Transition to practice experiences of first- and second-career nurses: A mixed-methods study.
burnout
coping
graduate nurses
registered nurses
Journal
Journal of clinical nursing
ISSN: 1365-2702
Titre abrégé: J Clin Nurs
Pays: England
ID NLM: 9207302
Informations de publication
Date de publication:
Apr 2019
Apr 2019
Historique:
received:
21
03
2018
revised:
06
11
2018
accepted:
26
11
2018
pubmed:
7
12
2018
medline:
2
5
2019
entrez:
7
12
2018
Statut:
ppublish
Résumé
To explore the transition to nursing practice experiences of first- and second-career nursing students. To address the nursing shortage, alternative educational programmes have been increasingly developed and implemented with to help individuals with prior career experiences transition into a career in nursing (second-career nurses). However, we know little about the transition to practice experiences of second-career nurses. This mixed-methods study utilised qualitative interviews with nurses who had completed a year of practice and a longitudinal survey of nurses' perceptions of stress, coping and burnout throughout their first year of nursing practice. Qualitative data (n = 15) were analysed using latent thematic analysis and following COREQ guidelines. Descriptive and effect size analysis of quantitative data (n = 122) was conducted in order to assess for significant differences across time points. The thematic analysis identified three themes: Stressors and Coping, Prevalence of Burnout and Presenteeism, and Difficulty Describing Nursing's Role. The quantitative findings showed that participants' self-compassion decreased over their first year of practice. Levels of stress, presenteeism and burnout increased by the year mark. These increases were meaningfully significant between time points. Differences in the stressors and coping of first- and second-career nurses should be considered in developing transition to practice programmes for new nurses. Increasing rates of stress, burnout and presenteeism highlight the ongoing need to address these issues. Improving the nurse work environment may aid in the transition to nursing practice of both first- and second-career nurses. First- and second-career nurses have increasing rates of stress, burnout and presenteeism that need to be addressed. However, there are differences in stressors and coping between first- and second-career nurses.
Sections du résumé
AIMS AND OBJECTIVES
OBJECTIVE
To explore the transition to nursing practice experiences of first- and second-career nursing students.
BACKGROUND
BACKGROUND
To address the nursing shortage, alternative educational programmes have been increasingly developed and implemented with to help individuals with prior career experiences transition into a career in nursing (second-career nurses). However, we know little about the transition to practice experiences of second-career nurses.
DESIGN
METHODS
This mixed-methods study utilised qualitative interviews with nurses who had completed a year of practice and a longitudinal survey of nurses' perceptions of stress, coping and burnout throughout their first year of nursing practice.
METHODS
METHODS
Qualitative data (n = 15) were analysed using latent thematic analysis and following COREQ guidelines. Descriptive and effect size analysis of quantitative data (n = 122) was conducted in order to assess for significant differences across time points.
RESULTS
RESULTS
The thematic analysis identified three themes: Stressors and Coping, Prevalence of Burnout and Presenteeism, and Difficulty Describing Nursing's Role. The quantitative findings showed that participants' self-compassion decreased over their first year of practice. Levels of stress, presenteeism and burnout increased by the year mark. These increases were meaningfully significant between time points.
CONCLUSIONS
CONCLUSIONS
Differences in the stressors and coping of first- and second-career nurses should be considered in developing transition to practice programmes for new nurses. Increasing rates of stress, burnout and presenteeism highlight the ongoing need to address these issues. Improving the nurse work environment may aid in the transition to nursing practice of both first- and second-career nurses.
RELEVANCE TO CLINICAL PRACTICE
CONCLUSIONS
First- and second-career nurses have increasing rates of stress, burnout and presenteeism that need to be addressed. However, there are differences in stressors and coping between first- and second-career nurses.
Types de publication
Journal Article
Langues
eng
Pagination
1193-1204Subventions
Organisme : Jonas Philanthropies
Organisme : Eckburg Dissertation Award
Commentaires et corrections
Type : CommentIn
Informations de copyright
© 2018 John Wiley & Sons Ltd.