The lived experiences of newly qualified nurses on clinical placement during the first six months following registration in the Republic of Ireland

O’Shea, Maria; Kelly, Brendan

doi:10.1111/j.1365-2702.2006.01794.x

Cited by 113 publications

(111 citation statements)

References 19 publications

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“…The theory-practice gap is cited as a contributor to stress in the clinical environment (Evans and Kelly, 2004;Andrews et al, 2005;Maben et al, 2006). Landers (2001) Inadequate preparation is cited in many previous studies from either a clinical skills deficit perspective (Charnley, 1999;Bick, 2000;O'Shea and Kelly, 2007), knowledge deficit (Mooney 2007a) to inadequate emotional preparation and lack of confidence (Clark and Holmes, 2007) and lack management and organisational skills (Charnley, 1999;Gerrish, 2000;O' Shea and Kelly, 2007) or a combination of all three (Whitehead, 2001;Clark and Holmes, 2007). These findings are mirrored in this study for newly qualified nurses.…”

Section: Inadequate Preparationsupporting

confidence: 74%

“…The first experience with death and dying is often very difficult, emotive and memorable for nurses. Death of a patient is considered as a contributory factor to stress (Bick, 2000;Timmins and Kaliszer, 2002b;O'Shea and Kelly, 2007). Student nurses scored slightly higher in this factor.…”

Section: Death and Dyingmentioning

confidence: 99%

“…It is equally well documented in numerous qualitative research studies that stress in the transition period is significantly high (Maben and MacLeod Clark, 1998;Charnley, 1999;O'Shea andKelly, 2007, Mooney, 2007a).…”

Section: Introductionmentioning

confidence: 99%

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Stress and stressors in the clinical environment: a comparative study of fourth‐year student nurses and newly qualified general nurses in Ireland

Suresh

Matthews

Coyne

2012

Journal of Clinical Nursing

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Aims and objectives. To measure and compare the perceived levels of job‐related stress and stressors of newly qualified nurses and fourth‐year student nurses in the clinical environment and to explore the participants’ views on stress and stressors. Background. Stress in the nursing workplace has significant consequences for the person, the patient and the organisation, such as psychological and physical health deterioration and impaired professional practice. To address this problem, stress and stressors need to be measured and identified. Design. This study used a cross‐sectional survey design and self‐reporting questionnaires to measure and compare levels of stress in both groups. Convenience sampling involved all newly qualified nurses (n = 120) and fourth‐year student nurses (n = 128) in Dublin North‐East region in Ireland. Methods. The instrument used was ‘The Nursing Stress Scale’ (Gray‐Toft & Anderson 1981, Journal of Behavioral Assessment3, 11–23). Descriptive, qualitative analysis was conducted on an open‐ended question. Data were obtained from newly qualified nurses (n = 31) and fourth‐year student nurses (n = 40) in six acute hospital sites. Results. Levels of perceived stress and stressors were high in both groups. Themes identified from the responses to the open question by both groups included excessive workload, difficult working relationships and unmet clinical learning needs. Student nurses also reported the combination of academic demands with clinical placement as a major stressor. There was no significant difference between each group. Conclusion. Stress continues to be a problem for nurses in the clinical setting. Excessive workload requires urgent attention by hospital managers in view of widespread retention difficulties. Themes identified could provide a framework for possible interventions for improving the clinical environment for nurses. Relevance to clinical practice. These results can help stakeholders in nurse education and practice to develop interventions to reduce stress for both groups and to ease the transition from student to graduate nurse.

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Section: Inadequate Preparationsupporting

confidence: 74%

Section: Death and Dyingmentioning

confidence: 99%

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Stress and stressors in the clinical environment: a comparative study of fourth‐year student nurses and newly qualified general nurses in Ireland

Suresh

Matthews

Coyne

2012

Journal of Clinical Nursing

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“…Additionally, factors such as facing death, legal and organizational pressure regarding drug management, and relations with other health workers also impact the newly-graduated nurses' adaptation to their new roles. [9] Quantitative studies conducted in Turkey support the findings mentioned above. [8,10,13,14] Nurses evaluate the transition to professional nursing as a difficult period.…”

Section: Introductionsupporting

confidence: 65%

“…[2][3][4][5][6] Studies conducted with newly-graduated nurses report that the newly-graduated nurses experience stress, anxiety, and disappointment during the first months (up to 9-12 months) of their employment due to insufficient clinical skills, heavy workload, inability to spare enough time for patients, prioritization and decision-making. [1,2,4,[7][8][9][10][11] For over thirty years, researcher nurses and health service managers have been investigating the factors impacting the stress experienced by newly-graduated nurses in their transition to professional life.…”

Section: Introductionmentioning

confidence: 99%

Difficulties experienced by newly-graduated nurses in Turkey: A qualitative study of the first six months of employment

Sönmez

Yıldırım

2015

JNEP

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Objective: The aim of this study was to identify the difficulties experienced by newly-graduated nurses within the first six months of employment. Methods: This research was designed as a qualitative study based on content analysis. The study sample consisted of nurses who had graduated from nursing in 2010, have been working at a public university hospital in Istanbul for at least six months, and were selected via "maximum variation sampling" from purposeful sampling methods. Data were collected via semi-structured in-depth interviews. The data collection process ended at the end of the fifteenth interview when data saturation was reached. Results: The results obtained based on the qualitative sampling isolated four general themes explaining the difficulties newlygraduated nurses experience within the first six months of their employment: lack of knowledge, heavy workload, lack of clinical skills and communication difficulties. Conclusions: The findings of this first qualitative study conducted with nurses in Turkey are in support of the related literature. Among the difficulties experienced by the newly-graduated nurses within the first months of employment, educators should address the issue of lack of knowledge and managers should address the other issues raised.

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Surgery nurses' telephone communication: a mixed methods study with a special focus on newcomers' calls

et al. 2018

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AimsThe aim of this study was (i) to document the main features of surgery nurses' telephone calls, with a special focus on newcomers' calls; and (ii) to identify the main activities accomplished during the newcomers' calls.DesignMixed methods study.MethodsWe audio recorded telephone calls internal to the hospital in two surgery nursing stations. We performed statistical descriptive analysis of the total collection of calls and of those specifically involving the newcomers and compared both sets. We also performed conversation analysis‐based coding of the main activities accomplished during newcomers' calls.ResultsSurgery nurses' telephone calls are extremely brief, predominantly nurse initiated and take place with a wide range of interlocutors who, for the most part, use mobile phones. The newcomers' calls are only slightly longer, take place with a more limited, but still wide, range of interlocutors and are even more often nurse initiated. The main activities of newcomers' calls are requests and activities related to connecting relevant interlocutors.

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The lived experiences of newly qualified nurses on clinical placement during the first six months following registration in the Republic of Ireland

Cited by 113 publications

References 19 publications

Stress and stressors in the clinical environment: a comparative study of fourth‐year student nurses and newly qualified general nurses in Ireland

Stress and stressors in the clinical environment: a comparative study of fourth‐year student nurses and newly qualified general nurses in Ireland

Difficulties experienced by newly-graduated nurses in Turkey: A qualitative study of the first six months of employment

Surgery nurses' telephone communication: a mixed methods study with a special focus on newcomers' calls

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