New graduate transitions: leaving the nest, joining the flight
Journal of Nursing ManagementPublished 7 August 2008
Sandra Morrow
Citations119
SJR quartileQ1
SJR score1.71
SNIP1.74
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
A Canadian perspective of demographic trends of the Registered Nurse (RN) and salient actions required to resolve the discourse of new graduate transition into the workplace are provided.
Abstract
Nurse Managers must question why the disenfranchisement and marginalization of new graduates continues. Persistent inertia impacts recruitment and retention of graduate nurses and patient safety, transforming episodic challenges into chronic systemic issues. This article will contribute to new nursing knowledge by providing a Canadian perspective of demographic trends of the Registered Nurse (RN) and salient actions required to resolve the discourse of new graduate transition into the workplace.
Keywords
MedicineHealth Professions
On the Horizon The International Journal of Learning FuturesDigital Natives, Digital Immigrants Part 1
10,690 Citations2001Marc Prensky
Part one of this paper highlights how students today think and process information fundamentally differently from their predecessors, as a result of being surrounded by new technology.
JAMAHospital Nurse Staffing and Patient Mortality, Nurse Burnout, and Job Dissatisfaction
5,188 Citations2002Linda H. Aiken
In hospitals with high patient-to-nurse ratios, surgical patients experience higher risk-adjusted 30-day mortality and failure-to-rescue rates, and nurses are more likely to experience burnout and job dissatisfaction.
On the Horizon The International Journal of Learning FuturesDigital Natives, Digital Immigrants Part 2: Do They Really Think Differently?
3,908 Citations2001Marc Prensky
Canadian Medical Association JournalThe Canadian Adverse Events Study: the incidence of adverse events among hospital patients in Canada
2,350 Citations2004G. Ross Baker
The overall incidence rate of AEs of 7.5% in this study suggests that, of the almost 2.5 million annual hospital admissions in Canada similar to the type studied, about 185 000 are associated with an AE and close to 70 000 of these are potentially preventable.
Health AffairsThe Working Hours Of Hospital Staff Nurses And Patient Safety
959 Citations2004Ann E. Rogers, Wei‐Ting Hwang +3 more
Logbooks completed by 393 hospital staff nurses revealed that participants usually worked longer than scheduled and that approximately 40 percent of the 5,317 work shifts they logged exceeded twelve hours.
JONA The Journal of Nursing AdministrationThe Graduate Nurse Experience
596 Citations2004Kathy Casey, RN Regina Fink +2 more
Results report graduate nurses do not feel skilled, comfortable, and confident for as long as 1 year after being hired, highlighting the need for healthcare organizations to provide extended orientation and support programs to facilitate successful entry into practice.
Journal of Advanced NursingHorizontal violence: experiences of Registered Nurses in their first year of practice
460 Citations2003Brian G. McKenna, Naumai A. Smith +2 more
First year of practice is an important confidence-building phase for nurses and yet many new graduates are exposed to horizontal violence, which may negatively impact on this process, and underscore a priority for the development of effective prevention programmes.
Journal of Advanced NursingImpact of hospital nursing care on 30‐day mortality for acute medical patients
338 Citations2006Ann E. Tourangeau, Diane Doran +5 more
Just as hospitals and clinicians caring for patients focus carefully on completing accurate diagnosis and appropriate and effective interventions, so too should hospitals carefully plan and manage structures and processes of care such as the proportion of Registered Nurses in the staff mix, percentage of baccalaureate-prepared nurses, and routine use of care maps to minimize unnecessary patient death.
Journal of Advanced NursingPreserving moral integrity: a follow‐up study with new graduate nurses
269 Citations1998Brighid Brooks Kelly
This follow-up study described, explain and interpret how new graduate nurses perceived their adaptation to the 'real world' of hospital nursing and what they perceived as major influences on their moral values and ethical roles in the 2 years following graduation.
Nursing and Health SciencesRole stress and role ambiguity in new nursing graduates in Australia
253 Citations2003Esther Chang, Karen Hancock
Examination of sources of, and changes in, role stress 2-3 months after employment, and 11-12 months later in new graduate nurses found that role ambiguity was the most salient feature of role stress in the first few months, while 10 months later, role overload was theMost important factor explaining variance in role stress scores.
PubMedGraduate nurse perceptions of the work experience.
