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Leader perspectives on the "experience-complexity gap": Recommendations to fortify the nursing workforce
Aditi D Rao1, Evan P Anderson2, Beth A Smith3
1Penn Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA; Department of Biobehavioral Sciences, University of Pennsylvania School of Nursing, Philadelphia, PA.
Nursing Outlook
|April 15, 2025
Summary
Many new-to-practice nurses (NTPNs) lack essential skills, impacting care quality. Leaders must address these gaps to support nurses and ensure patient safety.
Area of Science:
- Nursing Workforce Dynamics
- Healthcare Quality and Safety
Background:
- Workforce shifts create an
- experience-complexity gap,
- threatening safe, high-quality nursing care.
- Understanding the current state is crucial for mitigation.
Purpose of the Study:
- Assess practice leaders' views on new-to-practice nurses' (NTPNs) competence.
- Examine current nursing team composition.
- Evaluate the impact of team composition on care quality, safety, experienced nurses, and leaders.
Main Methods:
- National web-based survey of practice leaders.
- Analysis using descriptive statistics and conventional content analysis.
Main Results:
- Only 45% of leaders perceive NTPNs as practicing competently.
- Identified skill gaps, support strategies, and strain on experienced nurses.
- Described generational conflict and perceived risks to quality and safety.
Conclusions:
- Findings highlight critical challenges in integrating NTPNs.
- Informs collaborative efforts between academia and practice for competency-based education.
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