Integrating New Graduate Nurses in Home Health Care

Meadows, Carl A.

doi:10.1097/01.nhh.0000361929.52668.10

Cited by 14 publications

(48 citation statements)

References 6 publications

(6 reference statements)

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“…This finding is confirmed in several studies (30,31). One study shows that nurses moving towards home health care are motivated by the possibility of long-term relationships with patients (32).…”

Section: Relational Dimensionssupporting

confidence: 52%

Proud to be a nurse? Recently graduated nurses' experiences in municipal health care settings

Sneltvedt

Bondas

2015

Scandinavian Caring Sciences

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Background Recently graduated nurses are the future of the nursing profession and the municipal health care that will need nursing competency for an increasing number of frail elderly persons. This study is part of a larger project on newly graduated nurses where previous research indicated that building professional pride at their workplace could be important for remaining in the profession and in municipal health care. However, the recently graduated nurse's first job assignment in municipal health care can also be a critical period with cuts in their pride as nurses who may have an impact on nursing care for their patients. Aim The aim of this study is to illuminate recently graduated nurses' experiences with professional pride in municipal health and care services. Methods A phenomenological hermeneutic approach was chosen to illuminate meaning. A purposive sample of eight recently graduated nurses working in nursing homes or home health care was chosen for this study with narrative interviews and diaries. Findings Three themes were identified: doing the good thing and doing what is right; being recognized and confirmed; and finally thriving in a community of practice. An important source of pride is the relation to patients. Recently graduated nurses build their professional pride in an active and social process in a community of practice. The first cut in their professional pride seems to take place when they were not recognized and confirmed as professional persons. Conclusion Recently graduated nurses in municipal health care describe their professional pride as a complex phenomenon with relational, dynamic and collective dimensions. The cuts in their pride may hurt their identity and nursing care.

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Section: Relational Dimensionssupporting

confidence: 52%

Proud to be a nurse? Recently graduated nurses' experiences in municipal health care settings

Sneltvedt

Bondas

2015

Scandinavian Caring Sciences

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“…Management support for professional development was demonstrated through protected time, formal recognition and compensation, and ongoing mentor support (Meadows, ; VON Canada, ). Regular evaluation, mentorship and team supports (e.g., debriefing opportunities) were also valued (DeCicco, ; Higuchi, Christensen, & Terpstra, ; Marchessault et al, ; Schofield et al, ; Tourangeau et al, ; Valaitis et al, ; VON Canada, ).…”

Section: Resultsmentioning

confidence: 99%

Optimization of home care nurses in Canada: A scoping review

Ganann

Weeres

Lam

et al. 2019

Health Soc Care Community

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Nurses are among the largest providers of home care services thus optimisation of this workforce can positively influence client outcomes. This scoping review maps existing Canadian literature on factors influencing the optimisation of home care nurses (HCNs). Arskey and O'Malley's five stages for scoping literature reviews were followed. Populations of interest included Registered Nurses, Registered/Licensed Practical Nurses, Registered Nursing Assistants, Advanced Practice Nurses, Nurse Practitioners and Clinical Nurse Specialists. Interventions included any nurse(s), organisational and system interventions focused on optimising home care nursing. Papers were included if published between January 1, 2002 up to May 15, 2015. The review included 127 papers, including 94 studies, 16 descriptive papers, 6 position papers, 4 discussion papers, 3 policy papers, 2 literature reviews and 2 other. Optimisation factors were categorised under seven domains: Continuity of Care/Care; Staffing Mix and Staffing Levels; Professional Development; Quality Practice Environments; Intra‐professional and Inter‐professional and Inter‐sectoral Collaboration; Enhancing Scope of Practice: and, Appropriate Use of Technology. Fragmentation and underfunding of the home care sector and resultant service cuts negatively impact optimisation. Given the fiscal climate, optimising the existing workforce is essential to support effective and efficient care delivery models. Many factors are inter‐related and have synergistic impacts (e.g., recruitment and retention, compensation and benefits, professional development supports, staffing mix and levels, workload management and the use of technology). Quality practice environments facilitate optimal practice by maximixing human resources and supporting workforce stability. Role clarity and leadership supports foster more effective interprofessional team functioning that leverages expertise and enhances patient outcomes. Results inform employers, policy makers and relevant associations regarding barriers and enablers that influence the optimisation of home care nursing in nursing, intra‐ and inter‐professional and inter‐organisational contexts.

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“…Although transitional programs have been implemented across a range of practice settings, including home care (Meadows, 2009), the bulk of the transitional work has occurred with new graduates integrating into the acute care workplace, where 60% of new graduates choose to practice (Canadian Institute of Health Information, 2006).…”

Section: Introductionmentioning

confidence: 99%

Best practices of formal new graduate nurse transition programs: An integrative review

Rush¹,

Adamack

Gordon³

et al. 2013

International Journal of Nursing Studies

304

286

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Objectives: The aim of this review was to identify best practices of formal new graduate nurse transition programs. This information would be useful for organizations in their support and development of formal transition programs for newly hired nurses.Design: An integrative review of the nursing research literature (2000 -2011). Data Sources: The literature search included PubMed (MEDLINE), the Cumulative Index to Nursing and Allied Health Literature (CINAHL), and the Excerpta Medica Database (Embase). Studies that dealt with programs geared towards pre-registration nursing students were removed. At least two researchers evaluated the literature to determine if the article met the inclusion and exclusion criteria. The final number of articles included in this review is 47. Environment. This included new graduates' retrospective accounts of their undergraduate education and examination of orientation and formal supports provided beyond the traditional unit orientation period. Transition programs included residencies, internships, mentorships, extended preceptorships, and generic programs. Common elements of programs were a specified resource person(s) for new graduates, mentor (mentorship), formal education, and peer support opportunities. The length, type of education, and supports provided varied considerably amongst programs, yet the presence of a transition program resulted in improved new graduate nurse retention and cost benefits.Conclusions: The variability in research designs limits the conclusions that can be drawn about best practices in transition programs for new graduate nurses. The presence of a formal new graduate transition program resulted in good retention and improved competency. The stronger evidence suggests that new graduate education should focus on practical skill development, preceptors should receive a level of formal training, formal support should be available at least through the difficult six to nine month post-hire period, opportunities for connection with their peers should be provided, and organizations should strive to ensure clinical units with healthy work environments.

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Integrating New Graduate Nurses in Home Health Care

Cited by 14 publications

References 6 publications

Proud to be a nurse? Recently graduated nurses' experiences in municipal health care settings

Proud to be a nurse? Recently graduated nurses' experiences in municipal health care settings

Optimization of home care nurses in Canada: A scoping review

Best practices of formal new graduate nurse transition programs: An integrative review

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