI - Job stress in new nurses during the transition period: an integrative review VL - 65 ID - 13611 ER - TY - JOUR AB - BACKGROUND: Transitioning into a new professional role is a stressful experience with consequences for mental and physical health, job satisfaction, organizational commitment, and turnover. New registered nurses seem to be at particular risk of developing stress-related ill health during their first years in the profession. Previous research indicates that engagement in proactive behaviors may reduce this risk. METHODS: With the work presented in this paper, we aimed to test the feasibility of conducting an evaluation of the effect of a behavior change intervention to prevent stress-related ill health among new registered nurses by supporting their engagement in proactive behaviors. Feasibility objectives included recruitment, randomization, data collection and analysis, participation, acceptability, and deliverability.We tested the feasibility of evaluating the effect of the intervention as part of a transition-to-practice program for new registered nurses using a non-randomized design with one condition. The trial included a sample of 65 new registered nurses who had been working for 6 months or less. RESULTS: The feasibility of conducting a full-scale effect evaluation was confirmed for recruitment, data collection and analysis, participation, and acceptability. It was not possible to randomize participants, but analyses of between-group differences revealed no selection bias. The time of the intervention will need to be extended to ensure the deliverability. CONCLUSION: With some adjustments in the study design, it is feasible to evaluate the effect of a behavior change intervention to support new registered nurses' engagement in proactive behaviors during their transition into the new profession as part of a transition-to-practice program for new nurses. AD - Department of Clinical Neuroscience, Karolinska Institutet, Nobels väg 9, 171 65 Solna, Stockholm Sweden. GRID: grid.465198.7 AN - 29321942 AU - Frögéli, E. AU - Rudman, A. AU - Ljótsson, B. AU - Gustavsson, P. C1 - Both studies were approved by the ethical committee at the Karolinska Institutet (2014/1531-31/5). Participation in both studies required a signed informed consent.Not applicable.The authors declare that they have no competing interests.Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. C2 - PMC5759167 DO - 10.1186/s40814-017-0219-7 DP - NLM ET - 20180108 KW - Intervention Nurse Prevention Proactivity Recovery Socialization Stress Stress-related ill health LA - eng N1 - 2055-5784 Frögéli, Elin Rudman, Ann Ljótsson, Brjánn Gustavsson, Petter Journal Article 2018/01/13 Pilot Feasibility Stud. 2018 Jan 8;4:28. doi: 10.1186/s40814-017-0219-7. eCollection 2018. PY - 2018 SN - 2055-5784 (Print) 2055-5784 SP - 28 ST - Preventing stress-related ill health among newly registered nurses by supporting engagement in proactive behaviors: development and feasibility testing of a behavior change intervention T2 - Pilot Feasibility Stud TI - Preventing stress-related ill health among newly registered nurses by supporting engagement in proactive behaviors: development and feasibility testing of a behavior change intervention VL - 4 ID - 13676 ER - TY - JOUR AB - BACKGROUND: It is a common practice that new graduate Registered Nurses are hired into adult intensive care units as initial entry into practise. There exists a practice readiness gap between nursing curricula and actual clinical practise expectations at adult intensive care settings; this has led to negative consequences and subsequent nurse turnover, a concern nationwide. Nonetheless, some new graduate nurses survived their initial transition and continue to practise in adult settings. The purpose of this study was to explore the experiences of nurses who were hired into adult intensive care as a new graduate and survived their transition from novice to competent, starting the third year of practise. METHODOLOGY: The study used the hermeneutic phenomenology research approach. FINDINGS: Data analysis revealed the overall meaning of the experience: coming to terms with being comfortable with being uncomfortable. The six themes associated with being comfortable with being uncomfortable were: confidence and uncertainty, gaining experiences and forever learning, intuitive knowing and intuition, difficult and stressful, being courageous and assertive, and the team and support people. CONCLUSION: New graduate nurses can survive to become competent adult intensive care nurses. This study reveals the need to promote exposure to a variety of clinical situations early, to promote resilience and self-care, and to foster unit teamwork and mentoring to ensure successful transition and overall retention of new nurses hired into in adult intensive care. AD - Texas A&M University, College of Nursing and Health Sciences: 6300 Ocean Dr., Corpus Christi, TX 78412, United States. Electronic address: heather.degrande@tamucc.edu. Texas Woman's University, College of Nursing: 304 Administration Dr. Denton, TX 76204, United States. Electronic address: fliu@twu.edu. Texas A&M University, College of Nursing and Health Sciences: 6300 Ocean Dr., Corpus Christi, TX 78412, United States. Electronic address: pamela.greene@tamucc.edu. Texas Woman's University, College of Nursing: 304 Administration Dr. Denton, TX 76204, United States. Electronic address: jstankus@twu.edu. AN - 30172466 AU - DeGrande, H. AU - Liu, F. AU - Greene, P. AU - Stankus, J. A. DA - Dec DO - 10.1016/j.iccn.2018.08.005 DP - NLM ET - 20180829 KW - Adult *Attitude of Health Personnel *Clinical Competence Critical Care Nursing Humans *Inservice Training Intensive Care Units Interviews as Topic Students, Nursing/*psychology Texas Competence Hermeneutic phenomenology Intensive care nursing New graduate nurses LA - eng N1 - 1532-4036 DeGrande, Heather Liu, Fuqin Greene, Pamela Stankus, Jo-Ann Journal Article Netherlands 2018/09/03 Intensive Crit Care Nurs. 2018 Dec;49:72-78. doi: 10.1016/j.iccn.2018.08.005. Epub 2018 Aug 29. PY - 2018 SN - 0964-3397 SP - 72-78 ST - The experiences of new graduate nurses hired and retained in adult intensive care units T2 - Intensive Crit Care Nurs TI - The experiences of new graduate nurses hired and retained in adult intensive care units VL - 49 ID - 13615 ER - TY - JOUR AB - Aims: In this study, we investigated the relationship of the prevalence and incidence of insomnia with the new hire transition workload in nurses. Methods: This retrospective study used the clinical diagnosis data of the entire nursing population in Taiwan for 2005 to 2008, drawn from the National Health Insurance Research Database. Adjusted logistic regression and Cox regression models were used to separately analyse factors related to the prevalence and incidence of insomnia. Results: During this period, the prevalence of insomnia increased, whereas its incidence remained stable. After adjustment for demographic variables in the logistic regression models, the higher prevalence of insomnia was associated with a longer employment duration and a higher new hire ratio. In the Cox regression models, a higher incidence of insomnia was associated with a shorter employment duration and a higher new hire ratio. Nurses with a longer employment duration had a higher prevalence, but lower incidence, of insomnia. A higher new hire ratio was associated with a higher prevalence and incidence of insomnia. Conclusion: To mitigate the risk of insomnia, we suggest that additional support should be provided to non‐new nurses to assist them in the new hire transition. (PsycINFO Database Record (c) 2019 APA, all rights reserved) AD - Chung, Min‐Huey, School of Nursing, College of Nursing, Taipei Medical University, No. 250, Wu‐Xing Street, Taipei, Taiwan AN - 2018-49417-012 AU - Chang, Yuanmay AU - Lam, Calvin AU - Chung, Min‐Huey DB - psyh DO - 10.1111/ijn.12666 DP - EBSCOhost IS - 5 KW - employment duration insomnia new hire ratio nurses prevalence and incidence workload Occupational Stress Work Load Career Development N1 - Institution of Long Term Care, MacKay Medical College, New Taipei City, Taiwan. Other Publishers: Blackwell Publishing. Release Date: 20190408. Publication Type: Journal (0100), Peer Reviewed Journal (0110). Format Covered: Electronic. Document Type: Journal Article. Language: EnglishMajor Descriptor: Insomnia; Nurses; Occupational Stress; Work Load. Minor Descriptor: Career Development. Classification: Professional Personnel Attitudes & Characteristics (3430). Population: Human (10); Male (30); Female (40). Location: Taiwan. Age Group: Adulthood (18 yrs & older) (300); Young Adulthood (18-29 yrs) (320); Thirties (30-39 yrs) (340); Middle Age (40-64 yrs) (360). Methodology: Empirical Study; Longitudinal Study; Retrospective Study; Quantitative Study. References Available: Y. Page Count: 8. Issue Publication Date: Oct, 2018. Publication History: Accepted Date: May 15, 2018; Revised Date: Sep 29, 2017; First Submitted Date: Feb 6, 2017. Copyright Statement: John Wiley & Sons Australia, Ltd. 2018. Sponsor: Taipei Medical University, Taiwan. Recipients: No recipient indicated Sponsor: Shin Kong Wu Ho‐Su Memorial Hospital. Grant: SKH‐TMU‐99‐05. Recipients: No recipient indicated PY - 2018 SN - 1322-7114 1440-172X SP - 1-8 ST - Influence of new hire transition workload on insomnia in nurses T2 - International Journal of Nursing Practice TI - Influence of new hire transition workload on insomnia in nurses UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=psyh&AN=2018-49417-012&site=ehost-live&scope=site ORCID: 0000-0002-0517-5913 minhuey300@tmu.edu.tw VL - 24 ID - 13790 ER - TY - JOUR AB - Preceptors should possess attributes which help them in successfully performing the demanding and challenging role in the preceptorship. This research utilises a qualitative hermeneutic phenomenological approach to explore the attributes of new nurse preceptors. Six preceptors of a teaching hospital in Northwest of Iran who were selected by means of purposive sampling. Data were collected during eight months from July 2014 to March 2015 through in-depth semi-structured personal interviews. Interviews were recorded and transcribed and then were analyzed with the interpretive approach using the Diekelmann's seven-stage method in the MAXQDA10 software environment. Findings included two main themes "feeling proud and honored" and "professionalism" with subthemes including empathy, being nonjudgmental, patience, and spirit of self-sacrifice. The spirit of self-sacrifice was a unique attribute revealed in this research. Preceptors possessed several important attributes which are usually stressed in the literature as selection criteria for preceptors. These attributes could be further drawn upon when selecting new preceptors. Preceptors are role models. Existence of the spirit of self-sacrifice among preceptors could contribute to transferring of such spirit to new nurses and future preceptors as well as to preceptors' patience with challenges of their role. Effective preceptorship needs preceptors who possess specific professional and personal attributes. These attributes could be drawn upon more objectively in the process of selection, preparation and evaluation of preceptors by clinical and educational nursing managers. AD - Nursing Care Research Centre, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran. Electronic address: l.borimnejad@gmail.com. Department of Pediatric, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran. Electronic address: valizades@tbzmed.ac.ir. Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran. Electronic address: azad.rahmani@yahoo.com. University of Derby, Kedleston Road, Derby DE22 1GB, United Kingdom. Electronic address: w.whitehead@derby.ac.uk. Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran. Electronic address: ladyoflamp48@yahoo.com. AN - 29078107 AU - Borimnejad, L. AU - Valizadeh, S. AU - Rahmani, A. AU - Whitehead, B. AU - Shahbazi, S. DA - Jan DO - 10.1016/j.nepr.2017.10.018 DP - NLM ET - 20171017 KW - Adult Education, Nursing *Empathy Female Hermeneutics Humans Iran Job Satisfaction Nurse's Role/*psychology Patient Selection Preceptorship/*methods Qualitative Research Attributes New nurses Phenomenology Preceptor Preceptorship LA - eng N1 - 1873-5223 Borimnejad, Leili Valizadeh, Sousan Rahmani, Azad Whitehead, Bill Shahbazi, Shahla Journal Article Scotland 2017/10/28 Nurse Educ Pract. 2018 Jan;28:121-126. doi: 10.1016/j.nepr.2017.10.018. Epub 2017 Oct 17. PY - 2018 SN - 1471-5953 SP - 121-126 ST - Attributes of Iranian new nurse preceptors: A phenomenological study T2 - Nurse Educ Pract TI - Attributes of Iranian new nurse preceptors: A phenomenological study VL - 28 ID - 13606 ER - TY - JOUR DA - 5 PY - 2018 ST - Here’s why I left nursing T2 - KevinMD blog TI - Here’s why I left nursing UR - http://feedproxy.google.com/~r/KevinMd-MedicalWeblog/~3/BhTezkTTEE4/heres-why-i-left-nursing.html ID - 13814 ER - TY - JOUR DA - 4 PY - 2018 ST - Patient Modesty: Volume 86 T2 - Bioethics Discussion Blog TI - Patient Modesty: Volume 86 UR - http://bioethicsdiscussion.blogspot.com/2018/04/patient-modesty-volume-86.html ID - 13812 ER - TY - JOUR AB - PURPOSE: The current study compares the effects of a traditionally delivered mindfulness (TDM) intervention to a smartphone delivered mindfulness (SDM) intervention, Headspace, an audio-guided mindfulness meditation program, in a group of novice nurses. DESIGN AND METHODS: Novice nurses participating in a pediatric nurse residency program were asked to participate in either a TDM or SDM intervention. Participants (N=95) completed self-administered pencil and paper questionnaires measuring mindfulness skills, and risk and protective factors at the start of their residency and three months after entering the program. RESULTS: Nurses in the SDM group reported significantly more "acting with awareness" and marginally more "non-reactivity to inner experience" skills compared to the TDM group. The smartphone intervention group also showed marginally more compassion satisfaction and marginally less burnout. Additionally, nurses in the SDM group had lower risk for compassion fatigue compared to the TDM group, but only when the nurses had sub-clinical posttraumatic symptoms at the start of the residency training program. CONCLUSIONS: Smartphone delivered mindfulness interventions may provide more benefits for novice nurses than traditionally delivered mindfulness interventions. However, the smart-phone intervention may be better indicated for nurses without existing symptoms of posttraumatic stress. PRACTICE IMPLICATIONS: Mindfulness interventions delivered through smartphone applications show promise in equipping nurses with important coping skills to manage stress. Because of the accessibility of smartphone applications, more nurses can benefit from the intervention as compared to a therapist delivered intervention. However, nurses with existing stress symptoms may require alternate interventions. AD - University of Southern California University Center for Excellence in Developmental Disabilities (UCEDD) at Children's Hospital Los Angeles, #53, Los Angeles, CA, USA. Bellevue College, Department of Psychology, Bellevue, WA, USA. Keck School of Medicine, University of Southern California, Professor of Anesthesiology, Pediatrics, and Psychiatry & Behavioral Sciences, Children's Hospital Los Angeles, Department of Anesthesiology Critical Care Medicine, USA. Electronic address: jgold@chla.usc.edu. AN - 28888505 AU - Morrison Wylde, C. AU - Mahrer, N. E. AU - Meyer, R. M. L. AU - Gold, J. I. DA - Sep-Oct DO - 10.1016/j.pedn.2017.06.008 DP - NLM ET - 20170714 KW - Adult Burnout, Professional/prevention & control Clinical Competence Compassion Fatigue/*prevention & control Female Humans Job Satisfaction Male Mindfulness/*education Nurses, Pediatric/*education Pediatric Nursing/*organization & administration Quality of Life Risk Assessment *Smartphone Stress, Psychological/prevention & control *Surveys and Questionnaires United States Burnout Compassion fatigue Compassion satisfaction Mindfulness Nurses LA - eng N1 - 1532-8449 Morrison Wylde, Chelsey Mahrer, Nicole E Meyer, Rika M L Gold, Jeffrey I Comparative Study Journal Article United States 2017/09/11 J Pediatr Nurs. 2017 Sep-Oct;36:205-212. doi: 10.1016/j.pedn.2017.06.008. Epub 2017 Jul 14. PY - 2017 SN - 0882-5963 SP - 205-212 ST - Mindfulness for Novice Pediatric Nurses: Smartphone Application Versus Traditional Intervention T2 - J Pediatr Nurs TI - Mindfulness for Novice Pediatric Nurses: Smartphone Application Versus Traditional Intervention VL - 36 ID - 13648 ER - TY - JOUR AB - AIMS AND OBJECTIVES: To critically synthesise research related to the transition of registered nurses into new areas of clinical practice. BACKGROUND: Global workforce shortages and rising healthcare demands have encouraged registered nurses to move into new clinical settings. While a body of literature reports on the transition of newly qualified nurses, evidence surrounding the transition of more experienced registered nurses to new clinical areas remains poorly explored. DESIGN: An integrative review was conducted, guided by Whittemore and Knafl (Journal of Advanced Nursing, 52, 2005, 546) framework. METHODS: An electronic database search was conducted for papers published between 1996-2016. Papers were then subjected to a methodological quality appraisal, with findings synthesised using thematic analysis into core themes. RESULTS: Ten articles met the inclusion criteria. Three themes emerged, namely Support, Professional Development and Emotional Impact. These themes suggest that transitioning nurses experience challenges in adapting to new clinical areas and developing necessary skills. Such challenges prompted various emotional and physical responses. While formal and informal support systems were regarded as valuable by transitioning nurses, they were inconsistent across the new clinical areas. CONCLUSIONS: There is some evidence to highlight the initial shock and emotional stress experienced by registered nurses during transition to a new clinical area. However, the influence of formal and informal support systems for such registered nurses is far from conclusive. Further research is needed, to examine registered nurse transition into a variety of clinical areas to inform workforce support, policy and practices. RELEVANCE TO CLINICAL PRACTICE: The demand of health care is growing while global shortages of nursing workforce remain. To ensure retention and enhance the transition experience of registered nurses, it is important for nurse leaders, managers and policymakers to understand the transition experience and factors that impact this experience. AD - School of Nursing, University of Wollongong, Wollongong, NSW, Australia. Health and Social Wellbeing, Nan Tien Institute, Unanderra, NSW, Australia. Forensic Mental Health, School of Global, Urban and Social Studies, RMIT University, Melbourne, Vic., Australia. AN - 28793382 AU - Kinghorn, G. R. AU - Halcomb, E. J. AU - Froggatt, T. AU - Thomas, S. D. DA - Dec DO - 10.1111/jocn.14008 DP - NLM ET - 20171008 IS - 23-24 KW - *Career Choice *Career Mobility Humans Leadership Nurses/psychology/*supply & distribution Nursing Staff/organization & administration adaptation experience integrative review registered nurses transition workforce LA - eng N1 - 1365-2702 Kinghorn, Grant R Orcid: 0000-0002-5015-9226 Halcomb, Elizabeth J Orcid: 0000-0001-8099-986x Froggatt, Terry Thomas, Stuart Dm Journal Article Review England 2017/08/10 J Clin Nurs. 2017 Dec;26(23-24):4223-4233. doi: 10.1111/jocn.14008. Epub 2017 Oct 8. PY - 2017 SN - 0962-1067 SP - 4223-4233 ST - Transitioning into new clinical areas of practice: An integrative review of the literature T2 - J Clin Nurs TI - Transitioning into new clinical areas of practice: An integrative review of the literature VL - 26 ID - 13625 ER - TY - JOUR AB - Nurse practitioners are entering specialized areas of practice immediately after graduation from nurse practitioner (NP) education and certification and are finding employment in specialized areas such as oncology. Rapidly achieving a knowledge base in this highly specialized area of medicine coupled with the stress of the new nurse practitioner role can lead to a very difficult orientation and transition period. There are several methods to provide specialized education to NPs during their orientation period. Unfortunately, limitations such as a lack of motivated mentors, limited opportunities to practice the desired skill set or a lack of structure in regards to curriculum quality, and the learning needs of the new nurse hinder the NP's transition to practice. In response to either inadequate or non-standardized orientation to the specialty role of the oncology NP (ONP), a web-enhanced educational tool, funded through the National Cancer Institute, was developed for use in the USA: Oncology Nurse Practitioner Web Education Resource (ONc-PoWER). The development of ONc-PoWER was based upon essential education for NPs new to cancer care, adult learning theory, Bloom's Taxonomy, and foundations of quality online education. The five interactive web-based modules provide specialized education for the nurse practitioner new to oncology along with an on-site mentor to assist the NP in applying the course content to clinical practice. AD - Department of Acute and Tertiary Care, University of Pittsburgh School of Nursing, Victoria Street, 336 Victoria Building, Pittsburgh, PA, 15261, USA. rho100@pitt.edu. Department of Acute and Tertiary Care, University of Pittsburgh School of Nursing, Victoria Street, 336 Victoria Building, Pittsburgh, PA, 15261, USA. AN - 26781695 AU - Hoffmann, R. L. AU - Klein, S. J. AU - Rosenzweig, M. Q. C1 - The authors declare no conflicts of interest. C2 - PMC4949154 C6 - NIHMS752741 DA - Sep DO - 10.1007/s13187-015-0980-3 DP - NLM IS - 3 KW - Curriculum *Education, Distance Education, Nursing, Continuing Humans National Cancer Institute (U.S.) *Nurse Practitioners Oncology Nursing/*education/standards United States Continuing education Mentoring Oncology Web-based instruction ᅟNurse practitioner LA - eng N1 - 1543-0154 Hoffmann, Rosemary L Klein, Sara Jo Rosenzweig, Margaret Q R25 CA148050/CA/NCI NIH HHS/United States Journal Article 2016/01/20 J Cancer Educ. 2017 Sep;32(3):522-527. doi: 10.1007/s13187-015-0980-3. PY - 2017 SN - 0885-8195 (Print) 0885-8195 SP - 522-527 ST - Creating Quality Online Materials for Specialty Nurse Practitioner Content: Filling a Need for the Graduate Nurse Practitioner T2 - J Cancer Educ TI - Creating Quality Online Materials for Specialty Nurse Practitioner Content: Filling a Need for the Graduate Nurse Practitioner VL - 32 ID - 13681 ER - TY - JOUR AB - AIM: To investigate transition in newly qualified nurses through an exploration of their stressors and stress experiences during their first 12 months postqualifying. BACKGROUND: Globally, thousands of new nurses qualify annually. They are crucial for the profession and healthcare service delivery. Work-related stress has multiple serious consequences, yet there is a lack of robust, empirical evidence that directly analyses newly qualified nurses and the stress they feel and experience in the workplace. Understanding what causes newly qualified nurses' stress is vital to retaining and nurturing this vital component of the workforce. DESIGN: Longitudinal, explanatory sequential mixed methods, cohort study. METHODS: At the point of qualification (n = 288), 6 months postqualifying (n = 107) and 12 months postqualifying (n = 86), newly qualified nurses completed the Nursing Stress Scale, with 14 completing a one-to-one interview at 12 months postqualifying. Data were collected from 2010 - 2012. Inferential statistics, "thematic analysis" and "side-by-side comparisons in a discussion" were used for analysis. RESULTS: Workload was consistently the highest reported stressor with inadequate staffing and managing multiple role demands given as explanations. Incivility within the workplace was a noted stressor. Conversely, being part of "a good team" provided a civil, supportive, facilitative work environment. Entering nurse education with previous healthcare experience had a mediating effect on the reported frequency of stressors. CONCLUSIONS: Newly qualified nurses encounter multiple work-related stressors over their first 12 months postqualifying, which are intrinsically entwined with their transition. Employing organizations need to be more proactive in managing their workload and addressing workplace incivility. AD - London South Bank University, London, UK. AN - 28543602 AU - Halpin, Y. AU - Terry, L. M. AU - Curzio, J. DA - Nov DO - 10.1111/jan.13344 DP - NLM ET - 20170705 IS - 11 KW - Adult Attitude of Health Personnel Female Humans Interprofessional Relations Longitudinal Studies Male Nursing Staff/*psychology *Occupational Stress Research Design Students, Nursing/psychology United Kingdom Workload Young Adult incivility longitudinal, newly qualified nurse mixed methods stress transition LA - eng N1 - 1365-2648 Halpin, Yvonne Orcid: 0000-0001-5100-2987 Terry, Louise M Curzio, Joan Journal Article England 2017/05/26 J Adv Nurs. 2017 Nov;73(11):2577-2586. doi: 10.1111/jan.13344. Epub 2017 Jul 5. PY - 2017 SN - 0309-2402 SP - 2577-2586 ST - A longitudinal, mixed methods investigation of newly qualified nurses' workplace stressors and stress experiences during transition T2 - J Adv Nurs TI - A longitudinal, mixed methods investigation of newly qualified nurses' workplace stressors and stress experiences during transition VL - 73 ID - 13668 ER - TY - JOUR AB - BACKGROUND: Novice nursing practitioners (NNPs) often struggle to make the transition to fully competent professionals. We sought to determine the impact of an interactive, situated learning workshop on a participant's clinical competence. OBJECTIVES: This work aimed to improve the clinical competence, promote the self-confidence, and reduce the number of work-related stressors of NNPs. METHODS: We randomly allocated 31 newly graduated NNPs into interactive situated and simulated teaching (ISST) and non-ISST groups, which were perceived as the homogeneity of the 2 groups based upon no significant difference at age, education level and work units. The ISST program comprised six follow-up interactive face-to-face support sessions over a three-month period following the standard orientation training course. We assessed the participants' competency, stress, and confidence levels in professional competence before and at the end of the study. RESULTS: At the end of the three-month study period, the ISST group demonstrated superior nursing competency (p=0.001), as well as reported lower stress levels (p=0.011), and increased confidence in professional competence (p=0.026) as compared with those in the control group. A multiple regression analysis revealed that clinical nursing competence was positively correlated with the use of ISST (p=0.02) and negatively correlated with stress (p=0.03). CONCLUSIONS: The ISST program for NNPs significantly improved their clinical competence. It may be helpful to ensure that new trainees have access to training programs that can facilitate their acclimation to their new working environments at the beginning of their careers. AD - Chang Gung Medical Education Research Centre, CG-MERC, Gueishan, Taoyuan, Taiwan; Department of Nursing, Chang Gung Memorial Hospital, Keelung, Taiwan; School of Nursing, Chang Gung University and Chang Gung University of Science and Technology, Taoyuan, Taiwan. Department of Medical Research, National Taiwan University Hospital, Taiwan. Department of Nursing, Chang Gung Memorial Hospital, Keelung, Taiwan. Division of Hemato-oncology, Department of Internal Medicine, Chang Gung Memorial Hospital, Keelung, and Chang Gung University, Taiwan. Electronic address: yehtyng@gmail.com. AN - 28505519 AU - Chen, S. H. AU - Chen, S. C. AU - Lee, S. C. AU - Chang, Y. L. AU - Yeh, K. Y. DA - Aug DO - 10.1016/j.nedt.2017.04.025 DP - NLM ET - 20170506 KW - Clinical Competence/*standards Education, Nursing, Graduate Educational Measurement/methods Female Humans Nurse Practitioners/psychology/*standards Simulation Training/*methods Social Support Stress, Psychological/*prevention & control Students, Nursing/psychology Surveys and Questionnaires Young Adult Clinical competence New nurses Situated and simulated teaching Stress LA - eng N1 - 1532-2793 Chen, Sue-Hsien Chen, Shu-Ching Lee, Shu-Chiou Chang, Yi-Ling Yeh, Kun-Yun Journal Article Randomized Controlled Trial Scotland 2017/05/16 Nurse Educ Today. 2017 Aug;55:11-16. doi: 10.1016/j.nedt.2017.04.025. Epub 2017 May 6. PY - 2017 SN - 0260-6917 SP - 11-16 ST - Impact of interactive situated and simulated teaching program on novice nursing practitioners' clinical competence, confidence, and stress T2 - Nurse Educ Today TI - Impact of interactive situated and simulated teaching program on novice nursing practitioners' clinical competence, confidence, and stress VL - 55 ID - 13662 ER - TY - JOUR DA - 7 PY - 2017 ST - Nurse practitioners! Tips for negotiating your first job T2 - KevinMD blog TI - Nurse practitioners! Tips for negotiating your first job UR - http://feedproxy.google.com/~r/KevinMd-MedicalWeblog/~3/VWSydNeRZW8/nurse-practitioners-tips-negotiating-first-job.html ID - 13815 ER - TY - JOUR AB - INTRODUCTION: Preceptors play an important role in the transition of new nurses to the practice setting, however, preceptorship experience has been perceived as stressful by preceptors. This study aimed to explore the lived experiences of nurse preceptors working with new nurses. METHOD: This qualitative study used the hermeneutic phenomenological design to explore the experiences of six nurse preceptors working with new nurses in a tertiary pediatric teaching hospital in Northwest of Iran, who were recruited by purposive sampling. Data were collected using in-depth semi-structured individual interviews between July 2014 and March 2015, and analyzed using the Diekelmann's seven-stage method. RESULTS: Data analysis revealed three themes: 1) preceptorship as a challenging and stressful role; 2) lack of support; and 3) lack of appreciation. Preceptorship as 'a challenging and stressful role' was the constitutive pattern that unified the themes. CONCLUSION: The preceptorship of new nurses is challenging and stressful. Preceptors endure several roles concurrently, thus, their workload should be balanced appropriately in order not to compromise with one another and evade burnout. The preceptors need to be well supported and their contribution be appropriately recognized. Setting clear objectives and realistic expectations, and having clear policies and guidelines in place should help develop a preceptorship program that is more likely to bring about positive outcomes for both preceptors and new nurses. AD - Department of Pediatric, Nursing & Midwifery Faculty, Tabriz University of Medical Sciences, Tabriz, Iran. Electronic address: valizades@tbzmed.ac.ir. Nursing Care Research Centre, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran. Electronic address: l.borimnejad@gmail.com. Department of Medical-Surgical Nursing, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran. Electronic address: azadrahmani@yahoo.com. Faculty of Health, University of Technology, Sydney, Australia. Electronic address: Leila.Gholizadeh@uts.edu.au. Department of Medical-Surgical Nursing, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran. Electronic address: ladyoflamp48@yahoo.com. AN - 27429335 AU - Valizadeh, S. AU - Borimnejad, L. AU - Rahmani, A. AU - Gholizadeh, L. AU - Shahbazi, S. DA - Sep DO - 10.1016/j.nedt.2016.05.021 DP - NLM ET - 20160527 KW - Adult Attitude of Health Personnel Clinical Competence Female Humans Interviews as Topic Iran Job Satisfaction Middle Aged Nursing Staff, Hospital/*psychology Pediatric Nursing/*education *Preceptorship Qualitative Research Social Support Teaching Workload Clinical practice New nurses Phenomenological hermeneutics Preceptor Preceptorship LA - eng N1 - 1532-2793 Valizadeh, Sousan Borimnejad, Leili Rahmani, Azad Gholizadeh, Leila Shahbazi, Shahla Journal Article Scotland 2016/07/19 Nurse Educ Today. 2016 Sep;44:92-7. doi: 10.1016/j.nedt.2016.05.021. Epub 2016 May 27. PY - 2016 SN - 0260-6917 SP - 92-7 ST - Challenges of the preceptors working with new nurses: A phenomenological research study T2 - Nurse Educ Today TI - Challenges of the preceptors working with new nurses: A phenomenological research study VL - 44 ID - 13650 ER - TY - JOUR AB - This paper presents the results of a national survey of pediatric nurse residency programs (NRP). DESIGN AND METHODS: The Pediatric Nursing Certification Board (PNCB) database was used to identify 316 hospitals with pediatric units, including children's hospitals and community hospitals with pediatric services. The Residency Task Force of the Institute of Pediatric Nursing (IPN) developed the survey, Exploring Pediatric Nurse Residency Programs. Survey items addressed structure, content, outcomes, benefits and challenges of NRPs, including a comparison with orientation programs and use of preceptors. RESULTS: Of the 316 hospitals contacted, 65 provided usable information and 45 reported having an NRP. Most (94%) of the hospitals have an orientation program, and 70% had an NRP. The NRPs were typically internally developed (60%) and a year in length (46.5%). Most common content (>80%) included critical thinking, stress management, small group support, professional role transition, pediatric resuscitation, and evidence based practice. Evaluation of the NRPs included measures of satisfaction, turnover rates, and standardized measures, primarily the Casey-Fink Graduate Nurse Experience Survey (48.7%). Challenges include obtaining financial support from the organization, developing content relevant across units, providing time away from clinical units, and maintaining preceptors. Benefits noted included development of professional role confidence and peer support networks, increased safe nursing practices, and a decrease in nursing turnover. CONCLUSIONS AND PRACTICE IMPLICATIONS: In the ongoing development of NRPs in children's hospitals, issues such as appropriate content, optimal length, standardization across settings, impact on nurse retention, safe practice and patient outcomes all need to be addressed. AD - The Children's Mercy Hospital and Clinics, Kansas City, MO. Cook Children's Medical System, Fort Worth, TX. Medical City Children's Hospital, Dallas, TX. Boston Children's Hospital, Boston, MA. The University of Iowa College of Nursing, Iowa City, IA. Electronic address: ann-mccarthy@uiowa.edu. AN - 26639772 AU - Smith, J. B. AU - Rubinson, D. AU - Echtenkamp, D. AU - Brostoff, M. AU - McCarthy, A. M. DA - Mar-Apr DO - 10.1016/j.pedn.2015.10.010 DP - NLM ET - 20151128 IS - 2 KW - *Clinical Competence Education, Nursing, Graduate/*organization & administration Female Hospitals, Pediatric Humans Internship and Residency/*organization & administration Male Nurses, Pediatric/*education Pediatric Nursing/*education Program Development Program Evaluation Surveys and Questionnaires United States Children’s hospitals Nurse residency programs Pediatric units LA - eng N1 - 1532-8449 Smith, Janis B Rubinson, Deborah Echtenkamp, Deborah Brostoff, Marcie McCarthy, Ann Marie Journal Article Research Support, Non-U.S. Gov't United States 2015/12/08 J Pediatr Nurs. 2016 Mar-Apr;31(2):187-95. doi: 10.1016/j.pedn.2015.10.010. Epub 2015 Nov 28. PY - 2016 SN - 0882-5963 SP - 187-95 ST - Exploring the Structure and Content of Hospital-Based Pediatric Nurse Residency Programs T2 - J Pediatr Nurs TI - Exploring the Structure and Content of Hospital-Based Pediatric Nurse Residency Programs VL - 31 ID - 13634 ER - TY - JOUR AB - The shock of reality expresses a dissonance between reality what was imagined about the labor world. It is part of the integration process of new nurses that join a health care setting for the first time. This major step, related to the first work experience, places recruits in a state of vulnerability in their new profession. While several retirements are expected among baby boomers, finding solutions to ease the transition to the professional role among younger nurses is crucial. This narrative literature review attempts to answer the following questions : What characterizes the reality shock among new nurses in a context of role transition from student to professional ? CINAHL and MEDLINE databases were consulted in addition to reports issued by the OIIQ. Preceptorship programs providing working conditions that reflect the needs of the new generation of workers, as well as realistic expectations, seem to reduce the impact of the shock of reality. AN - 28186486 AU - Roy, J. AU - Robichaud, F. DA - Dec DO - 10.3917/rsi.127.0082 DP - NLM IS - 127 KW - Humans Nurse's Role/*psychology *Occupational Stress/epidemiology/etiology Practice Patterns, Nurses' Syndrome Workload/*psychology LA - fre N1 - Roy, Johannie Robichaud, Fanny Journal Article Review France 2017/02/12 Rech Soins Infirm. 