Preparing Graduate Registered Nurses for Independence in Aged Care

Area of Science:

• Gerontology
• Nursing Education
• Clinical Skills Development

Background:

• Graduate registered nurses (RNs) often begin their careers in aged care settings.
• Many graduate RNs lack adequate preparation for the independent practice required in aged care.
• A defined list of essential clinical skills is vital for supporting graduate nurses' transition into aged care.

Purpose of the Study:

• To identify and rank essential clinical skills for graduate RNs entering aged care practice.
• To provide a framework for training and support of new nurses in aged care.

Main Methods:

• An explanatory sequential mixed-methods design was employed.
• A modified Delphi study with expert aged care RNs was conducted over three iterative rounds.
• Semi-structured interviews with graduate aged care RNs were used to validate findings.

Main Results:

• Thirty-six essential clinical skills were identified and ranked by experienced aged care RNs.
• Graduate RNs confirmed the identified skills and highlighted the need for palliative care expertise.
• The findings provide a ranked list of skills crucial for new aged care nurses.

Conclusions:

• The identified essential skills equip graduate RNs for independent and safe practice in aged care.
• This skill set supports a guided approach to ensure work-readiness and quality care.
• The study recommends these skills for a smoother transition and enhanced patient safety in aged care settings.