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Bridging the Theory-Practice Gap: Employers' Recommendations for Nursing Programs.
Elizabeth Van Horn1, Lynne Lewallen2
1Elizabeth Van Horn, PhD, RN, CNE, ANEF, is associate professor, Department of Nursing, Elon University, Elon, NC.
Nursing Education Perspectives
|February 17, 2026
Summary
Employers believe nursing schools adequately prepare new graduate nurses (NGNs) but suggest improvements in practical skills and understanding the nurse
Area of Science:
- Nursing Education
- Healthcare Workforce Development
- Professional Competence
Background:
- A knowledge gap exists concerning educators' and employers' expectations for new graduate nurses (NGNs).
- Evaluating the competence of NGNs requires further understanding of stakeholder perspectives.
Purpose of the Study:
- To explore employers' views on the strengths of nursing programs in preparing students for competent practice.
- To identify areas for improvement in nursing education for new graduate nurses.
Main Methods:
- Qualitative descriptive study design.
- Involved nurse orientation leaders and nurse preceptors as participants.
Main Results:
- Key themes identified: "We Expect Them to Know the Basics," "Nursing Schools Do a Pretty Good Job," and "Teach Them to Understand the Nurse's Role."
- Subthemes highlighted the need to "Expose Students to the Reality of Nursing," "Focus on Communication Skills," "Teach Students to See the Big Picture," and develop "Strategies for Practice Readiness."
Conclusions:
- Nurse educators can enhance graduate preparedness by integrating knowledge and experience.
- Simulating actual nursing practice in education can better equip graduates for complex healthcare environments.
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