2016 Dec;(127):82-90. doi: 10.3917/rsi.127.0082. OP - Le syndrome du choc de la réalité chez les nouvelles infirmières. PY - 2016 SN - 0297-2964 (Print) 0297-2964 SP - 82-90 ST - [The shock of reality of new nurses] T2 - Rech Soins Infirm TI - [The shock of reality of new nurses] ID - 13619 ER - TY - JOUR AB - AIMS: To conduct an in-depth analysis to understand how Polish nurses perceive their profession from the perspective of the jobs they perform and their experiences connected with the work. BACKGROUND: Although there are general educational standards in the nursing profession, nurses worldwide perform their jobs under different systems and cultural conditions. Exploring and describing how experienced nurses view their profession can contribute to recommendations on how to promote the image of the profession and can assist in recruiting new nurses. METHODS: A descriptive, explorative qualitative study was conducted. Focus groups (n = 6) were organized involving nurses (n = 60) who had between 8 and 33 years of work experience. FINDINGS: Data analysis revealed four main themes and ten sub-themes: (i) the role of the nurse (idealistic view of a nurse's work before starting the job, realistic perception of the profession while doing the job); (ii) respect for a nurse (nurses' attitudes towards one another, doctors' attitudes towards nurses, patients' and their families' attitudes towards nurses); (iii) gender issues (stereotypes, favouritism towards male nurses); (iv) prestige of the profession (prestige of the nursing profession in society, remuneration, nurses' choice of a future profession for their children). DISCUSSION: The study demonstrates that there is a huge discrepancy between the commonly held image of the nursing profession and the reality of the nurse's job. The idealistic view that it is a "clean" job in which the nurse only gives injections is not reflected in the actual duties. CONCLUSION AND IMPLICATIONS FOR NURSING AND HEALTH POLICY: The findings revealed factors which influence the perception of the nursing profession in Poland, that is the system of education, professional experience and the current situation in which nurses perform their roles. Nurses' current perception of the job may have negative consequences both for nurses themselves (e.g. burnout) and for the whole profession (e.g. negative selection). Nurses should aim to fulfil leadership roles and participate in the management of health policy so as to have greater influence on healthcare planning. AD - Department of Primary Health Care, Medical University of Bialystok, Białystok, Poland. AN - 27291305 AU - Marcinowicz, L. AU - Owlasiuk, A. AU - Perkowska, E. DA - Sep DO - 10.1111/inr.12294 DP - NLM ET - 20160612 IS - 3 KW - *Attitude of Health Personnel *Burnout, Professional Focus Groups Humans Male *Nurse's Role Poland Qualitative Research Focus Group Nurses Nursing Role Profession Qualitative Methods LA - eng N1 - 1466-7657 Marcinowicz, L Owlasiuk, A Perkowska, E Journal Article England 2016/06/14 Int Nurs Rev. 2016 Sep;63(3):336-43. doi: 10.1111/inr.12294. Epub 2016 Jun 12. PY - 2016 SN - 0020-8132 SP - 336-43 ST - Exploring the ways experienced nurses in Poland view their profession: a focus group study T2 - Int Nurs Rev TI - Exploring the ways experienced nurses in Poland view their profession: a focus group study VL - 63 ID - 13690 ER - TY - JOUR AB - Purpose This study aimed to (a) test the fit of the hypothesized model for new nurses' intent to leave and (b) determine the extent to which personal characteristics, work conditions, and work-related fatigue predict intent to leave among new nurses. Design and Methods This study was a cross-sectional survey study. A total of 162 new nurses were recruited. A hypothesized model was proposed for model testing. Structural equation modelling was used for data analysis. Findings Work conditions only had an effect through work-related fatigue on new nurses' intent to leave. Personal characteristics did not have a significant effect on new nurses' intent to leave. The final model showed a good fit. Work-related fatigue, work conditions, and health explained 65% of the variance in new nurses' intent to leave. Conclusions Work-related fatigue was a major determinant of new nurses' intent to leave. More attention should be paid to fatigue reduction strategies among new nurses. Clinical Relevance Work-related fatigue should be monitored, particularly for new nurses who work more than 10 hr per day and who have greater workloads. AD - Assistant Professor, School of Nursing, Kaohsiung Medical University, Kaohsiung Taiwan Director, Department of Nursing, Kaohsiung Medical University Chung‐Ho Memorial Hospital, Kaohsiung Taiwan Head Nurse, Department of Nursing, Chi‐Mei Medical Center, Tainan Taiwan Associate Professor, School of Nursing, Kaohsiung Medical University, Kaohsiung Taiwan AN - 112154434. Language: English. Entry Date: 20160111. Revision Date: 20180629. Publication Type: Article. Journal Subset: Core Nursing AU - Liu, Yi AU - Wu, Li‐Min AU - Chou, Pi‐Ling AU - Chen, Mei‐Hsin AU - Yang, Li‐Chien AU - Hsu, Hsin‐Tien DB - cin20 DO - 10.1111/jnu.12181 DP - EBSCOhost IS - 1 KW - Fatigue Personnel Retention Intention New Graduate Nurses Human Cross Sectional Studies Structural Equation Modeling Burnout, Professional Work Environment Questionnaires Taiwan Convenience Sample Summated Rating Scaling Scales Male Female Data Analysis Software Bivariate Statistics Descriptive Statistics Chi Square Test Goodness of Fit Chi Square Test Funding Source N1 - Double Blind Peer Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. Instrumentation: Occupational Fatigue Exhaustion Recovery Scale; Intent to Leave Scale (ITL)(Widerszal-Bazyl et.al.). Grant Information: funded by the Ministry of Science andTechnology in Taiwan (NSC102-2314-B-037-001). NLM UID: 100911591. PY - 2016 SN - 1527-6546 SP - 66-73 ST - The Influence of Work-Related Fatigue, Work Conditions, and Personal Characteristics on Intent to Leave Among New Nurses T2 - Journal of Nursing Scholarship TI - The Influence of Work-Related Fatigue, Work Conditions, and Personal Characteristics on Intent to Leave Among New Nurses UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=112154434&site=ehost-live&scope=site VL - 48 ID - 13760 ER - TY - JOUR AB - BACKGROUND: The purpose of this integrative literature review was to evaluate and synthesize the evidence regarding the existence, extent, and significance of a preparation-practice gap-namely, the deficits in knowledge and skills that novice nurses may demonstrate on entry into the clinical setting and the identified best practices to narrow this gap. METHOD: An integrative literature review was performed. RESULTS: A final set of 50 articles were included in the review. Three main themes permeate the evidence: a preparation-practice gap exists; this gap is costly; and closing the preparation-practice gap will likely rely on changes in undergraduate education and on-the-job remediation (i.e., nurse residency or preceptor programs). CONCLUSIONS: The preparation-practice gap is a challenge that has faced the nursing profession for years. Efforts to close this gap can be justified on the hopes of decreasing turnover (and its attendant costs), boosting morale of novice nurses and their preceptors, decreasing stress among the novice nurses, and improving patient safety. AN - 26790493 AU - Hickerson, K. A. AU - Taylor, L. A. AU - Terhaar, M. F. DA - Jan DO - 10.3928/00220124-20151230-06 DP - NLM IS - 1 KW - *Attitude of Health Personnel *Clinical Competence Education, Nursing/*organization & administration Humans Nursing Staff/*psychology Preceptorship/*organization & administration Professional Practice Gaps/*organization & administration LA - eng N1 - 1938-2472 Hickerson, Kirsten A Taylor, Laura A Terhaar, Mary F Journal Article Review United States 2016/01/23 J Contin Educ Nurs. 2016 Jan;47(1):17-23. doi: 10.3928/00220124-20151230-06. PY - 2016 SN - 0022-0124 SP - 17-23 ST - The Preparation-Practice Gap: An Integrative Literature Review T2 - J Contin Educ Nurs TI - The Preparation-Practice Gap: An Integrative Literature Review VL - 47 ID - 13622 ER - TY - JOUR AB - AIMS AND OBJECTIVES: The purpose of this research was to critically examine the factors that contribute to turnover of experienced nurses' including their decision to leave practice settings and seek alternate nursing employment. In this study, we explore experienced nurses' decision-making processes and examine the personal and environmental factors that influenced their decision to leave. BACKGROUND: Nursing turnover remains a pressing problem for healthcare delivery. Turnover contributes to increased recruitment and orientation cost, reduced quality patient care and the loss of mentorship for new nurses. DESIGN: A qualitative, interpretive descriptive approach was used to guide the study. METHODS: Interviews were conducted with 12 registered nurses, averaging 16 years in practice. Participants were equally represented from an array of acute care inpatient settings. The sample drew on perspectives from point-of-care nurses and nurses in leadership roles, primarily charge nurses and clinical nurse educators. RESULTS: Nurses' decisions to leave practice were influenced by several interrelated work environment and personal factors: higher patient acuity, increased workload demands, ineffective working relationships among nurses and with physicians, gaps in leadership support and negative impacts on nurses' health and well-being. Ineffective working relationships with other nurses and lack of leadership support led nurses to feel dissatisfied and ill equipped to perform their job. The impact of high stress was evident on the health and emotional well-being of nurses. CONCLUSIONS: It is vital that healthcare organisations learn to minimise turnover and retain the wealth of experienced nurses in acute care settings to maintain quality patient care and contain costs. RELEVANCE TO CLINICAL PRACTICE: This study highlights the need for healthcare leaders to re-examine how they promote collaborative practice, enhance supportive leadership behaviours, and reduce nurses' workplace stressors to retain the skills and knowledge of experienced nurses at the point-of-care. AD - Peace Arch Hospital, White Rock, BC, Canada. School of Nursing, University of British Columbia, Vancouver, BC, Canada. Professional Practice, Vancouver, BC, Canada. Fraser Health Authority, Burnaby Hospital Administration, Burnaby, BC, Canada. AN - 26990238 AU - Hayward, D. AU - Bungay, V. AU - Wolff, A. C. AU - MacDonald, V. DA - May DO - 10.1111/jocn.13210 DP - NLM ET - 20160316 IS - 9-10 KW - Adult *Attitude of Health Personnel British Columbia Female Humans Interviews as Topic Middle Aged Nursing Staff, Hospital/*psychology *Personnel Turnover *Workload decision making interviews nursing retention turnover work environment LA - eng N1 - 1365-2702 Hayward, Dana Bungay, Vicky Wolff, Angela C MacDonald, Valerie Journal Article Multicenter Study Research Support, Non-U.S. Gov't England 2016/03/19 J Clin Nurs. 2016 May;25(9-10):1336-45. doi: 10.1111/jocn.13210. Epub 2016 Mar 16. PY - 2016 SN - 0962-1067 SP - 1336-45 ST - A qualitative study of experienced nurses' voluntary turnover: learning from their perspectives T2 - J Clin Nurs TI - A qualitative study of experienced nurses' voluntary turnover: learning from their perspectives VL - 25 ID - 13663 ER - TY - JOUR AB - The first year of practice as a nurse is recognized as stressful. Graduate nurses (GNs) report gaps in their education, reality shock, burnout and other negative experiences that influence their intentions to remain in nursing. OBJECTIVES: The aim of this literature review was to gain a greater understanding of the experiences of GNs. REVIEW METHODS: It included thirty-six articles that focused on GNs and their transition to nursing, as part of a graduate nurse program (GNP), from 2005 to present. RESULT: The review identified three main themes that influence the transition from student to registered nurse. These themes included, 1) feeling stressed and overwhelmed by nursing responsibilities, 2) the amount of support from senior nurses and 3) the importance of feedback on their performance as nurses. CONCLUSIONS: Further research that is focused on the support and feedback provided to new nurses is needed. AD - Deakin University, Building HC, 221 Burwood Highway, Burwood, VIC 3125, Australia. Electronic address: igga@deakin.edu.au. Deakin University, Building HC, 221 Burwood Highway, Burwood, VIC 3125, Australia. Electronic address: jade.sheen@deaki.edu.au. AN - 27125143 AU - Gardiner, I. AU - Sheen, J. DA - May DO - 10.1016/j.nedt.2016.01.016 DP - NLM ET - 20160201 KW - *Attitude of Health Personnel Burnout, Professional Education, Nursing, Baccalaureate Feedback Humans Mentors Nurse's Role/*psychology *Social Support Stress, Psychological/*psychology Education Graduate nurse Graduate nurse program Stress Support LA - eng N1 - 1532-2793 Gardiner, Isabelle Sheen, Jade Journal Article Review Scotland 2016/04/30 Nurse Educ Today. 2016 May;40:7-12. doi: 10.1016/j.nedt.2016.01.016. Epub 2016 Feb 1. PY - 2016 SN - 0260-6917 SP - 7-12 ST - Graduate nurse experiences of support: A review T2 - Nurse Educ Today TI - Graduate nurse experiences of support: A review VL - 40 ID - 13605 ER - TY - JOUR AB - This dissertation is an exploration of psychosocial concepts related to the experiences of a vital health human resource, newly licensed registered nurses. Newly licensed registered nurses are at risk for leaving their first job within the first year due to the difficulty of transitioning to practice. The pressure to gain competence and deliver quality care, all while navigating the workplace environment, can impact their commitment to an organization and the profession. The reader will notice these concepts threaded throughout the dissertation. While these concepts are explored in other nursing workforce populations, the researcher determined a gap in the research on newly licensed registered nurses participating in a nurse residency program. The first manuscript, Defining Competence and its Relevance to Quality Care in Nursing, provides a non-traditional analysis of the concept of competence while relating the focal points of competence to quality care. Organizational Commitment in Newly Licensed Registered Nurses is the second manuscript in this portfolio dissertation. This manuscript, written as a literature review, provides insight into the factors that impact organizational commitment and the implications of the findings. The fourth chapter presents the primary research project undertaken. Using a national database of a nurse residency program, a hypothetical model is tested to determine the effect several antecedent variables have on organizational commitment. Further analysis reveals the impact organizational commitment has on turnover intent and actual job turnover. In completing this dissertation, the researcher was able to contribute to the research on nursing workforce and transition to practice issues. AD - Ph.D., University of Texas at Tyler AN - 131792029. Language: English. Entry Date: 20180919. Revision Date: 20181205. Publication Type: Article AU - Church, Cory D. DB - cin20 DP - EBSCOhost KW - Organizational Culture -- Evaluation Registered Nurses -- Psychosocial Factors Personnel Turnover Human Work Environment Burnout, Professional Nursing Skills Interns and Residents -- Psychosocial Factors Quality of Health Care N1 - research; doctoral dissertation. Special Interest: Nursing Administration. PY - 2016 SP - 1-1 ST - Analyzing Organizational Commitment and the Effect on Job Turnover in Nurse Residents T2 - Analyzing Organizational Commitment & the Effect on Job Turnover In Nurse Residents TI - Analyzing Organizational Commitment and the Effect on Job Turnover in Nurse Residents UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=131792029&site=ehost-live&scope=site ID - 13759 ER - TY - JOUR DA - 7 PY - 2016 ST - Let’s learn from our nurses and make medicine great again T2 - KevinMD blog TI - Let’s learn from our nurses and make medicine great again UR - http://feedproxy.google.com/~r/KevinMd-MedicalWeblog/~3/wIQQhQ_vLSQ/lets-learn-nurses-make-medicine-great.html ID - 13816 ER - TY - JOUR AB - BACKGROUND: Retention, stress and difficult transition are issues associated with new graduates entering the workforce. International literature has suggested there is a problem and preceptorship models have been introduced to assist new registrants. It is recognised that new registrants require support from a preceptor, however, the literature appears to focus attention on the preceptee's views, rather than the preceptor's. RESEARCH QUESTION: How do preceptors perceive their role in supporting newly qualified nurses/midwives? AIM: The aim of this article is to review the literature pertaining to preceptorship and explore the perceptions held by preceptors in relation to their role supporting newly qualified registrants. METHOD: A qualitative exploratory study was conducted using a purposive sample. Interviews were used to capture the data. FINDINGS AND DISCUSSION: The data analysis identified that overall preceptors do feel prepared for their role, however, they highlighted the benefits of preceptor updates and regular support. Preceptors identified rewards and challenges associated with this role. CONCLUSIONS: The first 6 months of being a registrant has challenges for both the preceptee and the preceptor. The implementation of preceptorship models that include preparation and support for preceptors is essential to alleviate issues of transition, retention and stress. Preceptors identified areas for improvement such as regular update sessions, formal peer support, and protected time to discuss and complete the documentation. AD - Practice Education Facilitator, Northern Health & Social Care Trust, Antrim, Co Antrim. Academic Lead for Quality Assurance, School of Nursing, Ulster University. AN - 26559102 AU - Tracey, J. M. AU - McGowan, I. W. DA - Nov 12-25 DO - 10.12968/bjon.2015.24.20.998 DP - NLM IS - 20 KW - *Nursing Staff *Preceptorship *Professional Role United Kingdom Mentorship Nursing careers Professional issues Workforce LA - eng N1 - Tracey, Julie M McGowan, Iain W Journal Article England 2015/11/13 Br J Nurs. 2015 Nov 12-25;24(20):998-1001. doi: 10.12968/bjon.2015.24.20.998. PY - 2015 SN - 0966-0461 (Print) 0966-0461 SP - 998-1001 ST - Preceptors' views on their role in supporting newly qualified nurses T2 - Br J Nurs TI - Preceptors' views on their role in supporting newly qualified nurses VL - 24 ID - 13704 ER - TY - JOUR AB - BACKGROUND: Given the difficulty in recruiting new nurses, it is imperative to retain those already in the profession. This cross-sectional study explored the relationship of demographic and work-related factors, burnout, conflict management and relationship between nurses and physicians on turnover intentions among ICU nurses in eight major hospitals in Alexandria, Egypt. SUBJECTS AND METHODS: Data on burnout, conflict management, nurse-physician communication, and turnover intention were collected by surveying 100 nurses in eight hospitals in Alexandria governorate. All nurses at the ICU of selected hospitals were approached (n=100) and a 47-item Likert scale questionnaire was administered to explore the factors affecting the turnover intention of ICU nurses in Alexandria. RESULTS: ICU nurses exhibited a mean score for turnover intention of 3.23 (mean score percentage 65.0%). There was a moderately positive statistically significant correlation between turnover intention and emotional exhaustion (r=0.29, P<0.05), nurse-physician communication (r=0.25, P<0.05), and age (r=0.21, P<0.05). The predicting factors for turnover intention were emotional exhaustion and age. CONCLUSION AND RECOMMENDATION: Nurses turnover intention at the ICU of the selected hospitals is high and is significantly associated with nurses' emotional exhaustion, poor nurse-physician communication, and nurses age. AD - aDepartment of Health Administration and Behavioral Sciences, High Institute of Public Health bFaculty of Nursing, Alexandria University Student Hospital, Intensive Care Unit, Alexandria, Egypt cSchool of Health and Environmental Studies, Hamdan Bin Mohammed Smart University, Dubai, UAE. AN - 26154830 AU - Mosallam, R. AU - Hamidi, S. AU - Elrefaay, M. DA - Jun DO - 10.1097/01.EPX.0000464696.41556.eb DP - NLM IS - 2 KW - Adult Burnout, Professional/epidemiology/*psychology Cross-Sectional Studies Egypt Female Humans *Intensive Care Units *Job Satisfaction Male Middle Aged Nurse's Role/*psychology Nursing Methodology Research Nursing Staff, Hospital/*psychology/statistics & numerical data Personnel Turnover/*statistics & numerical data Surveys and Questionnaires Young Adult LA - eng N1 - 2090-262x Mosallam, Rasha Hamidi, Samer Elrefaay, Manal Journal Article United States 2015/07/15 J Egypt Public Health Assoc. 2015 Jun;90(2):46-51. doi: 10.1097/01.EPX.0000464696.41556.eb. PY - 2015 SN - 0013-2446 SP - 46-51 ST - Turnover intention among intensive care unit nurses in Alexandria, Egypt T2 - J Egypt Public Health Assoc TI - Turnover intention among intensive care unit nurses in Alexandria, Egypt VL - 90 ID - 13675 ER - TY - JOUR AB - OBJECTIVES: This critical analysis of the literature examines the factors and theoretical perspectives contributing to the theory-practice gap for newly qualified nurses within the United Kingdom. This article aspires to inform, guide and promote effective nursing education both academically and practically. DESIGN: A systematic search strategy was conducted to identify relevant literature covering the period of 2000-2014, to include only contemporary theoretical perspectives coinciding with the dearth of contemporary literature post Project 2000. DATA SOURCES: The literature was systematically investigated utilising nursing research databases, the Cumulative Index of Nursing and Allied Health Literature, Allied and Complementary Medicine, the U.S. National Library of Medicine and Internurse. REVIEW METHODS: To satisfy the search criteria only articles conducted within the United Kingdom and written in the English language were included. Only literature including nurses and newly qualified nurses were included. To identify relevant literature a series of key words were utilised. RESULTS: Systematic review of the literature revealed that newly qualified nurses feel unprepared for practice, lacking confidence in their own abilities. It was also felt by newly qualified nurses that not enough time was dedicated to the production of clinical skills during their training. The use of preceptorship programmes was found to reduce the transitional stress associated with becoming a qualified nursing practitioner. CONCLUSIONS: Despite the increasing research being undertaken in the area of theory-practice gap there is still a need for nursing educators, practice areas and regulatory bodies to invest further in research. The effects of preceptorship and simulation exercises in particular require more research to provide regulatory bodies with enough evidence to make an informed decision as to whether their use should be mandatory. AD - 48 Caldwell Avenue, Manchester M29 7SA, United Kingdom. Electronic address: k1258426@hscs.sgul.ac.uk. AN - 25862073 AU - Monaghan, T. DA - Aug DO - 10.1016/j.nedt.2015.03.006 DP - NLM ET - 20150327 IS - 8 KW - Adaptation, Psychological *Attitude of Health Personnel *Clinical Competence Education, Nursing, Continuing Humans *Nurses Nursing Education Research *Preceptorship United Kingdom Experiences Graduate Newly qualified Perception Theory–practice gap Transition LA - eng N1 - 1532-2793 Monaghan, Thomas Journal Article Review Systematic Review Scotland 2015/04/12 Nurse Educ Today. 2015 Aug;35(8):e1-7. doi: 10.1016/j.nedt.2015.03.006. Epub 2015 Mar 27. PY - 2015 SN - 0260-6917 SP - e1-7 ST - A critical analysis of the literature and theoretical perspectives on theory-practice gap amongst newly qualified nurses within the United Kingdom T2 - Nurse Educ Today TI - A critical analysis of the literature and theoretical perspectives on theory-practice gap amongst newly qualified nurses within the United Kingdom VL - 35 ID - 13651 ER - TY - JOUR AB - We investigated whether compassion fatigue mediated associations between nurse stress exposure and job satisfaction, compassion satisfaction, and burnout, controlling for pre-existing stress. The Life Events Checklist was administered to 251 novice pediatric nurses at the start of the nurse residency program (baseline) and 3 months after to assess pre-existing and current stress exposure. Compassion satisfaction, compassion fatigue, and burnout were assessed 3 months after baseline and job satisfaction 6 months after. Stress exposure significantly predicted lower compassion satisfaction and more burnout. Compassion fatigue partially mediated these associations. Results demonstrate a need for hospitals to prevent compassion fatigue in healthcare providers. AD - Anesthesiology, Critical Care, and Medicine, Children's Hospital Los Angeles, Los Angeles, CA Department of Psychology, University of Colorado, Boulder RN Residency in Pediatrics, Children's Hospital Los Angeles, Los Angeles, CA Anesthesiology, Critical Care, and Medicine, Children's Hospital Los Angeles, Los Angeles, CA; Departments of Anesthesiology & Pediatrics, Keck School of Medicine, University of Southern California, Los Angeles, CA AN - 103871494. Language: English. Entry Date: 20150116. Revision Date: 20200708. Publication Type: Journal Article AU - Meyer, Rika M. L. AU - Li, Angela AU - Klaristenfeld, Jessica AU - Gold, Jeffrey I. DB - cin20 DO - 10.1016/j.pedn.2013.12.008 DP - EBSCOhost IS - 1 KW - Novice Nurses Stress, Occupational Job Satisfaction Fatigue Human Checklists Internship and Residency Transitional Programs Burnout, Professional Pediatric Nursing Qualitative Studies N1 - research. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. Special Interest: Pediatric Care. Instrumentation: Life Events Checklist. NLM UID: 8607529. PMID: NLM24444742. PY - 2015 SN - 0882-5963 SP - 174-183 ST - Pediatric Novice Nurses: Examining Compassion Fatigue as a Mediator Between Stress Exposure and Compassion Satisfaction, Burnout, and Job Satisfaction T2 - Journal of Pediatric Nursing TI - Pediatric Novice Nurses: Examining Compassion Fatigue as a Mediator Between Stress Exposure and Compassion Satisfaction, Burnout, and Job Satisfaction UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=103871494&site=ehost-live&scope=site VL - 30 ID - 13761 ER - TY - JOUR AB - We investigated whether compassion fatigue mediated associations between nurse stress exposure and job satisfaction, compassion satisfaction, and burnout, controlling for pre-existing stress. The Life Events Checklist was administered to 251 novice pediatric nurses at the start of the nurse residency program (baseline) and 3 months after to assess pre-existing and current stress exposure. Compassion satisfaction, compassion fatigue, and burnout were assessed 3 months after baseline and job satisfaction 6 months after. Stress exposure significantly predicted lower compassion satisfaction and more burnout. Compassion fatigue partially mediated these associations. Results demonstrate a need for hospitals to prevent compassion fatigue in healthcare providers. AD - Anesthesiology, Critical Care, and Medicine, Children's Hospital Los Angeles, Los Angeles, CA. Electronic address: rmeyer@chla.usc.edu. Department of Psychology, University of Colorado, Boulder. RN Residency in Pediatrics, Children's Hospital Los Angeles, Los Angeles, CA. Anesthesiology, Critical Care, and Medicine, Children's Hospital Los Angeles, Los Angeles, CA; Departments of Anesthesiology & Pediatrics, Keck School of Medicine, University of Southern California, Los Angeles, CA. AN - 24444742 AU - Meyer, R. M. AU - Li, A. AU - Klaristenfeld, J. AU - Gold, J. I. DA - Jan-Feb DO - 10.1016/j.pedn.2013.12.008 DP - NLM ET - 20140104 IS - 1 KW - Adult Anxiety/*epidemiology/psychology Burnout, Professional/epidemiology/*psychology Checklist Clinical Competence Compassion Fatigue/*epidemiology/psychology Female Follow-Up Studies Hospitals, Pediatric Humans *Job Satisfaction Longitudinal Studies Los Angeles Male Pediatric Nursing/education Risk Assessment Stress, Psychological Surveys and Questionnaires Time Factors Burnout Compassion fatigue Job satisfaction Nurses Stress Trauma LA - eng N1 - 1532-8449 Meyer, Rika M L Li, Angela Klaristenfeld, Jessica Gold, Jeffrey I Journal Article United States 2014/01/22 J Pediatr Nurs. 2015 Jan-Feb;30(1):174-83. doi: 10.1016/j.pedn.2013.12.008. Epub 2014 Jan 4. PY - 2015 SN - 0882-5963 SP - 174-83 ST - Pediatric novice nurses: examining compassion fatigue as a mediator between stress exposure and compassion satisfaction, burnout, and job satisfaction T2 - J Pediatr Nurs TI - Pediatric novice nurses: examining compassion fatigue as a mediator between stress exposure and compassion satisfaction, burnout, and job satisfaction VL - 30 ID - 13699 ER - TY - JOUR AB - An increased burden of chronic and complex conditions treated in the community and an aging population have exacerbated the primary care workload. Predicted nursing shortages will place further stressors on this workforce. High quality clinical placements may provide a strategic pathway to introduce and recruit new nurses to this speciality. This paper is Part 2 of a two part series reporting the findings of a mixed methods project. Part 1 reported on the qualitative study and Part 2 reports on the quantitative study. Forty-five pre-registration nursing students from a single Australian tertiary institution and 22 primary care Registered Nurse (RN) mentors who supervised student learning completed an online survey. Students largely regarded their primary care placement positively and felt this to be an appropriate learning opportunity. Most RNs were satisfied with mentoring pre-registration nursing students in their setting. Furthermore, the RNs desire to mentor students and the support of general practitioners (GPs) and consumers were seen as key enablers of pre-registration nursing placements. Findings from this study provide a preliminary impression of primary care clinical placements from the perspective of pre-registration nursing students and registered nurse mentors. Further research should examine whether a broader scope of non-traditional health settings such as non-government organisations, charities, pharmacies, welfare and social services can also provide appropriate learning environments for pre-registration nursing students. AD - School of Nursing, Faculty of Science, Medicine & Health, University of Wollongong, Northfields Ave, Wollongong, NSW 2522, Australia. Electronic address: sm341@uowmail.edu.au. School of Nursing & Midwifery, University of Western Sydney, Locked Bag 1797, Penrith, NSW 2751, Australia. Electronic address: k.peters@uws.edu.au. Clinical Education Academic, Sydney Nursing School, The University of Sydney, Room A3:16 Level 3, 88 Mallett Street, Camperdown, NSW 2050, Australia. Electronic address: jennifer.hardy@sydney.edu.au. School of Nursing, Faculty of Science, Medicine & Health, University of Wollongong, Northfields Ave, Wollongong, NSW 2522, Australia. Electronic address: ehalcomb@uow.edu.au. AN - 25960063 AU - McInnes, S. AU - Peters, K. AU - Hardy, J. AU - Halcomb, E. DA - Nov DO - 10.1016/j.nepr.2015.04.004 DP - NLM ET - 20150426 IS - 6 KW - Adult Australia *Education, Nursing, Baccalaureate Female Humans Internet Male *Mentors/psychology Middle Aged *Nurses Preceptorship/*methods *Primary Health Care Students, Nursing/*psychology Surveys and Questionnaires Young Adult Clinical learning environment Clinical practicum Nurse education Primary care LA - eng N1 - 1873-5223 McInnes, Susan Peters, Kath Hardy, Jennifer Halcomb, Elizabeth Journal Article Scotland 2015/05/12 Nurse Educ Pract. 2015 Nov;15(6):443-9. doi: 10.1016/j.nepr.2015.04.004. Epub 2015 Apr 26. PY - 2015 SN - 1471-5953 SP - 443-9 ST - Primary care clinical placements: The views of Australian registered nurse mentors and pre-registration nursing students (part 2) T2 - Nurse Educ Pract TI - Primary care clinical placements: The views of Australian registered nurse mentors and pre-registration nursing students (part 2) VL - 15 ID - 13685 ER - TY - JOUR AB - BACKGROUND: All new nurses in England from 2013 will be educated at the point of registration to the degree level. A study was undertaken into the first-year experience of one cohort on the new degree programme at one university. OBJECTIVES: The aim of the study was to evaluate nursing students' experience during the first year of the degree programme in terms of their engagement with the programme, its impact and value and their overall satisfaction. DESIGN: A mixed method qualitative and quantitative survey design was used. SETTINGS AND PARTICIPANTS: One cohort of students at one university in south west London was studied. In total 96 out of 256 students completed the online survey questionnaire (response rate=37.5%). METHOD: Data were collected through an online questionnaire survey comprising Likert-style, demographic and open-ended questions. Data were analysed using SPSS version 19 and through the framework method. FINDINGS: Students' responses were largely positive. Areas of concern expressed included assessment timings and juggling personal/family commitments with academic workload. Although some experienced a degree of stress in year 1 the majority indicated that stress was not a problem; some experienced little or no stress at all. Students were positive about the quality of teaching, support received, and their relationships with academic staff. Satisfaction with year 1 was high. A small percentage considered leaving during year 1. Factors that made them stay included personal motivation to succeed, family support and help from academic staff and mentors. Overall attrition rate is low. CONCLUSIONS: As nursing in England moves to an all-graduate profession at the point of registration it is timely to evaluate issues like attrition, the students' engagement with their academic and practice experience, the impact on them of their assignments/assessments, stressors, their perceptions of quality, what makes them stay and their overall satisfaction. AD - Kingston University, Kingston Hill, Kingston-Upon-Thames, Surrey KT2 7LB, UK; St George's University of London, Cranmer Terrace, London SW17 0RE, UK. Electronic address: J.Gale@sgul.kingston.ac.uk. Kingston University, Kingston Hill, Kingston-Upon-Thames, Surrey KT2 7LB, UK; St George's University of London, Cranmer Terrace, London SW17 0RE, UK. Electronic address: a.ooms@sgul.kingston.ac.uk. Kingston University, Kingston Hill, Kingston-Upon-Thames, Surrey KT2 7LB, UK; St George's University of London, Cranmer Terrace, London SW17 0RE, UK. Electronic address: P.Newcombe@sgul.kingston.ac.uk. Kingston University, Kingston Hill, Kingston-Upon-Thames, Surrey KT2 7LB, UK; St George's University of London, Cranmer Terrace, London SW17 0RE, UK. Electronic address: marksmaran@btopenworld.com. AN - 25245661 AU - Gale, J. AU - Ooms, A. AU - Newcombe, P. AU - Marks-Maran, D. DA - Jan DO - 10.1016/j.nedt.2014.08.016 DP - NLM ET - 20140916 IS - 1 KW - Adolescent Adult *Attitude of Health Personnel Curriculum/standards *Education, Nursing, Baccalaureate England Female Humans Male Middle Aged Nursing Evaluation Research Pilot Projects Students, Nursing/*psychology Surveys and Questionnaires Young Adult First year experience Pre-registration Survey method Undergraduate nursing LA - eng N1 - 1532-2793 Gale, Julia Ooms, Ann Newcombe, Paul Marks-Maran, Di Evaluation Study Journal Article Scotland 2014/09/24 Nurse Educ Today. 