Graduate nurses' experiences of mental health services in their first year of practice: An integrative review

Hooper, Mary Ellen; Browne, Graeme; O’Brien, Anthony

doi:10.1111/inm.12192

Cited by 23 publications

(33 citation statements)

References 38 publications

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“…As in the current study, newly qualified nurses' negative experiences in a study by Hooper et al, () were linked with role ambiguity, inadequate mental health training, clinical preceptorship and support from healthcare services during transitioning. Mental health nurses described the initial 3–4 months of transitioning as the most difficult because nursing education did not prepare them for the realities of practice (Ekström & Idvall, ).…”

Section: Discussionmentioning

confidence: 48%

“…Unfortunately, newly qualified nurses often feel overwhelmed by the challenges of the work environment and struggle through the transition process without the necessary support, as illustrated, for example, in a Korean (Suh & Lee, ) and Australian study (Parker, Giles, Lantry, & McMillan, ). Two literature reviews (Hooper, Browne, & O'Brien, ; Procter et al, ) highlighted some negative experiences newly qualified nurses were exposed to in mental health clinical practice, contributing to a high attrition rate in mental health nursing services.…”

Section: Introductionmentioning

confidence: 99%

“…The rapid turnover of nursing staff during the first years of employment have sustained a continuing interest in identifying positive working conditions for newly qualified nurses to foster retention and lessen nursing shortages. Of the publications reviewed in this introduction, the two literature reviews (Hooper et al, ; Procter et al, ) that focused on the perspectives of newly qualified nurses who transitioned to mental health facilities, highlighted the global problem of recruiting and retaining professional nurses in mental health facilities. Both reviews emphasized the need to explore how newly qualified nurses experience the realities of clinical practice when they transition to the psychiatric workplace.…”

Section: Introductionmentioning

confidence: 99%

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Newly qualified nurses' perceptions of working at mental health facilities: A qualitative study

Mabala

Wath

Moagi

2019

Psychiatric Ment Health Nurs

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Accessible summary What is already known about the topic? Newly qualified nurses often feel overwhelmed by the challenges of the work environment and struggle to transition into healthcare work environments. Nurses require opportunities during the transition period to develop both competence and confidence in their ability to practise independently. What the paper adds to existing knowledge? Newly qualified mental health nurses experience fear during their adaptation period, especially when they perceive mental healthcare users as dangerous and the working environment as risky, with little concern for their safety. Nurses new to the mental health environment learn from accepting responsibility, taking on challenges and making adjustments, in order to develop confidence as mental healthcare professionals. What are the implications for practice? Nursing management should ensure a safe and supportive mental healthcare environment. The potential for and consequences of negative stereotyping of patients among mental health nurses should be acknowledged and addressed as it may hinder the smooth adaptation of newly qualified nurses. Although stressful experiences can help mental health nurses to develop confidence and skills to manage future demanding situations, newly qualified nurses need to be given appropriate support and debriefing to ensure challenging situations do not “go the wrong way” and decrease confidence levels. AbstractIntroductionMuch has been written about the experiences of newly qualified nurses in their first year of employment, yet not much has been heard from the perspectives of newly qualified nurses working in mental health facilities.AimTo explore and describe the adaptation process of newly qualified nurses working in public mental health facilities in South Africa.MethodFollowing a qualitative descriptive design, 11 newly qualified nurses in their first 6–18 months of employment were purposively selected from three public mental health facilities in South Africa. Data collected through unstructured individual interviews were thematically analysed.ResultsFour themes emerged from the analysis: fear related to the mental healthcare environment; self‐doubt upon meeting the expectations of the inter‐professional team; ways to adjust to the challenges; and confidence as mental healthcare professionals.DiscussionDuring the adaptation process newly qualified nurses working in mental health facilities need support to overcome their initial fears and develop self‐confidence in both managerial and therapeutic realms.Implications for practiceManagement of mental healthcare facilities needs to be cognisant of the importance of creating a supportive and safe environment that discourages negative stereotyping of patients and fosters newly qualified nurses' adaptation.

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Section: Discussionmentioning

confidence: 48%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Newly qualified nurses' perceptions of working at mental health facilities: A qualitative study

Mabala

Wath

Moagi

2019

Psychiatric Ment Health Nurs

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“…; Hooper et al . ). Participants had several suggestions for how students’ experience of their mental health nursing placement might be improved.…”

Section: Resultsmentioning

confidence: 97%

Preceptors’ perspectives of an integrated clinical learning model in a mental health environment

Boardman

Lawrence

Polacsek

2018

Int J Mental Health Nurs

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Supervised clinical practice is an essential component of undergraduate nursing students' learning and development. In the mental health setting, nursing students traditionally undertake four-week block placements. An integrated clinical learning model, where preceptors mentor students on an individual basis, has been used successfully in the clinical learning environment. This flexible model provides the opportunity for students to work across morning, afternoon, night and weekend shifts. There is a need to improve the evidence base for a flexible model for students undertaking a mental health placement. The aim of this study was to understand preceptors' experience of, and satisfaction with, a mental health integrated clinical learning model. Focus groups were used to elicit the views of preceptors from a mental health service. Findings highlight the advantages and disadvantages of an integrated clinical learning model in the mental health setting. Participants suggested that students may benefit from flexible work arrangements, a variety of experiences and a more realistic experience of working in a mental health service. However, they found it challenging to mentor and evaluate students under this model. Most also agreed that the model impeded students' ability to engage with consumers and develop rapport with staff. The findings indicate the need to develop a placement model that meets the unique needs of the mental health setting.

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“…845 This negative attitudes have been shown to have a negative effect on the therapeutic relationships and treatment outcomes (4) .…”

Section: Int J Adv Res 5(4) 844-852mentioning

confidence: 99%

The Nursing Student's Attitude Toward Psychiatric Patients: Is Changeable After Completing the Theoretical and Clinical Course.

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2017

IJAR

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Graduate nurses' experiences of mental health services in their first year of practice: An integrative review

Cited by 23 publications

References 38 publications

Newly qualified nurses' perceptions of working at mental health facilities: A qualitative study

Newly qualified nurses' perceptions of working at mental health facilities: A qualitative study

Preceptors’ perspectives of an integrated clinical learning model in a mental health environment

The Nursing Student's Attitude Toward Psychiatric Patients: Is Changeable After Completing the Theoretical and Clinical Course.

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