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Associations Between the COVID-19 Pandemic and New Nurses' Transition to Practice Outcomes: A Multi-site,

Maja Djukic1, Nikhil Padhye2, Zhichun Ke3

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The COVID-19 pandemic negatively impacted new nurses' transition to practice (TTP) programs, affecting patient safety and commitment. TTP programs should prioritize these areas for pandemic-affected nurses.

Keywords:
COVID-19Transition to practiceeducationnew graduate nursesnurse residency program

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Area of Science:

  • Nursing Education
  • Healthcare Management
  • Public Health

Background:

  • The transition from nursing school to practice is challenging for new nurses.
  • Transition to Practice (TTP) programs are designed to support new nurses.
  • The COVID-19 pandemic altered TTP experiences by limiting clinical access and shifting to virtual formats.

Purpose of the Study:

  • To analyze the associations between TTP outcomes and the COVID-19 pandemic.
  • To evaluate the impact of the pandemic on the effectiveness of standardized TTP programs.

Main Methods:

  • Retrospective correlational, longitudinal study.
  • Secondary analysis of Vizient /AACN Nurse Residency Program survey data.
  • Comparison of pre-pandemic (2017-2019) and pandemic (2020-2021) TTP program participant data.

Main Results:

  • Statistically significant differences were found between pre-pandemic and pandemic cohorts (p < .05).
  • A decline in change scores from baseline to 12 months was observed in the pandemic cohort for advocacy, patient safety, and commitment outcomes.
  • 2,673 nurses participated in the study.

Conclusions:

  • The COVID-19 pandemic significantly impacted new nurses' TTP experiences.
  • Patient safety and commitment to employment are key areas for improvement in TTP programs.
  • Employers and TTP program staff must adapt strategies to support new nurses during and after the pandemic.