2015 Jan;35(1):256-64. doi: 10.1016/j.nedt.2014.08.016. Epub 2014 Sep 16. PY - 2015 SN - 0260-6917 SP - 256-64 ST - Students' first year experience of a BSc (Hons) in nursing: a pilot study T2 - Nurse Educ Today TI - Students' first year experience of a BSc (Hons) in nursing: a pilot study VL - 35 ID - 13708 ER - TY - JOUR AB - BACKGROUND: The transition from student to newly qualified nurse can be stressful for many newly qualified nurses who feel inadequately prepared. A variety of support strategies to improve the transition process have been reported across the international literature but the effectiveness of such strategies is unknown. OBJECTIVES/AIM: To determine the effectiveness of the main strategies used to support newly qualified nurses during the transition into the clinical workplace and, where identified, evaluate the impact of these on individual and organisational outcomes. DESIGN: Systematic review. DATA SOURCES: A search of electronic databases to identify published studies (CINAHL, MEDLINE, British Nursing Index, Cochrane Library, EMBASE, PsychLit, PsychINFO, PsychARTICLES, Web Of Science, EBM Reviews, BioMed, TRIP, ERIC, SCOPUS (January 2000-April 2011) was conducted. Relevant journals were hand-searched and reference lists from retrieved studies were reviewed to identify any further studies. The search was restricted to English language papers. The key words used were words that described new graduate nurses and support strategies (e.g. internship, residency, orientation programmes). REVIEW METHODS: The inclusion criteria were quantitative studies that investigated the effectiveness of support strategies for newly qualified graduate nurses. Studies that involved students in their final year of graduate study were excluded (for example extern programmes). Extraction of data was undertaken independently by two reviewers. A further two reviewers assessed the methodological quality against agreed criteria. RESULTS: A total of 8199 studies were identified from the database search and 30 met the inclusion criteria for the review. The evidence suggests that transition interventions/strategies do lead to improvements in confidence and competence, job satisfaction, critical thinking and reductions in stress and anxiety for the newly qualified nurse. CONCLUSIONS: This systematic review demonstrates the beneficial effects of transitional support strategies for newly qualified nurses from the perspective of the new nurse and their employer. The overall impact of support strategies appears positive, irrespective of the type of support provided. This may suggest that it is the organisations' focus on new graduate nurses that is important, rather than simply leaving them to acclimatise to their new role themselves. Future research should involve well designed randomised controlled trials with larger sample sizes, using more objective and reliable outcome measures. AD - The Wales Centre for Evidence-Based Care, a Collaborating Centre of the Joanna Briggs Institute, School of Healthcare Sciences, College of Biomedical and Life Sciences, Cardiff University, Eastgate House (4th Floor), 40-43 Newport Road, Cardiff CF24 0AB, United Kingdom. Electronic address: edwardsdj@cardiff.ac.uk. The Wales Centre for Evidence-Based Care, a Collaborating Centre of the Joanna Briggs Institute, School of Healthcare Sciences, College of Biomedical and Life Sciences, Cardiff University, Eastgate House (4th Floor), 40-43 Newport Road, Cardiff CF24 0AB, United Kingdom. AN - 26001854 AU - Edwards, D. AU - Hawker, C. AU - Carrier, J. AU - Rees, C. DA - Jul DO - 10.1016/j.ijnurstu.2015.03.007 DP - NLM ET - 20150320 IS - 7 KW - Developed Countries Mentors *Nursing Staff Personnel Turnover Preceptorship *Students, Nursing Internship Mentorship New graduate nurses Orientation Residency Simulation Transition LA - eng N1 - 1873-491x Edwards, Deborah Hawker, Clare Carrier, Judith Rees, Colin Journal Article Review Systematic Review England 2015/05/24 Int J Nurs Stud. 2015 Jul;52(7):1254-68. doi: 10.1016/j.ijnurstu.2015.03.007. Epub 2015 Mar 20. PY - 2015 SN - 0020-7489 SP - 1254-68 ST - A systematic review of the effectiveness of strategies and interventions to improve the transition from student to newly qualified nurse T2 - Int J Nurs Stud TI - A systematic review of the effectiveness of strategies and interventions to improve the transition from student to newly qualified nurse VL - 52 ID - 13602 ER - TY - JOUR DA - 11 PY - 2015 ST - My first year as a nurse taught me what true resiliency is T2 - KevinMD blog TI - My first year as a nurse taught me what true resiliency is UR - http://feedproxy.google.com/~r/KevinMd-MedicalWeblog/~3/MTP2qSE4u5M/my-first-year-as-a-nurse-taught-me-true-resiliency.html ID - 13818 ER - TY - JOUR DA - 0 PY - 2015 ST - Patient Modesty: Volume 70 T2 - Bioethics Discussion Blog TI - Patient Modesty: Volume 70 UR - http://bioethicsdiscussion.blogspot.com/2014/11/patient-modesty-volume-70.html ID - 13817 ER - TY - JOUR AB - BACKGROUND: Nursing is a profession within the health care sector focused on the care of individuals, families, and communities so they may attain, maintain, or recover optimal health and quality of life. Role transition is the natural phenomena among the professionals; however, the transition of newly graduated nurses into clinical practice is commonly perceived as stressful. METHODS: It is a phenomenological qualitative study. By adopting purposive sampling technique, 6 nurses were recruited in the study. In-depth interview, audio tape and field notes were maintained to collect data. Nursing leaders and nursing superintendent were also involved to get supplement data via interview and focus group discussion. RESULTS: Beginning a new job was really stressful to the new nurses. Feelings of inadequacy, fear of making errors at work, lack of competency and confidence and sudden loss of supervision from the instructors were the common sources of the stress. Four major themes; stressful initial days, leaving the nest, supporting work environment and hierarchical work pattern were emerged. The new graduates require formal orientation program, opportunities for professional development, provision of preceptors during initial days, warm and welcoming attitude among the seniors and supportive environment to help them easing a role transition. CONCLUSIONS: In order to retain and recruit new nurses the findings obtained through triangulated data need to keep in mind by the nursing administrators, educators and managers in a health care setting. And this in turn ultimately results in enhanced patient care in the health care setting. AD - Dhulikhel Hospital, Kathmandu University Hospital, Kavre, Nepal. Department of Nursing Research and Education, Nursing Campus Maharajgunj, Kathmandu, Nepal. AN - 26032056 AU - Shrestha, S. AU - Joshi, S. DA - Sep-Oct DP - NLM IS - 28 KW - Female Focus Groups Hospitals, University Humans Interviews as Topic Job Satisfaction Nepal Nursing Staff, Hospital/*psychology/statistics & numerical data Qualitative Research Stress, Psychological/etiology Workforce Young Adult employment experiences role transition staff nurse. LA - eng N1 - 1999-6217 Shrestha, S Joshi, S Journal Article Nepal 2015/06/03 J Nepal Health Res Counc. 2014 Sep-Oct;12(28):182-6. PY - 2014 SN - 1727-5482 SP - 182-6 ST - Lived Experiences of the Staff Nurses during First Six months of their Employment in a University Hospital, Kavre T2 - J Nepal Health Res Counc TI - Lived Experiences of the Staff Nurses during First Six months of their Employment in a University Hospital, Kavre VL - 12 ID - 13713 ER - TY - JOUR AB - This paper describes the views of new graduate nurses on what factors they believe are important contributors for successful transition to registered nurse practice. Transition from student to new graduate nurse is challenging and stressful, with health care providers expecting graduates to "hit the ground running". The reality is that most graduates experience role adjustment difficulties and require support from senior colleagues within health care organisations. Drawing on a larger Australian study that examined pre-registration paid employment and its impact on graduate nurse transition, findings in this paper suggest that successful transition is linked to post-registration or employer factors and less so to pre-registration paid employment factors. Utilising interpretive description of two qualitative data sets; three organising themes were identified: a matching skill set, the beginning foundation and a job well done. The global theme, valuing beginning practice describes newly qualified nurse's views on being valued by the nursing profession and how they were accepted into the work environment. Despite the stressors faced by the majority of new graduate nurses adjusting to the rigours of practice, graduate transition can be improved by supportive institutional practices and fostering collegial respect. Successful graduate nurse transition improves job satisfaction and is an effective strategy to address the ongoing pressures of recruitment and retention of new graduates. AD - University of South Australia, School of Nursing and Midwifery, City East Campus, North Terrace, Adelaide, SA 5000, Australia. Electronic address: craig.phillips@unisa.edu.au. La Trobe University, Bendigo, Victoria, Australia. Electronic address: akenny@latrobe.edu.au. University of South Australia, School of Nursing and Midwifery, Australia. Electronic address: adrian.esterman@unisa.edu.au. University of South Australia, School of Nursing and Midwifery, Australia. Electronic address: colleen.smith@unisa.edu.au. AN - 23932667 AU - Phillips, C. AU - Kenny, A. AU - Esterman, A. AU - Smith, C. DA - Mar DO - 10.1016/j.nepr.2013.07.007 DP - NLM ET - 20130806 IS - 2 KW - Australia Clinical Competence/*standards Data Interpretation, Statistical Education, Nursing, Baccalaureate/*standards Humans Inservice Training/methods/standards Job Satisfaction Needs Assessment Nurses/*psychology Qualitative Research *Social Support Graduate nurses Qualitative Support Transition LA - eng N1 - 1873-5223 Phillips, Craig Kenny, Amanda Esterman, Adrian Smith, Colleen Journal Article Scotland 2013/08/13 Nurse Educ Pract. 2014 Mar;14(2):106-11. doi: 10.1016/j.nepr.2013.07.007. Epub 2013 Aug 6. PY - 2014 SN - 1471-5953 SP - 106-11 ST - A secondary data analysis examining the needs of graduate nurses in their transition to a new role T2 - Nurse Educ Pract TI - A secondary data analysis examining the needs of graduate nurses in their transition to a new role VL - 14 ID - 13692 ER - TY - JOUR AB - AIMS: To investigate job satisfaction and confidence levels of graduate nurses during their first year of employment and the impact various training programmes have on these factors. BACKGROUND: The transition from nursing student to practising nurse can be a challenging and stressful time for new nurses. Healthcare organizations provide transition programmes to support nurses through this vulnerable time and to assist in increasing graduates' job satisfaction and retention rates. However, no systematic review of transition programme outcomes has been undertaken to determine the impact of these programmes on improving satisfaction levels and on easing the challenges faced by nursing graduates in their new roles as Registered Nurses. DESIGN: Systematic review of effect using narrative synthesis. DATA SOURCES: Quantitative studies published between 2000-December 2012 were identified using electronic databases and reference lists and by searching 'grey literature'. Primary search terms were 'new graduate nurse' and 'transitional programmes'. REVIEW METHODS: The three authors, guided by standardized procedures, performed independent, blinded data extraction and quality assessment. RESULTS: From 338 studies initially identified, eleven studies were included in this review. These studies used a variety of study designs including quasi-experimental and pre- and posttesting. CONCLUSION: Evidence suggests that transition programmes are necessary in creating working environments that support new nurses in the clinical environment and this is demonstrated by increased job satisfaction and retention rates. However, optimum programme length and structure are unclear. AD - Faculty of Medicine, Nursing and Health Sciences, School of Nursing and Midwifery, Monash University, Churchill, Victoria, Australia. AN - 24989716 AU - Missen, K. AU - McKenna, L. AU - Beauchamp, A. DA - Nov DO - 10.1111/jan.12464 DP - NLM ET - 20140702 IS - 11 KW - *Employment Humans *Job Satisfaction Personnel Loyalty educational strategies graduate nurse job satisfaction literature review systematic review transition programme LA - eng N1 - 1365-2648 Missen, Karen McKenna, Lisa Beauchamp, Alison Journal Article Review Systematic Review England 2014/07/06 J Adv Nurs. 2014 Nov;70(11):2419-33. doi: 10.1111/jan.12464. Epub 2014 Jul 2. PY - 2014 SN - 0309-2402 SP - 2419-33 ST - Satisfaction of newly graduated nurses enrolled in transition-to-practice programmes in their first year of employment: a systematic review T2 - J Adv Nurs TI - Satisfaction of newly graduated nurses enrolled in transition-to-practice programmes in their first year of employment: a systematic review VL - 70 ID - 13636 ER - TY - JOUR AB - Stress can have detrimental effects on nurse residents' levels of job satisfaction, compassion, fatigue, and burnout. This can lead to high turnover rates and poor quality of care among novice nurses. Therefore, it is critical to identify protective factors to prevent the onset of negative nurse outcomes (compassion fatigue, burnout, and job dissatisfaction) and to promote positive nurse outcomes (job satisfaction, compassion satisfaction). This study aimed to determine whether factors such as group cohesion and organizational commitment would be protective and moderate the association between stress exposure and posttraumatic stress symptoms and other negative nurse outcomes, thus facilitating positive outcomes. Findings showed that group cohesion was effective in moderating the negative effects of current stress exposure and posttraumatic stress symptoms on negative nurse outcomes, specifically on increased compassion fatigue and burnout, and reduced compassion satisfaction. In addition, organizational commitment was determined to promote positive nurse outcomes such as job satisfaction and compassion satisfaction. The study findings are promising, as retention of quality nurses is a significant problem for hospitals. Nurse managers and hospital administrators should be aware of the benefits of group cohesion and organizational commitment and strive to make the promotion of these factors a priority. AD - Student, Ph.D. in Clinical Psychology, University of Colorado, Boulder, CO. Assistant Vice President, Business Analytics and Research, Versant, Redwood City, CA. Student, Ph.D. in Clinical Psychology, Arizona State University, Phoenix, AZ. Manager, Versant RN Residency in Pediatrics, Children's Hospital Los Angeles, Los Angeles, CA. Associate Professor, Anesthesiology & Pediatrics, Keck School of Medicine, University of Southern California, Los Angeles, CA. Electronic address: jgold@chla.usc.edu. AN - 24503320 AU - Li, A. AU - Early, S. F. AU - Mahrer, N. E. AU - Klaristenfeld, J. L. AU - Gold, J. I. DA - Jan-Feb DO - 10.1016/j.profnurs.2013.04.004 DP - NLM IS - 1 KW - *Burnout, Professional *Empathy *Group Processes Humans Interprofessional Relations *Job Satisfaction Los Angeles Nursing Staff/*psychology Burnout Fatigue Nurses Posttraumatic stress Satisfaction Stress LA - eng N1 - 1532-8481 Li, Angela Early, Sean F Mahrer, Nicole E Klaristenfeld, Jessica L Gold, Jeffrey I Journal Article United States 2014/02/08 J Prof Nurs. 2014 Jan-Feb;30(1):89-99. doi: 10.1016/j.profnurs.2013.04.004. PY - 2014 SN - 8755-7223 SP - 89-99 ST - Group cohesion and organizational commitment: protective factors for nurse residents' job satisfaction, compassion fatigue, compassion satisfaction, and burnout T2 - J Prof Nurs TI - Group cohesion and organizational commitment: protective factors for nurse residents' job satisfaction, compassion fatigue, compassion satisfaction, and burnout VL - 30 ID - 13693 ER - TY - JOUR AB - The concept of transition is of fundamental concern to those seeking to prepare, recruit, and retain newly qualified staff. The pioneering work of researchers such as Kramer (1974) who explored the transition experiences of nurses has transcended international boundaries (Whitehead & Holmes, 2011) to influence the educational preparation of nurses worldwide. However, much of what we know about the transition experiences of newly qualified nurses is based on research with adult nurses and in the acute care settings. This article outlines the findings from a qualitative study about the experiences of a group of newly qualified children's nurses in England who had taken up first destination posts in community children's nursing teams at a time when such posts were novel, and had previously been met with some resistance. Data were collected using semi-structured interviews and fieldwork observation, and analyzed using a combination of thematic analysis (Braun & Clarke, 2006) and the framework approach (Ritchie & Lewis 2003; Smith & Firth 2011). The findings are outlined under the broad headings of "Shadowing," "The Visits," and "Emerging Identity" and support previous research that highlights how good formal support and the physical presence of a preceptor is valued by newly qualified nurses since it reduces occupational stress. However, the study also highlights the downside of such support which occurred because some accepted practices inadvertently reduced confidence and therefore inhibited a smooth transition. The ideal transition experience therefore necessitated a more individual approach, allowing for different rates of progression. The primary care environment allowed for such individuality which may account for the significant finding that the nurses in this study did not report feelings of reality shock (Kramer, 1974) as experienced by those in acute care settings. The study therefore highlights how the development of a new professional identity as a community children's nurse is not just dependent on the actions of the newly qualified nurse, but also of those with whom they work. AD - University of Salford , Manchester , England and. AN - 24490953 AU - Darvill, A. AU - Fallon, D. AU - Livesley, J. DA - Mar DO - 10.3109/01460862.2013.855841 DP - NLM ET - 20140203 IS - 1 KW - *Community Health Nursing England Humans *Nursing, Team *Pediatric Nursing LA - eng N1 - 1521-043x Darvill, Angela Fallon, Debbie Livesley, Joan Journal Article England 2014/02/05 Issues Compr Pediatr Nurs. 2014 Mar;37(1):6-24. doi: 10.3109/01460862.2013.855841. Epub 2014 Feb 3. PY - 2014 SN - 0146-0862 SP - 6-24 ST - A different world? The transition experiences of newly qualified children's nurses taking up first destination posts within children's community nursing teams in England T2 - Issues Compr Pediatr Nurs TI - A different world? The transition experiences of newly qualified children's nurses taking up first destination posts within children's community nursing teams in England VL - 37 ID - 13684 ER - TY - JOUR AB - AIM: This study aimed to compare rural and urban nurse residency programme participants' personal and job characteristics and perceptions of decision-making, job satisfaction, job stress, nursing performance and organisational commitment over time. BACKGROUND: Nurse residency programmes are an evolving strategy to foster transition to practice for new nurses. However, there are limited data available for programme outcomes particularly for rural nurses. METHOD: A longitudinal design sampled 382 urban and 86 rural newly licensed hospital nurses during a 12-month nurse residency programme. Data were collected at the start of the programme, at 6 months and the end of the programme. RESULTS: At the end of the programme, rural nurses had significantly higher job satisfaction and lower job stress compared with urban nurses. Across all time-periods rural nurses had significantly lower levels of stress caused by the physical work environment and at the end of the programme had less stress related to staffing compared with urban nurses. Perceptions of their organisational commitment and competency to make decisions and perform role elements were similar. CONCLUSIONS: Differences in these outcomes may be result from unique characteristics of rural vs. urban nursing practice that need further exploration. IMPLICATIONS FOR NURSING MANAGEMENT: Providing a nurse residency programme in rural and urban hospitals can be a useful recruitment and retention strategy. AD - College of Nursing, Marquette University, Milwaukee, WI, USA. AN - 25208945 AU - Bratt, M. M. AU - Baernholdt, M. AU - Pruszynski, J. DA - Sep DO - 10.1111/j.1365-2834.2012.01483.x DP - NLM ET - 20121102 IS - 6 KW - Adult Cohort Studies Female Humans *Internship and Residency *Job Satisfaction Longitudinal Studies Male Middle Aged Nurses/*psychology/statistics & numerical data Personnel Turnover/*statistics & numerical data Rural Population United States Urban Population Workplace/*standards job satisfaction job stress nurse residency programme organisational commitment rural/urban LA - eng N1 - 1365-2834 Bratt, Marilyn Meyer Baernholdt, Marianne Pruszynski, Jessica D11HP08384/PHS HHS/United States D64HP03092/PHS HHS/United States Journal Article Research Support, U.S. Gov't, P.H.S. England 2014/09/12 J Nurs Manag. 2014 Sep;22(6):779-91. doi: 10.1111/j.1365-2834.2012.01483.x. Epub 2012 Nov 2. PY - 2014 SN - 0966-0429 SP - 779-91 ST - Are rural and urban newly licensed nurses different? A longitudinal study of a nurse residency programme T2 - J Nurs Manag TI - Are rural and urban newly licensed nurses different? A longitudinal study of a nurse residency programme VL - 22 ID - 13667 ER - TY - JOUR AB - Because of the ongoing nursing shortage and the increasing acuity of patients, new graduate nurses must master both psychomotor and critical thinking skills rapidly. Inadequate orientation leads to high turnover rates for new graduates. Health care leaders must examine the competencies needed for new graduate nurses to succeed in this environment. A critical review of studies (n = 26) was conducted to identify crucial competencies that are needed for new graduate nurses to be successful. Six areas were identified in which new graduates lacked competence: communication, leadership, organization, critical thinking, specific situations, and stress management. Strategies were identified to improve the transition of new graduates. Hospitals should consider implementing nurse residency programs that include strategies for clear communication and conflict management, prioritization skills, and leadership development. Schools of nursing should add communication strategies to their current focus on critical thinking, clinical reasoning, and simulation scenarios and include situation-specific skills such as end-of-life scenarios. Further research should focus on stress management, leadership, clinical reasoning, and evaluation of measurement tools for new graduates. AN - 23799789 AU - Theisen, J. L. AU - Sandau, K. E. DA - Sep DO - 10.3928/00220124-20130617-38 DP - NLM ET - 20130624 IS - 9 KW - Clinical Competence *Competency-Based Education *Education, Nursing Educational Measurement/methods Humans *Internship, Nonmedical *Motor Skills Nursing Staff, Hospital/education *Thinking LA - eng N1 - Theisen, Janelle L Sandau, Kristin E Journal Article Review United States 2013/06/27 J Contin Educ Nurs. 2013 Sep;44(9):406-14. doi: 10.3928/00220124-20130617-38. Epub 2013 Jun 24. PY - 2013 SN - 0022-0124 (Print) 0022-0124 SP - 406-14 ST - Competency of new graduate nurses: a review of their weaknesses and strategies for success T2 - J Contin Educ Nurs TI - Competency of new graduate nurses: a review of their weaknesses and strategies for success VL - 44 ID - 13613 ER - TY - JOUR AB - AIMS AND OBJECTIVES: To measure and compare the perceived levels of job-related stress and stressors of newly qualified nurses and fourth-year student nurses in the clinical environment and to explore the participants' views on stress and stressors. BACKGROUND: Stress in the nursing workplace has significant consequences for the person, the patient and the organisation, such as psychological and physical health deterioration and impaired professional practice. To address this problem, stress and stressors need to be measured and identified. DESIGN: This study used a cross-sectional survey design and self-reporting questionnaires to measure and compare levels of stress in both groups. Convenience sampling involved all newly qualified nurses (n = 120) and fourth-year student nurses (n = 128) in Dublin North-East region in Ireland. METHODS: The instrument used was 'The Nursing Stress Scale' (Gray-Toft & Anderson 1981, Journal of Behavioral Assessment 3, 11-23). Descriptive, qualitative analysis was conducted on an open-ended question. Data were obtained from newly qualified nurses (n = 31) and fourth-year student nurses (n = 40) in six acute hospital sites. RESULTS: Levels of perceived stress and stressors were high in both groups. Themes identified from the responses to the open question by both groups included excessive workload, difficult working relationships and unmet clinical learning needs. Student nurses also reported the combination of academic demands with clinical placement as a major stressor. There was no significant difference between each group. CONCLUSION: Stress continues to be a problem for nurses in the clinical setting. Excessive workload requires urgent attention by hospital managers in view of widespread retention difficulties. Themes identified could provide a framework for possible interventions for improving the clinical environment for nurses. RELEVANCE TO CLINICAL PRACTICE: These results can help stakeholders in nurse education and practice to develop interventions to reduce stress for both groups and to ease the transition from student to graduate nurse. AD - Louth County Hospital, Dundalk, Ireland. patricia.suresh@hse.ie AN - 22931367 AU - Suresh, P. AU - Matthews, A. AU - Coyne, I. DA - Mar DO - 10.1111/j.1365-2702.2012.04145.x DP - NLM ET - 20120830 IS - 5-6 KW - Cross-Sectional Studies Humans Ireland Nurses/*psychology Students, Nursing/*psychology LA - eng N1 - 1365-2702 Suresh, Patricia Matthews, Anne Coyne, Imelda Comparative Study Journal Article Research Support, Non-U.S. Gov't England 2012/08/31 J Clin Nurs. 2013 Mar;22(5-6):770-9. doi: 10.1111/j.1365-2702.2012.04145.x. Epub 2012 Aug 30. PY - 2013 SN - 0962-1067 SP - 770-9 ST - Stress and stressors in the clinical environment: a comparative study of fourth-year student nurses and newly qualified general nurses in Ireland T2 - J Clin Nurs TI - Stress and stressors in the clinical environment: a comparative study of fourth-year student nurses and newly qualified general nurses in Ireland VL - 22 ID - 13709 ER - TY - JOUR AB - AIM: This paper presents the evaluation of a preceptorship programme for newly-qualified nurses (NQNs) to determine preceptee engagement with the preceptorship programme, and the impact, value and sustainability of the programme from the preceptees' perspectives. BACKGROUND: The literature suggests that NQNs find the transition from student to qualified nurse to be stressful and that preceptorship can reduce this stress and promote adaptation to the new role. SETTING: This study took place in one NHS Healthcare Trust in South West London, UK. PARTICIPANTS: Ninety NQNs were invited to participate in the study and the response rate was 48.9% (n=44). The study took place in 2011. METHODS: Evaluative research design was used incorporating a fourfold evaluation framework of preceptee engagement, impact, value and sustainability (Ooms et al., 2011). This was a mixed methods study. Qualitative and quantitative data were collected through questionnaires, reflective journals and through personal audio recordings made by the preceptees. Quantitative data were analysed through descriptive statistics and t-tests, and Cronbach's alpha coefficient was used to assess reliability of impact and value scales. In addition analysis of open-ended questions and qualitative data was undertaken using the Framework Method of analysis. FINDINGS: Findings show that preceptee engagement in the programme was high and preceptorship was highly valued by the majority of preceptees (85%). Preceptors played a positive role in terms of alleviating stress. Preceptorship impacted positively on preceptees in terms of development of communication skills and clinical skills, and role, personal and professional development. In addition, preceptees felt that the programme was of value despite acknowledging difficulties in making time to meet with preceptors. Preceptees also indicated that they would wish to be preceptors in the future and that they would recommend preceptorship to all nurses who are either newly qualified or new in role. Preceptees judged the preceptorship programme positively for engagement, impact, value and sustainability. CONCLUSION: The study is unique when mapped against other research studies as it explores a breadth of evaluative issues not found in other preceptorship studies, e.g. engagement, impact, value and sustainability of preceptorship. The study adds insights about sustainability of preceptorship programmes and expectations of competence of NQNs that do not appear in previous literature about preceptorship. AD - Kingston University and St George's University of London, United Kingdom. Electronic address: marksmaran@btopenworld.com. AN - 23260624 AU - Marks-Maran, D. AU - Ooms, A. AU - Tapping, J. AU - Muir, J. AU - Phillips, S. AU - Burke, L. DA - Nov DO - 10.1016/j.nedt.2012.11.013 DP - NLM ET - 20121220 IS - 11 KW - Adult *Education, Nursing, Baccalaureate Female Humans London Male Nursing Education Research *Preceptorship Research Design Students, Nursing/*psychology Surveys and Questionnaires Evaluation research In-service training Mentors Preceptorship Professional development Professional education LA - eng N1 - 1532-2793 Marks-Maran, Di Ooms, Ann Tapping, Jen Muir, Jenny Phillips, Sonia Burke, Linda Evaluation Study Journal Article Scotland 2012/12/25 Nurse Educ Today. 2013 Nov;33(11):1428-34. doi: 10.1016/j.nedt.2012.11.013. Epub 2012 Dec 20. PY - 2013 SN - 0260-6917 SP - 1428-34 ST - A preceptorship programme for newly qualified nurses: a study of preceptees' perceptions T2 - Nurse Educ Today TI - A preceptorship programme for newly qualified nurses: a study of preceptees' perceptions VL - 33 ID - 13644 ER - TY - JOUR AB - OBJECTIVE: The aim of this study was to examine the relationships between coworker, physician, and supervisor workplace incivility and new graduate nurses' mental health and the protective role of personal resiliency. BACKGROUND: Positive interpersonal relationships in healthcare work environments are important for new graduate nurses' career transition and commitment. Workplace incivility threatens new graduate nurses' health and well-being. Personal resiliency helps employees to recover from negative stressors and may protect new nurses from the negative effects of workplace incivility. METHODS: We surveyed 272 new graduate nurses in Ontario to explore the influence of 3 forms of workplace incivility and personal resiliency on new nurses' mental health. RESULTS: All sources of incivility were related to poor mental health. Results suggest that personal resiliency may protect nurses from the negative effects of incivility. CONCLUSIONS: New nurses are experiencing workplace incivility from a variety of sources in their work environments, which have detrimental effects on their workplace well-being. AD - Arthur Labatt Family School of Nursing, University of Western Ontario, London, Ontario, Canada. hkl@uwo.ca AN - 23892307 AU - Laschinger, H. K. AU - Wong, C. AU - Regan, S. AU - Young-Ritchie, C. AU - Bushell, P. DA - Jul-Aug DO - 10.1097/NNA.0b013e31829d61c6 DP - NLM IS - 7-8 KW - *Adaptation, Psychological Adult Data Collection Female Humans *Interprofessional Relations Male *Mental Health Nursing Staff, Hospital/organization & administration/*psychology Ontario Organizational Culture Personnel Turnover *Social Environment Stress, Psychological/*etiology Workplace/psychology LA - eng N1 - 1539-0721 Laschinger, Heather K Wong, Carol Regan, Sandra Young-Ritchie, Carol Bushell, Pamela Journal Article United States 2013/07/31 J Nurs Adm. 2013 Jul-Aug;43(7-8):415-21. doi: 10.1097/NNA.0b013e31829d61c6. PY - 2013 SN - 0002-0443 SP - 415-21 ST - Workplace incivility and new graduate nurses' mental health: the protective role of resiliency T2 - J Nurs Adm TI - Workplace incivility and new graduate nurses' mental health: the protective role of resiliency VL - 43 ID - 13657 ER - TY - JOUR AB - The impending change to nurse education with the move to an all-degree profession in the UK from 2013 and the increasing demands made on nurses working in the NHS make successful transition from student to staff nurse a high priority. The stress of this move can be minimised by efficient preceptorship for the first six months of practice. As part of a practice-based project two focus groups were formed to discover the views of preceptors and preceptees in children's nursing on what their programme should include and achieve. The knowledge gained from this exercise informed a preceptorship model for one NHS trust. AD - Buckinghamshire New University, Uxbridge. Karen.Harrison-White@bucks.ac.uk AN - 23520950 AU - Harrison-White, K. AU - Simons, J. DA - Feb DO - 10.7748/ncyp2013.02.25.1.24.s9536 DP - NLM IS - 1 KW - Focus Groups *Nurses *Preceptorship United Kingdom LA - eng N1 - Harrison-White, Karen Simons, Joan Journal Article England 2013/03/26 Nurs Child Young People. 