The best of both worlds - entering the nursing profession with support of a transition programme.

Publisher: Taylor & Francis Country of Publication: Sweden NLM ID: 8804206 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1471-6712 (Electronic) Linking ISSN: 02839318 NLM ISO Abbreviation: Scand J Caring Sci

Publication: Stockolm, Sweden : Taylor & Francis
Original Publication: Stockholm, Sweden : Almquist & Wiksell Periodical Co., [1987?-

Nurses* ; Nursing*; Humans

Background: Transition into clinical practice for newly graduated nurses is a difficult time, with high stress levels defined by a demanding period of personal and professional acclimatisation. Transitions are complicated and multi-dimensional, and to understand this process, it is crucial to identify the factors that facilitate or stand in the way of a healthy transition.
Aim: The phenomenological study aimed to describe newly graduated nurses' expectations of transitioning into the nursing profession at the start of a clinical nursing introduction programme, including education, supervision, and critical reflection with peers.
Method: The study was based on seven group interviews with newly graduated nurses. The interviews utilised open-ended and follow-up questions and were carried out as a dialogue to enable reflection on the phenomenon of interest. This was explored and illuminated using the reflective lifeworld research approach, based on phenomenological epistemology.
Findings: "Expectations of transition into the nursing profession via the Clinical Nursing Introduction Programme" is signified by an oscillating movement between uncertainty, security, challenge, and growth on the threshold of a new identity. The phenomenon is constituted by the courage to grow, responsibility and fear, belonging and vulnerability, and support and challenge.
Conclusion: Transitioning into the nursing profession via the Clinical Nursing Introduction Programme means having the best of both worlds. Newly graduated nurses have the opportunity to receive education and structured support at the same time as they work independently in clinical practice.
(© 2021 The Authors. Scandinavian Journal of Caring Sciences published by John Wiley & Sons Ltd on behalf of Nordic College of Caring Science.)

