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Transition and pathway programs from second to first level nursing: A scoping review
Joanne Joyce-McCoach1, Philippa Ashworth2, Seung A Park3
1School of Nursing and Midwifery, La Trobe University, Bundoora, Australia.
Nurse Education Today
|March 11, 2023
Summary
Second-level nurses can transition to first-level roles through pathway programs, which offer career advancement but present challenges. Support is crucial for students navigating academic and personal demands during this nursing transition.
Area of Science:
- Nursing Education
- Healthcare Workforce Development
- Professional Transition
Background:
- Second-level nurses form a significant part of the global nursing workforce, operating with a restricted scope of practice.
- Transition programs are designed to enable second-level nurses to upgrade their qualifications to become first-level registered nurses.
- International health systems increasingly utilize these programs to meet evolving skill-mix demands.
Purpose of the Study:
- To conduct a comprehensive exploration of existing knowledge on transition and pathway programs for second to first-level nursing.
- To identify international trends and experiences related to nurse transition programs.
Main Methods:
- A scoping review methodology, guided by Arksey and O'Malley's framework, was employed.
- Extensive literature searches were conducted across four major databases: CINAHL, ERIC, Proquest Nursing and Allied Health, and DOAJ.
- Screening of titles, abstracts, and full texts was performed by two independent researchers using Covidence, with quality appraisal included.
Main Results:
- Transition programs are pursued for enhanced career pathways, job opportunities, and financial benefits.
- Students often face challenges in managing dual identities, academic rigor, and balancing work, study, and personal life.
- Despite prior experience, transitioning nurses require dedicated support to adapt to new roles and expanded scopes of practice.
Conclusions:
- Current research on second to first-level nurse transition programs is largely outdated.
- There is a critical need for contemporary, longitudinal research to thoroughly investigate the experiences of nurses during role transitions.
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