2013 Feb;25(1):24-7. doi: 10.7748/ncyp2013.02.25.1.24.s9536. PY - 2013 SN - 2046-2336 (Print) 2046-2336 SP - 24-7 ST - Preceptorship: ensuring the best possible start for new nurses T2 - Nurs Child Young People TI - Preceptorship: ensuring the best possible start for new nurses VL - 25 ID - 13703 ER - TY - JOUR AB - AIMS: Identified as Millennials, nurses born after 1980 are anticipated to redefine the employer-employee relationship as one based on the employee's wants and needs. The purpose of this study is to portray the expectations of Millennial student nurses immediately before graduation. Understanding these expectations may provide insight for leaders who are responsible for crafting a successful transition experience. Successful transition and decreased turnover are important elements of cost management for the nursing enterprise. METHODS/SUBJECTS: A qualitative descriptive design was used to collect data from 14 students enrolled in a traditional BSN academic nursing program approximately 2 months prior to graduation. Upon completion of private, confidential semistructured interviews, data were transcribed, coded, and analyzed. Demographic data were compiled and interview data summarized according to identified themes. RESULTS/CONCLUSIONS: Three overarching themes emerged: the expectation that transition would be stressful, the expectation that there would be a safety net of support, and the expectation to be valued and respected as a professional. Revealing was the expectation of supportive relationships and a collaborative approach to patient care. Failure to meet those expectations may result in turnover as Millennials seek opportunities that meet their expectations. AD - University of Central Florida College of Nursing, Orlando, FL 32826, USA. Diane.Andrews@ucf.edu AN - 23454995 AU - Andrews, D. R. DA - Apr-Jun DO - 10.1097/NAQ.0b013e3182869d9f DP - NLM IS - 2 KW - Adult Attitude Female Humans *Inservice Training *Intergenerational Relations Interprofessional Relations *Job Satisfaction Male Nursing Staff/*supply & distribution Qualitative Research Social Support Southeastern United States Stress, Psychological/prevention & control Students, Nursing LA - eng N1 - 1550-5103 Andrews, Diane Randall Journal Article Research Support, Non-U.S. Gov't United States 2013/03/05 Nurs Adm Q. 2013 Apr-Jun;37(2):152-9. doi: 10.1097/NAQ.0b013e3182869d9f. PY - 2013 SN - 0363-9568 SP - 152-9 ST - Expectations of millennial nurse graduates transitioning into practice T2 - Nurs Adm Q TI - Expectations of millennial nurse graduates transitioning into practice VL - 37 ID - 13656 ER - TY - JOUR AB - BACKGROUND: New nurses undergo a stressful and challenging transition process in the nursing workplace. Lack of patient care knowledge and skills and work adaption difficulties lead to a high turnover rate that drains essential new talent away from the nursing profession and further exacerbates professional staffing shortages in the healthcare sector. The "last mile" program is a program developed jointly by a nursing school and hospital as a mechanism to bridge classroom learning to clinical practice and smooth the transition of nursing students into nursing professionals. PURPOSE: The purpose of this study was to understand the effect of the "last mile" program on job performance and occupational burnout among new nurses. METHODS: We conducted a quasi-experimental study in 2009 on a convenience sample of new nurses in a medical center. Participants were assigned into two groups, namely those enrolled in the last mile program (n = 29) and those not enrolled in the program (n = 94). Research team members and several collaborative universities developed the last mile program used in this study; Seven experts established content validity; The last mile program included 84 hours of lecture courses and 160 hours of clinical practice. Data was collected using the nursing job performance scale developed in 2007 by Greenslade and Jimmieson and translated ÷ back translated into an equivalent Chinese version. Exploratory factor analysis showed all items aggraded into 8 factors, which could be divided into task performance and contextual performance concept categories. Task performance concepts included: social support, information, coordination of care, and technical care; Contextual performance concepts included: interpersonal support, job-task support, volunteering for additional duties and compliance. The Cronbach's α for the 8 factors were .70-.95. The occupational burnout inventory included the 4 subscales of personal burnout, work-related burnout, client-related burnout, and over-commitment, with associated Cronbach's α ranging from .84-.90. Data was collected at one, three, and six months after employment. Repeated measures ANOVA and an independent t-test were used to analyze data. RESULTS: The average age of the 123 participants surveyed was 23 years, with no differences identified between last-mile and non-last-mile groups in terms of education level, work unit, or other demographic variables. New nurses who participated in the last mile program achieved significantly higher performance scores for job-task support, volunteering for additional duties, and overall task and contextual performance than those who did not. Last-mile-program group participants also had significantly lower client-related burnout than their non-last-mile-program peers. CONCLUSIONS / IMPLICATIONS FOR PRACTICE: The last mile program facilitates new nurses' contextual performance and reduces incidence of care burnout. The cooperative education model linking universities and hospitals can be a positive component in a new nurse retention strategy for hospital administrators and educators. AD - Department of Nursing, Cathay General Hospital, ROC. AN - 22851392 AU - Wu, H. M. AU - Liu, P. F. AU - Ho, H. H. AU - Chen, P. L. AU - Chao, H. L. AU - Chen, H. L. DA - Aug DO - 10.6224/jn.59.3.30 DP - NLM IS - 4 KW - Adult Burnout, Professional/*prevention & control Humans *Nurses Task Performance and Analysis LA - chi N1 - Wu, Hsiu-Mei Liu, Pei-Fen Ho, Hsueh-Hua Chen, Ping-Ling Chao, Hui-Lin Chen, Hsiao-Lien English Abstract Journal Article China (Republic : 1949- ) 2012/08/02 Hu Li Za Zhi. 2012 Aug;59(4):30-42. doi: 10.6224/JN.59.3.30. PY - 2012 SN - 0047-262X (Print) SP - 30-42 ST - [Reducing occupational burnout and enhancing job performance in new nurses: the efficacy of "last mile" programs] T2 - Hu Li Za Zhi TI - [Reducing occupational burnout and enhancing job performance in new nurses: the efficacy of "last mile" programs] VL - 59 ID - 13673 ER - TY - JOUR AB - Background: New nurses undergo a stressful and challenging transition process in the nursing workplace. Lack of patient care knowledge and skills and work adaption difficulties lead to a high turnover rate that drains essential new talent away from the nursing profession and further exacerbates professional staffing shortages in the healthcare sector. The 'last mile' program is a program developed jointly by a nursing school and hospital as a mechanism to bridge classroom learning to clinical practice and smooth the transition of nursing students into nursing professionals. Purpose: The purpose of this study was to understand the effect of the 'last mile' program on job performance and occupational burnout among new nurses. Methods: We conducted a quasi-experimental study in 2009 on a convenience sample of new nurses in a medical center. Participants were assigned into two groups, namely those enrolled in the last mile program (n = 29) and those not enrolled in the program (n = 94). Research team members and several collaborative universities developed the last mile program used in this study; Seven experts established content validity; The last mile program included 84 hours of lecture courses and 160 hours of clinical practice. Data was collected using the nursing job performance scale developed in 2007 by Greenslade and Jimmieson and translated ÷ back translated into an equivalent Chinese version. Exploratory factor analysis showed all items aggraded into 8 factors, which could be divided into task performance and contextual performance concept categories. Task performance concepts included: social support, information, coordination of care, and technical care; Contextual performance concepts included: interpersonal support, job-task support, volunteering for additional duties and compliance. The Cronbach's ? for the 8 factors were .70-.95. The occupational burnout inventory included the 4 subscales of personal burnout, work-related burnout, client-related burnout, and over-commitment, with associated Cronbach's ? ranging from .84-.90. Data was collected at one, three, and six months after employment. Repeated measures ANOVA and an independent t-test were used to analyze data. Results: The average age of the 123 participants surveyed was 23 years, with no differences identified between last-mile and non-last-mile groups in terms of education level, work unit, or other demographic variables. New nurses who participated in the last mile program achieved significantly higher performance scores for job-task support, volunteering for additional duties, and overall task and contextual performance than those who did not. Last-mile-program group participants also had significantly lower client-related burnout than their non-last-mile-program peers. Conclusions ÷ Implications for Practice: The last mile program facilitates new nurses' contextual performance and reduces incidence of care burnout. The cooperative education model linking universities and hospitals can be a positive component in a new nurse retention strategy for hospital administrators and educators. AD - Department of Nursing, Cathay General Hosptial AN - 108141898. Language: Chinese. Entry Date: 20120831. Revision Date: 20150712. Publication Type: Journal Article AU - Wu, Hsiu-Mei AU - Liu, Pei-Fen AU - Ho, Hsueh-Hua AU - Chen, Ping-Ling AU - Chao, Hui-Lin AU - Chen, Hsiao-Lien DB - cin20 DO - 10.6224/JN.59.4.30 DP - EBSCOhost IS - 4 KW - Burnout, Professional -- Prevention and Control Job Performance New Graduate Nurses Transitional Programs Adult Analysis of Variance Coefficient Alpha Collaboration Comparative Studies Content Validity Convenience Sample Education, Clinical Factor Analysis Hospital Programs Human Lecture Quasi-Experimental Studies Repeated Measures Schools, Nursing Surveys T-Tests Taiwan N1 - research; tables/charts. Journal Subset: Asia; Nursing; Peer Reviewed. Special Interest: Psychiatry/Psychology. NLM UID: 0073267. PY - 2012 SN - 0047-262X SP - 30-42 ST - Reducing occupational burnout and enhancing job performance in new nurses: the efficacy of 'last mile' programs T2 - Journal of Nursing TI - Reducing occupational burnout and enhancing job performance in new nurses: the efficacy of 'last mile' programs UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=108141898&site=ehost-live&scope=site VL - 59 ID - 13765 ER - TY - JOUR AB - The nursing shortage triggered by retiring nurses is expected to affect all areas of nursing but particularly specialized nursing areas, such as perioperative units. In addition, the perioperative environment is a difficult place for novice nurses to fit in. Many factors contribute to making the OR environment stressful, and novice nurses often feel the effects of not being readily accepted into the social culture of the OR. Leaders in the OR department of a busy trauma center with a large number vacancies, an inability to recruit experienced perioperative nurses, and difficulty retaining new nurses redesigned the orientation process with the intent of recruiting high quality RNs, improving the nurse retention rate after orientation, and making the perioperative area a positive learning environment. The new process is a consistent, structured program that includes AORN's Periop 101: A Core Curriculum, dedicated preceptors, daily feedback and goals for orientees, regular meetings for new staff members, and increased inclusion of existing staff members. AD - Wellspan Health/York Hospital, York, PA, USA. AN - 22464618 AU - Wilson, G. DA - Apr DO - 10.1016/j.aorn.2012.01.022 DP - NLM IS - 4 KW - Health Facility Environment Humans Inservice Training/methods/*organization & administration Models, Educational Organizational Culture Pennsylvania Perioperative Nursing/*education *Personnel Turnover Preceptorship/methods/*organization & administration *Social Support Trauma Centers Workforce LA - eng N1 - 1878-0369 Wilson, Gail Journal Article United States 2012/04/03 AORN J. 2012 Apr;95(4):453-62. doi: 10.1016/j.aorn.2012.01.022. PY - 2012 SN - 0001-2092 SP - 453-62 ST - Redesigning OR orientation T2 - Aorn j TI - Redesigning OR orientation VL - 95 ID - 13614 ER - TY - JOUR AB - This qualitative study presents the transition experience of new registered nurses during the first year of professional practice. Four themes emerged: feelings of frustration and being overwhelmed, preceptors, fear, and the orientation process. The orientation process, quality, competent preceptors, and reducing lateral violence are key strategies to successfully retain new nurses. Nurse educators have a crucial role during nurse orientation, training preceptors, and reducing violent behaviors in the workplace. AD - School of Nursing, Ball State University, Muncie, Indiana, USA. cmthomas@bsu.edu AN - 22992640 AU - Thomas, C. M. AU - Bertram, E. AU - Allen, R. L. DA - Sep-Oct DO - 10.1097/NND.0b013e31826a009c DP - NLM IS - 5 KW - Burnout, Professional/*nursing Education, Nursing/*organization & administration Humans Licensure, Nursing Midwestern United States New South Wales Nurse Practitioners Nurse's Role Nursing Care/*standards Occupational Diseases Occupations Organizational Innovation Professional Competence Qualitative Research Stress, Psychological/complications Students, Nursing LA - eng N1 - 1538-9049 Thomas, Cynthia M Bertram, Evelyn Allen, Roberta L Journal Article United States 2012/09/21 J Nurses Staff Dev. 2012 Sep-Oct;28(5):243-9. doi: 10.1097/NND.0b013e31826a009c. PY - 2012 SN - 1098-7886 SP - 243-9 ST - The transition from student to new registered nurse in professional practice T2 - J Nurses Staff Dev TI - The transition from student to new registered nurse in professional practice VL - 28 ID - 13645 ER - TY - JOUR AB - This article describes the findings from a pilot study undertaken to identify the potential benefits of a ward simulation exercise in developing the capabilities of newly qualified nurses. Eight newly qualified nurses were recruited to participate in this pilot study which was based in the Clinical Skills Centre, Ninewells Hospital, Dundee. This pilot study was performed in conjunction with NHS Tayside Practice Education Facilitators and the University of Dundee. Data collection methods involved reflective learning logs which were reviewed independently by an expert group of teachers and practitioners. A focus group session was also undertaken to understand the lived experience of the newly qualified nurse during the ward simulation exercise. Core themes (listed in order of importance) related to the professional development of newly qualified nurses that were identified through this pilot study were: an increase in confidence, development of stress management skills, improved management of the acutely unwell patient, the transfer of skills learnt in simulation to the clinical setting, development of communication skills and reflection skills. Participants in this pilot study demonstrated increased levels of confidence in their communication skills, their ability to prioritize care and to engage in collaborative teamworking. AD - University of Dundee, Clinical Skills Centre, Level 6, Ninewells Hospital, Dundee. AN - 22306641 AU - Stirling, K. AU - Smith, G. AU - Hogg, G. DA - Jan 26-Feb 8 DO - 10.12968/bjon.2012.21.2.116 DP - NLM IS - 2 KW - Competency-Based Education/*methods Education, Nursing, Baccalaureate/*methods Educational Measurement/methods Focus Groups Humans *Interprofessional Relations Nursing Education Research Nursing Evaluation Research Nursing, Team/*methods Pilot Projects LA - eng N1 - Stirling, Kevin Smith, Gill Hogg, George Journal Article England 2012/02/07 Br J Nurs. 2012 Jan 26-Feb 8;21(2):116-8, 120-2. doi: 10.12968/bjon.2012.21.2.116. PY - 2012 SN - 0966-0461 (Print) 0966-0461 SP - 116-8, 120-2 ST - The benefits of a ward simulation exercise as a learning experience T2 - Br J Nurs TI - The benefits of a ward simulation exercise as a learning experience VL - 21 ID - 13683 ER - TY - JOUR AB - BACKGROUND: Retaining skilled and engaged nurses is critical during a time of shortage, however growing reports of workplace bullying threaten nurses' health and wellbeing, especially the transition of newly graduated nurses entering the profession. High rates of burnout and turnover among new nurses puts additional strain on limited financial resources in healthcare organizations and can compromise the quality of care provided to patients. OBJECTIVES: The purpose of this study is to test a model linking authentic leadership to new graduate nurses' experiences of workplace bullying and burnout, and subsequently, job satisfaction and intentions to leave their jobs. METHODS: This study employed a cross-sectional survey design with 342 new graduate nurses (defined as less than two years of practice experience) working in acute care hospitals in Ontario, Canada. Participants completed a questionnaire with measures of authentic leadership, workplace bullying, burnout, job satisfaction and turnover intentions. The model was tested using path analysis techniques within structural equation modeling. RESULTS: The model fit indices suggested that the original hypothesized model did not adequately fit the data (χ(2)=33.59, df=5, p=.000, χ(2)/df=6.72, IFI=.937, CFI=.937, RMSEA=.130), thus an additional theoretically justified direct path from authentic leadership to job satisfaction was added, which improved the fit substantially (χ(2)=5.26, df=4, p=.261, χ(2)/df=1.32, IFI=.997, CFI=.997, RMSEA=.030). Authentic leadership had a negative direct effect on workplace bullying, which in turn had a direct positive effect on emotional exhaustion. Authentic leadership also influenced job satisfaction indirectly through bullying and emotional exhaustion. Authentic leadership, workplace bullying and emotional exhaustion all had significant direct effects on job satisfaction, which in turn, was related to lower turnover intentions. CONCLUSIONS: The findings from this study demonstrate the fundamental importance of authentic leadership in creating supportive working environments. An authentic leadership style may reduce the probability of a unit culture of workplace bullying developing, contributing to a nursing workforce that is less burned out, more satisfied with their job, and ultimately, less likely to leave their position. AD - Distinguished University Professor and Arthur Labatt Family Nursing Research Chair in Health Human Resources Optimization, Arthur Labatt Family School of Nursing, The University of Western Ontario, 1151 Richmond Street, Health Sciences Addition Room 41, London, Ontario, Canada N6A 5C1. hkl@uwo.ca AN - 22727121 AU - Spence Laschinger, H. K. AU - Wong, C. A. AU - Grau, A. L. DA - Oct DO - 10.1016/j.ijnurstu.2012.05.012 DP - NLM ET - 20120620 IS - 10 KW - Adult *Bullying *Burnout, Professional Cross-Sectional Studies Female Humans *Leadership Male Nurses/*psychology Ontario *Workplace LA - eng N1 - 1873-491x Spence Laschinger, Heather K Wong, Carol A Grau, Ashley L Journal Article Research Support, Non-U.S. Gov't England 2012/06/26 Int J Nurs Stud. 2012 Oct;49(10):1266-76. doi: 10.1016/j.ijnurstu.2012.05.012. Epub 2012 Jun 20. PY - 2012 SN - 0020-7489 SP - 1266-76 ST - The influence of authentic leadership on newly graduated nurses' experiences of workplace bullying, burnout and retention outcomes: a cross-sectional study T2 - Int J Nurs Stud TI - The influence of authentic leadership on newly graduated nurses' experiences of workplace bullying, burnout and retention outcomes: a cross-sectional study VL - 49 ID - 13695 ER - TY - JOUR AB - AIM: The aim of this research was to investigate newly qualified nurses (NQN) experiences of starting their career in the intensive care unit (ICU). The author also investigated the opinions of senior nurses from ICU in relation to NQN in ICU. BACKGROUND: Although not a new concept, NQN in ICU has little substantive research to support recruitment. There is a current demand to investigate this topic, because of retention of staff and a shortage of qualified nurses. METHOD: This was a comparative, qualitative study using two forms of data collection. This study was conducted over two phases. Phase I, used semi-structured interviews with eight NQN, with one participant for the pilot study. PHASE II used a focus group to interview seven senior nurses in ICU. FINDINGS: NQN experienced anxiety about time management, accountability and socialization. Senior nurses felt NQN coped well with the demanding aspects of ICU but were aware that preceptors are under a lot of pressure. They were concerned about NQN lack of hospital knowledge. The competency-based practice highlighted the importance of record keeping and its associated legal implications. CONCLUSION: NQN cope well with the complexity of ICU. Having student placements in this area seem to ease this transition and reduce some 'reality shock'. They therefore seem better equipped to deal with the steep learning curve. AD - General Intensive Care Unit, St James University Hospital, Leeds and Leeds Metropolitan University, Leeds, UK. cedaniel21@yahoo.co.uk AN - 22229681 AU - O'Kane, C. E. DA - Jan-Feb DO - 10.1111/j.1478-5153.2011.00473.x DP - NLM ET - 20111007 IS - 1 KW - Adaptation, Psychological Anxiety *Attitude of Health Personnel Clinical Competence Humans Intensive Care Units/*organization & administration Nursing Evaluation Research Nursing Methodology Research Nursing Staff, Hospital/*education/*psychology Qualitative Research Stress, Psychological/*psychology LA - eng N1 - 1478-5153 O'Kane, Catherine E Journal Article England 2012/01/11 Nurs Crit Care. 2012 Jan-Feb;17(1):44-51. doi: 10.1111/j.1478-5153.2011.00473.x. Epub 2011 Oct 7. PY - 2012 SN - 1362-1017 SP - 44-51 ST - Newly qualified nurses experiences in the intensive care unit T2 - Nurs Crit Care TI - Newly qualified nurses experiences in the intensive care unit VL - 17 ID - 13697 ER - TY - JOUR AB - The nursing shortage coupled with health inequities makes it imperative to retain nurses from diverse backgrounds in the workplace. Since Latinos are the fastest growing racial/ethnic group in the U.S., the issue is of particular importance. Thus, the purpose of this study was to measure the prevalence of bias in the nursing workplace as experienced by Latino(a) nurses. This descriptive study of Latino(a) nurses measured the prevalence of bias, its relationship to nurse retention in the nursing workplace, and additional factors in the workplace that were associated with bias. Results included that Latino(a) nurses both experienced and witnessed bias on a regular basis, along with negative comments by peers about their ethnicity. Significant correlations were found between experiences of bias and the study variables of witnessing bias, perceived levels of support, and time planning to remain in the workplace. As the nursing shortage continues and increases in severity, retaining nurses becomes as important as creating new nurses. Nurse managers, hospital administrators, and nurse educators must develop strategies to educate staff and promote non-biased interactions between nurses in the workplace, as well as to support nurses from diverse backgrounds. AD - School of Nursing at the University of Portland in Portland, OR, USA. moceri@up.edu AN - 23155895 AU - Moceri, J. T. DA - Fall DP - NLM IS - 3 KW - Adult Bias Bullying/psychology Burnout, Professional/*ethnology Female Hispanic or Latino/*statistics & numerical data Humans *Interprofessional Relations *Job Satisfaction Male Nurses/*statistics & numerical data Nursing Methodology Research Organizational Culture Prevalence Social Support United States/epidemiology Workplace/*statistics & numerical data Young Adult LA - eng N1 - Moceri, Joane T Journal Article Research Support, Non-U.S. Gov't United States 2012/11/20 J Cult Divers. 2012 Fall;19(3):94-101. PY - 2012 SN - 1071-5568 (Print) 1071-5568 SP - 94-101 ST - Bias in the nursing workplace: implications for Latino(a) nurses T2 - J Cult Divers TI - Bias in the nursing workplace: implications for Latino(a) nurses VL - 19 ID - 13686 ER - TY - JOUR AB - Background: Retaining skilled and engaged nurses is critical during a time of shortage, however growing reports of workplace bullying threaten nurses’ health and wellbeing, especially the transition of newly graduated nurses entering the profession. High rates of burnout and turnover among new nurses puts additional strain on limited financial resources in healthcare organizations and can compromise the quality of care provided to patients. Objectives: The purpose of this study is to test a model linking authentic leadership to new graduate nurses’ experiences of workplace bullying and burnout, and subsequently, job satisfaction and intentions to leave their jobs. Methods: This study employed a cross-sectional survey design with 342 new graduate nurses (defined as less than two years of practice experience) working in acute care hospitals in Ontario, Canada. Participants completed a questionnaire with measures of authentic leadership, workplace bullying, burnout, job satisfaction and turnover intentions. The model was tested using path analysis techniques within structural equation modeling. Results: The model fit indices suggested that the original hypothesized model did not adequately fit the data (χ² = 33.59, df = 5, p = .000, χ²/df = 6.72, IFI = .937, CFI = .937, RMSEA = .130), thus an additional theoretically justified direct path from authentic leadership to job satisfaction was added, which improved the fit substantially (χ² = 5.26, df = 4, p = .261, χ²/df = 1.32, IFI = .997, CFI = .997, RMSEA = .030). Authentic leadership had a negative direct effect on workplace bullying, which in turn had a direct positive effect on emotional exhaustion. Authentic leadership also influenced job satisfaction indirectly through bullying and emotional exhaustion. Authentic leadership, workplace bullying and emotional exhaustion all had significant direct effects on job satisfaction, which in turn, was related to lower turnover intentions. Conclusions: The findings from this study demonstrate the fundamental importance of authentic leadership in creating supportive working environments. An authentic leadership style may reduce the probability of a unit culture of workplace bullying developing, contributing to a nursing workforce that is less burned out, more satisfied with their job, and ultimately, less likely to leave their position. (PsycINFO Database Record (c) 2017 APA, all rights reserved) AD - Laschinger, Heather K. Spence, Arthur Labatt Family School of Nursing, University of Western Ontario, 1151 Richmond Street, Health Sciences Addition Room 41, London, ON, Canada, N6A 5C1 AN - 2012-26784-009 AU - Laschinger, Heather K. Spence AU - Wong, Carol A. AU - Grau, Ashley L. DB - psyh DO - 10.1016/j.ijnurstu.2012.05.012 DP - EBSCOhost IS - 10 KW - authentic leadership nurses' experiences workplace bullying burnout retention outcomes well being job satisfaction Nurses Occupational Stress Working Conditions Bullying Leadership Employee Retention N1 - Arthur Labatt Family School of Nursing, University of Western Ontario, London, ON, Canada. Release Date: 20121203. Correction Date: 20170928. Publication Type: Journal (0100), Peer Reviewed Journal (0110). Format Covered: Electronic. Document Type: Journal Article. Language: EnglishMajor Descriptor: Job Satisfaction; Nurses; Occupational Stress; Working Conditions; Bullying. Minor Descriptor: Leadership; Employee Retention. Classification: Professional Personnel Attitudes & Characteristics (3430). Population: Human (10); Male (30); Female (40). Location: Canada. Age Group: Adulthood (18 yrs & older) (300). Tests & Measures: Authentic Leadership Questionnaire; Negative Acts Questionnaire—Revised DOI: 10.1037/t27542-000. Methodology: Empirical Study; Quantitative Study. References Available: Y. Page Count: 11. Issue Publication Date: Oct, 2012. Publication History: Accepted Date: May 26, 2012; Revised Date: May 7, 2012; First Submitted Date: Dec 8, 2011. Copyright Statement: All rights reserved. Elsevier Ltd. 2012. Sponsor: University of Toronto, Japan. Recipients: No recipient indicated Sponsor: Nursing Health Services Research Unit. Recipients: No recipient indicated PY - 2012 SN - 0020-7489 1873-491X SP - 1266-1276 ST - The influence of authentic leadership on newly graduated nurses’ experiences of workplace bullying, burnout and retention outcomes: A cross-sectional study T2 - International Journal of Nursing Studies TI - The influence of authentic leadership on newly graduated nurses’ experiences of workplace bullying, burnout and retention outcomes: A cross-sectional study UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=psyh&AN=2012-26784-009&site=ehost-live&scope=site hkl@uwo.ca VL - 49 ID - 13794 ER - TY - JOUR AB - Abstract: Background: The alarmingly high rate of illness-related absenteeism among nurses and recent reports of workplace violence and burnout are problematic for both the current workforce shortage and the recruitment and retention of new nurses. Objectives: To test a model derived from Six Areas of Worklife Model linking workplace factors (six areas of worklife, experiences of bullying and burnout) and a personal dispositional factor (psychological capital) to new graduates mental and physical health in their first year of practice. Methods: A cross-sectional survey design was utilized to survey 165 Ontario nurses with one year or less experience in nursing. Participants completed measures of nurses’ work environment quality, psychological capital, bullying exposure, burnout, and physical and mental health. Structural equation modelling was used to test the hypothesized model. Results: The fit indices suggested a reasonably adequate fit of the data to the hypothesized model (χ 2 =27.75, df =12, CFI=.97, IFI=.97, RMSEA=.09), however an additional direct path from psychological capital to emotional exhaustion substantially improved the model fit (χ 2 =17.94, df =11, CFI=.99, IFI=.99, RMSEA=.06). Increased psychological capital positively influenced nurses’ perceived person-job fit, which in turn was negatively related to bullying exposure and emotional exhaustion, and ultimately influenced their physical and mental health. Conclusions: The findings suggest that psychological capital and perceived person-job fit are key variables in new graduate nurses’ worklife, which may contribute to decreased nurses’ burnout and increased physical and mental well-being. The results support an expanded conceptualization of the Areas of Worklife Model. AD - Arthur Labatt Family School of Nursing, The University of Western Ontario, 1151 Richmond Street, Health Sciences Addition Room 41, London, Ontario, Canada N6A 5C1 Arthur Labatt Family School of Nursing, The University of Western Ontario, Canada AN - 104529555. Language: English. Entry Date: 20120506. Revision Date: 20200708. Publication Type: Journal Article AU - Laschinger, Heather K. Spence AU - Grau, Ashley L. DB - cin20 DO - 10.1016/j.ijnurstu.2011.09.004 DP - EBSCOhost IS - 3 KW - Workplace Violence Burnout, Professional Occupational Health New Graduate Nurses -- Psychosocial Factors Human Descriptive Research Descriptive Statistics Cross Sectional Studies Ontario Structural Equation Modeling Conceptual Framework Nursing Models, Theoretical -- Evaluation Bullying -- Evaluation Questionnaires Coefficient Alpha Short Form-36 Health Survey (SF-36) Scales Chi Square Test Male Female Adult Two-Tailed Test Correlation Coefficient Funding Source N1 - research; tables/charts. Commentary: Van Bogaert Peter, Franck Erik. The mental, physical and emotional health of newly qualified nurses may be influenced by their psychological capital and perceived job fit. (EVID BASED NURS) Jan2013; 16 (1): 31-32. Journal Subset: Core Nursing; Europe; Nursing; Peer Reviewed; UK & Ireland. Instrumentation: Maslach Burnout Inventory; Short Form-36 Health Survey (SF-36); Psychological Capital Questionnaire; Areas of Worklife Scale (AWS)(Leiter and Maslach); Negative Acts Questionnaire-Revised (NAQ-R); Pressure Management Inventory (PMI)(Williams and Cooper). Grant Information: University of Toronto, Nursing Health Services Research Unit. NLM UID: 0400675. PMID: NLM21978860. PY - 2012 SN - 0020-7489 SP - 282-291 ST - The influence of personal dispositional factors and organizational resources on workplace violence, burnout, and health outcomes in new graduate nurses: A cross-sectional study T2 - International Journal of Nursing Studies TI - The influence of personal dispositional factors and organizational resources on workplace violence, burnout, and health outcomes in new graduate nurses: A cross-sectional study UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=104529555&site=ehost-live&scope=site VL - 49 ID - 13766 ER - TY - JOUR AB - BACKGROUND: The alarmingly high rate of illness-related absenteeism among nurses and recent reports of workplace violence and burnout are problematic for both the current workforce shortage and the recruitment and retention of new nurses. OBJECTIVES: To test a model derived from Leiter and Maslach's (2004) Six Areas of Worklife Model linking workplace factors (six areas of worklife, experiences of bullying and burnout) and a personal dispositional factor (psychological capital) to new graduates mental and physical health in their first year of practice. METHODS: A cross-sectional survey design was utilized to survey 165 Ontario nurses with one year or less experience in nursing. Participants completed measures of nurses' work environment quality, psychological capital, bullying exposure, burnout, and physical and mental health. Structural equation modelling was used to test the hypothesized model. RESULTS: The fit indices suggested a reasonably adequate fit of the data to the hypothesized model (χ2=27.75, df=12, CFI=.97, IFI=.97, RMSEA=.09), however an additional direct path from psychological capital to emotional exhaustion substantially improved the model fit (χ2=17.94, df=11, CFI=.99, IFI=.99, RMSEA=.06). Increased psychological capital positively influenced nurses' perceived person-job fit, which in turn was negatively related to bullying exposure and emotional exhaustion, and ultimately influenced their physical and mental health. CONCLUSIONS: The findings suggest that psychological capital and perceived person-job fit are key variables in new graduate nurses' worklife, which may contribute to decreased nurses' burnout and increased physical and mental well-being. The results support an expanded conceptualization of the areas of worklife model. AD - Arthur Labatt Family School of Nursing, The University of Western Ontario, 1151 Richmond Street, Health Sciences Addition Room 41, London, Ontario, Canada N6A 5C1. hkl@uwo.ca AN - 21978860 AU - Laschinger, H. K. AU - Grau, A. L. DA - Mar DO - 10.1016/j.ijnurstu.2011.09.004 DP - NLM ET - 20111005 IS - 3 KW - Adult *Burnout, Professional Cross-Sectional Studies Humans *Nurses *Violence *Workplace LA - eng N1 - 1873-491x Laschinger, Heather K Spence Grau, Ashley L Journal Article Research Support, Non-U.S. Gov't England 2011/10/08 Int J Nurs Stud. 2012 Mar;49(3):282-91. doi: 10.1016/j.ijnurstu.2011.09.004. Epub 2011 Oct 5. PY - 2012 SN - 0020-7489 SP - 282-91 ST - The influence of personal dispositional factors and organizational resources on workplace violence, burnout, and health outcomes in new graduate nurses: a cross-sectional study T2 - Int J Nurs Stud TI - The influence of personal dispositional factors and organizational resources on workplace violence, burnout, and health outcomes in new graduate nurses: a cross-sectional study VL - 49 ID - 13707 ER - TY - JOUR AB - Newly licensed nurses entering into practice experience stressors related to daily challenges. This evidence-based practice project implemented a nurse residency program designed to ease the transition during the first year of practice. Newly licensed nurses at a Midwestern health care organization were enrolled in a yearlong nurse residency program and were required to attend one 4-hour session monthly. Program outcomes included a decrease in turnover and improved confidence. AD - College of Nursing and Health, Wright State University, Dayton, OH 45435, USA. cindra.holland@wright.edu AN - 22493982 AU - Holland, C. AU - Moddeman, G. R. DA - Jul DO - 10.3928/00220124-20120402-16 DP - NLM ET - 20120409 IS - 7 KW - Adult Education, Nursing, Continuing/*methods/organization & administration Humans Internship, Nonmedical/*methods/organization & administration Middle Aged *Models, Nursing Nursing Staff, Hospital/*education/organization & administration Staff Development/*methods/organization & administration Young Adult LA - eng N1 - Holland, Cindra Moddeman, Gail R Journal Article United States 2012/04/13 J Contin Educ Nurs. 2012 Jul;43(7):330-6. doi: 10.3928/00220124-20120402-16. Epub 2012 Apr 9. PY - 2012 SN - 0022-0124 (Print) 0022-0124 SP - 330-6 ST - Transforming the journey for newly licensed registered nurses T2 - J Contin Educ Nurs TI - Transforming the journey for newly licensed registered nurses VL - 43 ID - 13735 ER - TY - JOUR AB - New nurses are leaving hospitals in record numbers after fulfilling their initial employment obligations. Reasons for turnover relate to job dissatisfaction in the form of stressful working conditions, disempowerment, insufficient resources, difficult working relationships, and poor management. The authors discuss an approach for preparing students to manage factors that lead to burnout and new nurse turnover using the Generative Leadership Model as a framework. AD - College of Nursing, Washington State University, Spokane, WA 99210-1495, USA. AN - 23086069 AU - Foster, K. I. AU - Benavides-Vaello, S. AU - Katz, J. R. AU - Eide, P. DA - Nov-Dec DO - 10.1097/NNE.0b013e31826f27c1 DP - NLM IS - 6 KW - Burnout, Professional/prevention & control Education, Nursing, Baccalaureate/*methods Humans Job Satisfaction *Models, Educational *Models, Nursing Nursing Education Research Nursing Staff, Hospital/*psychology Personnel Turnover/statistics & numerical data Students, Nursing/*psychology LA - eng N1 - 1538-9855 Foster, Kimberlee I Benavides-Vaello, Sandra Katz, Janet R Eide, Phyllis Journal Article United States 2012/10/23 Nurse Educ. 2012 Nov-Dec;37(6):252-7. doi: 10.1097/NNE.0b013e31826f27c1. PY - 2012 SN - 0363-3624 SP - 252-7 ST - Using the generative nursing model to reframe nursing student transition to practice T2 - Nurse Educ TI - Using the generative nursing model to reframe nursing student transition to practice VL - 37 ID - 13688 ER - TY - JOUR AB - BACKGROUND: The first year of nursing practice is critical to developing new graduate nurses into safe practitioners. Many new graduate nurses leave the profession because of job stress, lack of organizational support, poor nurse-physician relations, unreasonable workloads, uncivil work environments, and difficulty transitioning into practice. In response, Nurse Residency programs reflect an organizational commitment to support new nurses, allowing them time and support to become competent professional nurses. PURPOSE AND METHOD: Thirty-seven new graduate nurses employed in a hospital in a northwestern state participated in a descriptive qualitative study to examine the "lived experience" as new nurses and to assess the level of job satisfaction during the first year of their nursing practice. RESULTS: New graduate nurses described themes related to their first year of nursing practice including rhythm in the chaos, feeling valued, stress from 'not knowing', life-long learning, and preserving the profession. CONCLUSIONS: Having supportive preceptors and nursing staff, feeling valued by the health care team, and being perceived as a vital member of the organization contributed to job satisfaction and overall commitment to the profession. AD - Boise State University, School of Nursing, Boise, ID 83725, USA. AN - 22000691 AU - Clark, C. M. AU - Springer, P. J. DA - Jul-Aug DO - 10.1016/j.outlook.2011.08.003 DP - NLM ET - 20111013 IS - 4 KW - *Attitude of Health Personnel Female Humans *Internship and Residency *Job Satisfaction Male Nursing Methodology Research Nursing Staff, Hospital/education/*psychology Qualitative Research LA - eng N1 - 1528-3968 Clark, Cynthia M Springer, Pamela J Journal Article United States 2011/10/18 Nurs Outlook. 