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An Exploration of New Graduate Nurses' Transition to Specialty Practice.

Kathleen M Baldwin, Martha Sleutel, Regina Wilder Urban

    Journal for Nurses in Professional Development
    |February 25, 2021
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    Summary

    This study explored how new graduate nurses adjust to high-acuity specialty units. Findings identified key factors influencing their transition, informing program improvements for better nurse retention.

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    Area of Science:

    • Nursing Education
    • Qualitative Research Methods
    • Healthcare Workforce Development

    Background:

    • New graduate nurses often face challenges transitioning to high-acuity specialty areas.
    • Effective onboarding programs are crucial for retaining nurses in critical care settings.

    Purpose of the Study:

    • To evaluate the adjustment process of new graduate nurses in high-acuity settings.
    • To identify factors influencing successful nurse adaptation.
    • To inform improvements for the Versant New Graduate Residency Program.

    Main Methods:

    • Qualitative study employing in-person and computer-assisted interviews.
    • Longitudinal data collection at baseline, 6 months, and 12 months.
    • Thematic analysis of interview data.

    Main Results:

    • Twelve distinct themes emerged regarding nurse adjustment.
    • Identified both intrinsic (e.g., confidence, skills) and extrinsic (e.g., support, workload) influencing factors.
    • Study results provided actionable insights for program refinement.

    Conclusions:

    • The Versant New Graduate Residency Program plays a role in new graduate nurse adjustment.
    • Understanding adjustment factors is key to enhancing program effectiveness and nurse retention.
    • Qualitative insights are valuable for optimizing residency programs in specialized nursing fields.