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Facilitating an early career transition pathway to community nursing: A Delphi Policy Study
Diane Chamberlain1, Clare Harvey2, Desley Hegney3,4
1College of Nursing and Health Sciences Flinders University Adelaide SA Australia.
Aim:
To further develop and validate a new model of the early career transition pathway in the speciality of community nursing.
Design:
Delphi policy approach, guided by a previous systematic review and semi-structured interviews.
Methods:
Four rounds of an expert panel (N = 19). Rounds one, two and four were questionnaires consisting of a combination of closed (Likert response) and open-ended questions. Round three comprised of a focus group conducted using virtual meeting technology.
Results:
The final model demonstrated reliable and valid measures. There were deficiencies in "pre-entry"-where the marketing of community nursing was negligible and the support around orientation informal and minimal, mainly due to tight budgetary concerns. Community practice holds a whole new dimension for nurses transitioning from acute care as the concept of "knowing your community" took time and support-time to be accepted reciprocally and develop a sense of belonging to the community.
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