2012 Jul-Aug;60(4):e2-8. doi: 10.1016/j.outlook.2011.08.003. Epub 2011 Oct 13. PY - 2012 SN - 0029-6554 SP - e2-8 ST - Nurse residents' first-hand accounts on transition to practice T2 - Nurs Outlook TI - Nurse residents' first-hand accounts on transition to practice VL - 60 ID - 13639 ER - TY - JOUR AB - Retaining newly graduated nurses is critical for organizations because of the significant cost of turnover. Since commitment to an organization is associated with decreased turnover intent, understanding factors that influence new graduates' organizational commitment is important. In a sample of nurse residency program participants, predictors of organizational commitment over time were explored. Perceptions of the work environment, particularly job satisfaction and job stress, were found to be most influential. AD - Marquette University, 530 N. 16th Street, Clark Hall, Milwaukee, WI 53233, USA. marilyn.bratt@marquette.edu AN - 22617781 AU - Bratt, M. M. AU - Felzer, H. M. DA - May-Jun DO - 10.1097/NND.0b013e31825515c4 DP - NLM IS - 3 KW - Adaptation, Psychological Clinical Competence *Decision Making, Organizational *Education, Nursing/organization & administration Female Humans Internship and Residency/*standards Job Satisfaction Longitudinal Studies Male Midwestern United States Nurse's Role Nursing Staff, Hospital/*organization & administration/*psychology/statistics & numerical data *Organizational Culture *Personnel Loyalty Personnel Staffing and Scheduling Personnel Turnover/statistics & numerical data/trends Preceptorship/standards Psychometrics *Social Perception Socialization Stress, Psychological/etiology/psychology Workforce Workload/psychology LA - eng N1 - 1538-9049 Bratt, Marilyn Meyer Felzer, Holly M D11HP08384/PHS HHS/United States D64HP03092/PHS HHS/United States Journal Article Research Support, U.S. Gov't, P.H.S. United States 2012/05/24 J Nurses Staff Dev. 2012 May-Jun;28(3):108-19. doi: 10.1097/NND.0b013e31825515c4. PY - 2012 SN - 1098-7886 SP - 108-19 ST - Predictors of new graduate nurses' organizational commitment during a nurse residency program T2 - J Nurses Staff Dev TI - Predictors of new graduate nurses' organizational commitment during a nurse residency program VL - 28 ID - 13658 ER - TY - JOUR AB - The transition from student to working nurse has long been recognized as challenging. This paper presents the findings of research into the opportunities and limitations encountered by newly qualified nurses when taking on the nursing role. The study had an ethnographic design. Observation, interviews, and document analysis were used to gain insight into nurses' daily work from the perspective of recently graduated nurses. Thirteen nurses were monitored closely during their first year in a hospital setting in Norway. These new nurses generally entered the field with empathy for their patients, enthusiasm for the profession, and readiness to learn more about being a good nurse. However, their more experienced colleagues seemed to neither respect nor nurture this attitude. The new nurses experienced heavier responsibilities than expected, fragmentation of patient care, and stressful interactions with colleagues. The lack of a supportive work environment and role models increased the new nurses' experience of overwhelming responsibility in their daily work situations. The nurses learned to cope the hard way, despite the organizational culture, not because of it. Adjusting the profession's expectations of new nurses, and offering good role models and more comprehensive support programmes, would markedly ease the transition for new nurses. AD - Faculty of Nursing, Oslo and Akershus University College, Pilestredet 52, N-0167 Oslo, Norway. AN - 23050136 AU - Bjerknes, M. S. AU - Bjørk, I. T. C2 - PMC3462384 DO - 10.1155/2012/690348 DP - NLM ET - 20120924 LA - eng N1 - 2090-1437 Bjerknes, Mari Skancke Bjørk, Ida Torunn Journal Article 2012/10/11 Nurs Res Pract. 2012;2012:690348. doi: 10.1155/2012/690348. Epub 2012 Sep 24. PY - 2012 SN - 2090-1429 (Print) 2090-1429 SP - 690348 ST - Entry into nursing: an ethnographic study of newly qualified nurses taking on the nursing role in a hospital setting T2 - Nurs Res Pract TI - Entry into nursing: an ethnographic study of newly qualified nurses taking on the nursing role in a hospital setting VL - 2012 ID - 13691 ER - TY - JOUR AB - Nursing shortages exist worldwide while job stress, dissatisfaction, lack of peer support and limited professional opportunities still contribute to attrition. The aim of this systematic review is to describe and evaluate the quality of the science, report recommendations and lessons learned about implementing and evaluating nurse residency programs (NRPs) designed to improve new graduate transitioning. Databases were searched between 1980 and 2010 using five search terms: nurse, intern, extern, transition and residency programs. Twenty studies reporting programs for new RNs fit the inclusion criteria. Three major discoveries include: 1. Wide variation in content, teaching and learning strategies make comparison across programs difficult; 2. Lack of theory in designing the educational intervention has limited the selection and development of new instruments to measure program effectiveness; and 3. Well designed quasi-experimental studies are needed. As a major nursing education redesign, NRPs could be used to test the principles, concepts and strategies of organizational transformation and experiential-interactive learning theory. By focusing on fiscal outcomes, current administrators of NRPs are missing the opportunity to implement an organizational strategy that could improve workplace environments. Healthcare organizations need to envision NRPs as a demonstration of positive clinical learning environments that can enhance intra- and interprofessional education and practice. AD - School of Nursing, San Diego State University, CA 91962, USA. Gwen.Anderson95@gmail.com AN - 22818190 AU - Anderson, G. AU - Hair, C. AU - Todero, C. DA - Jul-Aug DO - 10.1016/j.profnurs.2011.11.020 DP - NLM IS - 4 KW - Evidence-Based Nursing Humans Internship, Nonmedical/*organization & administration/trends *Job Satisfaction Nursing Staff/*organization & administration/trends Nursing Theory *Outcome and Process Assessment, Health Care Staff Development/*organization & administration/trends LA - eng N1 - 1532-8481 Anderson, Gwen Hair, Carole Todero, Catherine Journal Article Review Systematic Review United States 2012/07/24 J Prof Nurs. 2012 Jul-Aug;28(4):203-12. doi: 10.1016/j.profnurs.2011.11.020. PY - 2012 SN - 8755-7223 SP - 203-12 ST - Nurse residency programs: an evidence-based review of theory, process, and outcomes T2 - J Prof Nurs TI - Nurse residency programs: an evidence-based review of theory, process, and outcomes VL - 28 ID - 13641 ER - TY - JOUR DA - 0 DO - 10.1097%2F00000446-196512000-00022 PY - 2012 ST - Nursing T2 - Wikipedia TI - Nursing UR - http://en.wikipedia.org/w/index.php?title=Nursing ID - 13819 ER - TY - JOUR DA - 0 PY - 2012 ST - Managing and Mitigating Conflict in Health-care Teams T2 - Registered Nurses' Association of Ontario TI - Managing and Mitigating Conflict in Health-care Teams UR - https://rnao.ca/sites/rnao-ca/files/Managing-conflict-healthcare-teams_hwe_bpg.pdf ID - 13811 ER - TY - JOUR AB - BACKGROUND: While many people find starting a new job stressful, the transition from student to newly qualified nurse comes with additional pressures, as being unprepared could harm patients. AIM: To investigate whether newly qualified nurses in the UK feel prepared for practice, exploring their experiences and expectations as they make the transition from student to registered practitioner. METHOD: A review of the literature was carried out to look at newly qualified nurses' experiences of becoming staff nurses within adult nursing, and to identify if there were gaps in that body of knowledge that could be addressed to support them. RESULTS: There is still a significant gap between theory and practice and ward managers' expectations of newly qualified nurses can be unrealistic. Some newly qualified nurses learnt to cope with being "thrown in at the deep end" but this is not always the best way of making the transition to becoming a staff nurse. The pressures of a busy ward environment means that soon-to-be qualified students are being treated as part of the workforce, and their learning needs are not a priority. CONCLUSION: Introducing a mandatory preceptorship programme would assist in smoothing the transition from student to staff nurse. AD - University of Derby. AN - 21675609 AU - Whitehead, B. AU - Holmes, D. DA - May 17-30 DP - NLM IS - 19-20 KW - *Clinical Competence Humans *Nurses *Students, Nursing United Kingdom LA - eng N1 - Whitehead, Bill Holmes, Dinah Journal Article England 2011/06/17 Nurs Times. 2011 May 17-30;107(19-20):20-3. PY - 2011 SN - 0954-7762 (Print) 0954-7762 SP - 20-3 ST - Are newly qualified nurses prepared for practice? T2 - Nurs Times TI - Are newly qualified nurses prepared for practice? VL - 107 ID - 13671 ER - TY - JOUR AB - New graduates are the largest source of registered nurses available for recruitment, and graduates are expected to transition quickly into professional practice. Stress of this transition can lead to high turnover within the first year. The design and goals of a graduate nurse residency program to increase competence, leadership, and job satisfaction, and ultimately decrease turnover are reported. AD - Nursing SWAT Team, University of Pittsburgh Medical Center, Pittsburgh, PA, USA. AN - 21446293 AU - Welding, N. M. DA - Jan-Feb DP - NLM IS - 1 KW - Attitude of Health Personnel *Clinical Competence/standards Curriculum Education, Nursing, Continuing/*organization & administration Goals Humans Inservice Training/organization & administration Internship, Nonmedical/*organization & administration Interprofessional Relations Job Satisfaction Leadership Nursing Education Research Nursing Staff, Hospital/*education/psychology Organizational Objectives Pennsylvania *Personnel Turnover/statistics & numerical data Program Development Program Evaluation Social Support Staff Development/organization & administration LA - eng N1 - Welding, Nicole M Journal Article United States 2011/03/31 Medsurg Nurs. 2011 Jan-Feb;20(1):37-40. PY - 2011 SN - 1092-0811 (Print) 1092-0811 SP - 37-40 ST - Creating a nursing residency: decrease turnover and increase clinical competence T2 - Medsurg Nurs TI - Creating a nursing residency: decrease turnover and increase clinical competence VL - 20 ID - 13721 ER - TY - JOUR AB - Turnover of newly graduated nurses is of significant concern. There are continuing reports that new graduates struggle during the transition to the work setting. The purpose of this study was to examine the effects of perceived demands, control, social support and self-efficacy on the job satisfaction and intention to leave of new nurses utilising Karasek’s Job Demands-Control-Support model. A cross-sectional mailed survey was used to gather data. The sample comprised 232 new nurses working in acute care in Canada. Job demands, social support from both supervisors and coworkers and self-efficacy were significantly related to job dissatisfaction, while demands and support from coworkers were related to intention to leave the job. Identifying factors that contribute to the job satisfaction and intentions to leave of new nurses is a first step in developing interventions to assist nurses who are just beginning their careers. (PsycINFO Database Record (c) 2016 APA, all rights reserved) AD - Peterson, Jessica, Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, ON, Canada AN - 2011-29225-009 AU - Peterson, Jessica AU - Hall, Linda McGillis AU - O'Brien-Pallas, Linda AU - Cockerill, Rhonda DB - psyh DO - 10.1177/1744987111422423 DP - EBSCOhost IS - 6 KW - job satisfaction intentions employee resignation new nurses self-efficacy Employee Turnover Intention Nurses Occupational Stress N1 - Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, ON, Canada. Release Date: 20120130. Correction Date: 20121015. Publication Type: Journal (0100), Peer Reviewed Journal (0110). Format Covered: Electronic. Document Type: Journal Article. Language: EnglishGrant Information: Peterson, Jessica. Major Descriptor: Employee Turnover; Intention; Job Satisfaction; Nurses; Occupational Stress. Minor Descriptor: Self-Efficacy. Classification: Professional Personnel Attitudes & Characteristics (3430). Population: Human (10); Male (30); Female (40). Location: Canada. Age Group: Adulthood (18 yrs & older) (300); Young Adulthood (18-29 yrs) (320); Thirties (30-39 yrs) (340); Middle Age (40-64 yrs) (360). Tests & Measures: Propensity to Leave Scale; Personal Efficacy Beliefs Scale DOI: 10.1037/t08689-000. Methodology: Empirical Study; Quantitative Study. References Available: Y. Page Count: 13. Issue Publication Date: Nov, 2011. Copyright Statement: The Author(s). 2011. Sponsor: Social Sciences and Humanities Research Council, Canada. Other Details: Doctoral fellowship. Recipients: Peterson, Jessica Sponsor: University of Toronto, Canada. Other Details: Bertha Rosenstadt Doctoral Dissertation Grant. Recipients: Peterson, Jessica PY - 2011 SN - 1744-9871 1744-988X SP - 536-548 ST - Job satisfaction and intentions to leave of new nurses T2 - Journal of Research in Nursing TI - Job satisfaction and intentions to leave of new nurses UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=psyh&AN=2011-29225-009&site=ehost-live&scope=site j.peterson@utoronto.ca VL - 16 ID - 13796 ER - TY - JOUR AB - The role of nurse preceptor in the UK functions to support and nurture newly qualified staff during transition to accountable practitioners. Transition is a stressful time for all new staff, whether diplomates or graduates. Preceptors are in a prime position to assess the competence and confidence of new staff, and observe their fitness for practice. Studies show variable evidence concerning the benefit to practice of nurses with degree compared to diploma education. This exploratory study investigated preceptors' perceptions of differences in the knowledge and skills displayed by staff from a three-year Diploma programme (DNs), and four-year pre-registration Master in Nursing degree (MNs), run by one School of Nursing. In the first months DNs were said to exhibit more confidence in practical skills while MNs showed academic and analytic skills. Although DNs related well to patients, MNs were better able to communicate with professional colleagues. By six months MNs overtook DNs in their overall confidence. Preceptors valued both DNs and MNs for the skill mix they brought to nursing and the benefit of patient care. Further exploration of preceptors' views would inform education staff and advise preceptors and managers regarding newly qualified nurses. AD - University of Nottingham, Queens Medical Centre, Nottingham, UK. Jennifer.park@nottingham.ac.uk AN - 20630803 AU - Park, J. R. AU - Wharrad, H. AU - Barker, J. AU - Chapple, M. DA - Jan DO - 10.1016/j.nepr.2010.06.004 DP - NLM ET - 20100713 IS - 1 KW - Clinical Competence/*standards *Education, Nursing, Graduate *Health Knowledge, Attitudes, Practice Humans Interviews as Topic *Preceptorship United Kingdom LA - eng N1 - 1873-5223 Park, Jennifer R Wharrad, Heather Barker, Janet Chapple, Mary Journal Article Scotland 2010/07/16 Nurse Educ Pract. 2011 Jan;11(1):41-6. doi: 10.1016/j.nepr.2010.06.004. Epub 2010 Jul 13. PY - 2011 SN - 1471-5953 SP - 41-6 ST - The knowledge and skills of pre-registration masters' and diploma qualified nurses: A preceptor perspective T2 - Nurse Educ Pract TI - The knowledge and skills of pre-registration masters' and diploma qualified nurses: A preceptor perspective VL - 11 ID - 13659 ER - TY - JOUR AB - This study examined intent to stay and the relationship between work satisfaction and burnout in a sample of new registered nurse graduates hired at a freestanding children's hospital. The following research questions were addressed: (1) Two years after initial employment, what is the percentage of new graduates who intend to stay on the job? (2) Is there a relationship between work satisfaction and burnout? (3) What is the turnover rate after the implementation of a support group program for new registered nurses? Of a target group of 75 new graduate nurses, 33 (44%) completed a modified version of Aiken's Revised Nursing Work Index and the Maslach Burnout Inventory. A majority of the registered nurses intended to stay on the job, with 87.9% reporting that they were satisfied with their current position and 97.0% reporting that they were satisfied with being a nurse. The correlation between job satisfaction and burnout was as follows: r = -0.684, F(1,30) = -21.71; p < .001. Of the participants, 39% reported an increase in the amount of time they spent with patients over the year, 27% reported an increase in the amount of time they spent documenting patient care, and 24% reported that the "quality of care" they were providing was better than 1 year ago. Before the implementation of a support group program for new graduates in 2006, the turnover rate was 7.6%; in 2009, the turnover rate was 5.7%. AD - Nursing Education and Research, Miami Dade College, Miami, FL, USA. messmerpatricia@yahoo.com AN - 21462909 AU - Messmer, P. R. AU - Bragg, J. AU - Williams, P. D. DA - Apr DO - 10.3928/00220124-20110324-05 DP - NLM IS - 4 KW - Adult Burnout, Professional/*prevention & control Female Florida Hospitals, Pediatric Humans Inservice Training/*methods *Job Satisfaction Male Middle Aged Nursing Staff, Hospital/psychology *Pediatric Nursing Personnel Turnover *Social Support Workforce LA - eng N1 - Messmer, Patricia R Bragg, Jane Williams, Phoebe D Clinical Trial Journal Article United States 2011/04/06 J Contin Educ Nurs. 2011 Apr;42(4):182-92. doi: 10.3928/00220124-20110324-05. PY - 2011 SN - 0022-0124 (Print) 0022-0124 SP - 182-92 ST - Support programs for new graduates in pediatric nursing T2 - J Contin Educ Nurs TI - Support programs for new graduates in pediatric nursing VL - 42 ID - 13702 ER - TY - JOUR AB - Asynchronous communication has become the dominant mode of on-line instruction and has been incorporated into Flying Start NHS, an on-line programme for newly qualified NMAHPs in the transition phase from student to registered practitioner. On-line programmes have a number of objectives including the delivery of educational materials and the development of on-line communities. This study sought to provide a direct and objective understanding of the quality of the on-line community within Flying Start NHS and give an indication of areas of strength and weakness. The study used mixed methods including a Gricean analysis of on-line communication focusing on quantity, quality, relevance, and manner, and a thematic analysis of communication content. There was little evidence that students engaged in the type of interactive communication essential for creating on-line learning communities. The majority of postings related to progression through Flying Start. The small number of communications which did begin to engage with the learning materials were limited with little evidence of the development of critical debate. Analysis of the qualitative data indicates that the period of transition continues to be stressful with Flying Start NHS being undertaken concurrently with local CPD being seen as duplication of effort. AD - University of Stirling, United Kingdom. wl5@stir.ac.uk AN - 20951646 AU - Lauder, W. AU - Roxburgh, M. AU - Atkinson, J. AU - Banks, P. AU - Kane, H. DA - May DO - 10.1016/j.nepr.2010.09.002 DP - NLM ET - 20101015 IS - 3 KW - Computer-Assisted Instruction/methods/*standards Health Personnel/*education Humans Inservice Training/methods/*standards Internet Program Evaluation Qualitative Research State Medicine/standards United Kingdom LA - eng N1 - 1873-5223 Lauder, W Roxburgh, M Atkinson, John Banks, Pauline Kane, Helen Journal Article Research Support, Non-U.S. Gov't Scotland 2010/10/19 Nurse Educ Pract. 2011 May;11(3):206-10. doi: 10.1016/j.nepr.2010.09.002. Epub 2010 Oct 15. PY - 2011 SN - 1471-5953 SP - 206-10 ST - The quality of on-line communication in a national learning programme for newly qualified nurses, midwives and allied health professionals T2 - Nurse Educ Pract TI - The quality of on-line communication in a national learning programme for newly qualified nurses, midwives and allied health professionals VL - 11 ID - 13729 ER - TY - JOUR AB - A literature review was conducted to investigate the characteristics of new graduates and hospital environments that contribute to Generation Y new nurses' susceptibility to role stress and the characteristics of orientation programs that help them successfully overcome the phenomenon. Implications include deliberate preceptor pairings, presence of an advisor/mentor, and focus on professional development. These strategies may help improve retention of the Generation Y new graduate, reduce role stress, and foster empowerment. AD - Northwestern Memorial Hospital, Chicago, IL, USA. klampe2@uic.edu AN - 21788740 AU - Lampe, K. AU - Stratton, K. AU - Welsh, J. R. DA - Jul-Aug DO - 10.1097/NND.0b013e3182236646 DP - NLM IS - 4 KW - Humans Inservice Training/*organization & administration Nurse's Role/*psychology Nursing Evaluation Research Nursing Staff, Hospital/education/*psychology Power, Psychological Stress, Psychological/*prevention & control Workplace/organization & administration/psychology LA - eng N1 - 1538-9049 Lampe, Kayla Stratton, Karen Welsh, Julie R Journal Article Review United States 2011/07/27 J Nurses Staff Dev. 2011 Jul-Aug;27(4):E6-9. doi: 10.1097/NND.0b013e3182236646. PY - 2011 SN - 1098-7886 SP - E6-9 ST - Evaluating orientation preferences of the generation Y new graduate nurse T2 - J Nurses Staff Dev TI - Evaluating orientation preferences of the generation Y new graduate nurse VL - 27 ID - 13640 ER - TY - JOUR AB - EXECUTIVE SUMMARY: Background: The transition period from student to newly qualified nurse where nurses are adjusting to their new role and consolidating their knowledge and skills can be stressful. It is a time when many newly qualified nurses are left feeling inadequately prepared. A variety of strategies to ease the transition process have been reported, which aim to increase confidence, competence, sense of belonging of new graduates, improve recruitment and retention and reduce turnover costs. OBJECTIVES: To synthesise the best available evidence on the effectiveness of support strategies and interventions aimed for newly qualified nurses. METHODS: A comprehensive search was undertaken on major electronic databases to identify both published and unpublished studies from 2000 to the present date. Reference lists of retrieved papers were searched and authors contacted. Only quantitative studies published in English language were considered.Methodological quality and data extraction: Two reviewers independently assessed methodological quality and extracted data from the included studies. A third reviewer resolved any disagreements through discussion. DATA SYNTHESIS: The review did not identify comparable Randomised Controlled Trials (RCTs), and as such meta-analysis of the data was not appropriate. The data extracted from the included studies were synthesized into a narrative summary. RESULTS: Thirty three studies were included in the review: RCT (1), Quasi-experimental (3) and observational/descriptive studies (29). Countries of origin were: USA (25), Australia (4), England (2), New Zealand (1) and Thailand (1). Studies were categorised according to the type of programme or support strategy provided: nurse internship/residency programmes (14) and graduate nurse orientation programmes (7), preceptorship (4), simulation (3) and mentoring (2), final year nursing students transition programs (2) and externship (1).Outcomes were categorised as being important to the employer (recruitment, retention, turnover rates, competence, confidence and costs), or to the new graduate (stress and anxiety reduction, job satisfaction, knowledge/skills acquisition, critical thinking and interpersonal skills, confidence and professional nursing behaviours). CONCLUSIONS: The range of outcomes reported across the studies made it difficult to report firm conclusions. A general increase in level of confidence was noted, along with reduction in stress and anxiety. Some success in relation to increases in knowledge, critical thinking and levels of job satisfaction were reported. A number of studies reported a V shaped pattern (initial high levels, dipping at 6 months and then reverting to baseline levels) for autonomy, job satisfaction, and professional transition. Research relating to improvements in retention and reduction in turnover was generally poor. IMPLICATIONS FOR PRACTICE: The overall impact of intervention programmes appears positive, irrespective of the intervention. This may suggest that it is the organisation's focus on new graduate nurses with support from colleagues that is important. .Mentors/preceptors need to be adequately prepared for the role. IMPLICATIONS FOR FUTURE RESEARCH: Future research should build on the strengths and limitations of the current studies. A lack of experimental studies means there is commonly little control over other variables that might influence the outcome. There is a need for larger studies using more objective and reliable measures. AD - 1 The Wales Centre for Evidence-Based Care, a Collaborating Centre of the Joanna Briggs Institute, Cardiff School of Nursing and Midwifery Studies, Eastgate House, 40-43 Newport Road, Cardiff University, CARDIFF, CF24 0AB. AN - 27820299 AU - Edwards, D. AU - Hawker, C. AU - Carrier, J. AU - Rees, C. DO - 10.11124/01938924-201109530-00001 DP - NLM IS - 53 LA - eng N1 - Edwards, Deborah Hawker, Clare Carrier, Judith Rees, Colin Journal Article Australia 2011/01/01 JBI Libr Syst Rev. 2011;9(53):2215-2323. doi: 10.11124/01938924-201109530-00001. PY - 2011 SN - 1838-2142 (Print) 1838-2142 SP - 2215-2323 ST - The effectiveness of strategies and interventions that aim to assist the transition from student to newly qualified nurse T2 - JBI Libr Syst Rev TI - The effectiveness of strategies and interventions that aim to assist the transition from student to newly qualified nurse VL - 9 ID - 13719 ER - TY - JOUR AB - Comments on an article by Jessica Peterson et al. (see record [rid]2011-29225-009[/rid]). Peterson et al. examine the factors associated with job satisfaction and intentions to leave in a sample of newly graduated registered nurses (RNs) employed in acute care hospitals in Ontario. Peterson et al. also provide evidence that can inform improvements in education and work settings to ease the transition of new RNs to practice. For example, to share some of the responsibility for effective transition of new RNs from school to work settings with healthcare organizations, pre-licensure nursing schools can allocate a portion of the curriculum to self-efficacy development skills. In addition, organizational leaders interested in retaining new RNs can use the findings from this study to support investment in self-efficacy development programs for new RNs. Lastly, Peterson et al. set a solid foundation for future research on the role of self-efficacy in retaining new RNs, a critical link for securing optimal patient health and financial outcomes for healthcare organizations. (PsycINFO Database Record (c) 2016 APA, all rights reserved) AD - Djukic, Maja, New York University, College of Nursing, 726 Broadway, 10th Fl, New York, NY, US, 10003 AN - 2011-29225-010 AU - Djukic, Maja DB - psyh DO - 10.1177/1744987111422424 DP - EBSCOhost IS - 6 KW - job satisfaction intentions employee resignation new nurses self-efficacy Employee Turnover Intention Nurses Occupational Stress N1 - New York University, College of Nursing, New York, NY, US. Release Date: 20120130. Correction Date: 20121015. Publication Type: Journal (0100), Peer Reviewed Journal (0110). Format Covered: Electronic. Document Type: Comment/Reply. Language: EnglishMajor Descriptor: Employee Turnover; Intention; Job Satisfaction; Nurses; Occupational Stress. Minor Descriptor: Self-Efficacy. Classification: Professional Personnel Attitudes & Characteristics (3430). Population: Human (10). References Available: Y. Page Count: 2. Issue Publication Date: Nov, 2011. Copyright Statement: The Author(s). 2011. PY - 2011 SN - 1744-9871 1744-988X SP - 549-550 ST - Review: Job satisfaction and intentions to leave of new nurses T2 - Journal of Research in Nursing TI - Review: Job satisfaction and intentions to leave of new nurses UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=psyh&AN=2011-29225-010&site=ehost-live&scope=site md1359@nyu.edu VL - 16 ID - 13797 ER - TY - JOUR AB - BACKGROUND: Preceptors are a key to retaining new graduate nurses in a hospital setting. Thus, it is important to understand new staff teaching experiences from their own perspectives. Preceptor experience is an inadequately explored topic in Taiwan. PURPOSE: The purpose of this study was to explore preceptor experiences related to their training of new graduate nurses in a hospital setting in Taiwan. METHODS: For this interpretive phenomenological study, researchers purposively recruited 15 nurse preceptors from a medical center in central Taiwan. Study data were collected by means of semistructured, in-depth interviews. Tape recordings were transcribed verbatim, and transcripts were analyzed using a hermeneutic circle approach. RESULTS: Three general themes captured the new nurse training experiences of the preceptors: (a) applying a variety of teaching strategies, (b) feeling the burden of being a preceptor, and (c) developing a sense of achievement. CONCLUSIONS/IMPLICATIONS FOR PRACTICE: Being in the role of both a preceptor and nurse was perceived as a challenge by participants because of heavy workloads and fears of failure. Thus, reducing the preceptor's patient care responsibilities while educating new nurses should be a priority. This study also found cultivating a positive work climate as crucial to support preceptors and new nurses so that preceptors do not feel alienated or overly stressed. A workshop is a useful strategy to introduce preceptors and new nurses to standardized training procedures and documents; this, in turn, can provide a more holistic approach to teaching and learning and reduce pressures on preceptors caused by additional, unfamiliar paperwork. AD - Department of Nursing, Taichung Veterans General Hospital, Taiwan, ROC. AN - 21586990 AU - Chen, Y. H. AU - Duh, Y. J. AU - Feng, Y. F. AU - Huang, Y. P. DA - Jun DO - 10.1097/JNR.0b013e31821aa155 DP - NLM IS - 2 KW - Adult *Attitude of Health Personnel Female Humans Job Satisfaction Middle Aged Nursing Staff, Hospital/*education *Preceptorship Social Support Taiwan Teaching/methods Workload LA - eng N1 - 1948-965x Chen, Ya-Huei Duh, Yih-Jen Feng, Yen-Fen Huang, Yu-Ping Journal Article China (Republic : 1949- ) 2011/05/19 J Nurs Res. 2011 Jun;19(2):132-40. doi: 10.1097/JNR.0b013e31821aa155. PY - 2011 SN - 1682-3141 SP - 132-40 ST - Preceptors' experiences training new graduate nurses: a hermeneutic phenomenological approach T2 - J Nurs Res TI - Preceptors' experiences training new graduate nurses: a hermeneutic phenomenological approach VL - 19 ID - 13701 ER - TY - JOUR AB - New nurses continue to face challenging work environments and high expectations for professional competence as they enter practice. Nurse residency programs are gaining prominence as a mechanism to ease new graduates' transition to practice. This study examined new graduates' perceptions of their professional practice competence and work environment throughout a yearlong nurse residency program. Employing a repeated measures design, data were collected at baseline, at 6 months, and at 12 months. Results showed that job satisfaction was significantly lowest at 6 months and highest at 12 months. Job stress was found to be lowest at 12 months and organizational commitment was highest at baseline. Of the variables related to professional practice, clinical decision-making was highest at 12 months and quality of nursing performance significantly increased at each measurement point. These data add to the growing evidence supporting the efficacy of nurse residency programs. AD - College of Nursing, Marquette University, Milwaukee, Wisconsin 53233, USA. marilyn.bratt@marquette.edu AN - 21598850 AU - Bratt, M. M. AU - Felzer, H. M. DA - Dec DO - 10.3928/00220124-20110516-03 DP - NLM ET - 20110523 IS - 12 KW - Humans Internship and Residency Job Satisfaction *Nurses Nursing Staff, Hospital Professional Practice *Workplace LA - eng N1 - 1938-2472 Bratt, Marilyn Meyer Felzer, Holly M D11HP08384/PHS HHS/United States D64HP03092/PHS HHS/United States Journal Article Research Support, U.S. Gov't, P.H.S. United States 2011/05/24 J Contin Educ Nurs. 2011 Dec;42(12):559-68. doi: 10.3928/00220124-20110516-03. Epub 2011 May 23. PY - 2011 SN - 0022-0124 SP - 559-68 ST - Perceptions of professional practice and work environment of new graduates in a nurse residency program T2 - J Contin Educ Nurs TI - Perceptions of professional practice and work environment of new graduates in a nurse residency program VL - 42 ID - 13666 ER - TY - JOUR AB - Current nursing shortages along with unsuccessful nursing orientation programs have been a major concern for the past decade because they result in poor retention, reduced quality of patient care, decreased job satisfaction and high financial costs to the organization. Specialty areas, such as the Operating Room (OR), are even more vulnerable due to the stressful working environment and critical care skill set. It has been estimated that approximately 35-65% of new graduates will leave their work place within the first year of employment, lending to the 55% nursing turnover rate. The cost of orientating a new nurse to the perioperative role is estimated to cost between $50,000 and $59,000 U.S. Thus, it is imperative to improve the orientation experience for both new and senior perioperative nurses. Matching preceptor/preceptee learning styles is one way to enhance job satisfaction levels. This paper revisits the literature on preceptorship and provides suggestions on how to enhance existing orientation programs. AD - St. Mary's General Hospital, Kitchener, ON. AN - 20373726 AU - Willemsen-McBride, T. DA - Mar DP - NLM IS - 1 KW - Attitude of Health Personnel Education, Nursing, Continuing/*organization & administration Health Services Needs and Demand Humans Inservice Training/organization & administration *Interprofessional Relations Job Satisfaction Mentors/*psychology Nursing Education Research *Nursing Staff, Hospital/education/psychology Operating Room Nursing/*education Personality Inventory Personnel Turnover Planning Techniques Preceptorship/*organization & administration Program Development LA - eng N1 - Willemsen-McBride, Tara Journal Article Review Canada 2010/04/09 Can Oper Room Nurs J. 2010 Mar;28(1):8, 10-1, 16 passim. PY - 2010 SN - 0712-6778 (Print) 0712-6778 SP - 8, 10-1, 16 passim ST - Preceptorship planning is essential to perioperative nursing retention: matching teaching and learning styles T2 - Can Oper Room Nurs J TI - Preceptorship planning is essential to perioperative nursing retention: matching teaching and learning styles VL - 28 ID - 13642 ER - TY - JOUR AB - Critical care nursing is one of the most stressful specialties in the nursing profession. The demands of the specialty can lead to frustration and burnout at very high rates. High-quality, effective mentorship can be a valuable tool in recruiting and retaining nurses for these areas as well as improving their sense of job satisfaction. However, it must be understood that effective mentorship begins with the organizational culture and must have organizational buy-in