Impact of Healthy Work Environments on New Graduate Nurses’ Environmental Reality Shock

Kramer, Marlene; Brewer, Barbara B.; Maguire, Patricia

doi:10.1177/0193945911403939

Cited by 108 publications

(119 citation statements)

References 47 publications

(56 reference statements)

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“…The students demonstrated a resilient response however, with a determined decision to manage their emotions, solve problems and move forward. Kramer and associates explored transition from student to registrant for newly qualified nurses and introduce the notion of environmental reality shock [26]. Duchscher (2009) suggests a similar adjustment process in response to transition shock [27].…”

Section: Discussionmentioning

confidence: 99%

Culture, courage and compassion: exploring the experience of student nurses on placement abroad

Adamson

2018

J of Compassionate Health Care

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Background: Nursing is emotional work and learning how to manage their emotions is a valuable part of nurse education. As the workforce becomes increasingly mobile nurses will care for people from diverse cultures and backgrounds. The development of cultural competence and a global mind-set is therefore a valuable asset and engagement in study abroad through overseas clinical placement can help to facilitate this. This study set out to explore the experience of student nurses involved in an exchange programme between Scotland and Western Australia. A particular focus was on the emotional aspects of the experience, responding to challenges and provision of care in a different healthcare setting. Methods: A descriptive qualitative strategy of enquiry was used and semi structured interviews undertaken with a sample of 10 student nurses using emotional touch points. The interviews were recorded, transcribed verbatim and subjected to thematic analysis using NVIVO 11. Results: Five main themes were identified. Making it happen, connections, feeling vulnerable, culture and assertiveness and affirmation. Conclusions: This study makes a unique contribution to the nursing student experience of overseas placement as it focuses on the emotional elements. The study shows that the experience of care delivery in an overseas placement has many benefits but also challenges. Management of emotion is required and transition to a different healthcare system can be stressful. Cultural differences were more marked than anticipated but when students responded by questioning, respectful assertiveness and provision of compassionate care there were clear rewards. These manifested as a sense that caring is a privilege and affirmation of career choice.

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Section: Discussionmentioning

confidence: 99%

Culture, courage and compassion: exploring the experience of student nurses on placement abroad

Adamson

2018

J of Compassionate Health Care

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“…(19,20) In fact, nurses who worked in an excellent working environment provided the highest quality nursing care and experienced "real shock" when they worked in a stress free environment. (21) In a study by Chamani et al, (10) nurses described job satisfaction in relation with a respectful working environment, friendly professional collaboration, fair division of tasks without discrimination, and competency based professional advancement. (10) Nurses who worked in high stress and unfriendly environments showed less attention span or desire to advocate for their patients.…”

Section: Discussionmentioning

confidence: 99%

Towards an understanding of clinical nurses challenges that leads intention to leave

et al. 2016

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(Title: An exploration of nurses attrition: a grounded theory study, 2014) with a project approval number (no. 5/4/3861). AbstractObjective: Clinical nursing is the most important feature of the nursing profession and similar to the global community. The study objective was to identify and describe the challenges and why Iranian nurses leave their profession. Methods: Qualitative methods were applied to describe nursing practice challenges through in-depth and semi-structured interview of 16 Iranian nurses with 2 to 15 years of work experience in 2014 by asking: "Please tell me about your challenges at work and why nurses are leaving the nursing profession?" Obtained data were analyzed using conventional content analysis. Results: Analyzed data revealed four thematic categories as 1) unfriendly workplace, 2) lack of opportunity for professional advancement, 3) work stress, and 4) ethical issues. Conclusion: Recognizing nursing challenges in clinical setting can help faculty in academia and administrators in healthcare institutions to develop policies to reduce pitfalls and prevent attrition.

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“…[30][31][32][33] Conceptual Model and Framework for NLRN Program of Research This 7 study NLRN research program utilized the Systems Research Organizational Model (SROM) 34 to assess the differential impact of client, contextual, and action focus variables on 7 outcomesVNLRNs' expectations of the professional practice environment, environmental reality shock, shock-related issues and concerns, professional work satisfaction, nurseassessed quality of patient care, retention, and degree of professional role integration/affirmation. [30][31][32]35,36 Based on the American Academy of Nursing quality health outcomes model and Donabedian's 14 structure, process, outcome (S-P-O) paradigm, the SROM provides an avenue for systematizing and organizing multiple variables, thereby facilitating theory development, hypothesis generation, and ultimately the formulation of strategies to improve the dynamic, interactive environment in which nurses practice.…”

Section: Nurse Residency Programsmentioning

confidence: 99%

Impact of Healthy Work Environments and Multistage Nurse Residency Programs on Retention of Newly Licensed RNs

Kramer

Halfer

Maguire

et al. 2012

JONA: The Journal of Nursing Administration

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The objective of the study was to examine effects of nurse-confirmed healthy unit work environments and multistage nurse residency programs (NRPs) on retention rates of newly licensed RNs (NLRNs). Establishing a culture of retention and healthy clinical nurse practice environments are two major challenges confronting nurse leaders today. Nurse residency programs are a major component of NLRN work environments and have been shown to be effective in abating nurse turnover. Sample for this study consisted of 5,316 new graduates in initial RN roles in 28 Magnet® hospitals. There were no differences in retention rates by education or patient population on clinical unit. NLRN retention rate was higher in community than in academic hospitals. More than half of NLRNs were placed on units with very healthy work environments. Newly licensed RNs on units with work environments needing improvement resigned at a significantly higher rate than did other NLRNs. The quality of clinical unit work environments is the most important factor in NLRN retention.

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Impact of Healthy Work Environments on New Graduate Nurses’ Environmental Reality Shock

Cited by 108 publications

References 47 publications

Culture, courage and compassion: exploring the experience of student nurses on placement abroad

Culture, courage and compassion: exploring the experience of student nurses on placement abroad

Towards an understanding of clinical nurses challenges that leads intention to leave

Impact of Healthy Work Environments and Multistage Nurse Residency Programs on Retention of Newly Licensed RNs

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