New graduate nurses’ preparation for recognition and prevention of failure to rescue: A qualitative study

Herron, Elizabeth K.

doi:10.1111/jocn.14016

Cited by 55 publications

(77 citation statements)

References 31 publications

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“…Their initial communication hurdle concerned “who was the right person to contact about their issue,” and then how to go about contacting the right person. This apprehension supports that described by Herron () and Ortiz () whose participants expressed anxiety in contacting doctors and also in the process of contacting members of the multidisciplinary team.…”

Section: Discussionsupporting

confidence: 86%

“…the "two steps forward and one step back" that caused a repetition of stress. The research of both Herron (2018) and Ortiz (2016) reflected similar findings with new nurses struggling with confidence and the ability to provide holistic care to their patients.…”

Section: Sub-theme: Two Steps Forward One Step Backsupporting

confidence: 57%

“…They were challenged once again though by the new or different procedures and routines requiring different skills than they had developed through their first rotation: the “two steps forward and one step back” that caused a repetition of stress. The research of both Herron () and Ortiz () reflected similar findings with new nurses struggling with confidence and the ability to provide holistic care to their patients.…”

Section: Discussionmentioning

confidence: 64%

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New graduate nurses’ understanding and attitudes about patient safety upon transition to practice

Murray

Sundin

Cope

2019

Journal of Clinical Nursing

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Aims To explore the transition experiences of newly graduated registered nurses with particular attention to patient safety. Background New graduate registered nurses’ transition is accompanied by a degree of shock which may be in tune with the described theory–practice gap. The limited exposure to clinical settings and experiences leaves these nurses at risk of making errors and not recognising deterioration, prioritising time management and task completion over patient safety and care. Design Qualitative descriptive approach using semi‐structured interviews. Methods Data were collected during 2017–18 from 11 participants consenting to face‐to‐face or telephone semi‐structured interviews. Interviews were transcribed verbatim, and data were analysed using thematic analysis techniques assisted by Nvivo coding software. The study follows the COREQ guidelines for qualitative studies (see Supplementary File 1). Results Key themes isolated from the interview transcripts were as follows: patient safety and insights; time management; making a mistake; experiential learning; and transition. Medication administration was a significant cause of stress that adds to time management anguish. Although the new graduate registered nurses’ clinical acumen was improving, they still felt they were moving two steps forward, one step back with regards to their understanding of patient care and safety. Conclusion Transition shock leaves new graduate registered nurses’ focused on time management and task completion over patient safety and holistic care. Encouragement and support needed to foster a safety culture that foster safe practices in our new nurses. Relevance to practice Having an understanding of the new graduate registered nurses’ experiences and understanding of practice will assist Graduate Nurse Program coordinators, and senior nurses, to plan and provide the relevant information and education during these initial months of transition to help mitigate the risk of errors occurring during this time.

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Section: Discussionsupporting

confidence: 86%

Section: Sub-theme: Two Steps Forward One Step Backsupporting

confidence: 57%

Section: Discussionmentioning

confidence: 64%

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New graduate nurses’ understanding and attitudes about patient safety upon transition to practice

Murray

Sundin

Cope

2019

Journal of Clinical Nursing

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“…Notably, new graduates were found to be inefficient or found to be needing verbal or physical assistance to integrate knowledge and skills in an emergency situation; almost 70 per cent of the new nurses felt incompetent to deal with an emergency situation in this study. Similar welldocumented findings in the contemporary literature show that responding to emergency situations is the biggest challenge in the first year of practice (Herron, 2018;Jang, 2009;Lee et al, 2012;Song, 2009;Thanomlikhit & Kheawwan, 2017). For example, Herron (2018) found that a lack of experience in an emergency situation was one of the factors that new graduates found challenging.…”

Section: Evidence-based Practice (Ebp) For New Graduate Nursessupporting

confidence: 53%

“…While many new graduates reported that they never saw an emergency in nursing school or during orientation, those who had been involved in an emergency stated they were watched very closely by their clinical instructors but not given the freedom to make their own decisions (Herron, 2018).…”

Section: Evidence-based Practice (Ebp) For New Graduate Nursesmentioning

confidence: 99%

Identification and exploration of nursing competencies required for newly graduated nurses in Korea