to be successful. Also, because of the nursing shortage and high turnover in the critical care units, new graduates are frequently hired into these areas. Mentorship for these new nurses is crucial to their success and retention as a new employee. If we do not foster growth and development of young nurses, they may flounder, become extremely frustrated, and seek out new alternative employment settings. Mentoring new graduates may begin as early as their first exposure to critical care nursing in their undergraduate nursing program as it did for this author (T.K.R.). My critical care nurse faculty is the reason I entered critical care nursing and is now the reason that I have branched into education. The information in this article is not only pertinent to those working in critical care; it can be utilized and explored on all levels of nursing. Through effective mentorship, we can positively impact our healthcare organizations; improve job satisfaction; and promote professional development and empowerment in students, new graduates, staff nurses, educators, nurse leaders, and nurse faculty. Most importantly, mentoring can result in improved nursing care, high-quality healthcare, and improved patient outcomes. AD - Heritage Valley Sewickley School of Nursing, Heritage Valley Health System, Moon Township, Pennsylvania 15108, USA. tararace@comcast.net AN - 20234205 AU - Race, T. K. AU - Skees, J. DA - Apr-Jun DO - 10.1097/CNQ.0b013e3181d91475 DP - NLM IS - 2 KW - Critical Care/*organization & administration Education, Nursing/*organization & administration Humans *Mentors Nurse Administrators/education Nurse Clinicians/education LA - eng N1 - 1550-5111 Race, Tara Kay Skees, Janet Journal Article United States 2010/03/18 Crit Care Nurs Q. 2010 Apr-Jun;33(2):163-76. doi: 10.1097/CNQ.0b013e3181d91475. PY - 2010 SN - 0887-9303 SP - 163-76 ST - Changing tides: improving outcomes through mentorship on all levels of nursing T2 - Crit Care Nurs Q TI - Changing tides: improving outcomes through mentorship on all levels of nursing VL - 33 ID - 13711 ER - TY - THES AB - The difficulties new nurses experience when first entering acute care work environments have been recognized since Kramer's seminal work in the 1970s. Despite the implementation of interventions designed to help ease the transition, the literature continues to report that new graduates undergo stress when beginning their careers as nurses. The purpose of this study was to examine the effects of perceived demands, control, social support and self-efficacy on the job stress, job satisfaction and intention to leave of new nurses. The conceptual framework used in the study was Karasek's (1979) Job Demands-Control-Support (JDC-S) model. This model posits that job demands increase employee stress, but that increasing control can alleviate the negative effects of high demands. Social support and self-efficacy were included in this study as potential moderators of the relationships between demands and control and the outcome variables. This was an exploratory study that utilized a cross-sectional survey was used to gather data. Surveys were mailed to the homes of new nurses working in acute care hospitals across Ontario, Canada. Data were received from 232 new nurses, a response rate of 23.8%. Nurses in the sample had an average of 18.2 months of experience. Data were analyzed using separate hierarchical regression models for each dependent variable. The results showed that the main effects of job demands, social support and self-efficacy provided partial support for the JDC-S model when examining job stress, job satisfaction and intention to leave the job. Only self-efficacy was significantly related to intention to leave the profession. There was no evidence of moderating effects of social support or self-efficacy. An understanding of factors in the work environment that influence new nurses may assist in supporting them during the transition. By exploring the effects of demands, control, social support and self-efficacy on new graduates' job stress, job satisfaction and intention to leave, this study may provide direction to nursing leaders who are working new nurses in acute care. (PsycINFO Database Record (c) 2016 APA, all rights reserved) AN - 2010-99200-203 AU - Peterson, Jessica Zara DB - psyh DP - EBSCOhost KW - job stress job satisfaction intention new nurses Nurses Occupational Stress Working Conditions N1 - Accession Number: 2010-99200-203. Other Journal Title: Dissertation Abstracts International. Partial author list: First Author & Affiliation: Peterson, Jessica Zara; U Toronto, Canada. Release Date: 20101220. Publication Type: Dissertation Abstract (0400). Format Covered: Electronic. Document Type: Dissertation. Dissertation Number: AAINR59131. ISBN: 978-0-494-59131-4. Language: EnglishMajor Descriptor: Intention; Job Satisfaction; Nurses; Occupational Stress; Working Conditions. Classification: Industrial & Organizational Psychology (3600). Population: Human (10). Location: Canada. Age Group: Adulthood (18 yrs & older) (300). Methodology: Empirical Study; Quantitative Study. Page Count: 1. PB - ProQuest Information & Learning PY - 2010 SN - 0419-4217 978-0-494-59131-4 SP - 2316-2316 ST - Job stress, job satisfaction and intention to leave among new nurses TI - Job stress, job satisfaction and intention to leave among new nurses UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=psyh&AN=2010-99200-203&site=ehost-live&scope=site VL - 71 ID - 13799 ER - TY - JOUR AB - AIM: The present study reports preliminary findings regarding new graduate nurses participating in a year-long local residency programme at two hospitals in Las Vegas, NV. BACKGROUND: Nurse resident programmes are purported to increase the level of clinical competency and professional transition in new graduate registered nurses (RNs) and to decrease first-year turnover rates. The effectiveness of this programme was assessed using data of the first two cohorts participating in this new residency programme. METHOD: Clinical competencies, anxiety, stress, professional transition and retention were measured on 55 nurse residents who have participated in the nurse residency programme. RESULTS: The findings indicate improved clinical competency throughout the programme, a decreased sense of threat, and improved communication and leadership skills. The first-year cohort's employment retention rate was 78%, and the second-year cohort is presently 96%. CONCLUSIONS: The results of this study demonstrate the positive impact of a year-round residency programme for new graduate RNs. Implications for nursing management The need for a consistent nurse workforce demands that new graduates be transitioned into competent practitioners as soon as possible. Nurse residency programmes can provide this support and decrease replacement costs involved in high turnover. AD - Physiological Department, School of Nursing, School of Community Health Sciences, University of Nevada, Las Vegas, NV, USA. AN - 20465735 AU - Kowalski, S. AU - Cross, C. L. DA - Jan DO - 10.1111/j.1365-2834.2009.01056.x DP - NLM IS - 1 KW - Adaptation, Psychological Adult Anxiety *Clinical Competence Communication *Education, Nursing Education, Nursing, Continuing Educational Measurement/statistics & numerical data Educational Status Faculty, Nursing Female Humans Job Satisfaction Leadership Male Nevada Nurses/*standards *Nursing Evaluation Research Personnel Turnover Preceptorship Program Development Psychometrics Staff Development Statistics, Nonparametric Stress, Psychological Surveys and Questionnaires Time Factors Young Adult LA - eng N1 - 1365-2834 Kowalski, Susan Cross, Chad L D11HP08371/PHS HHS/United States Journal Article Research Support, U.S. Gov't, P.H.S. England 2010/05/15 J Nurs Manag. 2010 Jan;18(1):96-104. doi: 10.1111/j.1365-2834.2009.01056.x. PY - 2010 SN - 0966-0429 SP - 96-104 ST - Preliminary outcomes of a local residency programme for new graduate registered nurses T2 - J Nurs Manag TI - Preliminary outcomes of a local residency programme for new graduate registered nurses VL - 18 ID - 13669 ER - TY - JOUR AB - BACKGROUND: The role transition process is full of stresses and challenges for nurses. Between 35-61% nurses leave their job within the first year. Past cross-sectional quantitative studies have not provided deep descriptions of either the dynamic role transition or work adaption processes of new nurses. PURPOSE: The purpose of this study was to understand the role transition experience of new nurses as they transitioned into clinical practice during their first three months on the job. METHODS: A qualitative approach was used. Data were collected through a semi-structured interview from 50 new nurses. Data were analyzed using category-content analysis. RESULTS: Three stages were identified in the new nurse work adaption process over the first three-month period. These included (1) Understanding: New nurse knowledge and skills are insufficient to handle routine work, adapting to the role transition is difficult, feelings of anxiety emerge related to fears of incompetence, communication difficulties must be faced in the handover process, new nurses adopt feelings of attachment to their preceptors, they must work to adopt appropriate attitudes and approaches to nursing practice, and support is sought from family, teachers and friends; (2) Acclimation: Learning to care for patients independently, seeking role models, learning to adapt to night shifts, trying to identify with co-workers, and seeking support from colleagues, preceptors and head nurses; (3) Acceptance: Managing nursing work better in terms of time and organization, feeling gradual acceptance from co-workers, restoring personal enthusiasm for work, starting to consider other, non-work related matters, experiencing and appreciating the support of co-workers and head nurses. CONCLUSIONS/IMPLICATION: New nurses face a critical role transition process through their first three months on the job. Guidance and leadership from experienced nurses and multiple support systems can assist new nurses to acclimate to their role. Research results provide information for educators and administrators to better understand the adaption process of new nurses, and offer a reference for developing future strategies to improve nurse competency in handling their work. AD - The Taipei City Nurses' Association, Taipei, Taiwan, ROC. AN - 21140342 AU - Ho, H. H. AU - Liu, P. F. AU - Hu, H. C. AU - Huang, S. F. AU - Chen, H. L. DA - Dec DP - NLM IS - 6 KW - *Adaptation, Psychological Humans Interprofessional Relations Leadership *Nurse's Role Qualitative Research LA - chi N1 - Ho, Hsueh-Hua Liu, Pei-Fen Hu, Hsiao-Chen Huang, Su-Fei Chen, Hsiao-Lien English Abstract Journal Article China (Republic : 1949- ) 2010/12/09 Hu Li Za Zhi. 2010 Dec;57(6):31-41. PY - 2010 SN - 0047-262X (Print) SP - 31-41 ST - [Role transition and working adaption in new nursing graduates: a qualitative study] T2 - Hu Li Za Zhi TI - [Role transition and working adaption in new nursing graduates: a qualitative study] VL - 57 ID - 13682 ER - TY - JOUR AB - AIM: A systematic literature review of the experiences and perceptions of newly qualified nurses in the UK during the transition from student to staff nurse. BACKGROUND: It has been widely recognised that newly qualified nurses experience a period of transition. Over the past decade there has been radical reorganisation of nurse education in the UK which has raised issues of preparation for practice. DATA SOURCES: Searches were made of the Cumulative Index to Nursing and Allied Health Literature (CINAHL) and MEDLINE. METHODS: A systematic review was carried out. Papers were critically reviewed, relevant data were extracted and synthesised. RESULTS: Four themes were identified from the empirical evidence base: transition and change, personal and professional development, pre-registration education, preceptorship and support. CONCLUSION: Transition remains a stressful experience for newly qualified nurses in the UK. Reasons include an increase in personal and professional development, changes in pre-registration education and lack of support once qualified. RECOMMENDATIONS: Further research is needed to address the current situation in relation to the transition period including pre-registration education, preparation for practice and support in both primary and secondary care. AD - Welton Health Centre, 4 Cliff Road, Welton, Lincoln LN2 3JH, United Kingdom. ghiggins27@gmail.com AN - 19939524 AU - Higgins, G. AU - Spencer, R. L. AU - Kane, R. DA - Aug DO - 10.1016/j.nedt.2009.10.017 DP - NLM ET - 20091125 IS - 6 KW - *Adaptation, Psychological *Attitude of Health Personnel Burnout, Professional/etiology/psychology *Clinical Competence Education, Nursing, Continuing Health Services Needs and Demand Humans Life Change Events *Nurse's Role Nursing Methodology Research Nursing Staff/education/*psychology Preceptorship Qualitative Research Research Design Self Efficacy Social Responsibility Social Support Staff Development United Kingdom LA - eng N1 - 1532-2793 Higgins, Georgina Spencer, Rachael Louise Kane, Ros Journal Article Review Systematic Review Scotland 2009/11/27 Nurse Educ Today. 2010 Aug;30(6):499-508. doi: 10.1016/j.nedt.2009.10.017. Epub 2009 Nov 25. PY - 2010 SN - 0260-6917 SP - 499-508 ST - A systematic review of the experiences and perceptions of the newly qualified nurse in the United Kingdom T2 - Nurse Educ Today TI - A systematic review of the experiences and perceptions of the newly qualified nurse in the United Kingdom VL - 30 ID - 13643 ER - TY - JOUR AB - BACKGROUND: Several studies have established impaired sleep is a common problem among nurses. Overworked, fatigued and stressed nurses are at a higher risk of making mistakes that threaten patient safety as well as their own health. The aim of the present study was to longitudinally monitor the development of sleep quality in nurses, starting from the last semester at the university, with three subsequent annual follow-ups once the nurses had entered working life. METHODOLOGY/PRINCIPAL FINDINGS: Nationwide, longitudinal questionnaire study of nursing students and newly qualified nurses in Sweden. The results imply a continuous decline in sleep quality among nurses during the three years of follow-up, starting from their last semester of nursing education and continuing for three years into their working life. The most pronounced short-term decline in sleep quality seems to occur in the transition between student life and working life. CONCLUSION/SIGNIFICANCE: This finding is important since it may affect the quality of care and the health of nurses negatively. AD - Department of Physiology and Pharmacology, Karolinska Institutet, Stockholm, Sweden. dan.hasson@ki.se AN - 21170381 AU - Hasson, D. AU - Gustavsson, P. C1 - Competing Interests: The authors declare and confirm that the commercial funder AFA insurance did not alter their adherence to any of the PLoS ONE policies on sharing data and materials. C2 - PMC2999529 DA - Dec 8 DO - 10.1371/journal.pone.0014265 DP - NLM ET - 20101208 IS - 12 KW - Adult Attitude of Health Personnel Education, Nursing Female Humans Longitudinal Studies Male Middle Aged *Nurses Nursing/*methods Quality of Health Care Risk *Sleep *Students, Nursing Surveys and Questionnaires Sweden Work *Work Schedule Tolerance LA - eng N1 - 1932-6203 Hasson, Dan Gustavsson, Petter Journal Article Research Support, Non-U.S. Gov't 2010/12/21 PLoS One. 2010 Dec 8;5(12):e14265. doi: 10.1371/journal.pone.0014265. PY - 2010 SN - 1932-6203 SP - e14265 ST - Declining sleep quality among nurses: a population-based four-year longitudinal study on the transition from nursing education to working life T2 - PLoS One TI - Declining sleep quality among nurses: a population-based four-year longitudinal study on the transition from nursing education to working life VL - 5 ID - 13730 ER - TY - JOUR AN - 105008261. Language: English. Entry Date: 20101029. Revision Date: 20151015. Publication Type: Journal Article AU - Giles, B. E. DB - cin20 DP - EBSCOhost IS - 5 KW - New Graduate Nurses Burnout, Professional -- Prevention and Control Mentorship Nursing Role Self Care N1 - pictorial. Journal Subset: Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 19330290R. PMID: NLM21086848. PY - 2010 SN - 0030-0993 SP - 5-5 ST - Notes for the new nurse T2 - Ohio Nurses Review TI - Notes for the new nurse UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=105008261&site=ehost-live&scope=site VL - 85 ID - 13769 ER - TY - JOUR AB - The workplace for new graduates must be a constructive learning environment to facilitate their development. Nurse managers need new graduates who can "hit the ground running." Conflict between the needs of new nurses and the realities of the workplace often creates role confusion and tension in new graduates and threatens employers' ability to retain them. As part of a larger study that examined the effectiveness of a new strategy on new nurse retention and workplace integration, we conducted focus groups with new nurses and nurse managers. This paper discusses the perspectives of new nurses on their role transition from graduates to practising professionals and the perspectives of nurse managers on the workplace integration of new nurses. The thematic findings integrate new nurses' perspectives on their needs during role transition with the perspectives of nurse managers in meeting those needs. The discussion includes strategies to facilitate successful transition and integration of new nurses into the workplace within the context of recruitment and retention. AD - RN, PhD, Associate Professor, University of Manitoba, Winnipeg, MB, Canada. wanda_chernomas@umanitoba.ca AN - 20160525 AU - Chernomas, W. M. AU - Care, W. D. AU - McKenzie, J. A. AU - Guse, L. AU - Currie, J. DA - Jan DO - 10.12927/cjnl.2010.21598 DP - NLM IS - 4 KW - *Adaptation, Psychological Canada *Clinical Competence Conflict, Psychological Focus Groups Humans *Inservice Training *Learning *Nurse Administrators Nurse's Role Nurses/*supply & distribution Nursing Theory Stress, Psychological Workplace/organization & administration LA - eng N1 - Chernomas, Wanda M Care, W Dean McKenzie, Jo-Ann Lapointe Guse, Lorna Currie, Jan Canadian Institutes of Health Research/Canada Journal Article Research Support, Non-U.S. Gov't Canada 2010/02/18 Nurs Leadersh (Tor Ont). 2010 Jan;22(4):70-86. doi: 10.12927/cjnl.2010.21598. PY - 2010 SN - 1910-622X (Print) 1910-622x SP - 70-86 ST - "Hit the ground running": perspectives of new nurses and nurse managers on role transition and integration of new graduates T2 - Nurs Leadersh (Tor Ont) TI - "Hit the ground running": perspectives of new nurses and nurse managers on role transition and integration of new graduates VL - 22 ID - 13706 ER - TY - JOUR AB - OBJECTIVE: To analyze proactively the process of incorporating new nurses in the intensive care unit (ICU) in order to detect risk areas and establish improvements that increase critical patient safety. MATERIAL AND METHODS: Once the risk area was defined, the different phases of failure mode and effects analysis (FMEA) were applied: work team selection; process design; process phases definition; failure modes, possible causes and effects analysis; risk priority for each failure, and development of ameliorating and corrective actions. The proposed actions consisted of an orientation and training program (theoretical and practical) for new nurses, a supervision plan, a progressive responsibility program and ICU participation in personnel recruitment. RESULTS: Twelve nurses began to work in the ICU during the first 18 months of the program's implementation. Of these, only one nurse had full experience in critical care and three had partial experience. Participation of the ICU in personnel recruitment was nil. All the nurses with no or partial experience followed the orientation program (nursing supervisor interview, test of previous knowledge, handing over of the employee handbook, etc.), the theoretical and practical training program (supervision and tutorship) and the progressive responsibility program. More than half (63.6%) of the new nurses had another nurse duplicating their jobs during the training period and 54.5% of the new nurses attended the critical care course for nurses. Nurses participating in the orientation and training program expressed a high level of satisfaction. These measures helped nurses to decrease their stress and anxiety, increase and consolidate their knowledge, and provide safer care to critical patients. CONCLUSIONS: FMEA is a useful tool for improving ICU processes, even those involving human resources. The improvements implemented to decrease clinical risk related to the incorporation of new nurses in the ICU, based on previous training, will increase the safety of critical patient care by decreasing human errors due to inexperience. AD - Servicio de Medicina Intensiva, Hospital Universitario de Fuenlabrada, Fuenlabrada, Madrid, Spain. aalonso.hflr@salud.madrid.org AN - 20875541 AU - Alonso-Ovies, Á AU - Álvarez-Rodríguez, J. AU - del Mar García-Gálvez, M. AU - Velayos-Amo, C. AU - Balugo-Huertas, S. AU - Álvarez-Morales, A. DA - Jul DO - 10.1016/s0025-7753(10)70020-8 DP - NLM KW - Humans Intensive Care Units/*standards *Nursing Staff Safety Management/*standards LA - spa N1 - Alonso-Ovies, Ángela Álvarez-Rodríguez, Joaquín del Mar García-Gálvez, María Velayos-Amo, Carlos Balugo-Huertas, Silvia Álvarez-Morales, Ana English Abstract Journal Article Spain 2011/02/09 Med Clin (Barc). 2010 Jul;135 Suppl 1:45-53. doi: 10.1016/S0025-7753(10)70020-8. OP - Utilidad del análisis modal de fallos y efectos para la mejora de la seguridad de los pacientes, en el proceso de incorporación de nuevo personal de enfermería a un servicio de medicina intensiva. PY - 2010 SN - 0025-7753 (Print) 0025-7753 SP - 45-53 ST - [Usefulness of failure mode and effects analysis to improve patient safety during the process of incorporating new nurses in an intensive care unit] T2 - Med Clin (Barc) TI - [Usefulness of failure mode and effects analysis to improve patient safety during the process of incorporating new nurses in an intensive care unit] VL - 135 Suppl 1 ID - 13712 ER - TY - JOUR AB - Meeting benchmarks of Ontario's Wait Time Strategy and the expansion of The Ottawa Hospital are key issues driving the recruitment of perioperative nurses in Ottawa and Eastern Ontario. Added pressures resulting from Canada's aging population and a nationwide nursing shortage mean perioperative nurses are overworked and understaffed. Preceptoring new members of staff raises valid concerns as many of the new recruits have little or no operating room experience. The Dreyfus Model of Skill Acquisition demonstrates the importance of time and patience in supporting the learning process. Mentoring is a valuable strategy in an effort to teach and guide new nurses, to increase nursing retention, and to promote professional growth and recognition. Building successful mentorship programs, through the creation of healthy organizational cultures, transformational leadership and staff development programs, will strengthen support for nurses in stressful times. The stress of meeting the province-wide benchmarks outlined in Ontario's Wait Time Strategy and the expansion of perioperative services at The Ottawa Hospital in Ontario are two key issues driving the need for the recruitment of nurses into the specialty of perioperative nursing. As a result of Canada's aging population and a nationwide nursing shortage, perioperative nurses are over-worked and under-staffed while being faced with the pressure to preceptor new staff members while struggling to meet the daily demands of the wait list strategy. This article discusses current trends in healthcare and the career path changes being made by many nurses in response to the demand for specialty trained nurses. It is followed by a brief explanation of the Dreyfus Model of Skill Acquisition. Mentoring is presented as an effective strategy in the guidance and teaching of new nurses with a discussion of the benefits and suggestions on how to build a successful mentorship program to support nurses in these stressful times. AD - The Ottawa Hospital, Ottawa, Ontario. AN - 19626756 AU - Young, L. E. DA - Jun DP - NLM IS - 2 KW - Benchmarking/organization & administration Canada Career Mobility Clinical Competence Education, Nursing, Continuing/*organization & administration Health Care Reform/organization & administration Humans Interprofessional Relations Mentors/psychology Models, Educational Models, Nursing National Health Programs/organization & administration Nursing Staff, Hospital/*education/organization & administration/psychology Ontario Operating Room Nursing/*education/organization & administration Organizational Innovation Personnel Selection/organization & administration Preceptorship/*organization & administration Social Support LA - eng N1 - Young, Lisa E Journal Article Canada 2009/07/25 Can Oper Room Nurs J. 2009 Jun;27(2):6-7, 14-5, 28-30. PY - 2009 SN - 0712-6778 (Print) 0712-6778 SP - 6-7, 14-5, 28-30 ST - Mentoring new nurses in stressful times T2 - Can Oper Room Nurs J TI - Mentoring new nurses in stressful times VL - 27 ID - 13717 ER - TY - JOUR AB - AIM: The aim of this study was to investigate how differences in life events and stress contribute to psychological distress in nurses and nursing students. BACKGROUND: Stress is an issue for nursing students and qualified nurses leading to psychological distress and attrition. DESIGN: A longitudinal study using four time waves was conducted between 1994-1997. METHODS: Measures were taken of stress, life events and psychological distress in addition to a range of demographic data. Data were analysed using descriptive statistics, linear modelling and mixed-effects modelling. The study was set in Scotland, UK and used newly qualified nurses and nursing students from four university departments of nursing over four years. The study was initiated with 359 participants (147 nurses and 212 nursing students) and complete data were obtained for 192 participants. RESULTS: Stress levels, psychological distress and life events are all associated within time and across time. At baseline, life events and stress contributed significantly to psychological distress. The pattern of psychological distress differed between the nursing students and the newly qualified nurses with a high level in the nurses after qualifying and starting their career. CONCLUSION: Stress, individual traits, adverse life events and psychological distress are all interrelated. Future lines of enquiry should focus on the transition between being a nursing student and becoming a nurse. RELEVANCE TO CLINICAL PRACTICE: Stress and psychological distress may have negative outcomes for the retention of nursing students in programmes of study and newly qualified nurses in the nursing workforce. AD - School of Nursing and Midwifery, The University of Sheffield, Sheffield, UK. AN - 19120753 AU - Watson, R. AU - Gardiner, E. AU - Hogston, R. AU - Gibson, H. AU - Stimpson, A. AU - Wrate, R. AU - Deary, I. DA - Jan DO - 10.1111/j.1365-2702.2008.02555.x DP - NLM IS - 2 KW - Adolescent Adult Cohort Studies Humans *Life Change Events Longitudinal Studies Middle Aged Nurses/*psychology Scotland *Stress, Psychological Students, Nursing/*psychology Surveys and Questionnaires United Kingdom LA - eng N1 - 1365-2702 Watson, Roger Gardiner, Eric Hogston, Richard Gibson, Helen Stimpson, Anne Wrate, Robert Deary, Ian G0700704/MRC_/Medical Research Council/United Kingdom CSO_/Chief Scientist Office/United Kingdom Journal Article Research Support, Non-U.S. Gov't England 2009/01/06 J Clin Nurs. 2009 Jan;18(2):270-8. doi: 10.1111/j.1365-2702.2008.02555.x. PY - 2009 SN - 0962-1067 SP - 270-8 ST - A longitudinal study of stress and psychological distress in nurses and nursing students T2 - J Clin Nurs TI - A longitudinal study of stress and psychological distress in nurses and nursing students VL - 18 ID - 13649 ER - TY - JOUR AB - As the number of specialty pediatric oncology units increases, many units are hiring increasing numbers of newly graduated registered nurses. Intense specialty training and an emotionally demanding work environment place new nurses at risk for job frustration and early job resignation. The purpose of this study is to investigate experiences of pediatric oncology nurses during their first year of hire using a phenomenological approach. Participants were 6 nurses employed on an inpatient pediatric oncology unit in a tertiary care center located in the Intermountain West. A purposive sampling approach was used. Data were collected via semistructured interviews, which were analyzed for specific statements and themes providing description and meaning to nurses’ experiences. Eleven themes in the categories of professional role development, a unique practice, and personal reflection were identified. Practice implications include supporting new nurses beyond the acquisition of skills and knowledge and including opportunities for personal reflection as part of the orientation experience. Successful role development is essential to ensure the retention of new pediatric oncology nurses as well as their future achievements within the subspecialty. (PsycINFO Database Record (c) 2016 APA, all rights reserved) AD - Linder, Lauri, College of Nursing, University of Utah, 10 South 2000 East, Salt Lake City, UT, US, 84112 AN - 2009-00041-003 AU - Linder, Lauri DB - psyh DO - 10.1177/1043454208323913 DP - EBSCOhost IS - 1 KW - pediatric oncology nurses phenomenology experience level job frustration job resignation Adult Female Humans Male Medical Oncology Nurse's Role Nurses Pediatrics Social Support Oncology Frustration Occupational Stress N1 - College of Nursing, University of Utah, Salt Lake City, UT, US. Release Date: 20090706. Correction Date: 20111114. Publication Type: Journal (0100), Peer Reviewed Journal (0110). Format Covered: Electronic. Document Type: Journal Article. Language: EnglishMajor Descriptor: Experience Level; Nurses; Pediatrics; Phenomenology; Oncology. Minor Descriptor: Frustration; Occupational Stress. Classification: Professional Personnel Attitudes & Characteristics (3430). Population: Human (10); Male (30); Female (40); Inpatient (50). Location: US. Age Group: Adulthood (18 yrs & older) (300); Young Adulthood (18-29 yrs) (320); Thirties (30-39 yrs) (340). Methodology: Empirical Study; Quantitative Study. References Available: Y. Page Count: 12. Issue Publication Date: Jan-Feb, 2009. PY - 2009 SN - 1043-4542 1532-8457 SP - 29-40 ST - Experiences of pediatric oncology nurses: The first year of hire T2 - Journal of Pediatric Oncology Nursing TI - Experiences of pediatric oncology nurses: The first year of hire UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=psyh&AN=2009-00041-003&site=ehost-live&scope=site lauri.linder@nurs.utah.edu VL - 26 ID - 13800 ER - TY - JOUR AB - BACKGROUND. Despite short-lived periods of adequacy in nurse availability, the nursing shortage has endured. In order to better understand the myriad factors that influence the current shortage of nurses, as well as possible solutions, this project addresses the influence of social factors and government policy on nurse staffing inadequacy. When the government intervenes in a philosophically free-market economy, the assumption is that a problem, such as the current nursing shortage, could not be solved without such intervention. PURPOSE. Nursing care arguably falls into the realm of protecting the common good, and therefore requires government oversight. We provide a critical analysis of policy intervention efforts into the nursing shortage debate by examining the passage of legislation, the provision of educational assistance, and the establishment of minimum staffing requirements and minimum quality standards for reimbursement, which all impact nursing supply and demand. RESULTS. Arguments supporting and opposing policy intervention in general, and its impact on the overall provision of nursing care in the United States, were examined. Without policy incentive to place financial value on the quality of care provided by nurses, a simple increase in the number of available nurses is unlikely to solve the current problem. IMPLICATIONS. Important considerations that should be factored into policy creation include measurement and compensation for quality care, the nature of recruitment efforts of new nurses, and the complex nature of a nursing work. AD - Communication Studies, Texas State University, San Marcos, TX, USA. AN - 105259109. Language: English. Entry Date: 20100205. Revision Date: 20150818. Publication Type: Journal Article. Journal Subset: Blind Peer Reviewed AU - Fox, R. L. AU - Abrahamson, K. DB - cin20 DO - 10.1111/j.1744-6198.2009.00149.x DP - EBSCOhost IS - 4 KW - Nursing Shortage -- Trends -- United States Burnout, Professional Education, Nursing -- Trends Job Characteristics Nursing Shortage -- History Public Policy Salaries and Fringe Benefits Staff Nurses United States Workload N1 - Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 0401006. PMID: NLM19954463. PY - 2009 SN - 0029-6473 SP - 235-244 ST - A critical examination of the U.S. nursing shortage: contributing factors, public policy implications T2 - Nursing Forum TI - A critical examination of the U.S. nursing shortage: contributing factors, public policy implications UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=105259109&site=ehost-live&scope=site VL - 44 ID - 13770 ER - TY - JOUR AB - AIM: The aim of this paper is to provide a theoretical framework of the initial role transition for newly graduated nurses to assist managers, educators and seasoned practitioners to support and facilitate this professional adjustment appropriately. BACKGROUND: The theory of Transition Shock presented here builds on Kramer's work by outlining how the contemporary new graduate engaging in a professional practice role for the first time is confronted with a broad range and scope of physical, intellectual, emotional, developmental and sociocultural changes that are expressions of, and mitigating factors within the experience of transition. DATA SOURCES: This paper offers cumulative knowledge gained from a programme of research spanning the last 10 years and four qualitative studies on new graduate transition. DISCUSSION: New nurses often identify their initial professional adjustment in terms of the feelings of anxiety, insecurity, inadequacy and instability it produces. The Transition Shock theory offered focuses on the aspects of the new graduate's roles, responsibilities, relationship and knowledge that both mediate the intensity and duration of the transition experience and qualify the early stage of professional role transition for the new nursing graduate. CONCLUSION: Transition shock reinforces the need for preparatory theory about role transition for senior nursing students and the critical importance of bridging undergraduate educational curricula with escalating workplace expectations. The goal of such knowledge is the successful integration of new nursing professionals into the stressful and highly dynamic context of professional practice. AD - Saskatchewan Institute for Applied Science and Technology, Saskatoon, Canada. judy.eldon.duchscher@shaw.ca AN - 19183235 AU - Duchscher, J. E. DA - May DO - 10.1111/j.1365-2648.2008.04898.x DP - NLM ET - 20091209 IS - 5 KW - *Adaptation, Psychological *Attitude of Health Personnel Career Mobility Clinical Competence/*standards Humans Nurse's Role/*psychology Nursing Education Research Students, Nursing/*psychology LA - eng N1 - 1365-2648 Duchscher, Judy E Boychuk Journal Article Research Support, Non-U.S. Gov't England 2009/02/03 J Adv Nurs. 2009 May;65(5):1103-13. doi: 10.1111/j.1365-2648.2008.04898.x. Epub 2009 Dec 9. PY - 2009 SN - 0309-2402 SP - 1103-13 ST - Transition shock: the initial stage of role adaptation for newly graduated registered nurses T2 - J Adv Nurs TI - Transition shock: the initial stage of role adaptation for newly graduated registered nurses VL - 65 ID - 13600 ER - TY - JOUR AB - Nursing practice in remote northern communities is highly complex, with unique challenges created by isolation, geography and cultural dynamics. This paper, the second of two focusing on the advice offered by nurses interviewed in the national study, The Nature of Nursing Practice in Rural and Remote Canada, considers suggestions from outpost nurses. Their advice to new nurses was: know what you are getting into; consider whether your personal qualities are suited for northern practice; learn to listen and listen to learn; expect a steep learning curve, even if you are experienced; and take action to prevent burnout. Recommendations for educators were to offer programs that prepare nurses for the realities of outpost nursing and provide opportunities for accessible, flexible, relevant continuing education. The outpost nurses in this study counselled administrators to stay in contact with and listen to the perspectives of nurses at the 'grassroots,' and not merely to fill positions but instead to recruit outpost nurses effectively and remunerate them fairly. The study findings highlighted the multiple interrelated strategies that nurses, educators and administrators can use to optimize practice in remote northern communities. AD - Dalhousie University School of Nursing, Halifax, NS AN - 109848705. Language: English. Entry Date: 20081212. Revision Date: 20151008. Publication Type: Journal Article AU - Misener, R. M. AU - MacLeod, M. L. P. AU - Banks, K. AU - Morton, A. M. AU - Vogt, C. AU - Bentham, D. DB - cin20 DP - EBSCOhost IS - 3 KW - Job Characteristics Nursing Practice Registered Nurses Rural Health Services -- Manpower Adult Burnout, Professional -- Prevention and Control Canada Clinical Competence Critical Thinking Descriptive Statistics Education, Nursing, Continuing Funding Source Interviews Nurse Attitudes Personality Human N1 - research. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Nursing; Peer Reviewed. Grant Information: Funded by the Canadian Health Services Research Foundation, CIHR, the Nursing Research Fund, Alberta Heritage Foundation for Medical Research, Michael Smith Foundation for Health Research, Nova Scotia Health Research Foundation, Ontario Ministry of Health and Long-Term Care, Saskatchewan Industry and Resources, British Columbia Rural and Remote Health Research Institute of the University of Northern British Columbia, Canadian Institute for Health Information, and the Government of Nunavut. PMID: NLM18815471. PY - 2008 SN - 1910-622X SP - 54-63 ST - 'There's rural, and then there's rural': advice from nurses providing primary healthcare in northern remote communities T2 - Nursing Leadership (1910-622X) TI - 'There's rural, and then there's rural': advice from nurses providing primary healthcare in northern remote communities UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=109848705&site=ehost-live&scope=site VL - 21 ID - 13773 ER - TY - JOUR AB - PURPOSE: To examine dimensions of the psychosocial work environment that influence the psychological health of new-generation nurses. BACKGROUND: While much work has been done concerning the health of nurses in general, research on the relationship between the nursing work environment and the psychological well-being of new-generation nurses at the start of their careers is limited. DESIGN: A correlational descriptive design was used for this quantitative study. Survey data were collected from new nurses (N=309) whose names were obtained from a provincial licensing registry in Quebec, Canada. FINDINGS: Among new nurses, 43.4% stated that they have a high level of psychological distress. These nurses were significantly more likely to perceive an imbalance between effort expended on the job and rewards received, low decisional latitude, high psychological demands, high job strain, as well as low social support from colleagues and superiors (p < or = 0.05). CONCLUSIONS: Understanding the relationship between the work environment and health as experienced by new-generation nurses is imperative for creating interventions to successfully recruit and retain these young nurses. CLINICAL RELEVANCE: Generation Y nurses in Quebec, faced with high levels of psychological distress because of their exposure to difficult nursing work environments, might leave the profession thereby exacerbating an already salient nursing shortage. AD - School of Nursing, McGill University, Montréal, Québec, Canada. melanie.lavoie-tremblay@mcgill.ca AN - 18840214 AU - Lavoie-Tremblay, M. AU - Wright, D. AU - Desforges, N. AU - Gélinas, C. AU - Marchionni, C. AU - Drevniok, U. DO - 10.1111/j.1547-5069.2008.00240.x DP - NLM IS - 3 KW - *Attitude of Health Personnel Burnout, Professional/epidemiology/prevention & control/*psychology Cross-Sectional Studies Health Facility Environment/*organization & administration Health Services Needs and Demand Humans Intergenerational Relations Interprofessional Relations Job Satisfaction Mental Health Nursing Methodology Research Nursing Staff/organization & administration/*psychology *Occupational Health Organizational Culture Personnel Selection Personnel Turnover Population Growth Quebec Social Support Surveys and Questionnaires Workplace/organization & administration/*psychology Young Adult LA - eng N1 - 1547-5069 Lavoie-Tremblay, Mélanie Wright, David Desforges, Nicole Gélinas, Céline Marchionni, Caroline Drevniok, Ulrika Journal Article Research Support, Non-U.S. Gov't United States 2008/10/09 J Nurs Scholarsh. 2008;40(3):290-7. doi: 10.1111/j.1547-5069.2008.00240.x. PY - 2008 SN - 1527-6546 SP - 290-7 ST - Creating a healthy workplace for new-generation nurses T2 - J Nurs Scholarsh TI - Creating a healthy workplace for new-generation nurses VL - 40 ID - 13724 ER - TY - JOUR AB - Recruiting and retaining nurses in rural communities present a unique challenge for hospitals. Standardized orientation or residency programs do not begin to meet the needs of the new nurses and may directly contribute to the low retention rate experienced by many rural hospitals. Inherent to rural nursing is the demand for the nurses to possess a high level of self-confidence and competence. It is because of these expectations and the stressors placed on the new graduate nurse that the orientation is critical to retention. AD - Department of Nursing, Centralia College, Centralia, Washington 98531, USA. skeahey@centralia.edu AN - 18391657 AU - Keahey, S. DA - Mar-Apr DO - 10.1097/01.NND.0000300875.10684.be DP - NLM IS - 2 KW - Health Plan Implementation Humans Inservice Training/methods/*organization & administration Nursing Staff, Hospital/education/*supply & distribution Personnel Selection Personnel Turnover Preceptorship/methods/*organization & administration *Rural Health Services United States Workforce LA - eng N1 - 1538-9049 Keahey, Sheri Journal Article Review United States 2008/04/09 J Nurses Staff Dev. 2008 Mar-Apr;24(2):E15-20. doi: 10.1097/01.NND.0000300875.10684.be. PY - 2008 SN - 1098-7886 SP - E15-20 ST - Against the odds: orienting and retaining rural nurses T2 - J Nurses Staff Dev TI - Against the odds: orienting and retaining rural nurses VL - 24 ID - 13652 ER - TY - JOUR AB - AIM: This paper is a report of a study to identify how nurse clinicians learn with and from each other in the workplace. BACKGROUND: Clinicians' everyday practices and interactions with each other have recently been targeted as areas of research, because it is there that quality of care and patient safety are achieved. Orientation of new nurses and doctors into a specialty unit often results in stress. METHOD: An ethnographic approach was used, including a 12-month period of fieldwork observations involving participation and in-depth interviews with nurse, doctor and allied health clinicians in their workplace. The data were collected in 2005-2006 in a paediatric teaching hospital in Australia. FINDINGS: The findings were grouped into four dimensions: orientation of nurses, orientation of medical registrars, preceptoring and decision-making. The orientation of new staff (nursing and medical) is a complex and multi-layered process which accommodates multiple kinds of learning, in addition to formal learning. Workplace learning also can be informal, incidental, interpersonal and interactive. Interactive and interpersonal learning and the transfer of knowledge include codified and tacit knowledge as well as intuitive understandings of 'how we do things here'. CONCLUSION: Research into how nurses learn is crucial for illuminating learning that is non-formal and less recognized than more formal kinds. To provide a safe practice environment built on a foundation of knowledge and best practice, there needs to be an allocation of time in the busy workday for learning and reflection. AD - Faculty of Humanities and Social Sciences, University of Technology, Sydney, NSW, Australia. cynthia.hunter@uts.edu.au AN - 18503649 AU - Hunter, C. L. AU - Spence, K. AU - McKenna, K. AU - Iedema, R. DA - Jun DO - 10.1111/j.1365-2648.2008.04632.x DP - NLM IS - 6 KW - Attitude of Health Personnel Australia Cooperative Behavior Education, Nursing, Continuing/methods Humans Infant, Newborn *Intensive Care Units, Neonatal Medical Staff, Hospital/*education Neonatal Nursing/*education Nurse Clinicians/*education Physician-Nurse Relations Workplace LA - eng N1 - 1365-2648 Hunter, Cynthia Louise Spence, Kaye McKenna, Kate Iedema, Rick Journal Article Research Support, Non-U.S. Gov't England 2008/05/28 J Adv Nurs. 2008 Jun;62(6):657-64. doi: 10.1111/j.1365-2648.2008.04632.x. PY - 2008 SN - 0309-2402 SP - 657-64 ST - Learning how we learn: an ethnographic study in a neonatal intensive care unit T2 - J Adv Nurs TI - Learning how we learn: an ethnographic study in a neonatal intensive care unit VL - 62 ID - 13705 ER - TY - JOUR AB - Graduate nurses experience role conflict and stress as they begin practice in work environments of high complexity, nurse shortages, and expectations to become competent rapidly. The authors report outcomes from a study that evaluated qualitative responses to the Casey-Fink Graduate Nurse Experience Survey administered to graduate nurse residents in the University HealthSystem Consortium/American Association of Colleges of Nursing postbaccalaureate nurse residency program at 12 academic hospital sites. Qualitative analysis provided sufficient evidence to convert specific open-ended questions on the Casey-Fink Graduate Nurse Experience Survey instrument to a quantitative format for ease of administration and analysis. AD - Department of Professional Resources, University of Colorado Hospital, Aurora, CO 80045, USA. reginamfink@aol.com AN - 18690125 AU - Fink, R. AU - Krugman, M. AU - Casey, K. AU - Goode, C. DA - Jul-Aug DO - 10.1097/01.Nna.0000323943.82016.48 DP - NLM IS - 7-8 KW - Adaptation, Psychological Adult *Attitude of Health Personnel Burnout, Professional/prevention & control/psychology Clinical Competence Conflict, Psychological Education, Nursing, Continuing/*organization & administration Female Frustration Humans Internship, Nonmedical/*organization & administration Interprofessional Relations Job Satisfaction Needs Assessment Nurse's Role/psychology Nursing Education Research Nursing Methodology Research *Nursing Staff, Hospital/education/psychology Organizational Culture Program Evaluation Qualitative Research Self Efficacy Social Support Surveys and Questionnaires United States LA - eng N1 - 1539-0721 Fink, Regina Krugman, Mary Casey, Kathy Goode, Colleen Evaluation Study Journal Article Research Support, Non-U.S. Gov't United States 2008/08/12 J Nurs Adm. 2008 Jul-Aug;38(7-8):341-8. doi: 10.1097/01.NNA.0000323943.82016.48. PY - 2008 SN - 0002-0443 SP - 341-8 ST - The graduate nurse experience: qualitative residency program outcomes T2 - J Nurs Adm TI - The graduate nurse experience: qualitative residency program outcomes VL - 38 ID - 13698 ER - TY - JOUR AB - Newly graduated nurses are entering the work force and finding that they have neither the practice expertise nor the confidence to navigate what has become a highly dynamic and intense clinical environment burdened by escalating levels of patient acuity and nursing workload. This research used qualitative methods to build on and mature aspects of the new nurse's transition experience into acute care. The theory of transition presented in this article incorporates a journey of becoming where new nursing graduates progressed through the stages of doing, being, and knowing. The whole of this journey encompassed ordered processes that included anticipating, learning, performing, concealing, adjusting, questioning, revealing, separating, rediscovering, exploring, and engaging. Although this journey was by no means linear or prescriptive nor always strictly progressive, it was evolutionary and ultimately transformative for all participants. The intense and dynamic transition experience for these newly graduated nurses should inspire educational and service institutions to provide preparatory education on transition as well as extended, sequential, and structured orientation and mentoring programs that bridge senior students' expectations of professional work life with the reality of employment. AD - SIAST Nursing Division, Saskatoon, Saskatchewan, Canada. AN - 18990890 AU - Duchscher, J. B. DA - Oct DO - 10.3928/00220124-20081001-03 DP - NLM IS - 10 KW - Attitude of Health Personnel Clinical Competence/standards Feedback, Psychological Humans Nurse's Role/*psychology Qualitative Research Stress, Psychological/etiology Workload/psychology LA - eng N1 - Duchscher, Judy Boychuk Journal Article Review United States 2008/11/11 J Contin Educ Nurs. 2008 Oct;39(10):441-50; quiz 451-2, 480. doi: 10.3928/00220124-20081001-03. PY - 2008 SN - 0022-0124 (Print) 0022-0124 SP - 441-50; quiz 451-2, 480 ST - A process of becoming: the stages of new nursing graduate professional role transition T2 - J Contin Educ Nurs TI - A process of becoming: the stages of new nursing graduate professional role transition VL - 39 ID - 13647 ER - TY - JOUR AB - The authors document the 1-year outcomes of the postbaccalaureate residency program jointly developed and implemented by the University Health-System Consortium and the American Association of Colleges of Nursing. Data on 2 cohorts of residents (n = 679) in 12 sites across the country are presented. The 1-year termination rate was 12%, after those lost to the program because of National Council Licensure Examination failure, serious illness, or death were eliminated from the analysis. Additional analyses using data collected at entry to the program, 6 months, and 1 year using 3 instruments, the Casey-Fink Graduate Nurse Experience Survey, the Gerber's Control Over Nursing Practice Scale, and the McCloskey Mueller Satisfaction Scale, are presented and discussed. AD - University of Kentucky College of Nursing, Lexington, Kentucky 40536, USA. cawill00@uky.edu AN - 17939467 AU - Williams, C. A. AU - Goode, C. J. AU - Krsek, C. AU - Bednash, G. D. AU - Lynn, M. R. DA - Jul-Aug DO - 10.1097/01.nna.0000285112.14948.0f DP - NLM IS - 7-8 KW - Adult Analysis of Variance *Attitude Clinical Competence *Education, Nursing, Graduate Female Humans *Internship, Nonmedical Job Satisfaction Male Personnel Turnover Professional Autonomy Program Evaluation Social Support Stress, Psychological/prevention & control United States LA - eng N1 - Williams, Carolyn A Goode, Colleen J Krsek, Cathleen Bednash, Geraldine D Lynn, Mary R Journal Article Multicenter Study United States 2007/10/18 J Nurs Adm. 2007 Jul-Aug;37(7-8):357-65. doi: 10.1097/01.nna.0000285112.14948.0f. PY - 2007 SN - 0002-0443 (Print) 0002-0443 SP - 357-65 ST - Postbaccalaureate nurse residency 1-year outcomes T2 - J Nurs Adm TI - Postbaccalaureate nurse residency 1-year outcomes VL - 37 ID - 13700 ER - TY - JOUR AB - INTRODUCTION: Australian remote area nurses (RANs) are specialist advanced practice nurses. They work in unique, challenging and sometimes dangerous environments to provide a diverse range of healthcare services to remote and predominantly Aboriginal communities. There is an emerging skills gap in the remote nursing workforce as experienced and qualified RANs leave this demanding practice. There is a shortage of new nurses interested in working in these areas, and many of those who enter remote practice leave after a short time. Distance management was examined in order to gain a better understanding of its effects on the retention of RANs in the Australian states of Northern Territory (NT), Western Australia (WA) and South Australia (SA). Distance management in this context occurs when the health service's line management team is located geographically distant from the workplace they are managing. METHODS: The study used a mixed method design, with a combination of anonymous surveys and interviews conducted by telephone and face to face. Qualitative and quantitative data were collected. The data were thematically analysed and basic descriptive statistics were also used. All RANs who worked in government and other non-Aboriginal controlled remote health services in NT, SA and WA were included in the sample. Sixty-one RANs (anonymous survey, 55% response rate) and 26 ex-RANs (telephone interview) participated in the research. The ex-RANs were sampled using a snowball technique where interviewees recommended former colleagues for interview. Nine nursing executives with expertise in distance management of remote health services also contributed (face-to-face interview), and they are referred to as 'the experts'. RESULTS: Respondents expressed a dichotomy in their reactions to remote area nursing. On one hand, they expressed a strong sense of pleasure and satisfaction in the nature of their work; while, on the other, they expressed dissatisfaction with aspects of infrastructure, support and management practices. Positive aspects included autonomy of practice, working in a small team, cross-cultural practice, and the beauty and isolation of the setting. Negative aspects included poor orientation, high stress, inadequate resources, poor systems, unrealistic expectations from communities and managers leading to excessive workload, and perceived lack of support from management. The greatest negative issue raised was poor handling of leave replacement, where RANs on leave were not replaced with appropriately qualified and skilled nurses. Respondents noted a frequent change in managers, and reported that the lack of stability in management contributed to lack of support for both RANs and their managers. Lack of support from managers was frequently cited as a main cause for ex-RANs leaving their employment. Despite this, almost all respondents indicated a willingness to remain in the remote workforce if possible. Experts noted that where management was dysfunctional, RAN retention rates fell. They also acknowledged the need for good communication, interpersonal skills, availability of staff development, leave, relief staff, feedback, debriefing, professional support and working conditions. Experts believed managers should make use of available and emerging technology to communicate with RANs, and work to improve RANs' understanding of the role of the management team. CONCLUSIONS: Remote Australian Aboriginal communities are mainly served by RANs in a health system that is sometimes ill-equipped and at times poorly managed. The theme of a second-class health system being serviced by RANs who felt they were treated as second-class health practitioners appeared throughout the data. Poor distance management practices may contribute to the high turnover of staff in remote Australia. Retention of RANs may increase with better managerial practices, such as effective communication and leadership, staffing replacement and leave, prompt attention to infrastructure issues, and staff development and appraisal. These are the keys to ensuring that RANs feel supported and valued. Remote area nursing is a rewarding career and, with systemic support, RANs may stay longer in remote practice. AD - Yirrkala Health Service, Nhulunbuy, Northern Territory, Australia. dippydots@hotmail.com AN - 17665965 AU - Weymouth, S. AU - Davey, C. AU - Wright, J. I. AU - Nieuwoudt, L. A. AU - Barclay, L. AU - Belton, S. AU - Svenson, S. AU - Bowell, L. DA - Jul-Sep DP - NLM ET - 20070731 IS - 3 KW - Adult Female Health Care Surveys Humans Job Satisfaction Male Northern Territory Nursing Services/*organization & administration Nursing Staff/organization & administration/*supply & distribution *Personnel Management Rural Health Services/*organization & administration South Australia Western Australia LA - eng N1 - 1445-6354 Weymouth, S Davey, C Wright, J I Nieuwoudt, L-A Barclay, L Belton, S Svenson, S Bowell, L Journal Article Multicenter Study Australia 2007/08/02 Rural Remote Health. 2007 Jul-Sep;7(3):652. Epub 2007 Jul 31. PY - 2007 SN - 1445-6354 SP - 652 ST - What are the effects of distance management on the retention of remote area nurses in Australia? T2 - Rural Remote Health TI - What are the effects of distance management on the retention of remote area nurses in Australia? VL - 7 ID - 13736 ER - TY - JOUR AB - As new nurses move from the familiar educational milieu into a work situation they encounter barriers to caring for patients and their families. The characteristics of the contemporary work environment, paired with the competencies of the new graduates, have the potential to threaten the ability of these nurses to provide safe and effective care for patients thus creating ethical distress. Educational interventions in the work place can effectively provide adequate solutions to these problems. The keystone between the healthcare institution and the development of a competent nurse is an effective mentor. As new nurses graduate from school and enter the health care industry they encounter many barriers that distract them from caring for their patients. With limited experience they are ill equipped to prevent ethical distress when confronted with ethical dilemmas. Educational strategies such as an adequate orientation can help a new graduate cope with the complexities of a health care industry confronted by an increase in acuity of patients, progressively more complex medical interventions, and a shortage of nurses. AD - St. Francis Health Center, USA. AN - 17523368 AU - West, J. DA - Apr DP - NLM IS - 4 KW - Ethics, Nursing/*education Humans *Inservice Training *Mentors Nursing Staff/education/psychology *Preceptorship Stress, Psychological/prevention & control United States LA - eng N1 - West, James Journal Article United States 2007/05/26 Kans Nurse. 2007 Apr;82(4):5-8. PY - 2007 SN - 0022-8710 (Print) 0022-8710 SP - 5-8 ST - Ethical issues and new nurses: preventing ethical distress in the work environment T2 - Kans Nurse TI - Ethical issues and new nurses: preventing ethical distress in the work environment VL - 82 ID - 13732 ER - TY - JOUR AB - It is widely documented that nurses experience work-related stress [Quine, L., 1998. Effects of stress in an NHS trust: a study. Nursing Standard 13 (3), 36-41; Charnley, E., 1999.Occupational stress in the newly qualified staff nurse. Nursing Standard 13 (29), 32-37; McGrath, A., Reid, N., Boore, J., 2003. Occupational stress in nursing. International Journal of Nursing Studies 40, 555-565; McVicar, A., 2003. Workplace stress in nursing: a literature review. Journal of Advanced Nursing 44 (6), 633-642; Bruneau, B., Ellison, G., 2004. Palliative care stress in a UK community hospital: evaluation of a stress-reduction programme. International Journal of Palliative Nursing 10 (6), 296-304; Jenkins, R., Elliott, P., 2004. Stressors, burnout and social support: nurses in acute mental health settings. Journal of Advanced Nursing 48 (6), 622-631], with cancer nursing being identified as a particularly stressful occupation [Hinds, P.S., Sanders, C.B., Srivastava, D.K., Hickey, S., Jayawardene, D., Milligan, M., Olsen, M.S., Puckett, P., Quargnenti, A., Randall, E.A., Tyc, V., 1998. Testing the stress-response sequence model in paediatric oncology nursing. Journal of Advanced Nursing 28 (5), 1146-1157; Barnard, D., Street, A., Love, A.W., 2006. Relationships between stressors, work supports and burnout among cancer nurses. Cancer Nursing 29 (4), 338-345]. Terminologies used to capture this stress are burnout [Pines, A.M., and Aronson, E., 1988. Career Burnout: Causes and Cures. Free Press, New York], compassion stress [Figley, C.R., 1995. Compassion Fatigue. Brunner/Mazel, New York], emotional contagion [Miller, K.I., Stiff, J.B., Ellis, B.H., 1988. Communication and empathy as precursors to burnout among human service workers. Communication Monographs 55 (9), 336-341] or simply the cost of caring (Figley, 1995). However, in the mental health field such as psychology and counselling, there is terminology used to captivate this impact, vicarious traumatisation. Vicarious traumatisation is a process through which the therapist's inner experience is negatively transformed through empathic engagement with client's traumatic material [Pearlman, L.A., Saakvitne, K.W., 1995a. Treating therapists with vicarious traumatization and secondary traumatic stress disorders. In: Figley, C.R. (Ed.), Compassion Fatigue: Coping with Secondary Traumatic Stress Disorder in Those Who Treat the Traumatized. Brunner/Mazel, New York, pp. 150-177]. Trauma not only affects individuals who are primarily present, but also those with whom they discuss their experience. If an individual has been traumatised as a result of a cancer diagnosis and shares this impact with oncology nurses, there could be a risk of vicarious traumatisation in this population. However, although Thompson [2003. Vicarious traumatisation: do we adequately support traumatised staff? The Journal of Cognitive Rehabilitation 24-25] suggests that vicarious traumatisation is a broad term used for workers from any profession, it has not yet been empirically determined if oncology nurses experience vicarious traumatisation. This purpose of this paper is to introduce the concept of vicarious traumatisation and argue that it should be explored in oncology nursing. The review will highlight that empirical research in vicarious traumatisation is largely limited to the mental health professions, with a strong recommendation for the need to empirically determine whether this concept exists in oncology nursing. AD - School of Nursing and Midwifery, Medical Biology Centre, Queen's University, Lisburn Road, Belfast BT9 7AB, UK. AN - 105920119. Language: English. Entry Date: 20080104. Revision Date: 20200708. Publication Type: Journal Article AU - Sinclair, H. A. H. AU - Hamill, C. DB - cin20 DO - 10.1016/j.ejon.2007.02.007 DP - EBSCOhost IS - 4 KW - Empathy Oncologic Nursing -- Psychosocial Factors Stress Disorders, Post-Traumatic Stress, Occupational -- Psychosocial Factors Human Needs (Psychology) National Health Programs Neoplasms -- Psychosocial Factors Self Concept Stress, Occupational -- Prevention and Control Stress, Occupational -- Therapy United Kingdom N1 - review; tables/charts. Journal Subset: Core Nursing; Europe; Nursing; Peer Reviewed; UK & Ireland. NLM UID: 100885136. PMID: NLM17482879. PY - 2007 SN - 1462-3889 SP - 348-356 ST - Does vicarious traumatisation affect oncology nurses? A literature review T2 - European Journal of Oncology Nursing TI - Does vicarious traumatisation affect oncology nurses? A literature review UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=105920119&site=ehost-live&scope=site VL - 11 ID - 13774 ER - TY - JOUR AB - AIM: To explore the lived experiences of newly qualified nurses on clinical placement, during the first six months following registration, in the Republic of Ireland. BACKGROUND: The subject of the experiences of newly qualified nurses is not generally well researched, although anecdotal articles are plentiful. In particular, the lived experiences of newly qualified diploma nurses in the Republic of Ireland are not reflected in the research literature. However, available literature on the subject clearly demonstrates that being a newly qualified staff nurse is particularly stressful and many nurses feel unprepared for the staff nurse role. DESIGN: A phenomenological, Heideggerian, hermeneutic approach was used for this study. METHODS: Ten diplomate staff nurses were interviewed and the data were analysed using a thematic analysis framework. RESULTS: Newly qualified nurses in the Republic of Ireland describe their initial experiences of being on the ward as stressful. This stress is primarily related to the multi-dimensional responsibilities associated with the new role and to managerial/organizational/clinical skills deficits. The allocation of students and dealing with situations that they felt unprepared for added to their anxieties. However, diplomate nurses were willing to acknowledge these limitations and seek help when appropriate. Feeling valued, making a difference and financial reward were cited as being the positive aspects of the new role. RELEVANCE TO CLINICAL PRACTICE: The preregistration nurse education curriculum needs to be developed further to help alleviate the problems associated with the initial transition to the staff nurse role. In addition, effective supportive systems need to be introduced for newly qualified nurses to help ensure that they are prepared for and supported in their professional role. AD - Catherine McAuley School of Nursing and Midwifery, Brookfield Health Sciences Complex, University College Cork, Cork, Ireland. maria.oshea@ucc.ie AN - 17655542 AU - O'Shea, M. AU - Kelly, B. DA - Aug DO - 10.1111/j.1365-2702.2006.01794.x DP - NLM IS - 8 KW - *Adaptation, Psychological *Attitude of Health Personnel Burnout, Professional/etiology/psychology *Clinical Competence Curriculum Education, Nursing, Continuing Humans Inservice Training Interprofessional Relations Ireland Job Satisfaction *Licensure, Nursing Motivation Needs Assessment Nurse's Role/psychology Nursing Methodology Research Nursing Staff, Hospital/education/*psychology Salaries and Fringe Benefits *Self Efficacy Social Support Surveys and Questionnaires Time Management Workload/psychology LA - eng N1 - O'Shea, Maria Kelly, Billy Journal Article England 2007/07/28 J Clin Nurs. 2007 Aug;16(8):1534-42. doi: 10.1111/j.1365-2702.2006.01794.x. PY - 2007 SN - 0962-1067 (Print) 0962-1067 SP - 1534-42 ST - The lived experiences of newly qualified nurses on clinical placement during the first six months following registration in the Republic of Ireland T2 - J Clin Nurs TI - The lived experiences of newly qualified nurses on clinical placement during the first six months following registration in the Republic of Ireland VL - 16 ID - 13687 ER - TY - JOUR AB - PROBLEM: New nurse graduates experience a stressful role transition into healthcare organizations, with 30% leaving their first job within 1 year and 57% leaving by 2 years of employment. AIM: This study tests whether an internship program, Social and Professional Reality Integration for Nurse Graduates (SPRING), improves new nurse graduate retention, sense of belonging, organizational commitment, and anticipated turnover. DESIGN: Quasi-experimental, posttest only, control group design. METHOD: New nurse graduates hired by an academic institution that completed SPRING were compared with baseline nurse graduates who did not complete SPRING, using the Organizational Commitment Questionnaire, Modified Hagerty-Patusky Sense of Belonging Instrument, and Anticipated Turnover Scale. Retention was also examined. RESULTS: Anticipated Turnover was higher for baseline nurses than for 6-month SPRING nurses. Six-month SPRING nurses have lower antecedent sense of belonging than baseline or 12-month SPRING nurses. One-year retention is higher for SPRING new graduates than for non-SPRING new graduates. CONCLUSION: Internship programs for nurse graduates must support the socialization of nurses and their transition into the professional role as well as teach the skills and knowledge needed for competence. This study supports the value of a comprehensive program for new nurse graduates in improving nurse retention and decreasing new nurse graduate intent to leave the organization at 6 months. AD - Johns Hopkins Hospital, Baltimore, MD 21287, USA. rnewhou1@son.jhmi.edu AN - 17198120 AU - Newhouse, R. P. AU - Hoffman, J. J. AU - Suflita, J. AU - Hairston, D. P. DA - Jan-Mar DO - 10.1097/00006216-200701000-00013 DP - NLM IS - 1 KW - Acute Disease/nursing Analysis of Variance *Attitude of Health Personnel Education, Nursing, Continuing/*organization & administration Factor Analysis, Statistical Feedback, Psychological Humans Internship, Nonmedical/*organization & administration *Interprofessional Relations Job Satisfaction Nurse's Role/psychology Nursing Administration Research Nursing Methodology Research *Nursing Staff, Hospital/education/psychology Outcome and Process Assessment, Health Care/organization & administration Personnel Loyalty Personnel Turnover Preceptorship/organization & administration Program Evaluation Social Support *Socialization Surveys and Questionnaires LA - eng N1 - Newhouse, Robin P Hoffman, Janice J Suflita, Jeannette Hairston, Dorna P Controlled Clinical Trial Journal Article Research Support, Non-U.S. Gov't United States 2007/01/02 Nurs Adm Q. 2007 Jan-Mar;31(1):50-60. doi: 10.1097/00006216-200701000-00013. PY - 2007 SN - 0363-9568 (Print) 0363-9568 SP - 50-60 ST - Evaluating an innovative program to improve new nurse graduate socialization into the acute healthcare setting T2 - Nurs Adm Q TI - Evaluating an innovative program to improve new nurse graduate socialization into the acute healthcare setting VL - 31 ID - 13660 ER - TY - JOUR AB - This study was undertaken to examine whether staff nurses experience stress when they are precepting, and the sources of the stress. Another purpose was to describe preceptors' perceptions of support from others, such as coworkers and managers. A convenience sample of 65 registered nurse preceptors completed an investigator-developed questionnaire asking for their views on stress and support in the preceptor role. Most respondents (89%) reported that precepting is stressful to some degree, with the most common reasons being workload, skill level of the preceptee, organizational support, and preceptor confidence. Despite the high levels of stress reported, most subjects described adequate support as preceptors from coworkers and managers. Preceptors are critical for the training and retention of new nurses. It is important that stressors related to precepting be acknowledged and strategies be employed to reduce stress. Recommendations for support and strategies are included. AD - VA Palo Alto Health Care System, Palo Alto, California 94304, USA. kthautala@sbcglobal.net AN - 17414854 AU - Hautala, K. T. AU - Saylor, C. R. AU - O'Leary-Kelley, C. DA - Mar-Apr DO - 10.1097/01.Nnd.0000266611.78315.08 DP - NLM IS - 2 KW - Adult California *Education, Nursing Female Humans Male Nursing Staff/*psychology *Preceptorship *Social Support Stress, Psychological/*prevention & control LA - eng N1 - Hautala, Kelly T Saylor, Coleen R O'Leary-Kelley, Colleen Journal Article Research Support, U.S. Gov't, Non-P.H.S. United States 2007/04/07 J Nurses Staff Dev. 2007 Mar-Apr;23(2):64-70; quiz 71-2. doi: 10.1097/01.NND.0000266611.78315.08. PY - 2007 SN - 1098-7886 (Print) 1098-7886 SP - 64-70; quiz 71-2 ST - Nurses' perceptions of stress and support in the preceptor role T2 - J Nurses Staff Dev TI - Nurses' perceptions of stress and support in the preceptor role VL - 23 ID - 13670 ER - TY - JOUR AB - The phenomenon of role transition for new nurses has been a topic of research and concern for practicing nurses, educators, and administrators for many years. This transition has an impact on the job retention of new nurses. Stress, lack of confidence, and unmet expectations have been found to influence patient safety and outcomes. Simulator programs have enhanced the experiences of students and nurses in the clinical setting. Within this safe environment of simulation, nurses find the opportunity to develop critical thinking, decision making, and clinical confidence. A simulator program was developed in Vassar Brothers Medical Center to assist in the transition of new graduate registered nurses to acute care practice. This article describes the process of developing a program and suggestions for instructors who are interested in developing a simulation program. AD - Division of Nursing, Mount Saint Mary College, Newburgh, New York, USA. ackerman@msmc.edu AN - 17538268 AU - Ackermann, A. D. AU - Kenny, G. AU - Walker, C. DA - May-Jun DO - 10.1097/01.Nnd.0000277183.32582.43 DP - NLM IS - 3 KW - *Attitude of Health Personnel Clinical Competence Education, Nursing, Continuing/*organization & administration Health Knowledge, Attitudes, Practice Health Services Needs and Demand Humans Inservice Training/*organization & administration *Manikins New York Nurse's Role/psychology Nursing Education Research Nursing Process *Nursing Staff, Hospital/education/psychology Personnel Turnover Program Development Program Evaluation Safety Self Efficacy Social Support Surveys and Questionnaires Thinking LA - eng N1 - Ackermann, Andrea Dodge Kenny, Geraldine Walker, Cheryl Evaluation Study Journal Article United