239 Citations2006Diana Halfer, Elaine Graf
The results suggest that the new graduate nurse's career adjustment extends beyond mastering clinical skills and includes a lifestyle adjustment to a profession that requires service 24 hours a day, 7 days a week.
JONA The Journal of Nursing AdministrationOut in the Real World
217 Citations2001Judy E. Boychuk Duchscher
The author's study provides insight into, and enhances understanding of, recruitment and retention issues for nursing administrators who serve as gatekeepers to the practice orientations and ongoing workplace environments of new nursing graduates.
JONA The Journal of Nursing AdministrationMultigenerational Nurses in the Workplace
197 Citations2004Judy E. Boychuk Duchscher, Leanne Cowin
The topics of nursing leadership, mentoring, and career development are addressed from the perspective of a multigenerational nursing workforce.
Journal for Nurses in Staff DevelopmentSENSE OF BELONGING AND NEW GRADUATE JOB SATISFACTION
195 Citations2000Alison Winter-Collins, Anna M. McDaniel
Results showed new graduates were most satisfied with coworkers and least satisfied with professional opportunities for advancement, and sense of belonging and total satisfaction were highest in the home healthcare setting.
JONA The Journal of Nursing AdministrationFaces of the Nursing Shortage
171 Citations2005Mary R. Lynn, Richard W. Redman
Examination of the relationship between organizational commitment, job satisfaction, and nurses' intention to leave their current position or nursing found aspects of work and professional satisfaction predict both the intention to left current position and nursing.
PubMedNursing-related determinants of 30-day mortality for hospitalized patients.
169 Citations2002Ann E. Tourangeau, Phyllis Giovannetti +2 more
The findings support a relationship between lower 30-day mortality and 3 predictors: a richer registered nurse skill mix, more years of experience on the clinical unit, and reported larger number of shifts missed.
Nursing PhilosophyIntegrity and moral residue: nurses as participants in a moral community
153 Citations2004Lorraine B. Hardingham
It is argued that moral integrity is necessary to a moral life, and is relational in nature, and when integrity is threatened, the result is moral distress, moral residue, and in some cases, abandonment of the profession.
The Journal of Continuing Education in NursingLearning to Think Like a Nurse: Stories From New Nurse Graduates
138 Citations2007Sharon Etheridge
This descriptive, qualitative study examined the perceptions of recent nursing graduates about learning to make clinical judgments and should be useful in identifying strategies to help new graduates make the transition from students to registered nurses.
The Journal of Continuing Education in NursingA Study of Transition: The New Nurse Graduate at 3 Months
138 Citations2003Mary-Lou Ellerton, Frances Gregor
At 3 months following graduation, new graduates are apprehensive about their work and their approaches to nursing are largely procedural and guided by the routines of senior colleagues.
Journal of Advanced NursingUndergraduate student nurses’ expectations and their self‐reported preparedness for the graduate year role
119 Citations2001Liza Heslop, Meredith McIntyre +1 more
The expectations of the graduate year described in this study offer a student-centred perspective that contributes to future planning and policy directions of undergraduate curricula, graduate year programmes and nurse retention.
The Journal of Continuing Education in NursingNew Graduates' Perceptions of Clinical Practice
98 Citations1997Marilyn H. Oermann, Ann Moffitt-Wolf
Although orientation was stressful, when describing emotions experienced during this period, graduates reported positive emotions most frequently and highlighted the important role of the preceptor during orientation.
Journal of Advanced NursingHospital nursing: It's a battle!' A follow‐up study of English graduate nurses
89 Citations1996Bnghid Kelly
The stressful experience of living up to their individual perceptions of the role of being a graduate nurses was related to the influence of educational socialization, self-expectations, and nursing management expectations.
Nursing Administration QuarterlyBest Quality Patient Care
85 Citations2005Marlene Kramer, Claudia Schmalenberg
Recommendations include updating and clarifying structural criteria; increasing focus on the SN perspective of magnetism by continuing identification of processes; and challenging leadership in Magnet hospitals to initiate multisite evidence-based practice initiatives to link structures with process-enabling outcomes.
Nursing Administration QuarterlyCoaching Generations in the Workplace
83 Citations2001Marla J. Weston
Understanding employees' beliefs, attitudes, and values about the world and the workplace can assist a manager in more effectively communicating with and coaching employees.
