The first COVID-19 new graduate nurses generation: findings from an Italian cross-sectional study

Abstract Background Nursing education has been disrupted by the onset of the COronaVIrus Disease 19 (COVID-19) pandemic, potentially impacting learning experiences and perceived competencies at the time of graduation. However, the learning experiences of students since the onset of COVID-19, their p...

Full description

Bibliographic Details
Main Authors: Alvisa Palese, Anna Brugnolli, Illarj Achil, Elisa Mattiussi, Stefano Fabris, Satu Kajander-Unkuri, Valerio Dimonte, Luca Grassetti, Matteo Danielis
Format: Article
Language:English
Published: BMC 2022-05-01
Series:BMC Nursing
Subjects:
Online Access:https://doi.org/10.1186/s12912-022-00885-3
_version_ 1817985218411233280
author Alvisa Palese
Anna Brugnolli
Illarj Achil
Elisa Mattiussi
Stefano Fabris
Satu Kajander-Unkuri
Valerio Dimonte
Luca Grassetti
Matteo Danielis
author_facet Alvisa Palese
Anna Brugnolli
Illarj Achil
Elisa Mattiussi
Stefano Fabris
Satu Kajander-Unkuri
Valerio Dimonte
Luca Grassetti
Matteo Danielis
author_sort Alvisa Palese
collection DOAJ
description Abstract Background Nursing education has been disrupted by the onset of the COronaVIrus Disease 19 (COVID-19) pandemic, potentially impacting learning experiences and perceived competencies at the time of graduation. However, the learning experiences of students since the onset of COVID-19, their perceived competences achieved and the employment status one month after graduation, have not been traced to date. Methods A cross sectional online survey measured the individual profile, the learning experience in the last academic year and the perceived competences of the first COVID-19 new nursing graduates in two Italian universities. Details relating to employment status and place of employment (Covid-19 versus non-COVID-19 units) one month after graduation were also collected and the data compared with those reported by a similar cohort of new graduates pre-pandemic in 2018–2019. All those who graduated in November 2020 and attended their third year after the onset of the COVID-19 pandemic were eligible. The online survey included individual, nursing programme and first working experience variables alongside the Nurse Competence Scale (NCS). Descriptive and inferential statistical analyses were performed. Results A total of 323 new graduates participated. In their last academic year, they experienced a single, long clinical placement in non-COVID-19 units. One month after graduation, 54.5% (n = 176) were working in COVID-19 units, 22.9% (n = 74) in non-COVID-19 units and 22.6 (n = 73) were unemployed. There was no statistical difference among groups regarding individual variables and the competences perceived. Fewer new graduates working in COVID-19 units experienced a transition programme compared to those working in non-COVID-19 units (p = 0.053). At the NCS, the first COVID-19 new graduate generation perceived significantly lower competences than the pre-COVID-19 generation in the ‘Helping role’ factor and a significant higher in ‘Ensuring quality’ and ‘Therapeutic interventions’ factors. Conclusions The majority of the first COVID-19 new graduate generation had been employed in COVID-19 units without clinical experience and transition programmes, imposing an ethical debate regarding (a) the role of education in graduating nurses in challenging times with limited clinical placements; and (b) that of nurse managers and directors in ensuring safe transitions for new graduates. Despite the profound clinical placement revision, the first COVID-19 new graduate generation reported competences similar to those of the pre-COVID-19 generation, suggesting that the pandemic may have helped them to optimise the clinical learning process.
first_indexed 2024-04-13T23:55:18Z
format Article
id doaj.art-2b934002754149258b8b330c4e7b4b0e
institution Directory Open Access Journal
issn 1472-6955
language English
last_indexed 2024-04-13T23:55:18Z
publishDate 2022-05-01
publisher BMC
record_format Article
series BMC Nursing
spelling doaj.art-2b934002754149258b8b330c4e7b4b0e2022-12-22T02:23:54ZengBMCBMC Nursing1472-69552022-05-0121111410.1186/s12912-022-00885-3The first COVID-19 new graduate nurses generation: findings from an Italian cross-sectional studyAlvisa Palese0Anna Brugnolli1Illarj Achil2Elisa Mattiussi3Stefano Fabris4Satu Kajander-Unkuri5Valerio Dimonte6Luca Grassetti7Matteo Danielis8Department of Medical Sciences, Udine UniversityDepartment of Public Health, Azienda Provinciale per i Servizi SanitariDepartment of Medical Sciences, Udine UniversityDepartment of Medical Sciences, Udine UniversityDepartment of Medical Sciences, Udine UniversityDepartment of Nursing Science, University of TurkuDepartment of Public Health and Pediatrics, University of TurinDepartment of Medical Sciences, Udine UniversityDepartment of Medical Sciences, Udine UniversityAbstract Background Nursing education has been disrupted by the onset of the COronaVIrus Disease 19 (COVID-19) pandemic, potentially impacting learning experiences and perceived competencies at the time of graduation. However, the learning experiences of students since the onset of COVID-19, their perceived competences achieved and the employment status one month after graduation, have not been traced to