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Newly Licensed RN Competency: An Analysis of Practice Setting Expectations and Perceptions.

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    Area of Science:

    • Nursing Education
    • Healthcare Workforce Development
    • Clinical Competency Assessment

    Background:

    • Transition-to-practice programs (TTPPs) are crucial for newly licensed registered nurses (NLRNs).
    • Assessing clinical competence effectively is a key component of successful TTPPs.
    • Variability in current assessment practices may impact nurse readiness.

    Purpose of the Study:

    • To review and identify common approaches in TTPPs across multiple U.S. organizations.
    • To analyze the methods used for assessing clinical competence in NLRNs.
    • To identify areas for improvement in TTPP design and implementation.

    Main Methods:

    • An international task force conducted a review of TTPP practices.
    • Data were collected from six U.S. healthcare organizations.
    • Thematic analysis was used to identify common assessment approaches.

    Main Results:

    • Four common themes emerged: reliance on national competency frameworks, inconsistent assessment frequency, structured preceptor preparation, and varied validation tools.
    • Significant variability exists in the assessment processes within TTPPs.
    • Preceptor preparation and validation tools show considerable diversity across organizations.

    Conclusions:

    • Standardized frameworks for assessing clinical competence are needed.
    • Robust preceptor training is essential for effective TTPPs.
    • Improving TTPPs will enhance NLRN practice-readiness and patient care outcomes.