American Journal of Critical CareFrom Novice to Expert to Mentor: Shaping the Future
80 Citations2004Kathleen Dracup, Christopher W. Bryan-Brown
Many of us can relate to the story that Jon Carroll, a columnist for the San Francisco Chronicle, tells about his first public singing recital, where he had the “unshakable perception that cyanide gas had been released in the room and that the face of every person was set in the final rictus of death.
Nursing Administration QuarterlyMagnet Hospitals
60 Citations2005Margaret L. McClure
Some of the major lessons that have been learned over more than 2 decades of experience with the Magnet Hospital recognition program are explored.
Journal of Nursing ManagementMentorship: increasing retention probabilities
42 Citations2006Debra Woodard Leners, Vicki Wilson +2 more
The authors contend that contemporary mentoring programmes, targeting developmental quality of life issues of the expert nurse, would appreciably benefit retention programmes within the hospital environment.
The Journal of Perinatal & Neonatal NursingCoaching and Mentoring New Graduates Entering Perinatal Nursing Practice
41 Citations2003Evelyn M. Hom
The challenges of the nursing shortage have and continue to impact all aspects of health care today and specialty areas and critical care areas have created job opportunities and are now providing education programs for both experienced as well as new graduate nurses.
Nursing leadershipFeasibility and Outcomes of Paid Undergraduate Student Nurse Positions
34 Citations2006Lucia Gamroth, Claire Budgen +1 more
An Undergraduate Nurse Employment Demonstration Project (UNDP) was implemented in four Health Service Areas in British Columbia with a concurrent evaluation study to explore the feasibility and outcomes of this type of paid undergraduate nurse employment.
PubMedFacing reality: the transition from student to graduate nurse.
34 Citations2001H Pigott
Helen Pigott discusses strategies to assist the transition from student to graduate nurse and what helped her to survive during her first year of nursing.
BMJCanada faces nurse shortage
28 Citations2000David J. Spurgeon
Canada is in the grip of a serious shortage of registered nurses that by all accounts will grow worse in years to come and the most comprehensive national study predicts a shortage in Canada (except Quebec) of between 59000 and 113000 by 2011.
The Journal of Continuing Education in NursingTool Kit for the Staff Mentor: Strategies for Improving Retention
26 Citations2006Martha Butler, Joan Felts
A tool kit designed to develop the mentoring skills of keystoners is described, which shows the result of successful mentoring among keystoner can be multifaceted; workplace satisfaction and higher retention of new graduates are targeted outcomes.
PubMedEmploying new grads: a plan for success.
25 Citations2000Kimberly Beeman, A C Jernigan +1 more
An elegant goal-driven program designed to prepare new nursing graduates to function optimally on a hospital unit by focusing first on their security and affiliative needs [belonging], and subsequently on their professional skill and knowledge acquisition.
The Journal of Continuing Education in NursingPrecepting in 2002
24 Citations2002Ann Wright
To foster positive attitudes in the experienced nurses toward accepting and functioning in the roles of preceptors, nursing administration and nursing education must collaborate.
Nursing leadershipPatient Safety: Is It Just Another Bandwagon?
23 Citations2005Janet Storch
Whether or not one considers the current focus on patient safety a bandwagon, it is important to reflect critically upon the activities undertaken to address the issue and to determine whether one should jump on this bandwagon.
PubMedWhy, when we are deemed to be carers, are we so mean to our colleagues? Horizontal and vertical violence in the workplace.
11 Citations2006Lesley Fudge
The author discusses horizontal and vertical violence as they have existed in nursing for many years but are only recently beginning to be discussed and dealt with.
British Journal of NursingThe transition from student to qualified nurse: a militaryperspective
9 Citations2006Charlotte Lucy Moore
This article explores some of the issues surrounding my transition from student nurse to qualified Royal Air Force staff nurse, and supports much of the research showing that the transition to staff nurse is stressful.
Nursing StandardNursing knowledge in integrated care
7 Citations2004Sue Bailey
The way in which nursing knowledge has been evaluated is examined and suggestions for its continued development that are drawn from the experience of patients are offered.
Nursing ManagementDevelop a hospital-based nursing sabbatical program
7 Citations2006Heidi W. Fields, Christine Hessler +3 more
Nursing ManagementNew graduate programs ease nurse shortages while educating
2 Citations2006Janet Vogel Scholl, Marilyn A. Swarts