date. Methods A cross sectional online survey measured the individual profile, the learning experience in the last academic year and the perceived competences of the first COVID-19 new nursing graduates in two Italian universities. Details relating to employment status and place of employment (Covid-19 versus non-COVID-19 units) one month after graduation were also collected and the data compared with those reported by a similar cohort of new graduates pre-pandemic in 2018–2019. All those who graduated in November 2020 and attended their third year after the onset of the COVID-19 pandemic were eligible. The online survey included individual, nursing programme and first working experience variables alongside the Nurse Competence Scale (NCS). Descriptive and inferential statistical analyses were performed. Results A total of 323 new graduates participated. In their last academic year, they experienced a single, long clinical placement in non-COVID-19 units. One month after graduation, 54.5% (n = 176) were working in COVID-19 units, 22.9% (n = 74) in non-COVID-19 units and 22.6 (n = 73) were unemployed. There was no statistical difference among groups regarding individual variables and the competences perceived. Fewer new graduates working in COVID-19 units experienced a transition programme compared to those working in non-COVID-19 units (p = 0.053). At the NCS, the first COVID-19 new graduate generation perceived significantly lower competences than the pre-COVID-19 generation in the ‘Helping role’ factor and a significant higher in ‘Ensuring quality’ and ‘Therapeutic interventions’ factors. Conclusions The majority of the first COVID-19 new graduate generation had been employed in COVID-19 units without clinical experience and transition programmes, imposing an ethical debate regarding (a) the role of education in graduating nurses in challenging times with limited clinical placements; and (b) that of nurse managers and directors in ensuring safe transitions for new graduates. Despite the profound clinical placement revision, the first COVID-19 new graduate generation reported competences similar to those of the pre-COVID-19 generation, suggesting that the pandemic may have helped them to optimise the clinical learning process.https://doi.org/10.1186/s12912-022-00885-3COVID-19Nursing educationNursing studentsNew graduatesCross-sectional studyCompetences
spellingShingle Alvisa Palese
Anna Brugnolli
Illarj Achil
Elisa Mattiussi
Stefano Fabris
Satu Kajander-Unkuri
Valerio Dimonte
Luca Grassetti
Matteo Danielis
The first COVID-19 new graduate nurses generation: findings from an Italian cross-sectional study
BMC Nursing
COVID-19
Nursing education
Nursing students
New graduates
Cross-sectional study
Competences
title The first COVID-19 new graduate nurses generation: findings from an Italian cross-sectional study
title_full The first COVID-19 new graduate nurses generation: findings from an Italian cross-sectional study
title_fullStr The first COVID-19 new graduate nurses generation: findings from an Italian cross-sectional study
title_full_unstemmed The first COVID-19 new graduate nurses generation: findings from an Italian cross-sectional study
title_short The first COVID-19 new graduate nurses generation: findings from an Italian cross-sectional study
title_sort first covid 19 new graduate nurses generation findings from an italian cross sectional study
topic COVID-19
Nursing education
Nursing students
New graduates
Cross-sectional study
Competences
url https://doi.org/10.1186/s12912-022-00885-3
work_keys_str_mv AT alvisapalese thefirstcovid19newgraduatenursesgenerationfindingsfromanitaliancrosssectionalstudy
AT annabrugnolli thefirstcovid19newgraduatenursesgenerationfindingsfromanitaliancrosssectionalstudy
AT illarjachil thefirstcovid19newgraduatenursesgenerationfindingsfromanitaliancrosssectionalstudy
AT elisamattiussi thefirstcovid19newgraduatenursesgenerationfindingsfromanitaliancrosssectionalstudy
AT stefanofabris thefirstcovid19newgraduatenursesgenerationfindingsfromanitaliancrosssectionalstudy
AT satukajanderunkuri thefirstcovid19newgraduatenursesgenerationfindingsfromanitaliancrosssectionalstudy
AT valeriodimonte thefirstcovid19newgraduatenursesgenerationfindingsfromanitaliancrosssectionalstudy
AT lucagrassetti thefirstcovid19newgraduatenursesgenerationfindingsfromanitaliancrosssectionalstudy
AT matteodanielis thefirstcovid19newgraduatenursesgenerationfindingsfromanitaliancrosssectionalstudy
AT alvisapalese firstcovid19newgraduatenursesgenerationfindingsfromanitaliancrosssectionalstudy
AT annabrugnolli firstcovid19newgraduatenursesgenerationfindingsfromanitaliancrosssectionalstudy
AT illarjachil firstcovid19newgraduatenursesgenerationfindingsfromanitaliancrosssectionalstudy
AT elisamattiussi firstcovid19newgraduatenursesgenerationfindingsfromanitaliancrosssectionalstudy
AT stefanofabris firstcovid19newgraduatenursesgenerationfindingsfromanitaliancrosssectionalstudy
AT satukajanderunkuri firstcovid19newgraduatenursesgenerationfindingsfromanitaliancrosssectionalstudy
AT valeriodimonte firstcovid19newgraduatenursesgenerationfindingsfromanitaliancrosssectionalstudy
AT lucagrassetti firstcovid19newgraduatenursesgenerationfindingsfromanitaliancrosssectionalstudy
AT matteodanielis firstcovid19newgraduatenursesgenerationfindingsfromanitaliancrosssectionalstudy