Transition of New Graduate Nurses to the Workforce: Challenges and Solutions in the Changing Health Care Environment

Hofler, Linda; Thomas, Kendal

doi:10.18043/ncm.77.2.133

Cited by 71 publications

(63 citation statements)

References 9 publications

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“…More explicit, formal linkages are needed between frontline delivery systems and educators [21]. In their commentary in this issue, Hofler and Thomas discuss how Vidant Medical Center's nurse residency programs help to bridge skills gained through formal education with the needs of employers [22]. These programs help new graduates gain the competency, confidence, and autonomy needed to successfully transition into practice.…”

Section: Retooling the Workforcementioning

confidence: 99%

Building a Value-Based Workforce in North Carolina

Fraher¹,

Ricketts²

2016

North Carolina Medical Journal

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Health care in the United States is likely to change more in the next 10 years than in any previous decade. However, changes in the workforce needed to support new care delivery and payment models will likely be slower and less dramatic. In this issue of the NCMJ, experts from education, practice, and policy reflect on the "state of the state" and what the future holds for multiple health professional groups. They write from a broad range of perspectives and disciplines, but all point toward the need for change-change in the way we educate, deploy, and recruit health professionals. The rapid pace of health system change in North Carolina means that the road map is being redrawn as we drive, but some general routes are evident. In this issue brief we suggest that, to make the workforce more effective, we need to broaden our definition of who is in the health workforce; focus on retooling and retraining the existing workforce; shift from training workers in acute settings to training them in community-based settings; and increase accountability in the system so that public funds spent on the health professions produce the workforce needed to meet the state's health care needs. North Carolina has arguably the best health workforce data system in the country; it has historically provided the data needed to inform policy change, but adequate and ongoing financial support for that system needs to be assured.

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Section: Retooling the Workforcementioning

confidence: 99%

Building a Value-Based Workforce in North Carolina

Fraher¹,

Ricketts²

2016

North Carolina Medical Journal

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“…New graduate nurses challenges include an increased number of patients with complex comorbidities, generational diversity in the workforce, anxiety about performance, bullying and a lack of access to supportive mentors (Hofler & Thomas, 2016). These types of challenges can affect the new graduate nurses' commitment to the profession as well as their professional development (Numminen et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

“…These types of challenges can affect the new graduate nurses' commitment to the profession as well as their professional development (Numminen et al, 2015). Furthermore, if the workplace is unsupportive, new graduate nurses' vulnerability may also be enhanced and they may feel stressed and fatigued, which contributes to attrition (Hofler & Thomas, 2016;Sahay et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

Views of recent Singapore nursing graduates: factors influencing nurse–patient interaction in hospital settings

2016

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“…In particular, two of these areas include a survey of the environment of care (EOC), where nurses provide direct care to patients, and an audit of the patient care record (provision of care [POC]), where nurses document the care that is provided to patients. In addition to demonstrating an understanding of the nurse's role in minimizing patients' safety risks in the health care environment, learning to document appropriately is arguably one of the most challenging skills for the novice nurse (Hofler & Thomas, 2016). Applying the principles of the nursing care process, as demonstrated through documentation, is often lacking by the graduate nurse due to limited practical experience and guidance.…”

mentioning

confidence: 99%