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Part 2: New Graduate Nurse Transition Into the Intensive Care Unit: Summative Insights From a Longitudinal

Michelle Lalonde1, Cheryl Anne Smith2, Sandra Wong3

  • 1School of Nursing, University of Ottawa, Ottawa, Ontario, Canada michelle.lalonde@uottawa.ca.

Research and Theory for Nursing Practice
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Summary
This summary is machine-generated.

New graduate nurses in intensive care units (ICUs) face unique challenges, including skill deficits and declining manager support. Improved orientation and work environments are crucial for their successful transition.

Keywords:
critical careintensive care unitinterviewnew graduate nursequalitativequantitativesurveytransition

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Area of Science:

  • Nursing Education
  • Critical Care Nursing
  • Healthcare Workforce Development

Background:

  • Hospitals increasingly hire new graduate nurses into intensive care units (ICUs) to address nursing shortages.
  • New graduates in ICUs have unique needs not fully understood.
  • This study explores the transition experiences of new graduate nurses in the ICU.

Purpose of the Study:

  • To explore the transition experience of new graduate nurses in the ICU.
  • To identify challenges and support needs during the critical care transition.
  • To provide insights for improving ICU onboarding and retention.

Main Methods:

  • Longitudinal mixed-methods convergent design.
  • Purposive and convenience sample of new graduate nurses in an ICU.
  • Surveys and in-depth qualitative interviews conducted over 2 years at four time points.

Main Results:

  • Persistent skill deficits and decreased comfort with interventions were reported.
  • Perception of manager encouragement and feedback declined over time.
  • Lack of confidence was a barrier; improved orientation and work environment were suggested. Peer support was positive, but system-level issues were dissatisfying.

Conclusions:

  • The study enhances understanding of the new graduate nurse transition in the ICU.
  • Findings offer ICU leadership potential areas for supporting new graduate nurses.
  • Results can inform strategies to improve retention and success rates for early-career critical care nurses.