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      Professional development among newly graduated registered nurses working in acute care hospital settings: A qualitative explorative study

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          Abstract

          Aim

          To explore newly graduated registered nurses' perceptions of their work situation and management of nursing care in complex patient situations after 18 months of work experience.

          Background

          Newly graduated registered nurses working in acute care hospital settings play a critical role in providing safe nursing care.

          Methods

          An explorative qualitative design, with four focus group interviews with 14 newly graduated registered nurses working in acute care hospital settings.

          Results

          One theme emerged: ‘Clarity and security in one's own nursing role despite facing challenges that hinder professional development’ and three categories: ‘Independency due to one's own efforts and experience’, ‘Well‐functioning teamwork’ and ‘Challenges in the work situation’.

          Conclusion

          After 18 months in the profession, the nurses were considered to be advanced beginners; at the same time, the most experienced nurses on their respective wards. They found it challenging and need to further develop competences concerning managing and organizing the nursing care of several complex patient situations or new patient groups, as well as supervising novice registered nurses and nursing students.

          Implication for Nursing Management

          Powerful and urgent action is needed to be taken by national healthcare policymakers as well a hospital and nurse managers to develop long‐term strategies to improve working conditions for newly registered graduated nurses.

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          Most cited references30

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          Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups.

          A Tong, P SAINSBURY, J. Craig (2007)
          Qualitative research explores complex phenomena encountered by clinicians, health care providers, policy makers and consumers. Although partial checklists are available, no consolidated reporting framework exists for any type of qualitative design. To develop a checklist for explicit and comprehensive reporting of qualitative studies (in depth interviews and focus groups). We performed a comprehensive search in Cochrane and Campbell Protocols, Medline, CINAHL, systematic reviews of qualitative studies, author or reviewer guidelines of major medical journals and reference lists of relevant publications for existing checklists used to assess qualitative studies. Seventy-six items from 22 checklists were compiled into a comprehensive list. All items were grouped into three domains: (i) research team and reflexivity, (ii) study design and (iii) data analysis and reporting. Duplicate items and those that were ambiguous, too broadly defined and impractical to assess were removed. Items most frequently included in the checklists related to sampling method, setting for data collection, method of data collection, respondent validation of findings, method of recording data, description of the derivation of themes and inclusion of supporting quotations. We grouped all items into three domains: (i) research team and reflexivity, (ii) study design and (iii) data analysis and reporting. The criteria included in COREQ, a 32-item checklist, can help researchers to report important aspects of the research team, study methods, context of the study, findings, analysis and interpretations.
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            Nursing skill mix in European hospitals: cross-sectional study of the association with mortality, patient ratings, and quality of care

            Linda Aiken, Douglas Sloane, Peter Griffiths … (2016)
            Objectives To determine the association of hospital nursing skill mix with patient mortality, patient ratings of their care and indicators of quality of care. Design Cross-sectional patient discharge data, hospital characteristics and nurse and patient survey data were merged and analysed using generalised estimating equations (GEE) and logistic regression models. Setting Adult acute care hospitals in Belgium, England, Finland, Ireland, Spain and Switzerland. Participants Survey data were collected from 13 077 nurses in 243 hospitals, and 18 828 patients in 182 of the same hospitals in the six countries. Discharge data were obtained for 275 519 surgical patients in 188 of these hospitals. Main outcome measures Patient mortality, patient ratings of care, care quality, patient safety, adverse events and nurse burnout and job dissatisfaction. Results Richer nurse skill mix (eg, every 10-point increase in the percentage of professional nurses among all nursing personnel) was associated with lower odds of mortality (OR=0.89), lower odds of low hospital ratings from patients (OR=0.90) and lower odds of reports of poor quality (OR=0.89), poor safety grades (OR=0.85) and other poor outcomes (0.80
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              Focus Groups as Qualitative Research

              David Morgan (1997)
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                Author and article information

                Contributors
                Anna Willman: Role: Senior lecturesanna.willman@kau.se
                Jan Nilsson: Role: Professor
                Kaisa Bjuresäter: Role: Senior lectures
                Journal
                Journal ID (nlm-ta): J Nurs Manag
                Journal ID (iso-abbrev): J Nurs Manag
                Journal ID (doi): 10.1111/(ISSN)1365-2834
                Journal ID (publisher-id): JONM
                Title: Journal of Nursing Management
                Publisher: John Wiley and Sons Inc. (Hoboken )
                ISSN (Print): 0966-0429
                ISSN (Electronic): 1365-2834
                Publication date (Electronic): 02 September 2022
                Publication date (Print): October 2022
                Volume: 30
                Issue: 7 ( doiID: 10.1111/jonm.v30.7 )
                Pages: 3304-3312
                Affiliations
                [ 1 ] Department of Health Sciences, Faculty of Health, Science, and Technology Karlstad University Karlstad Sweden
                [ 2 ] Department of Health and Social Sciences University of Innlandet Elverum Norway
                Author notes
                [*] [* ] Correspondence

                Anna Willman, Department of Health Sciences, Faculty of Health, Science, and Technology, Karlstad University, SE‐651 88 Karlstad, Sweden.

                Email: anna.willman@ 123456kau.se

                Article
                Publisher ID: JONM13771
                DOI: 10.1111/jonm.13771
                PMC ID: 10087153
                PubMed ID: 35986496
                SO-VID: 1b6edd54-da13-4275-9b4d-687603a37631
                Copyright © © 2022 The Authors. Journal of Nursing Management published by John Wiley & Sons Ltd.
                License:

                This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

                History
                Date revision received : 26 July 2022
                Date received : 26 January 2022
                Date accepted : 19 August 2022
                Page count
                Figures: 0, Tables: 3, Pages: 9, Words: 7029
                Categories
                Subject: Original Article
                Subject: Regular Issue
                Subject: Original Articles
                Custom metadata
                source-schema-version-number 2.0
                cover-date October 2022
                details-of-publishers-convertor Converter:WILEY_ML3GV2_TO_JATSPMC version:6.2.7 mode:remove_FC converted:11.04.2023

                Keywords: acute care hospital,leading nursing care,newly graduated registered nurses,qualitative design
                Data availability:
                Keywords: acute care hospital, leading nursing care, newly graduated registered nurses, qualitative design

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