Influences on Transition to Practice Outcomes Among New Nurses

Influences on Transition to Practice Outcomes Among New Nurses

Author: Felecia S. Williams

Publisher:

Published: 2013

Total Pages: 119

ISBN-13:

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This research explored the investigation of influences on transition to practice outcomes among new graduate nurses in a nurse residency program. The study participants consisted of 641 nurse residents from the Versant RN RegistryTM from 2010-2011. They represented 84 facilities in 14 states across the United States. A descriptive correlational design was utilized to gain insight on the impact mentoring and debriefing had on gains in competence and confidence, the degree of comfort in assuming a staff nurse role at the end of the residency, and job satisfaction. A secondary data analysis was conducted using the Versant RN Nurse ResidencyTM database. Frequencies and percentages, chi-square analysis, and independent t-tests were applied to the data set. The study results showed mentoring and debriefing as positive influences on gains in competence and confidence, comfort in assuming a staff nurse role at the end of the nurse residency, and job satisfaction. The results were moderated by nursing educational preparation and previous healthcare experience. Bachelor-prepared new graduate nurses and nurses with previous healthcare experience related a higher degree of comfort in assuming a staff nurse role at the end of the nurse residency. Future research should include expanded analysis of the new outcome variable of degree of comfort in assuming a staff nurse role at the end of nurse residency programs. Continued evaluation of the effectiveness of mentoring circles would also contribute to the nursing literature with regard to economic feasibility. Key words: transition-to-practice, new graduate nurse, mentoring, debriefing, nurse residency.


The Future of Nursing

The Future of Nursing

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2011-02-08

Total Pages: 700

ISBN-13: 0309208955

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The Future of Nursing explores how nurses' roles, responsibilities, and education should change significantly to meet the increased demand for care that will be created by health care reform and to advance improvements in America's increasingly complex health system. At more than 3 million in number, nurses make up the single largest segment of the health care work force. They also spend the greatest amount of time in delivering patient care as a profession. Nurses therefore have valuable insights and unique abilities to contribute as partners with other health care professionals in improving the quality and safety of care as envisioned in the Affordable Care Act (ACA) enacted this year. Nurses should be fully engaged with other health professionals and assume leadership roles in redesigning care in the United States. To ensure its members are well-prepared, the profession should institute residency training for nurses, increase the percentage of nurses who attain a bachelor's degree to 80 percent by 2020, and double the number who pursue doctorates. Furthermore, regulatory and institutional obstacles-including limits on nurses' scope of practice-should be removed so that the health system can reap the full benefit of nurses' training, skills, and knowledge in patient care. In this book, the Institute of Medicine makes recommendations for an action-oriented blueprint for the future of nursing.


Assessing Progress on the Institute of Medicine Report The Future of Nursing

Assessing Progress on the Institute of Medicine Report The Future of Nursing

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2016-03-22

Total Pages: 221

ISBN-13: 0309380316

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Nurses make up the largest segment of the health care profession, with 3 million registered nurses in the United States. Nurses work in a wide variety of settings, including hospitals, public health centers, schools, and homes, and provide a continuum of services, including direct patient care, health promotion, patient education, and coordination of care. They serve in leadership roles, are researchers, and work to improve health care policy. As the health care system undergoes transformation due in part to the Affordable Care Act (ACA), the nursing profession is making a wide-reaching impact by providing and affecting quality, patient-centered, accessible, and affordable care. In 2010, the Institute of Medicine (IOM) released the report The Future of Nursing: Leading Change, Advancing Health, which made a series of recommendations pertaining to roles for nurses in the new health care landscape. This current report assesses progress made by the Robert Wood Johnson Foundation/AARP Future of Nursing: Campaign for Action and others in implementing the recommendations from the 2010 report and identifies areas that should be emphasized over the next 5 years to make further progress toward these goals.


