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Starting Out: qualitative perspectives of new graduate nurses and nurse leaders on transition to practice. 2017

Sandra Regan, and Carol Wong, and Heather K Laschinger, and Greta Cummings, and Michael Leiter, and Maura MacPhee, and Ann Rhéaume, and Judith A Ritchie, and Angela C Wolff, and Lianne Jeffs, and Carol Young-Ritchie, and Doris Grinspun, and Mary Ellen Gurnham, and Barbara Foster, and Sherri Huckstep, and Maurio Ruffolo, and Judith Shamian, and Vanessa Burkoski, and Kevin Wood, and Emily Read
Arthur Labatt Family School of Nursing, The University of Western Ontario, London, ON, Canada.

OBJECTIVE To describe new graduate nurses' transition experiences in Canadian healthcare settings by exploring the perspectives of new graduate nurses and nurse leaders in unit level roles. BACKGROUND Supporting successful transition to practice is key to retaining new graduate nurses in the workforce and meeting future demand for healthcare services. METHODS A descriptive qualitative study using inductive content analysis of focus group and interview data from 42 new graduate nurses and 28 nurse leaders from seven Canadian provinces. RESULTS New graduate nurses and nurse leaders identified similar factors that facilitate the transition to practice including formal orientation programmes, unit cultures that encourage constructive feedback and supportive mentors. Impediments including unanticipated changes to orientation length, inadequate staffing, uncivil unit cultures and heavy workloads. CONCLUSIONS The results show that new graduate nurses need access to transition support and resources and that nurse leaders often face organisational constraints in being able to support new graduate nurses. CONCLUSIONS Organisations should ensure that nurse leaders have the resources they need to support the positive transition of new graduate nurses including adequate staffing and realistic workloads for both experienced and new nurses. Nurse leaders should work to create unit cultures that foster learning by encouraging new graduate nurses to ask questions and seek feedback without fear of criticism or incivility.

UI MeSH Term Description Entries
D007588 Job Satisfaction Personal satisfaction relative to the work situation. Work Satisfaction,Job Satisfactions,Satisfaction, Job,Satisfaction, Work,Satisfactions, Job,Satisfactions, Work,Work Satisfactions
D007857 Leadership The function of directing or controlling the actions or attitudes of an individual or group with more or less willing acquiescence of the followers. Influentials
D009718 Nurse Administrators Nurses professionally qualified in administration. Nurse Executives,Nurse Managers,Administrator, Nurse,Administrators, Nurse,Executive, Nurse,Executives, Nurse,Manager, Nurse,Managers, Nurse,Nurse Administrator,Nurse Executive,Nurse Manager
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
D010465 Perception The process by which the nature and meaning of sensory stimuli are recognized and interpreted. Sensory Processing,Processing, Sensory
D002170 Canada The largest country in North America, comprising 10 provinces and three territories. Its capital is Ottawa.
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D013997 Time Factors Elements of limited time intervals, contributing to particular results or situations. Time Series,Factor, Time,Time Factor
D017144 Focus Groups A method of data collection and a QUALITATIVE RESEARCH tool in which a small group of individuals are brought together and allowed to interact in a discussion of their opinions about topics, issues, or questions. Focus Group,Group, Focus,Groups, Focus
D036301 Qualitative Research Any type of research that employs nonnumeric information to explore individual or group characteristics, producing findings not arrived at by statistical procedures or other quantitative means. (Qualitative Inquiry: A Dictionary of Terms Thousand Oaks, CA: Sage Publications, 1997) Research, Qualitative

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