Orientation to Emergency Nursing: Perceptions of New Graduate Nurses

The effect of Transition to Specialty Practice Programs on Australian emergency nurses’ professional development, recruitment and retention

“…37 TSPPs were designed to be utilised as a tool for capacity building, and many TSPPs were introduced to increase nursing recruitment and retention. There is evidence that nursing recruitment, [4][5][6][7][8][9][10][11][12]14,19,38 and retention 5,7,8,10,11,14,40 can increase following the introduction of emergency nursing TSPPs. Nursing retention was better in EDs with TSPPs and participants were remaining in the ED following TSPP completion, evidenced by the number of TSPP graduates on emergency nursing rosters increasing with subsequent years of TSPP offerings.…”

“…TSPPs have been developed and introduced in an ad hoc manner in emergency departments (EDs) and other specialty areas nationally and internationally since the late 1990s, 2 to ensure the provision of safe and effective patient care, 3 and improve recruitment, preparation and retention of emergency nurses. 2 There are many reports of TSPPs running throughout Australian and international EDs, [4][5][6][7][8][9][10][11][12][13][14][15] including state-wide programs operating in two Australian states. 16,17 In Australia, participants are paid employees, and do not pay to complete the TSPP.…”

“…TSPPs have been reported to have a positive effect on professional development outcomes, including improvement in pre and post-tests, 11,40 self-efficacy assessments 6,14,[18][19][20]40 and preparedness to practice, 5,11 and improved documentation of care. 7 Most authors also reported positive recruitment outcomes, ranging from four 12 to 72 5 program participants.…”

“…7 Most authors also reported positive recruitment outcomes, ranging from four 12 to 72 5 program participants. Nursing retention was measured over an 18-30 month period, and ranged from 78 per cent 11 to 96.1 per cent. 5 A limitation of many emergency nursing TSPP evaluations was conduct of the study at a single site, [6][7][8][9][10]12,13,15,19,40 with several authors relying on small samples of less than twenty participants, limiting generalisation of results.…”

A mixed methods exploration of the team and organizational factors that may predict new graduate nurse engagement in collaborative practice

“…Reported to be of benefit are: prescribed orientation programming (Cantrelle & Browne, 2005;Fink et al, 2008;Patterson, Bayley, Burnell, & Rhoads, 2010;Schoessler & Waldo, 2006), and preceptorships or mentorships (Anderson et al, 2009;Olson, 2009;Schwartz, Wright, & Lavoie-Tremblay, 2011;Seright, 2011;Wright et al, 2011). The literature also proposes a relationship between visible, available and accessible managers (Anderson et al, 2009;Seright, 2011) and collaborative practice.…”