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Assessing The Efficacy Of A Precepted Orientation In New Graduate Nurse Transition Into The Workplace


Assessing The Efficacy Of A Precepted Orientation In New Graduate Nurse Transition Into The Workplace
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Assessing The Efficacy Of A Precepted Orientation In New Graduate Nurse Transition Into The Workplace


Assessing The Efficacy Of A Precepted Orientation In New Graduate Nurse Transition Into The Workplace
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Author : James Law Hansen
language : en
Publisher: ProQuest
Release Date : 2008

Assessing The Efficacy Of A Precepted Orientation In New Graduate Nurse Transition Into The Workplace written by James Law Hansen and has been published by ProQuest this book supported file pdf, txt, epub, kindle and other format this book has been release on 2008 with Employee orientation categories.


Graduate registered nurse transition into the workplace continues to be an arduous experience for most new nurses. Unrealistic job expectations, inadequate initial socialization, and increased work demands result in lowered job satisfaction and higher turnover among new nurses. Extant literature on graduate transition has identified "best practice" principles that can ease the transition, and foremost among them is a formal precepted orientation. This study used a quasi-experimental survey design to assess the effects of a formal precepted orientation on the self-perceived transition experiences of new graduates hired into a 140-bed rural county hospital. Perceptions of graduate registered nurses hired into hospital units that possess a formal orientation are described along with those of their counterparts hired into hospital units without a formal orientation. The convenience sample of new graduates (n = 10) found that both the control (n = 5) and experimental (n = 5) groups reported a positive transition when they had a supportive work environment and preceptors. This implies a supportive work environment may be as conducive to a positive transition as a formal precepted orientation. For the nurses in this study, a supportive work environment might have been established prior to hire, as many of the new graduates had spent time in the hospital during nursing school clinical rotations. Graduates' level of personal stress in transition was unaffected by a formal precepted orientation.



Munjid Al Abjad


Munjid Al Abjad
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Author :
language : en
Publisher:
Release Date : 1982

Munjid Al Abjad written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1982 with Arabic language categories.




New Graduate Nurses Perceptions Of Their Received Support In The First Year Work Transition


New Graduate Nurses Perceptions Of Their Received Support In The First Year Work Transition
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Author : Joan S. Palladino
language : en
Publisher: ProQuest
Release Date : 2009

New Graduate Nurses Perceptions Of Their Received Support In The First Year Work Transition written by Joan S. Palladino and has been published by ProQuest this book supported file pdf, txt, epub, kindle and other format this book has been release on 2009 with Nurses categories.


The purpose of this study was to investigate the transition experience of new graduate nurses during their first work experience after graduating from a baccalaureate undergraduate nursing program. A case study approach was used to examine a community hospital in Connecticut. A random sample of baccalaureate prepared new graduate nurses who graduated in May 2007, and were in the first year of working as registered nurses, was chosen. The research question examined how new graduate nurses perceived the supports provided within their transition experience. The study examined the supports through Benner's (1982) developmental theory of nursing. The four supports included: support during orientation, support from experienced nurses, supports to develop time management skills and support from their undergraduate nursing education. The four research questions addressed each of these supports. The study used three methods of data collection. Twelve new graduate nurses completed the quantitative survey, eight participated in the individual interview and four new graduate nurses participated in the focus group interview. The conclusions included the following: new graduate nurses were supported by the learning environment of the orientation; new graduate nurses perceived a supportive network was available to them within the hospital environment; time management skills are essential for the transition to entry nursing practice; new graduate nurses were assisted by their undergraduate school experiences during the transition period. Recommendations for practice have implications for making new graduates successful in a nursing career. Hospital orientations should provide preceptors who encourage autonomy and are consistent and provide emotional support and need to provide support in the transition period by mentoring and encouraging guidance from experienced nurses. Hospitals also need to provide clinician guidance and organizational resources to assist with time management, and offer intern programs to students prior to graduation. Undergraduate nursing programs should incorporate more clinical time to help the new graduate nurse transition into nursing practice. Recommendations for further research might involve a qualitative in-depth study regarding time management as well as an in depth case study examining new graduate nurses perceived level of support during the orientation period.



