Transition experiences of newly graduated Filipino nurses in a resource‐scarce rural health care setting: A qualitative study

Abstract

Problem: Without a doubt, the transition to a professional nursing role is a challenging and stressful experience for many new nurses, regardless of where they are employed; yet, no study has been conducted to comprehend in detail the transition experiences of newly graduated nurses employed in a resource-scarce rural health care setting.Purpose: This study describes the transition experiences of newly graduated Filipino nurses during their initial clinical placement process.Methods: A qualitative phenomenological approach using structured interviews with 15 newly graduated Filipino nurses were used along with the Coliazzi's methodological framework for data analysis.Findings: Four distinct themes emerged from the content analysis, as follows:experiencing transition shock, feeling pressured, learning excitement, and needing support.Conclusions: Similar to the findings of other international studies, newly graduated Filipino nurses described their transition experiences as a stressful and challenging journey. Both academic and nursing administration team members can play key roles in facilitating a smooth transition and the integration of new nurses into the nursing workforce through the employment of evidence-based educational and structured organizational strategies. K E Y W O R D S

Association between nurse and hospital characteristics and organisational silence behaviours in nurses: A cross‐sectional study

“…Nurses who were relatively new to the profession tended to be silent more as opposed to those who were in the profession for longer. This finding may be explained by the fact that new nurses are not yet familiar with organisational processes and culture and have not yet internalized the organisational structure and operations (Labrague, McEnroe-Pettite, & Leocadio, 2019;van Rooyen, Jordan, ten Ham-Baloyi, & Caka, 2018).…”

“…Nurses who were relatively new to the profession tended to be silent more as opposed to those who were in the profession for longer. This finding may be explained by the fact that new nurses are not yet familiar with organisational processes and culture and have not yet internalized the organisational structure and operations (Labrague, McEnroe‐Pettite, & Leocadio, 2019; van Rooyen, Jordan, ten Ham‐Baloyi, & Caka, 2018). Furthermore, as a result of being new to the profession, early‐career nurses might be apprehensive regarding speaking up due to the fear of losing their jobs and/or experiencing confrontations with other staff members.…”

Perceived Competence and Transition Experience of New Graduate Filipino Nurses

“…Practicing autonomy and being fully responsible and accountable for their actions were described by the new graduate nurses as tough and hard. Transition shock, feeling pressured, learning excitement, and needing support were also the emerging themes in the transition experiences reported in a qualitative study among new graduate Filipino nurses (Labrague, McEnroe-Pettite, & Leocadio, 2019). Other studies conducted in other countries among new graduate nurses in the United States (Fink, Krugman, Casey, & Goode, 2008); New Zealand (Walton et al, 2018), Australia (Kelly & Ahern, 2009;Ankers, Barton, & Parry, 2018), Hongkong (Wong et al, 2018), and Oman (Al Awaisi, Cooke, & Pryjmachuk, 2015) reported similar themes about transition difficulties and positive experiences in the first year of practice.…”

“…As reinforced by a wealth of literature (Dyess & Sherman, 2009;Hofler & Thomas, 2016;Hussein et al, 2017;Wildermuth, Weltin, & Simmons 2019;Labrague et al, 2019), support during the transition period is vital for new graduate nurses. New graduate Filipino nurses considered support from their supervisor, co-staff nurses, senior staff, coworkers, mentors, family, and friends as essential in coping through their transition.…”

Exploring the Factors that Affect the Transition from Students to Health Professionals: An Integrative Review

“…Expectations: New health professionals reported feeling overwhelmed by unrealistically high expectations placed on them (3,13,25,26,29). Labrague et al (3) reported that new health professionals felt pressured and stressed when unachievable expectations were placed on them. Nurses in Clare & Loon's (5) study expressed gratitude to their superiors for having realistic expectations of their skills.…”