Transition and integration experiences of Australian graduate nurses: A qualitative systematic review

It was concluded that proactive organisational support and preceptor availability fostered a positive transition experience, professional competence, and growth by the end of the graduate year, however negative experiences were common; limited support, exposure to unprofessional workplace behaviour, full workloads and responsibilities beyond their expertise, undermined graduate nurses' successful transition and integration.

Abstract

This paper reports on a systematic review of Australian qualitative nursing literature (2004–2014), identifying common features that impact Australian graduate nurses' transition and integration into the workforce. Two researchers independently and systematically reviewed the literature using strict inclusion criteria. Initially 105 studies were identified, of which 13 met the inclusion criteria and were reviewed. The included studies were analysed, and qualitative findings across studies were categorised and synthesised. Four higher order categories were identified: responsibilities, nursing culture, work readiness, and support. It was concluded that proactive organisational support and preceptor availability fostered a positive transition experience, professional competence, and growth by the end of the graduate year. However negative experiences were common; limited support, exposure to unprofessional workplace behaviour, full workloads and responsibilities beyond their expertise, undermined graduate nurses' successful transition and integration. Recommendations for improving Australian graduate nurses' transition experiences are discussed.