Transitions Theory

Transitions Theory

Author: Afaf I. Meleis, PhD, DrPS (hon), FAAN

Publisher: Springer Publishing Company

Published: 2010-02-17

Total Pages: 664

ISBN-13: 0826105351

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"It is very exciting to see all of these studies compiled in one book. It can be read sequentially or just for certain transitions. It also can be used as a template for compilation of other concepts central to nursing and can serve as a resource for further studies in transitions. It is an excellent addition to the nursing literature." Score: 95, 4 Stars. --Doody's "Understanding and recognizing transitions are at the heart of health care reform and this current edition, with its numerous clinical examples and descriptions of nursing interventions, provides important lessons that can and should be incorporated into health policy. It is a brilliant book and an important contribution to nursing theory." Kathleen Dracup, RN, DNSc Dean and Professor, School of Nursing University of California San Francisco Afaf Meleis, the dean of the University of Pennsylvania School of Nursing, presents for the first time in a single volume her original "transitions theory" that integrates middle-range theory to assist nurses in facilitating positive transitions for patients, families, and communities. Nurses are consistently relied on to coach and support patients going through major life transitions, such as illness, recovery, pregnancy, old age, and many more. A collection of over 50 articles published from 1975 through 2007 and five newly commissioned articles, Transitions Theory covers developmental, situational, health and illness, organizational, and therapeutic transitions. Each section includes an introduction written by Dr. Meleis in which she offers her historical and practical perspective on transitions. Many of the articles consider the transitional experiences of ethnically diverse patients, women, the elderly, and other minority populations. Key Topics Discussed: Situational transitions, including discharge and relocation transitions (hospital to home, stroke recovery) and immigration transitions (psychological adaptation and impact of migration on family health) Educational transitions, including professional transitions (from RN to BSN and student to professional) Health and illness transitions, including self-care post heart failure, living with chronic illness, living with early dementia, and accepting palliative care Organization transitions, including role transitions from acute care to collaborative practice, and hospital to community practice Nursing therapeutics models of transition, including role supplementation models and debriefing models


The Rural Nurse

The Rural Nurse

Author: Deana Molinari

Publisher: Springer Publishing Company

Published: 2011-11-18

Total Pages: 387

ISBN-13: 0826157564

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Facilitating Transition to Practice for Millennial New Graduate Nurses

Facilitating Transition to Practice for Millennial New Graduate Nurses

Author: Tiffani Marie Wise

Publisher:

Published: 2019

Total Pages: 80

ISBN-13:

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Despite the growing nursing shortage and the dire need for a full nursing workforce, attrition rates among new graduate nurses (NGNs) continues to be of concern. One answer to the nursing shortage includes the next generation of nursing graduates: millennials. It is vital that nursing administrators and educators collaborate to develop a transition-to-practice process that meets the unique needs of millennial NGNs to increase job satisfaction, thereby increasing intent to stay in the profession. The MSPM was implemented in an NGN medical-surgical residency as a means of maintaining job satisfaction, perceptions of support, and intent to stay, among NGNs. A mixed-methods study evaluated the perceptions of NGNs throughout their preceptorship experience in the nurse residency program. Over a 3-month period, participants completed an anonymous survey and participated in focus groups. Study results indicated the preceptorship is an influential factor in the successful transition to practice of NGNs; however, it does not have a major impact on job satisfaction, perceptions of support, and intent to stay. Focus groups and survey results supported the literature by revealing important implications for consideration in supporting and retaining the millennial nurse workforce.


Transitions in Nursing - E-Book

Transitions in Nursing - E-Book

Author: Esther Chang

Publisher: Elsevier Health Sciences

Published: 2024-01-31

Total Pages: 462

ISBN-13: 072959808X

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Now in its sixth edition, Transitions in Nursing continues to challenge, motivate and assist students as they transition to the workforce in different health environments. The text provides practical, real-life support for nurses preparing for professional practice, ensuring they have a comprehensive understanding of what they will encounter and how best to manage the transition period. It covers common issues faced by graduate nurses, important skills for dealing with the world of work, and the organisational environments in which nurses work. This edition features new contributors, new content, and the latest evidence-based research, statistics, standards and procedures, making it a must-have addition for all senior nursing students and recent graduates. Fully updated, evidence-based, comprehensive content from experts in the field Practical strategies and suggestions for removing stress, strain and culture shock A focus on self-care Case studies, reflective questions and exercises throughout to help apply learning to the real-life workplace Student and Instructor resources on Evolve: Case studies + reflective questions New chapter on infection prevention and control in the current climate New chapter on bullying and strategies to deal with it New content on cultural safety


Clinical Reasoning

Clinical Reasoning

Author: Tracy Levett-Jones

Publisher:

Published: 2017-09-08

Total Pages: 344

ISBN-13: 9781488616396

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An Australian text designed to address the key area of clinical reasoning in nursing practice. Using a series of authentic scenarios, Clinical Reasoning guides students through the clinical reasoning process while challenging them to think critically about the nursing care they provide. With scenarios adapted from real clinical situations that occurred in healthcare and community settings, this edition continues to address the core principles for the provision of quality care and the prevention of adverse patient outcomes.


The Truth About Burnout

The Truth About Burnout

Author: Christina Maslach

Publisher: John Wiley & Sons

Published: 2008-07-02

Total Pages: 200

ISBN-13: 0470423560

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Today's workforce is experiencing job burnout in epidemic proportions. Workers at all levels, both white- and blue-collar, feel stressed out, insecure, misunderstood, undervalued, and alienated at their workplace. This original and important book debunks the common myth that when workers suffer job burnout they are solely responsible for their fatigue, anger, and don't give a damn attitude. The book clearly shows where the accountability often belongs. . . .squarely on the shoulders of the organization.