Hyun¹

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There are global concerns about a perceived disconnect between the educational preparation of nursing students as competent beginning practitioners and the expectations of employers about new graduates' work readiness. This is a significant issue as newly graduated nurses are responsible for delivering independent care in a competent manner. As Korean nursing education has focused on reducing the theory-practice gap and improving work readiness by implementing competency-based education, there is an increasing demand to investigate the nursing competencies new graduates require for their professional practice in the Korean context.The overall aim of this study was to explore nursing competencies required for newly graduated nurses in Korea. The specific research questions for the study were 1) Which nursing competencies are required by newly graduated nurses in Korea?, and 2) What level of nursing competency is expected of registered nurses at the point of registration? Content analysis assisted by the computer-assisted content analysis program, Leximancer, was conducted to explore how nursing competence was used in the global and Korean literature. The findings were that there was a lack of evidence to identify and evaluate nursing competencies for entry-level practice in the Korean literature and they mainly focused on either nurses' competencies in practice or nursing students' competencies in education separately.The study employed an exploratory sequential mixed method design, guided by Benner's 'From Novice to Expert' theory. This study consisted of three phases. In the first qualitative phase, an integrative literature review was conducted to identify which nursing competencies were required by new nursing graduates in Korea. In the second phase, a questionnaire was developed. Bondy's modified scale was chosen as a measurement scale. The survey was tested for content validity by a panel of experts and readability by bilingual (Korean and English) nurses. In the third phase, a cross-sectional survey was conducted to explore competency levels at the point of registration from different perspectives, including nurse educators, nurse managers, newly graduated nurses, and graduate students.Three themes, 10 competency domains and 61 competency items were identified as the required competencies for newly graduated nurses in Korea; new graduates were required to be competent to deliver evidence-informed practice with a patient-centred approach as a professional nurse. In the second phase, the final questionnaire with 53 competencies was developed. The third phase of the COMPETENCIES FOR NEWLY GRADUATED NURSES IN KOREA ii study revealed that both nurse experts and new nurses agreed that new graduates could provide safe and knowledgeable practice when respecting a patient's dignity, privacy and confidentiality, and both perceived that new graduates needed to be closely supported when providing emergency care.This study also revealed that nurse educators' expectations about new graduates' competencies were higher tha...

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A study of factors that predict novice nurses’ perceived ability to provide care in acute situations

et al. 2021

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Aims To explore factors that predict novice nurses’ trust in their ability to provide care in acute situations and identify factors that are related to their perceived ability to make clinical judgements in acute situations. Design Exploratory cross‐sectional study. Methods Novice nurses employed within somatic care in Swedish hospitals completed an online survey. Univariate analysis facilitated exploration of the data and identification of predictor variables with the greatest association with: (1) trust in their own ability (one item) and (2) ability to make clinical judgements (four items). Multivariate binary logistic regression modelling was used to model the likelihood of outcomes based on each predictor variable. Results The two most important predictors related to trust in ability to provide care were duration of work experience and participation in acute situations during nursing education. For clinical judgement, duration of work experience was significant in all four models and experience of acute situations post‐graduation was significant in two models.

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New graduate nurses’ preparation for recognition and prevention of failure to rescue: A qualitative study

Abstract: Aim and Objective: To explore new graduate nurses' experiences with recognition and prevention of failure to rescue.Background: Failure to rescue is recognised as a quality-of-care indicator, a core

Cited by 55 publications

References 31 publications

New graduate nurses’ understanding and attitudes about patient safety upon transition to practice

New graduate nurses’ understanding and attitudes about patient safety upon transition to practice

Identification and exploration of nursing competencies required for newly graduated nurses in Korea

A study of factors that predict novice nurses’ perceived ability to provide care in acute situations

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New graduate nurses’ preparation for recognition and prevention of failure to rescue: A qualitative study

Abstract: Aim and Objective: To explore new graduate nurses' experiences with recognition and prevention of failure to rescue.Background: Failure to rescue is recognised as a quality-of-care indicator, a core

Cited by 55 publications

References 31 publications

New graduate nurses’ understanding and attitudes about patient safety upon transition to practice

New graduate nurses’ understanding and attitudes about patient safety upon transition to practice

Identification and exploration of nursing competencies required for newly graduated nurses in Korea​​​​​​​

A study of factors that predict novice nurses’ perceived ability to provide care in acute situations

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Identification and exploration of nursing competencies required for newly graduated nurses in Korea