Meleis AI, Sawyer LM, Im EO, Hilfinger Messias DK, Schumacher K. Experiencing transitions: an emerging middle-range theory. ANS Adv Nurs Sci. 2000;23:12-28. https://doi.org/10.1097/00012272-200009000-00006.
Meleis AI. Theoretical nursing: Development and Progress. Philadelphia: Wolters Kluwer; 2018.
Powers K, Herron EK, Pagel J. Nurse preceptor role in new graduate nurses’ transition to practice. Dimens Crit Care Nurs. 2019;38:131-6. https://doi.org/10.1097/dcc.0000000000000354.
Duchscher JE. Transition shock: the initial stage of role adaptation for newly graduated registered nurses. J Adv Nurs. 2009;65:1103-13. https://doi.org/10.1111/j.1365-2648.2008.04898.x.
Kumaran S, Carney M. Role transition from student nurse to staff nurse: facilitating the transition period. Nurse Educ Pract. 2014;14:605-11. https://doi.org/10.1016/j.nepr.2014.06.002.
Benner P. From novice to expert. Am J Nurs. 1982;82:402. https://doi.org/10.2307/3462928.
Graf AC, Jacob E, Twigg D, Nattabi B. Contemporary nursing graduates’ transition to practice: a critical review of transition models. J Clin Nurs. 2020;29:3097-107. https://doi.org/10.1111/jocn.15234.
Salem Alghamdi M, Ghazi BO. Identifying the experiences of new graduate nurses during the transition period to practice as a professional nurse. J Clin Nurs. 2020;29:3082-8. https://doi.org/10.1111/jocn.15344.
Edwards D, Hawker C, Carrier J, Rees C. A systematic review of the effectiveness of strategies and interventions to improve the transition from student to newly qualified nurse. Int J Nurs Stud. 2015;52:1254-68. https://doi.org/10.1016/j.ijnurstu.2015.03.007.
Lavoie-Tremblay M, Sanzone L, Aubé T, Bigras C, Cyr G, Primeau G. A university/healthcare institution mentorship programme: Improving transition to practice for students. J Nurs Manag. 2020;28:586-94. https://doi.org/10.1111/jonm.12960.
Innes T, Calleja P. Transition support for new graduate and novice nurses in critical care settings: an integrative review of the literature. Nurse Educ Pract. 2018;30:62-72. https://doi.org/10.1016/j.nepr.2018.03.001.
Rudman A, Gustavsson P. Konsekvenser av utbrändhet i början av sjuksköterskors arbetsliv för karriärutvecklingen. (Consequences of burnout at the beginning of nurses’ working lives for career development). Socialmedicinsk Tidskrift. 2020;97:92-101.
Stacey G, Cook G, Aubeeluck A, Stranks B, Long L, Krepa M, et al. The implementation of resilience based clinical supervision to support transition to practice in newly qualified healthcare professionals. Nurse Educ Today. 2020;94:1-6. https://doi.org/10.1016/j.nedt.2020.104564.
Bisholt BK. The learning process of recently graduated nurses in professional situations - experiences of an introduction program. Nurse Educ Today. 2012;32:289-93. https://doi.org/10.1016/j.nedt.2011.0.
Frogeli E, Rudman A, Ljotsson B, Gustavsson P. Preventing stress-related ill health among newly registered nurses by supporting engagement in proactive behaviors: development and feasibility testing of a behavior change intervention. Pilot Feasibility Stud. 2018;4:28. https://doi.org/10.1186/s40814-017-0219-7.
Laschinger HK, Cummings G, Leiter M, Wong C, MacPhee M, Ritchie J, et al. Starting out: a time-lagged study of new graduate nurses’ transition to practice. Int J Nurs Stud. 2016;57:82-95. https://doi.org/10.1016/j.ijnurstu.2016.01.005.
Labrague LJ, McEnroe-Petitte DM. Job stress in new nurses during the transition period: an integrative review. Int Nurs Rev. 2018;65:491-504. https://doi.org/10.1111/inr.12425.
Bakker EJM, Kox J, Boot CRL, Francke AL, van der Beek AJ, Roelofs P. Improving mental health of student and novice nurses to prevent dropout: a systematic review. J Adv Nurs. 2020;76:2494-509. https://doi.org/10.1111/jan.14453.
Parker V, Giles M, Lantry G, McMillan M. New graduate nurses’ experiences in their first year of practice. Nurse Educ Today. 2014;34:150-6. https://doi.org/10.1016/j.nedt.2012.07.003.
Bakon S, Craft J, Wirihana L, Christensen M, Barr J, Tsai L. An integrative review of graduate transition programmes: developmental considerations for nursing management. Nurse Educ Pract. 2018;28:80-5. https://doi.org/10.1016/j.nepr.2017.10.009.
Clipper B, Cherry B. From transition shock to competent practice: developing preceptors to support new nurse transition. J Contin Educ Nurs. 2015;46:448-54. https://doi.org/10.3928/00220124-20150918-02.
Rush KL, Janke R, Duchscher JE, Phillips R, Kaur S. Best practices of formal new graduate transition programs: an integrative review. Int J Nurs Stud. 2019;94:139-58. https://doi.org/10.1016/j.ijnurstu.2019.02.010.
