Qualitative study of enrolled nurses transition to registered nurses. 2012

Katrina Cubit, and Violeta Lopez
Learning & Development Unit, Calvary Health Care ACT, Bruce, Australian Capital Territory, Australia. Katrina.Cubit@calvary-act.com.au

OBJECTIVE This paper is a report of a study which aimed to explore the transition experiences of graduate Registered Nurses (RN) who had previously practised as Enrolled Nurses. BACKGROUND The literature suggests that graduate RN who have previously practised as Enrolled Nurses (EN) have specific support needs during their first year of clinical practice. METHODS A qualitative descriptive study using focus group interviews was undertaken in the Australian Capital Territory, Australia in 2009. Eight graduate nurses (GN) were interviewed 1 week after the graduate nurses programme (GNP) had commenced and five GN at the middle and four GN at the end of the programme. Content analysis of the transcribed data was used to explicate themes. RESULTS Three main categories were identified from the data: stepping out of their comfort zone, being taken advantage of and needing support like any other new RN. The GN pleaded that they need to be treated as any other new nurses undertaking the graduate nurse programme and for staff to forget that they used to be Enrolled Nurses. CONCLUSIONS Registered Nurses who had previously practised as Enrolled Nurses preferred not to be identified as having previous nursing experience as they feared being treated by their nurse managers as already capable of practicing as RN when in fact they needed support similar to any new graduate.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D009726 Nurses Professionals qualified by graduation from an accredited school of nursing and by passage of a national licensing examination to practice nursing. They provide services to patients requiring assistance in recovering or maintaining their physical or mental health. Nursing Personnel,Personnel, Nursing,Registered Nurses,Nurse,Nurse, Registered,Nurses, Registered,Registered Nurse
D002983 Clinical Competence The capability to perform acceptably those duties directly related to patient care. Clinical Skills,Competence, Clinical,Clinical Competency,Clinical Skill,Competency, Clinical,Skill, Clinical,Skills, Clinical,Clinical Competencies,Competencies, Clinical
D004511 Education, Nursing, Graduate Those educational activities engaged in by holders of a bachelor's degree in nursing, which are primarily designed to prepare them for entrance into a specific field of nursing, and may lead to board certification or a more advanced degree. Education, Nursing, Postgraduate,Nursing Education, Graduate,Nursing Education, Postgraduate,Postgraduate Nursing Education,Graduate Nursing Education,Education, Graduate Nursing,Education, Postgraduate Nursing
D004522 Educational Status Educational attainment or level of education of an individual. Education Level,Educational Achievement,Educational Attainment,Educational Level,Level of Education,Maternal Education Level,Maternal Educational Attainment,Maternal Educational Level,Paternal Education Level,Paternal Educational Attainment,Paternal Educational Level,Achievement, Educational,Educational Status, Maternal,Educational Status, Paternal,Maternal Educational Status,Paternal Educational Status,Status, Educational,Attainment, Educational,Attainment, Maternal Educational,Attainment, Paternal Educational,Education Level, Maternal,Education Level, Paternal,Education Levels,Educational Achievements,Educational Attainment, Maternal,Educational Attainment, Paternal,Educational Attainments,Educational Level, Maternal,Educational Level, Paternal,Educational Levels,Level, Education,Level, Educational,Level, Maternal Education,Level, Maternal Educational,Level, Paternal Education,Level, Paternal Educational,Levels, Maternal Educational,Maternal Education Levels,Maternal Educational Attainments,Maternal Educational Levels,Paternal Education Levels,Paternal Educational Attainments,Paternal Educational Levels,Status, Maternal Educational,Status, Paternal Educational
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000223 Adaptation, Psychological A state of harmony between internal needs and external demands and the processes used in achieving this condition. (From APA Thesaurus of Psychological Index Terms, 8th ed). Behavior, Adaptive,Healthy Adaptation,Positive Adaptation,Psychological Recovery,Adaptation, Psychologic,Adjustment,Psychological Adaptation,Adaptation, Healthy,Adaptation, Positive,Adaptive Behavior,Adaptive Behaviors,Healthy Adaptations,Positive Adaptations,Psychologic Adaptation,Psychological Recoveries,Recovery, Psychological
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults

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