New graduate nurse self-concept and retention: A longitudinal survey

Cowin, Leanne; Hengstberger-Sims, Cecily

doi:10.1016/j.ijnurstu.2005.03.004

Cited by 158 publications

(120 citation statements)

References 30 publications

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“…This is particularly important to the future of nursing as the profession has been called on the profession to lead change in advancing health policy (Institute of Medicine, 2011). Yet, this study found that leadership was the weakest aspect of the students' professional self-concept, mirroring findings from studies of practicing nurses (Cowin, 2001;Cowin, & Hengstberger-Sims, 2006;Hensel, 2011). If this is true perhaps the greatest challenge for the profession is not how to teach professional values, but how to recruit pre-licensure candidates who will best contribute to nursing's preferred future.…”

Section: Discussionsupporting

confidence: 63%

“…Professional identity has been theorized to be a key factor in providing high quality care to improve patient outcomes (Benner, Sutphen, Leonard, & Day, 2010;Cronenwett et al, 2007), and is thought to mediate the negative effects of a high stress workplace (Arthur & Randle, 2007;Hensel, 2011;& Siebens et al, 2006), improve clinical performance (Jahanbin, Badiyepeyma, Ghodsbin, Sharif, & Keshavarzi, 2012), and improve job retention (Cowin & Hengstberger-Sims, 2006;Cowin, Johnson, Craven, & Marsh, 2008). Professional identity formation is so important that the National League for Nursing ([NLN], 2010) has declared that it should be a universal outcome of all curricula from vocational nursing to research doctorate programs.…”

Section: Introductionmentioning

confidence: 99%

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A cross-sectional study of drinking patterns, prelicensure nursing education, and professional identity formation

Hensel

Middleton²,

Engs

2014

Nurse Education Today

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This collection is found at IUScholarWorks: http://hdl.handle.net/2022/16829 When in the collection and within a category, click on "title" to see all items in alphabetical order. The CollectionThis document is part of a collection that serves two purposes. First, it is a digital archive for a sampling of unpublished documents, presentations, questionnaires and limited publications resulting from over forty years of research. Second, it is a public archive for data on college student drinking patterns on the national and international level collected for over 20 years. Research topics by Dr. Engs have included the exploration of hypotheses concerning the determinants of behaviors such as student drinking patterns; models that have examine the etiology of cycles of prohibition and temperance movements, origins of western European drinking cultures (attitudes and behaviors concerning alcohol) from antiquity, eugenics, Progressive Era, and other social reform movements with moral overtones-Clean Living Movements; biographies of health and social reformers including Upton Sinclair; and oral histories of elderly monks. Summary PURPOSE: The purpose of this cross-sectional, descriptive study was to describe drinking behaviors and professional identity formation among student nurses. METHOD: Survey data were collected from 333 students enrolled in a traditional BSN program on three campuses of a large Midwestern university using the Nurse Self-Concept Questionnaire and the Student Alcohol Questionnaire. ANOVA and Pearson r statistical tests were used to analyze data. RESULTS: Self-perceptions related to leadership were found to be the weakest aspect of the students' self-concepts, and the only dimensions of professional self-concept that differed significantly among students enrolled at varying program levels were knowledge and communication. A negative relationship was found between increased alcohol use and general self-concept and communication, but the associations were very weak. CONCLUSIONS: More research is needed to understand how best to facilitate the acquisition of an identity consistent with the profession's values and how to recruit candidates that will contribute to nursing's preferred future. Indiana University Archives

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Section: Discussionsupporting

confidence: 63%

Section: Introductionmentioning

confidence: 99%

A cross-sectional study of drinking patterns, prelicensure nursing education, and professional identity formation

