Transition to Specialty Practice Program characteristics and professional development outcomes

Morphet, Julia; Kent, Bridie; Plummer, Virginia; Considine, Julie

doi:10.1016/j.nedt.2016.05.017

Cited by 8 publications

(5 citation statements)

References 28 publications

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“…Recent research measures successful transition through reports of increased confidence, demonstrated competence, patient safety, organizational support, effective communication and leadership, and professional satisfaction (Barnes, 2015; Dillon et al, 2016). Unsuccessful transition can be reported as lack of confidence, negative emotions, poor patient care, or demonstration of skills, dependent practice, and poor retention (Barnes, 2015; Morphet et al, 2016; Widney & Cullen, 2018).…”

Section: Introductionmentioning

confidence: 99%

Communication, leadership and organizational support facilitate successful transition into practice for nurse practitioners in the emergency department

Soco

Simonovich

Dillon

et al. 2020

J Am Assoc Nurse Pract

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Background: Postgraduate programs, specialized academic programs, and national health organizations such as the Institute of Medicine (IOM) have identified and begun addressing the gap in knowledge, skills, and factors for successful transition into practice. Purpose: The purpose of this study is to examine the relationships and differences among the personal and community resources that promote successful transition for nurse practitioners (NP) who practice in the emergency department (ED) and the skills or procedures they find difficult to perform independently. Methods: A descriptive, correlational, comparative study design was conducted using an online survey administered to a convenience sample of NPs with 6 months to 5 years of experience as an NP. Results: Findings from this study identified factors associated with successful and unsuccessful transition into practice and help support positive outcomes for health care institutions, ED patients, and NPs practicing in this specialty area. Implications for practice: Support in transition recognizes recommendations set by health care organizations in promoting professional development, safe clinical practice, job satisfaction, and retention. Further study will provide clarity in financial gains and improved patient health outcomes during a time in which complex disease processes and provider shortages continue to weigh heavily on society.

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Section: Introductionmentioning

confidence: 99%

Communication, leadership and organizational support facilitate successful transition into practice for nurse practitioners in the emergency department

Soco

Simonovich

Dillon

et al. 2020

J Am Assoc Nurse Pract

View full text Add to dashboard Cite

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“…Another study showed that psychiatric nurses had fear over communicating with patients and attending psychiatric wards [12]. Patients' irritability and aggressiveness coupled with nurses' perceived inadequacy in dealing with such patients results in fear and stress [33][34][35]38].. Whilst nurses on other wards mostly fear committing errors or causing injuries to patients, participants in this study reported their greatest fears centered around patient assaults. Nursing students also fear attending psychiatric wards because they may believe that patients with psychiatric disorders are dangerous.…”

Section: Discussionmentioning

confidence: 95%

Nurses’ experiences of the causes of their lack of interest in working in psychiatric wards: a qualitative study

2021

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Background The shortage of psychiatric nurses is a major healthcare challenge. Lack of interest (LOI) contributes to the shortage of psychiatric nurses. Nonetheless, there are limited studies in this area. The present study was conducted to explore nurses’ experiences of the causes of their LOI in working in psychiatric wards. Methods This qualitative study was conducted in 2016–2019 using the content analysis approach. Participants were 27 nurses purposively recruited with maximum variation from the psychiatric wards of three referral hospitals in Iran. Data were collected via unstructured interviews and were concurrently analyzed using the conventional content analysis approach recommended by Graneheim and Lundman. Results The causes of participants’ LOI in working in psychiatric wards were grouped into three main categories, namely inadequate professional skills for psychiatric care practice, negative public attitude towards psychiatric nurses, and concerns over patients. Conclusion This study suggests that the causes of nurses’ LOI in working in psychiatric wards are not only personal, but also social and organizational. Findings help managers and authorities develop strategies to increase psychiatric nurses’ interest in working in psychiatric wards through improving their work conditions and professional knowledge and skills.

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“…In the USA, the Emergency Nurses Association (ENA) identified that RENs were not being encouraged to complete a formal qualification or postgraduate certification in paediatric nursing to improve care 38 by some employers. It is worth noting that it has already been identified that rural hospitals within the USA have fewer Bachelor of Nursing qualified staff, as well as fewer nursing staff quotas in their emergency departments compared with other countries such as Australia 11,39 . This is a challenge that requires attention if rural nurses are expected to complete postgraduate qualifications in emergency nursing care.…”

Section: Discussionmentioning

confidence: 99%

“…At an academic institution level, the provision of microcredentialling courses designed for RENs in paediatric emergency nursing could be created. It has been identified there is value in the provision of locally-focused learning packages, with enhanced teaching spaces and internet availability for videoconferencing between hospital and facility as a point of reference to support contextually relevant situations 39 .…”

Section: Recommendationsmentioning

confidence: 99%

Nursing care and management of paediatric emergencies in regional and rural settings: a scoping review

OMalley¹,

Forster²,

Kellett³

2022

JCYPH

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Problem Paediatric nursing is a specialty that relies on a specific knowledge and skill set to care for children in hospital, particularly when presenting to the emergency department. Recognition, interpretation and understanding the unique needs of paediatric patients requires nurses to consistently rely on best practice approaches informed by research evidence. In rural healthcare settings, paediatric nurses may be disadvantaged in maintaining current, evidence-based practice aimed at achieving optimal health outcomes.Aim This scoping review sought to explore and critique the published literature examining the rural emergency nurse (REN) care of paediatric patients presenting to emergency departments of three similar geographically sized countries of Australia, Canada, and the United States of America (USA). Two broad questions underpinned this aim: In rural emergency settings, 1. What are the professional development needs of RENs in emergency paediatric care? and 2. What are the facilitators and barriers in developing and updating paediatric nursing knowledge and skills in this context? It was anticipated that scoping review findings could inform new approaches to address identified needs.Methods Arksey and O'Malley's Framework for Scoping Reviews was used. The review systematically explored the extent and areas of focus in the nursing literature, with searches completed across eight databases. Searches focused on peer-reviewed research. Reference lists of retrieved articles were also searched, and citations were further explored to elicit additional research in paediatric emergency care in rural health settings. Searches focused on literature published from 2000 onwards, due to the limited results yielded in a ten-year retrospective review. Keyword search terms developed with the librarian were used with English language as the selected inclusion. After titles and abstracts, and full text reviews were completed, five studies were identified, for both synthesis and thematic analysis for the generation of themes. Due to the dearth of literature identified using these search terms, searches were extended to the grey literature in Google Scholar for any unpublished literature.Findings There is limited research focused on paediatric nursing emergency care in rural health practice. Data extraction and analysis revealed the three key themes: (a) competence and confidence in paediatric emergency care, (b) barriers for evidence-based paediatric care, and (c) challenges for paediatric nursing education. Provision of educational opportunities and staff support is needed for Registered Nurses working in rural healthcare settings, specifically for paediatric emergency nursing practice. Education must be accessible and grounded in evidence-based practice for care of paediatric patients to ensure optimal patient outcomes. This contributes to REN knowledge, skills and confidence in caring for children and young people, who have a higher vulnerability due to their potential for rapid deterioration in condition, and who may h...

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Transition to Specialty Practice Program characteristics and professional development outcomes

Cited by 8 publications

References 28 publications

Communication, leadership and organizational support facilitate successful transition into practice for nurse practitioners in the emergency department

Communication, leadership and organizational support facilitate successful transition into practice for nurse practitioners in the emergency department

Nurses’ experiences of the causes of their lack of interest in working in psychiatric wards: a qualitative study

Nursing care and management of paediatric emergencies in regional and rural settings: a scoping review

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