Preparing The New Graduate Nurse Entering Critical Or Progressive Care Practice Areas


Preparing The New Graduate Nurse Entering Critical Or Progressive Care Practice Areas
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Author : Jennifer L. Forbes
language : en
Publisher:
Release Date : 2011

Preparing The New Graduate Nurse Entering Critical Or Progressive Care Practice Areas written by Jennifer L. Forbes and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2011 with Intensive care nursing categories.


The transition from student nurse to professional nurse is often difficult for the new graduate especially if transitioning into critical or progressive care areas of practice. It is imperative for new graduates to receive a clinical orientation that meets their educational and transitional needs. The orientation process should provide them with a strong foundation in critical or progressive care practices. Educators are challenged to provide educational opportunities while accommodating diverse learning needs and continuing to maintain competency that ensures the highest quality of patient care and improved patient care outcomes. New graduate nurses hired into the critical or progressive care areas were asked to participate in a study evaluating the effect of blended orientation approaches on their level of self-confidence and satisfaction with current orientation methods. Their level of self-confidence and satisfaction were evaluated and measured using a pretest and posttest questionnaire. New graduates entering critical or progressive care areas of practice were evaluated following nursing school (prior to hospital orientation) and following a two-month hospital orientation model. The results did not reveal any significant difference between pre and post orientation. The review of literature suggests that the use of a more blended learning approach to teaching and learning can be beneficial. Blended learning can include online learning, case studies, human simulation, clinical time with a preceptor, service-based classroom lectures, quizzes, games, videos, mock events, review of pertinent evidence-based articles, and demonstration with return demonstration (p. 10), and is a growing area in education requiring more evaluation and research.



Evaluation Of A New Graduate Nurse Orientation Program


Evaluation Of A New Graduate Nurse Orientation Program
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Author : Nancy Haramaki
language : en
Publisher:
Release Date : 1988

Evaluation Of A New Graduate Nurse Orientation Program written by Nancy Haramaki and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1988 with Nurses categories.




A Case For Preceptorship


A Case For Preceptorship
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Author : Krista R. Maddox
language : en
Publisher:
Release Date : 2009

A Case For Preceptorship written by Krista R. Maddox and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2009 with categories.


The first year of professional employment as a Registered Nurse is an exciting yet somewhat stressful time for the new graduate nurse. Most health care institutions provide opportunities to make the transition from student nurse to professional nurse through a new graduate nurse orientation. These orientations vary widely in the amount of time allowed, the resources provided the new graduate nurses, and the experiences afforded the new graduate nurses. Much of the research of these orientation programs looks at the impact of the orientation on retention of new graduate nurses. The body of research in this dissertation attempts to identify how and education-based new graduate nurse orientation contributes to retention by identifying essential elements of that orientation. Through a single case, explanatory, holistic case study multiple sources of evidence including archival data, one-on-one interviews with new graduate nurses who completed the orientation program, and a focus group interview of new graduate nurses who completed the orientation program were examined to answer the question of how the orientation impacts retention and which elements are essential for retention, satisfaction, increased competency levels, and ease of transition for the new graduate nurse. Using a theoretical framework including Chickering's psychosocial model of development and Romiszowski's analysis of knowledge and skill development, it is concluded that preceptorship is the essential element of new graduate nurse orientation that promotes new graduate nurse retention, satisfaction, increased competency levels, and ease of transition. Preceptorships facilitate the socialization necessary in orientation for new graduate nurses' success by affecting all elements of young adult development as well as providing the necessary continuation of acquisition of nursing knowledge and skills for the novice nurse. Implications of these findings as well as suggestions for future research are provided.



Does The Perceived Effectiveness Of The New Graduate Nurse Orientation Impact Retention In The Acute Care Medical Surgical Setting


Does The Perceived Effectiveness Of The New Graduate Nurse Orientation Impact Retention In The Acute Care Medical Surgical Setting
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Author : Tina Luanne Green
language : en
Publisher:
Release Date : 2011

Does The Perceived Effectiveness Of The New Graduate Nurse Orientation Impact Retention In The Acute Care Medical Surgical Setting written by Tina Luanne Green and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2011 with Employee orientation categories.