Johansson A, Berglund M, Kjellsdotter A. Clinical nursing introduction program for new graduate nurses in Sweden: study protocol for a prospective longitudinal cohort study. BMJ Open. 2021;11:e042385. https://doi.org/10.1136/bmjopen-2020-042385.
Wall P, Fetherston C, Browne C. Transitioning through a bachelor of nursing program: the enrolled nurse experience. Collegian. 2020;27:396-401.
Brook J, Aitken L, Webb R, MacLaren J, Salmon D. Characteristics of successful interventions to reduce turnover and increase retention of early career nurses: a systematic review. Int J Nurs Stud. 2019;91:47-59. https://doi.org/10.1016/j.ijnurstu.2018.11.003.
Baumann A, Hunsberger M, Crea-Arsenio M, Akhtar-Danesh N. Policy to practice: investment in transitioning new graduate nurses to the workplace. J Nurs Manag. 2018;26:373-81. https://doi.org/10.1111/jonm.12540.
Pasila K, Elo S, Kääriäinen M. Newly graduated nurses’ orientation experiences: a systematic review of qualitative studies. Int J Nurs Stud. 2017;71:17-27. https://doi.org/10.1016/j.ijnurstu.2017.02.021.
Herron EK. New graduate nurses’ preparation for recognition and prevention of failure to rescue: a qualitative study. J Clin Nurs. 2018;27:e390-401. https://doi.org/10.1111/jocn.14016.
Dahlberg K, Dahlberg H, Nyström M. Reflective Lifeworld Research. Lund: Studentlitteratur; 2008.
Goodwin M, Candela L. Outcomes of newly practicing nurses who applied principles of holistic comfort theory during the transition from school to practice: a qualitative study. Nurse Educ Today. 2013;33:614-9. https://doi.org/10.1016/j.nedt.2012.07.013.
Regeringens proposition 2020/21:60. Forskning, Frihet, Framtid - Kunskap och Innovation för Sverige. (Government bill 2020/21: 60. Research, Freedom, Future - Knowledge and Innovation for Sweden). Stockholm. Socialdepartementet; 2020.
Hawkins N, Jeong S, Smith T. Coming ready or not! An integrative review examining new graduate nurses’ transition in acute care. Int J Nurs Pract. 2019;25:e12714. https://doi.org/10.1111/ijn.12714.
Hunter K, Cook C. Role-modelling and the hidden curriculum: new graduate nurses’ professional socialisation. J Clin Nurs. 2018;27:3157-70. https://doi.org/10.1111/jocn.14510.
Henderson A, Ossenberg C, Tyler S. ‘What matters to graduates’: an evaluation of a structured clinical support program for newly graduated nurses. Nurse Educ Pract. 2015;15:225-31. https://doi.org/10.1016/j.nepr.2015.01.009.
Regan S, Wong C, Laschinger HK, Cummings G, Leiter M, MacPhee M, et al. Starting Out: qualitative perspectives of new graduate nurses and nurse leaders on transition to practice. J Nurs Manag. 2017;25:246-55. https://doi.org/10.1111/jonm.12456.
van Rooyen DRM, Jordan PJ, Ten Ham-Baloyi W, Caka EM. A comprehensive literature review of guidelines facilitating transition of newly graduated nurses to professional nurses. Nurse Educ Pract. 2018;30:35-41. https://doi.org/10.1016/j.nepr.2018.02.010.
Eklund A, Billett S, Skyvell NM. A bridge over troubled water? - Exploring learning processes in a transition program with newly graduated nurses. Nurse Educ Pract. 2021;51:102982. https://doi.org/10.1016/j.nepr.2021.102982.
Liang HF, Lin CC, Wu KM. Breaking through the dilemma of whether to continue nursing: newly graduated nurses’ experiences of work challenges. Nurse Educ Today. 2018;67:72-6. https://doi.org/10.1016/j.nedt.2018.04.025.
Hayes C. Simulation: smoothing the transition from undergraduate to new graduate. J Nurs Manag. 2018;26:495-7. https://doi.org/10.1111/jonm.12676.
Boniol M, McIsaac M, Xu L, Wuliji T, Diallo K & Campbell J. Gender equity in the health workforce: analysis of 104 countries. Geneva: World Health Organization; 2019. (WHO/HIS/HWF/Gender/WP1/2019.1). Licence: CC BY-NC-SA 3.0 IGO.
Dahlberg K, Dahlberg H. Phenomenology in practice, phenomenological research from a Scandinavian perspective. In: Dahlberg H, Ellingsen S, Martinsen B, Rosberg S, (Eds.). Fenomenologi i Praktiken: Fenomenologisk Forskning i ett Skandinaviskt Perspektiv. 1st edn. Liber, Stockholm: Phenomenology in Practice: Phenomenological Research from a Scandinavian Perspective; 2019:155-89.
World Medical Association (WMA). Declaration of Helsinki. 2008.

Research and Development Centre; Skaraborg Hospital; The University of Skövde

Keywords: clinical nursing introduction programme; newly graduated nurses; phenomenology; transition

Date Created: 20211223 Date Completed: 20220517 Latest Revision: 20220517

20221213

10.1111/scs.13058

34939203