Transition Into Practice: A Systematic Mixed-Methods Review of the Effects of Transition Programmes for Newly Graduated Nurses
Related Experiment Videos
Laura Puikko1, Katja Pursio1, Tarja Kvist1,2
1Department of Nursing Science, University of Eastern Finland, Kuopio, Finland.
Aim:
To identify and synthesise the effects of transition programmes for newly graduated nurses (NGNs) on engagement in nursing, job satisfaction and orientation quality.
Design:
A systematic mixed-methods review conducted in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.
Methods:
Data were collected using predefined inclusion criteria. Two authors independently screened studies using Covidence software. Study quality was assessed using Joanna Briggs Institute critical appraisal tools and the MMAT. The effects of transition programmes on each outcome were synthesised using thematic synthesis, integrating qualitative and quantitative evidence.
Data Sources:
A systematic search was conducted in CINAHL, Medic, PubMed and Scopus, covering literature published from 1 January 2012 to 12 September 2025.
Results:
Across the 16 included studies, transition programmes were associated with improved readiness for practice, professional adaptation, work engagement, retention-related outcomes and lower levels of stress and burnout. However, the evidence was heterogeneous, and statistically significant effects were not consistently demonstrated. Positive findings were also reported for job satisfaction and orientation quality, particularly regarding leadership, support, supervision, preceptor satisfaction and social support. Qualitative findings further highlighted the importance of emotional support, peer support, reflection and professional guidance.
Conclusion:
Transition programmes appear to support NGNs, although their effectiveness varies according to programme design and implementation. The most consistent benefits were observed regarding orientation quality, particularly in programmes combining extended orientation and structured support. Orientation quality may be a key mechanism for facilitating adaptation to professional practice. Further experimental and longitudinal research is needed.
Implications For The Profession And Patient Care:
Transition programmes may strengthen workforce stability by supporting NGNs' retention, professional adaptation, and early-career experiences. Integrating structured orientation, professional support, and workplace integration into workforce development strategies may help healthcare organisations better support the transition to practice.
Patient Or Public Contribution:
No patient or public contribution.
Reporting Methods:
This systematic review is reported in accordance with PRISMA guidelines.
Protocol Registration:
Prospero ID: CRD42022378051.
Related Concept Videos
01:28Current Trends in Nursing I
01:22The Professional Nurse
Communication skills: These are critical characteristics, especially speaking and listening.
01:30Current Trends in Nursing II
01:15Nursing Implementation
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
01:31Discharge Summary Forms
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
01:30Theoretical Foundations of Nursing Practice
Theories provide a perspective to assess patients' conditions and organize data and methods. They also assist in analyzing and interpreting information. They represent a...