New graduate nurses are the largest source of registered nurses available for recruitment to fill the vacant positions within the nation's healthcare facilities. Current research suggests that although these nurses complete an orientation program, many are unable to function independently and ultimately resign their position within one year of hire. The purpose of this study was to examine the new graduate nurses' perception of their orientation experience and how it relates to employee satisfaction and retention. An exploratory, retrospective, descriptive design was utilized to examine employee satisfaction among a subgroup of new nursing graduates hired between January 2009 and March of 2010. Instrumentation for the study consisted of the Halfer-Graf Job/Work Environment Satisfaction Survey which was originally developed to determine sources of professional fulfillment and perception of the work environment over time. The Likert scale questionnaire revealed a majority of study subjects surveyed to be content with their overall orientation experience with an average retention rate of 88.8 percent.



Factors Affecting The Perceived Self Efficacy Of Graduating Pre Licensure Nursing Students


Factors Affecting The Perceived Self Efficacy Of Graduating Pre Licensure Nursing Students
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Author : Nicole Ruiz
language : en
Publisher:
Release Date : 2016

Factors Affecting The Perceived Self Efficacy Of Graduating Pre Licensure Nursing Students written by Nicole Ruiz and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2016 with categories.


Due to an increasingly complex patient population, new graduate nurses are expected to enter the workforce and provide competent safe care in order to promote positive patient outcomes. Pre-licensure nursing education holds the responsibility for providing this population with the critical thinking and clinical self-efficacy necessary for the successful transition from student nurse to practicing Registered Nurse. Unsuccessful transition into this new role has been attributed to a gap between what is learned in school and the reality of nursing practice, the so called "theory-practice gap" leading to poor self-efficacy. In addition, it has been suggested that poor self-efficacy leads to high nurse turnover, medical errors, and nurses leaving the profession entirely. With a looming nursing shortage expected to reach 500,000 Registered Nurses by 2025, ensuring the nursing profession is hiring competent nurses with high self-efficacy is crucial. The purpose of this pilot cohort study was to evaluate the perceived self-efficacy of final semester pre-licensure nursing students before and after completing the required clinical precepted experience. Using a quantitative approach, senior baccalaureate nursing students were surveyed during their final semester, prior to beginning their required clinical precepted experience and again after completing all required clinical hours. Descriptive statistics were used to summarize survey responses while paired samples t-tests were used to evaluate pre and post-test scores. While no statistical significance was found, the variability in student responses to the survey increased, with some students' reporting improved self-efficacy while others remained the same or declined. The interepretation of findings needs caution due to the small sample size. The influence of the theory-practice gap on students' perceived self-efficacy and preparedness to enter the nursing workforce needs to be evaluated further.



Nursing Preceptorship


Nursing Preceptorship
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Author : Florence Myrick
language : en
Publisher: Lippincott Williams & Wilkins
Release Date : 2005

Nursing Preceptorship written by Florence Myrick and has been published by Lippincott Williams & Wilkins this book supported file pdf, txt, epub, kindle and other format this book has been release on 2005 with Medical categories.


This concise, yet comprehensive reference provides nurses with a resource for their role in the preceptorship experience, whether they are the preceptors, preceptees, teachers of the educational programs, or administrators of the practice agencies. The book discusses the different dimensions of preceptorship as well as addresses directly the teaching-learning climate, goals and objectives of preceptorship, and the nature of the teaching-learning experience. Other areas covered are a look at the student as a learner and the all-important area of communication. A final bonus chapter offers useful suggestions on the setting up or instituting of a preceptorship program.



The Effect Of Using The Fish Philosophy For New Graduate Nurse Orientation


The Effect Of Using The Fish Philosophy For New Graduate Nurse Orientation
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Author : Debra Wilson-Venvertloh
language : en
Publisher:
Release Date : 2006

The Effect Of Using The Fish Philosophy For New Graduate Nurse Orientation written by Debra Wilson-Venvertloh and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2006 with Employee orientation categories.


The Fish philosophy is based on four principles: (1) make their day, (2) be present in the moment, (3) play (within limits), (4) choose your attitude (p. 5). The new graduate nurse is defined as someone who has graduated from a National League of Nursing accredited school, passed the National Council Licensure Exam for Registered Nurses, and is employed in their first clinical job. Research by Bowles and Candela found that 30% of new graduate nurses left their job in the first year and that by the second year almost 57% left. The use of preceptors in orientation of new graduate nurses has the potential to assist them in assimilation into the work place by creating a positive environment, and the study was designed to look at how much, if any, preceptors using the Fish philosophy influence the new graduate nurse's self-esteem and job satisfaction. On a sample of 30 new graduate nurses, the hypothesis that there was an influence was only partly supported. A significant difference at the p