Hensel

Middleton²,

Engs

2014

Nurse Education Today

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“…[21] They stem from poor reality integration, interpersonal relationships, lack of effective mentoring, lack of supervision, and subsequently development of the transitional stress. [22] This study revealed a positive result to improve new graduates' competencies, occupational stress and self-efficacy throughout the ToUCH program. Psycho-social elements in terms of cognitive-behavioral therapy and mindfulness-based wellness resilience were newly added in the ToUCH program with a prominent effect on the change of self-efficacy.…”

Section: Discussionmentioning

confidence: 75%

ToUCH Program on competence, occupational stress and self-efficacy of newly graduated registered nurses in United Christian Hospital: A mixed method research study

Tsang

Sham²,

Law³

et al. 2016

JNEP

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Introduction: Despite the structural concept and framework of the preceptorship program developed by Hospital Authority could facilitate the transitional period amongst preceptees, during implementation, the content of the program solely emphasizes on the skill and knowledge and the aspect of psycho-social support is being neglected. Objectives: The aims of this study were to facilitate smooth psycho-social and professional reality integration for first-year preceptees during the transition to Registered Nurses in UCH, to foster a caring culture for newly graduated RN and to promote a sense of belonging and commitment to ToUCH. Method: The ToUCH program entails 3-domain of integrations and 6-stage of themes. A mixed method research study was conducted between 11th August 2014 and 16th July 2015. Three validated questionnaires were adapted to assess preceptees' competencies, stress level, and coping ability respectively along their employment of first year. Result: All newly graduated registered nurses in August 2014 (n = 98) with majority of female (71.4%) were invited to participate in the study. Using a ANOVA test to compare the difference of measuring outcomes at baseline and other 4 measuring points after program commencement, there was a significant increase in overall mean clinical competence [F (4, 473) = 13.53, p < .0001)]. The overall mean Occupational Stress Scale of Newly-graduated Nurse (OSSNN) was significant improvement [F (4, 471) = 8.5, p < .0001]. It was found that new graduates had a significant improvement in goal-setting, effort investment, persistence when encountering barriers and recovery from setbacks [F (3, 371)=7.77, p < .0001]. When comparing the 2013 preceptee's resignation rate, the 2014 preceptee's resignation rate has prominently proved the ToUCH program more effective to increase retention. It was found that the rate of resignation due to work stress was sharply decreasing from 5 to 1 out of 85 and 101 preceptees 2013 and 2014 respectively. Conclusion: This one-year ToUCH program can increase preceptees' confidence in providing patient care, cope with stress more effectively as well as return quickly to state of mind after suffering stress. Based on the findings, increased skill competencies and improved stress level suggest that the ToUCH program enriches bonding, promotes sense of belonging and maintains a high retention rate of new graduates.

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“…Job seeking skills for the new grad, such as employer first impressions, offered through particular pedagogical strategies, that focused on being "strategic in selecting senior practicum experiences" to enable students to demonstrate their "clinical acumen and caring know-how" (Dyess & Sherman, 2010, p. 368). Self-confidence and identity are also considered a priority and positively associated with socialization and assimilation, or acculturation, correlating directly with nurse attrition in the new graduate nurse population (Cowin & Hengstberger-Sims, 2006).…”

Section: A Conceptual Landscape Of Transitionmentioning

confidence: 99%

Quiet Lampshade in the Corner? Exploring Fourth Year Nursing Students' Narratives of Transition to Professional Practice

Szabo¹,

Jakubec²,

Janzen³

2016

Quality Advancement in Nursing Education - Avancées en formatio

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New graduate nurse self-concept and retention: A longitudinal survey

Cited by 158 publications

References 30 publications

A cross-sectional study of drinking patterns, prelicensure nursing education, and professional identity formation

A cross-sectional study of drinking patterns, prelicensure nursing education, and professional identity formation

ToUCH Program on competence, occupational stress and self-efficacy of newly graduated registered nurses in United Christian Hospital: A mixed method research study

Quiet Lampshade in the Corner? Exploring Fourth Year Nursing Students' Narratives of Transition to Professional Practice

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