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New Nurses' Perceptions on Transition to Practice: A Thematic Analysis.

Amy J Hallaran1, Dana S Edge2, Joan Almost2

  • 1RN, PhD; Trent/Fleming School of Nursing, 104270Trent University, 1600 West Bank Drive, Peterborough, ON, K9J 7B8, Canada.

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Summary
This summary is machine-generated.

New nurses face challenges transitioning to practice, with supportive teams and feeling prepared acting as key facilitators. Unsupportive cultures and lack of confidence are significant barriers to new nurse retention.

Keywords:
New nursebarriersfacilitatorsthematic analysistransition to practice

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Area of Science:

  • Nursing Workforce Dynamics
  • Professional Transition Studies
  • Healthcare Professional Development

Background:

  • The transition of new nurses into the workforce is frequently characterized by significant challenges and stress.
  • Existing research highlights concerns that these transition experiences may impact the long-term retention of newly qualified nurses.

Purpose of the Study:

  • To identify specific facilitators and barriers encountered by new nurses during their transition to practice.
  • To explore the qualitative experiences of new nurses in Ontario, Canada.

Main Methods:

  • A cross-sectional survey was conducted with 217 new nurses in Ontario, Canada.
  • An open-ended question solicited qualitative data on transition experiences.
  • Thematic analysis was performed on 196 respondent comments.

Main Results:

  • Three key facilitator themes emerged: supportive teams, feeling accepted/confident/prepared, and a new graduate guarantee.
  • Four significant barrier themes were identified: feeling unprepared, unsupportive work cultures, lack of confidence, and false hope.
  • These themes provide insight into the factors influencing new nurse integration and job satisfaction.

Conclusions:

  • Supportive work environments are crucial for successful new nurse transition and retention, especially amidst current nursing shortages.
  • Recommendations include enhancing supportive environments and educational strategies, such as final practicums, to build new nurses' self-efficacy.
  • Addressing identified barriers is essential for improving the retention of early-career nurses in the profession.