States 2007/06/01 J Nurses Staff Dev. 2007 May-Jun;23(3):136-9. doi: 10.1097/01.NND.0000277183.32582.43. PY - 2007 SN - 1098-7886 (Print) 1098-7886 SP - 136-9 ST - Simulator programs for new nurses' orientation: a retention strategy T2 - J Nurses Staff Dev TI - Simulator programs for new nurses' orientation: a retention strategy VL - 23 ID - 13718 ER - TY - JOUR AB - The Chief Nursing Officers (CNOs) of the University HealthSystems Consortium (UHC) of Academic Hospitals desired to increase the numbers of baccalaureate graduate nurses hired by their facilities and provide a more consistent, uniform transition into practice for these graduate nurses. A partnership between the UHC CNOs and the American Association of Colleges of Nursing (AACN) led to establishing a National Post-Baccalaureate Graduate Nurse Residency Program. The structure, curriculum, and outcomes measures were developed and the program was implemented, with growth from six original pilot sites to 34 academic hospitals. Outcomes from the first year of program operation at these six sites show a high rate of retention, decreased stress by graduate nurses over time, improved organization and prioritization of care, and increased satisfaction in the first year of practice. AD - University of Colorado Hospital, Denver, Colorado 80262, USA. Mary.Krugman@uch.edu AN - 16885686 AU - Krugman, M. AU - Bretschneider, J. AU - Horn, P. B. AU - Krsek, C. A. AU - Moutafis, R. A. AU - Smith, M. O. DA - Jul-Aug DO - 10.1097/00124645-200607000-00008 DP - NLM IS - 4 KW - Adult Curriculum Female Humans Male Mentors Models, Educational Nursing Staff, Hospital/*education Pilot Projects Program Development *Staff Development/organization & administration United States LA - eng N1 - Krugman, Mary Bretschneider, Joan Horn, Phyllis B Krsek, Cathleen A Moutafis, Roxanne A Smith, Marion Oare Evaluation Study Journal Article Multicenter Study United States 2006/08/04 J Nurses Staff Dev. 2006 Jul-Aug;22(4):196-205. doi: 10.1097/00124645-200607000-00008. PY - 2006 SN - 1098-7886 (Print) 1098-7886 SP - 196-205 ST - The national post-baccalaureate graduate nurse residency program: a model for excellence in transition to practice T2 - J Nurses Staff Dev TI - The national post-baccalaureate graduate nurse residency program: a model for excellence in transition to practice VL - 22 ID - 13696 ER - TY - JOUR AB - Two Wisconsin healthcare systems created a common definition and identified the essential components for a model nurse residency program (NRP). This community learning design was based on action learning principles. The results demonstrated improved retention, critical thinking, socialization, ability to manage stress, and problem-solving skills in new graduate nurses. The findings suggest that significant redesign of traditional learning methodology is required to achieve desired goals. AD - Clinical Education and Development, Wheaton Franciscan Healthcare, Milwaukee, Wisconsin, USA. rjherdrich@covhealth.org AN - 16603901 AU - Herdrich, B. AU - Lindsay, A. DA - Mar-Apr DO - 10.1097/00124645-200603000-00003 DP - NLM IS - 2 KW - Education, Nursing/*methods/*organization & administration Educational Measurement/methods Humans Inservice Training/methods/organization & administration Internship, Nonmedical/*methods/*organization & administration Models, Educational Nursing Staff/*education Organizational Case Studies Organizational Innovation Personnel Selection/methods Problem-Based Learning/methods Socialization Wisconsin LA - eng N1 - Herdrich, Bob Lindsay, Aindrea Journal Article Research Support, Non-U.S. Gov't United States 2006/04/11 J Nurses Staff Dev. 2006 Mar-Apr;22(2):55-62; quiz 63-4. doi: 10.1097/00124645-200603000-00003. PY - 2006 SN - 1098-7886 (Print) 1098-7886 SP - 55-62; quiz 63-4 ST - Nurse residency programs: Redesigning the transition into practice T2 - J Nurses Staff Dev TI - Nurse residency programs: Redesigning the transition into practice VL - 22 ID - 13722 ER - TY - JOUR AB - The main aim of this study was to provide an explanation of the newly qualified nurse's experience and description of a good day. Secondly, it sought to provide an explanation of how a good day made them feel about nursing. By identifying the main components of a good day and what positively effects the experience of a working day for a newly qualified nurse, it may be possible to move towards an increase in the occurrence of the components and emulation of a good day. While there is evidence to suggest that positive experiences within nursing increase job satisfaction and aid retention to the profession, the experience of a good day and what constitutes a good day for a newly qualified nurse has not been explored. The main components of a good day have not been identified and no work has been carried out to ascertain how these days make nurses feel about their chosen career. The aims of the study lent themselves to a phenomenological descriptive approach to research, the objective of which is identification of the essence of behaviour. Eight newly qualified nurses agreed to take part in the research. Each participant was interviewed twice, and in addition one group interview was arranged to clarify themes. The interviews, which were audio taped, were informal allowing the participants to answer in an open and unstructured manner. Once completed, all the tapes were transcribed and immersion and analysis of the data led to 5 themes naturally emerging as the components of a good day. The identified themes were, doing something well, good relationships with patients, feeling that you've achieved something, getting the work done and you need team work. In addition, although not a theme of a good day but of great importance was the description of 'that wonderful feeling at the end of a good day'. These themes contributed to feelings of job satisfaction and the pleasure of nursing. More specifically the concept of knowing the patient both from a personal level and knowing about their care and condition has been identified as a main component of a good day. This knowing the patient had a knock on effect in that when this was part of the day it was easier to prioritize and get the work done. These nurses were striving to develop a level of care and competency and, unlike expert nurses, did not have vast experience and knowledge to underpin their actions. They need to ensure that all levels of knowledge are addressed before they can carry out care. Additionally, the team dynamics and the way the team work together had a significant effect on the day. AD - Florence Nightingale School of Nursing and Midwifery, Kings College London, James Clarke Maxwell Building, 57 Waterloo Road, London SE1 8WA, UK. carole.jackson@kcl.ac.uk AN - 15862984 AU - Jackson, C. DA - Apr DO - 10.1016/j.aaen.2005.03.002 DP - NLM ET - 20050425 IS - 2 KW - Adaptation, Psychological Adult *Attitude of Health Personnel Burnout, Professional/prevention & control/psychology Clinical Competence Cooperative Behavior Efficiency, Organizational Female Focus Groups Humans Interprofessional Relations *Job Satisfaction Nurse's Role Nursing Methodology Research Nursing Staff, Hospital/organization & administration/*psychology Perioperative Nursing/organization & administration Self Efficacy Social Support Surveys and Questionnaires Time Management Wit and Humor as Topic Workload LA - eng N1 - Jackson, Carole Journal Article England 2005/05/03 Accid Emerg Nurs. 2005 Apr;13(2):110-21. doi: 10.1016/j.aaen.2005.03.002. Epub 2005 Apr 25. PY - 2005 SN - 0965-2302 (Print) 0965-2302 SP - 110-21 ST - The experience of a good day: a phenomenological study to explain a good day as experienced by a newly qualified RN T2 - Accid Emerg Nurs TI - The experience of a good day: a phenomenological study to explain a good day as experienced by a newly qualified RN VL - 13 ID - 13694 ER - TY - JOUR AB - OBJECTIVE: Using a new construct, job embeddedness, from the business management literature, this study first examines its value in predicting employee retention in a healthcare setting and second, assesses whether the factors that influence the retention of nurses are systematically different from those influencing other healthcare workers. BACKGROUND: The shortage of skilled healthcare workers makes it imperative that healthcare providers develop effective recruitment and retention plans. With nursing turnover averaging more than 20% a year and competition to hire new nurses fierce, many administrators rightly question whether they should develop specialized plans to recruit and retain nurses. METHODS: A longitudinal research design was employed to assess the predictive validity of the job embeddedness concept. At time 1, surveys were mailed to a random sample of 500 employees of a community-based hospital in the Northwest region of the United States. The survey assessed personal characteristics, job satisfaction, organizational commitment, job embeddedness, job search, perceived alternatives, and intent to leave. One year later (time 2) the organization provided data regarding voluntary leavers from the hospital. RESULTS: Hospital employees returned 232 surveys, yielding a response rate of 46.4 %. The results indicate that job embeddedness predicted turnover over and beyond a combination of perceived desirability of movement measures (job satisfaction, organizational commitment) and perceived ease of movement measures (job alternatives, job search). Thus, job embeddedness assesses new and meaningful variance in turnover in excess of that predicted by the major variables included in almost all the major models of turnover. CONCLUSIONS: The findings suggest that job embeddedness is a valuable lens through which to evaluate employee retention in healthcare organizations. Further, the levers for influencing retention are substantially similar for nurses and other healthcare workers. Implications of these findings and recommendations for recruitment and retention policy development are presented. AD - McDonough School of Business, Georgetown University, G-04 Old North, Washington, DC 20057, USA. bch6@msb.edu AN - 15167418 AU - Holtom, B. C. AU - O'Neill, B. S. DA - May DO - 10.1097/00005110-200405000-00005 DP - NLM IS - 5 KW - Adult *Attitude of Health Personnel Burnout, Professional/prevention & control/psychology Female Hospitals, Community Humans *Job Satisfaction Logistic Models Longitudinal Studies Male *Models, Psychological Motivation Northwestern United States Nursing Administration Research Nursing Staff, Hospital/organization & administration/*psychology *Personnel Loyalty Personnel Management/methods Personnel Selection/methods Personnel Staffing and Scheduling/organization & administration *Personnel Turnover/statistics & numerical data Predictive Value of Tests Surveys and Questionnaires LA - eng N1 - Holtom, Brooks C O'Neill, Bonnie S Journal Article Validation Study United States 2004/05/29 J Nurs Adm. 2004 May;34(5):216-27. doi: 10.1097/00005110-200405000-00005. PY - 2004 SN - 0002-0443 (Print) 0002-0443 SP - 216-27 ST - Job embeddedness: a theoretical foundation for developing a comprehensive nurse retention plan T2 - J Nurs Adm TI - Job embeddedness: a theoretical foundation for developing a comprehensive nurse retention plan VL - 34 ID - 13725 ER - TY - JOUR AB - From the clinics of South Africa, where there are 'No Gun' signs on the walls; to the rural island hospital in Micronesia, where there is no running water; to the urban hospitals of Los Angeles serving non-English speaking clients from around the globe; to the nurse-run clinics in the harsh Alaska frontier, nurses are focused on doing their best to give quality nursing care. This focus on providing quality care is commendable. However, nurses must also focus on taking care of themselves so they are able both to continue providing quality care for their patients and to maintain the profession's ability to recruit and retain new nurses. In nursing textbooks from the late 1980s and early 1990s, risks to health care workers were listed only as sub headings in sections such as infectious agents and musculoskeletal injuries, or in general chapters on 'women's work.' It is a remarkable sign of progress that there is now a discrete focus on the health and safety of health care workers. © 2004 Online Journal of Issues in Nursing Article published September 30, 2004 AD - Associate Director, Center for Research and Nursing Innovation, University of California, San Francisco AN - 106611613. Language: English. Entry Date: 20050422. Revision Date: 20150820. Publication Type: Journal Article. Journal Subset: Core Nursing AU - Foley, M. DB - cin20 DP - EBSCOhost IS - 3 KW - Occupational Safety Occupational-Related Injuries -- Prevention and Control Staff Nurses Work Environment Burnout, Professional Health Policy Nursing Care -- Standards Occupational Hazards Patient Safety Personnel Recruitment Personnel Retention Personnel Staffing and Scheduling Politics Protective Devices -- Utilization Quality of Health Care Risk Assessment N1 - Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 9806525. PMID: NLM15482088. PY - 2004 SN - 1091-3734 SP - 12p-12p ST - Caring for those who care: a tribute to nurses and their safety T2 - Online Journal of Issues in Nursing TI - Caring for those who care: a tribute to nurses and their safety UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=106611613&site=ehost-live&scope=site VL - 9 ID - 13776 ER - TY - JOUR AB - The nursing profession now contains 4 generational groups with divergent approaches to work (Veterans, Baby Boomers, Generation Xers, and Millennials). Potential misunderstandings regarding generational values and work ethics can contribute to conflict in the nursing workplace, particularly for the new nurse graduate. An understanding of the is-sues inherent in a multigenerational workforce can shed light on potential areas of conflict, as well as provide new directions for recruitment and retention strategies. The topics of nursing leadership, mentoring, and career development are addressed from the perspective of a multigenerational nursing workforce. AN - 106574638. Language: English. Entry Date: 20050204. Revision Date: 20200708. Publication Type: Journal Article AU - Duchscher, J. E. B. AU - Cowin, L. DB - cin20 DO - 10.1097/00005110-200411000-00005 DP - EBSCOhost IS - 11 KW - Intergenerational Relations Nurse Attitudes Nursing Staff, Hospital -- Psychosocial Factors Work -- Psychosocial Factors Age Factors Baby Boomers Burnout, Professional Career Mobility Generation X Generation Y Interprofessional Relations Leadership Mentorship Personnel Turnover Psychology, Occupational N1 - tables/charts. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 1263116. PMID: NLM15586070. PY - 2004 SN - 0002-0443 SP - 493-501 ST - Multigenerational nurses in the workplace T2 - JONA: The Journal of Nursing Administration TI - Multigenerational nurses in the workplace UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=106574638&site=ehost-live&scope=site VL - 34 ID - 13775 ER - TY - JOUR AB - Editorial discusses promotion of job satisfaction among school nurses. The current shortage of nurses has shifted the focus on patient satisfaction to nurse satisfaction. Although school nursing practice is undoubtedly much different than nursing in the hospital setting, there are many commonalities that relate to job satisfaction in the school setting. Two studies reported in this issue of the Journal describe job satisfaction of school nurses. A third study in this issue discusses the satisfaction of school staff with school nursing services. These studies on job satisfaction are timely in light of the importance of retaining experienced school nurses and recruiting new nurses to the specialty of school nursing during this time of budgetary restraints and a national nursing shortage. These studies provide school nurses with data about factors related to job satisfaction. It is important to use this information in planning strategies that will increase satisfaction on the job. A clear understanding of the work environment, its opportunities, challenges, and constraints, will assist school nurses in negotiating a realistic plan to meet the health and educational needs of the students, families, and staff in the school community. It will also reduce burnout and turnover among school nurses, a valuable resource needed to ensure the health of today's children. (PsycINFO Database Record (c) 2016 APA, all rights reserved) AD - Denehy, Janice, 16 Woodcrest Lane NE, Iowa City, IA, US, 52240-9502 AN - 2005-10390-001 AU - Denehy, Janice DB - psyh DO - 10.1177/10598405040200020101 DP - EBSCOhost IS - 2 KW - job satisfaction promotion school nurses nurses turnover school nursing services work environment burnout Burnout, Professional Humans Interprofessional Relations Job Satisfaction Personnel Turnover Professional Autonomy School Nursing United States Employee Turnover Occupational Stress Schools Working Conditions N1 - College of Nursing, University of Iowa, Iowa, IA, US. Other Publishers: Sage Publications. Release Date: 20060522. Correction Date: 20121001. Publication Type: Journal (0100), Peer Reviewed Journal (0110). Format Covered: Print. Document Type: Editorial. Language: EnglishMajor Descriptor: Employee Turnover; Job Satisfaction; Occupational Stress; School Nurses; Schools. Minor Descriptor: Working Conditions. Classification: Professional Personnel Attitudes & Characteristics (3430). Population: Human (10). References Available: Y. Page Count: 2. Issue Publication Date: Apr, 2004. PY - 2004 SN - 1059-8405 1546-8364 SP - 63-64 ST - Promoting Job Satisfaction-A Challenge for School Nurses T2 - The Journal of School Nursing TI - Promoting Job Satisfaction-A Challenge for School Nurses UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=psyh&AN=2005-10390-001&site=ehost-live&scope=site janice-denehy@uiowa.edu VL - 20 ID - 13801 ER - TY - THES AB - It is well documented that nurses over the past decade have become increasingly dissatisfied with their jobs and many are contemplating leaving the profession altogether. There has been much speculation as to why they are not content in their profession. A few reasons that nurses have given for their dissatisfaction include feelings of being overworked, understaffed, not having enough time to adequately care for their patients, working mandatory overtime, not being a part of the decision making process, and in general not being appreciated. All these issues need to be addressed, in order to more successfully retain the nurses who are already employed, and to recruit new nurses into the profession.This study examined a sample of hospital nurses to determine the effects of workplace stress, job satisfaction, burnout, and commitment to the hospital. In addition, these factors were related to discouraging others to the nursing profession, as well as intent to leave the nursing profession.The overall linear or logistic regression analyses conducted on the 10 hypotheses tested found that increased workplace stress was associated with low job satisfaction and burnout. However, level of commitment was only partially supported by two out of the three subscales which were used to measure this variable. Discouraging others to the nursing profession and possibly leaving the profession were also found to be determinants of increased workplace stress, job satisfaction, burnout, and level of commitment to one's hospital.In this sample of nurses, increased workplace stress has been associated with low job satisfaction, increased burnout, low level of commitment, discouraging others to the profession, and possibly leaving the nursing profession. It is important that nursing explore these variables further, if this country desires to overcome the nursing shortage that it is now experiencing. AU - Donovan, J. F. DB - cin20 DP - EBSCOhost KW - Burnout, Professional Hospitals, Rural Job Satisfaction Nursing Staff, Hospital Personnel Retention Stress, Occupational Commitment Linear Regression Logistic Regression Human M1 - Ph.D. N1 - Accession Number: 109841805. Language: English. Entry Date: 20050114. Revision Date: 20150923. Publication Type: Doctoral Dissertation; research. UMI Order AAI3080430 PB - Indiana University of Pennsylvania PY - 2003 SP - 252 p-252 p ST - The effect of workplace stress on job satisfaction, burnout, commitment, discouragement, and intent to leave among nurses employed in rural hospitals TI - The effect of workplace stress on job satisfaction, burnout, commitment, discouragement, and intent to leave among nurses employed in rural hospitals UR - http://libproxy.temple.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=109841805&site=ehost-live&scope=site ID - 13778 ER - TY - JOUR AB - This paper outlines the qualitative findings of a study exploring the transition from student to Registered Nurse and the catalytic effect of the way in which newly registered nurses are prepared for this role change. The study explored the experiences of one cohort of students undertaking the pre-registration Advanced Diploma in Nursing Studies at the University of Sheffield. Data were collected pre-qualification and post-qualification in order to compare the expectations and reality of the transition period. Two key aspects emerged, one relating to the experience of students undertaking the final module of the course and the other to preceptorship once qualified. These two areas of practice have been the focus of development following dissemination of the research findings in the local NHS Hospitals. The study suggests that the transition period remains very stressful for some nurses, because of both pre-registration educational issues and the level of support received once qualified. Careful planning of the student experience in the final year and addressing inconsistencies within the preceptorship programmes of newly qualified nurses are needed. The study is stimulating change in the local NHS hospitals, with the aim of enhancing the overall experience of student nurses and newly qualified staff alike. AD - University of Sheffield, School of Nursing and Midwifery, Northern General Hospital, Sheffield, UK. h.ross@sheffield.ac.uk AN - 12100651 AU - Ross, H. AU - Clifford, K. DA - Jul DO - 10.1046/j.1365-2702.2002.00610.x DP - NLM IS - 4 KW - Attitude of Health Personnel England Humans *Life Change Events Nurses/*psychology Nursing Research Preceptorship Students, Nursing/*psychology Surveys and Questionnaires LA - eng N1 - Ross, Helen Clifford, Kevin Journal Article England 2002/07/09 J Clin Nurs. 2002 Jul;11(4):545-53. doi: 10.1046/j.1365-2702.2002.00610.x. PY - 2002 SN - 0962-1067 (Print) 0962-1067 SP - 545-53 ST - Research as a catalyst for change: the transition from student to Registered Nurse T2 - J Clin Nurs TI - Research as a catalyst for change: the transition from student to Registered Nurse VL - 11 ID - 13714 ER - TY - JOUR AB - The physical and emotional stress on preceptors creates a conundrum as hospitals expand and/or experience higher rates of nursing staff turnover. When chosen well, preceptors are an excellent way to integrate and teach new nurses. However, being a preceptor can often be an added burden in a busy hospital climate. Creating innovative systems, within new nurse orientation, that respect the preceptor role and provide some relief have much merit in today's bustling hospital environment. The creation of such a system in a large tertiary care hospital in Boston, MA, entitled the Faculty Model Pilot Program, seems to be both supporting the overworked preceptors and providing a comprehensive standardized practice week for newly hired medical/surgical nurses. The pilot program appeared to increase not only their knowledge of the hospital itself but also the standards of patient care throughout the hospital. This added week seemed to provide a good understanding of general nursing practice prior to the acquisition of the unit-based, specific knowledge; thus, lightening the burden for unit preceptors. AD - Newly Licensed Nurse Program and the Faculty Model Pilot Program, Brigham & Women's Hospital, Boston, MA 02115, USA. mgriffin@partners.org AN - 12476061 AU - Griffin, M. AU - Hanley, D. AU - Saniuk, C. DA - Nov-Dec DO - 10.1097/00124645-200211000-00008 DP - NLM IS - 6 KW - Boston Clinical Competence/standards Education, Nursing, Continuing/*organization & administration Hospitals, Teaching Humans Inservice Training/*organization & administration Internal Medicine/education *Models, Educational Nursing Education Research Nursing Staff, Hospital/*education/psychology Perioperative Nursing/education Pilot Projects Preceptorship/*organization & administration Social Support Time Factors Workload LA - eng N1 - Griffin, Martha Hanley, Diane Saniuk, Cathrine Journal Article United States 2002/12/12 J Nurses Staff Dev. 2002 Nov-Dec;18(6):322-6. doi: 10.1097/00124645-200211000-00008. PY - 2002 SN - 1098-7886 (Print) 1098-7886 SP - 322-6 ST - Lightening the burden for preceptors: consider adding a "Faculty Model" week to orientation T2 - J Nurses Staff Dev TI - Lightening the burden for preceptors: consider adding a "Faculty Model" week to orientation VL - 18 ID - 13731 ER - TY - JOUR AD - Leicester General Hospital. AN - 11892483 AU - Dajee, M. DA - Feb 7-13 DP - NLM IS - 6 KW - Humans *Operating Room Nursing Social Support Stress, Psychological LA - eng N1 - Dajee, Mila Journal Article England 2002/03/15 Nurs Times. 2002 Feb 7-13;98(6):34-5. PY - 2002 SN - 0954-7762 (Print) 0954-7762 SP - 34-5 ST - Supporting newly qualified nurses in operating theatres T2 - Nurs Times TI - Supporting newly qualified nurses in operating theatres VL - 98 ID - 13738 ER - TY - JOUR AB - An earlier study conducted in the United Kingdom, examining the newly qualified nurse's perception of the transition from student to qualified nurse, highlighted the limitations of pre-registration nurse education in respect of failing to provide adequate preparation for the qualified nurse's role. In the intervening years, major reforms in pre-registration nurse education and continuing professional education have occurred. Concomitant with these reforms have been major policy changes in health care delivery that have impacted upon the role of the nurse. Questions now arise as to whether the education reforms have served to equip newly qualified nurses more appropriately with the necessary knowledge, skills and confidence to function in contemporary health care settings. This paper presents the findings of a follow-up study that entailed a secondary analysis of exiting data obtained from in-depth interviews with 10 newly qualified nurses in 1985 and collecting additional data from 25 newly qualified nurses in 1998 in order to ascertain their perceptions of the transition from student to qualified nurse. Interview transcripts from both sources of data were coded and thematically analysed and comparisons made between the two sets of data. The paper focuses on one theme emanating from the original study. Entitled 'fumbling along', it described the haphazard manner whereby the nurses learned to perform their role in the light of what they perceived to be inadequate preparation and lack of support. Similarities and differences in the experiences and perceptions of the two cohorts of nurses are examined in respect of stressful aspects of the role, pre-registration preparation and post-registration development. Data from the follow-up study suggest that although newly qualified nurses still feel inadequately prepared for their role, they have developed a more active style of learning and when supported through a preceptorship scheme appear to find the transition less stressful than nurses in 1985. However, further attention needs to be paid to the development of clinical, organizational and management skills in pre-registration courses and the bridging period between the latter part of the course and the first 6 months post-qualification, in order to enable the neophyte nurse to acclimatize gradually to becoming an accountable practitioner. AD - School of Nursing and Midwifery, University of Sheffield, Northern General Hospital, England. k.a.gerrish@sheffield.ac.uk AN - 10964197 AU - Gerrish, K. DA - Aug DO - 10.1046/j.1365-2648.2000.01498.x DP - NLM IS - 2 KW - *Adaptation, Psychological *Attitude of Health Personnel Burnout, Professional/*psychology *Clinical Competence Education, Nursing, Continuing/organization & administration England Follow-Up Studies Humans Inservice Training/organization & administration *Job Description Nursing Methodology Research Nursing Staff/*organization & administration/*psychology Organizational Innovation Preceptorship *Self-Assessment Social Support Students, Nursing/*psychology Surveys and Questionnaires LA - eng N1 - Gerrish, K Comparative Study Journal Article England 2000/08/30 J Adv Nurs. 2000 Aug;32(2):473-80. doi: 10.1046/j.1365-2648.2000.01498.x. PY - 2000 SN - 0309-2402 (Print) 0309-2402 SP - 473-80 ST - Still fumbling along? A comparative study of the newly qualified nurse's perception of the transition from student to qualified nurse T2 - J Adv Nurs TI - Still fumbling along? A comparative study of the newly qualified nurse's perception of the transition from student to qualified nurse VL - 32 ID - 13716 ER - TY - JOUR AB - Oncology nurses experience a variety of occupational stresses. Different support measures have been provided for these nurses, but with mixed effects. This is likely because exact stressors, reactions, and consequences of the stressors differ among groups of oncology nurses, and a support measure appropriate for one group may be ineffective for another group. The purpose of this descriptive study was to identify the specific components of the stress-response sequence in new and experienced pediatric oncology nurses. Twenty-five nurses participated in guided interviews; nine of these comprised a new nurse orientation group, and 14 nurses were randomly selected from all nurses in the setting who had been in the specialty a minimum of 18 months. The new nurses were interviewed at 3, 6, and 12 months posthire, and the experienced nurses were interviewed one time. Interview data were content analyzed, and codes and definitions were developed for each component of the stress-response sequence. Distinct differences in stressors, reactions, and consequences were noted between new nurses who resigned before the 12th month of employment and those who did not, and between new nurses and experienced nurses; new nurses had few coping reactions, and their most common reaction was resignation. Experienced nurses; new nurses had few coping reactions, and their most common reaction was resignation. Experienced nurses had a greater number and different types of coping reactions and more positive consequences. Descriptive profiles were developed from the codes and can be used as a basis for tailored support measures for pediatric oncology nurses. AD - St. Jude Children's Research Hospital, Memphis, Tennessee 38101-0318. AN - 8180978 AU - Hinds, P. S. AU - Quargnenti, A. G. AU - Hickey, S. S. AU - Mangum, G. H. DA - Feb DP - NLM IS - 1 KW - Adaptation, Psychological Burnout, Professional/epidemiology/prevention & control/*psychology *Clinical Competence Female Humans Job Satisfaction Models, Psychological Nursing Methodology Research Nursing Staff, Hospital/*psychology *Oncology Nursing *Pediatric Nursing Risk Factors Social Support Surveys and Questionnaires LA - eng N1 - Hinds, P S Quargnenti, A G Hickey, S S Mangum, G H P30CA21765/CA/NCI NIH HHS/United States Comparative Study Journal Article Research Support, Non-U.S. Gov't Research Support, U.S. Gov't, P.H.S. United States 1994/02/01 Cancer Nurs. 1994 Feb;17(1):61-71. PY - 1994 SN - 0162-220X (Print) 0162-220x SP - 61-71 ST - A comparison of the stress--response sequence in new and experienced pediatric oncology nurses T2 - Cancer Nurs TI - A comparison of the stress--response sequence in new and experienced pediatric oncology nurses VL - 17 ID - 13680 ER - TY - JOUR AB - Most hospitals are frantically planning recruitment strategies to attract new nurses for intensive care units. The direct cost associated with orientation of one of these nurses is estimated at greater than $2000, plus 6 months' to 1 year's salary per nurse. An interim strategy of using registered nurses to fill a full-time position for 1 year can cost upwards of $75,000 a year. Germane to the acclimatization of these nurses to the intensive care unit is the nurturing role of experienced nurses during the orientation and in assuring continuity of high-quality patient care. By virtue of their position, experienced nurses also model leadership behavior, and they are exposed to many day-to-day stresses that may leave them frustrated and feeling a lack of accomplishment. These factors, coupled with the scarcity of educational opportunities designed specifically for experienced nurses and a perceived absence of challenges, can lead to burnout. In this article I will describe an innovation in practice that uses the clinical nurse specialist role to stimulate and challenge experienced nurses. The program taught, supported, and nurtured unit-based change initiated by experienced nurses. AD - Hospital of St. Raphael, New Haven, Conn. AN - 2341261 AU - Coleman, B. DA - May DP - NLM IS - 3 KW - Burnout, Professional/etiology/psychology Career Mobility Education, Nursing, Continuing Humans *Inservice Training/economics/organization & administration *Intensive Care Units Job Description Leadership *Nurse Clinicians Nursing Staff, Hospital/*education/psychology/supply & distribution Personnel Management/*methods Personnel Selection/*methods Risk Factors Set, Psychology Socialization Workforce LA - eng N1 - Coleman, B Journal Article Research Support, Non-U.S. Gov't United States 1990/05/01 Heart Lung. 1990 May;19(3):236-42. PY - 1990 SN - 0147-9563 (Print) 0147-9563 SP - 236-42 ST - Advanced nursing apprenticeship program: a strategy for retention of experienced critical care nurses T2 - Heart Lung TI - Advanced nursing apprenticeship program: a strategy for retention of experienced critical care nurses VL - 19 ID - 13723 ER - TY - JOUR AB - This study supported the effectiveness of a senior preceptorship experience as a method for promoting anticipatory socialization to the working role of professional nurses. Anticipatory socialization was evidenced by changes in role expectations and self-image. Corwin's Nursing Role Conception Scale was administered to 103 generic baccalaureate nursing students immediately prior to and after their final clinical course, a preceptorship experience. A significant decrease in perceived role deprivation (p less than .01) and a significant increase in the work-centered role models (p less than .01) indicated changes in students' self-image and role expectations. For many nurses, the most stressful time of their career was the period immediately after graduation. A difficult period of transition from student to practitioner is not unique to nursing. But, it seems to be more of a problem for baccalaureate nurse graduates than for other nurse graduates (Schmalenberg & Kramer, 1979). Pregraduation preceptorship is an increasingly popular approach for dealing with this problem. While nursing education, service, and students applaud the preceptorship experience as easing role transition, there is little research data to document this belief. AD - University of Alabama, School of Nursing, Birmingham. AN - 2835456 AU - Dobbs, K. K. DA - Apr DO - 10.3928/0148-4834-19880401-07 DP - NLM IS - 4 KW - Adult *Education, Nursing, Baccalaureate Humans Middle Aged *Preceptorship *Role Self Concept *Socialization Students, Nursing/*psychology United States LA - eng N1 - Dobbs, K K Journal Article United States 1988/04/01 J Nurs Educ. 1988 Apr;27(4):167-71. doi: 10.3928/0148-4834-19880401-07. PY - 1988 SN - 0148-4834 (Print) 0148-4834 SP - 167-71 ST - The senior preceptorship as a method for anticipatory socialization of baccalaureate nursing students T2 - J Nurs Educ TI - The senior preceptorship as a method for anticipatory socialization of baccalaureate nursing students VL - 27 ID - 13734 ER - TY - JOUR AN - 3650477 AU - Kanogawa, E. DA - Aug DP - NLM IS - 9 KW - Humans Nursing Staff/*psychology Occupational Diseases/psychology *Preceptorship *Socialization Stress, Psychological/*prevention & control LA - jpn N1 - Kanogawa, E Journal Article Japan 1986/08/01 Kango. 1986 Aug;38(9):36-41. PY - 1986 SN - 0022-8362 (Print) 0022-8362 SP - 36-41 ST - [Nurses and stress. Prevention of reality shock and preceptor programs for new nurses] T2 - Kango TI - [Nurses and stress. Prevention of reality shock and preceptor programs for new nurses] VL - 38 ID - 13739 ER -