The Challenges of Transition to Practice Expressed Through the Lived Experience of New-to-Practice Nurses

Background: The nurse’s transition into practice is challenging. The need to facilitate a safe transition into practice and retain nurses is crucial in today’s healthcare. Objective and Design: The qualitative study aim was to describe the lived experiences of new nurses’ safe transition into practi...

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Main Authors: Rebecca Toothaker, Marijo A. Rommelfaenger, Randi Sue Flexner, Lora K. Hromadik
Format: Article
Language:English
Published: Patient Safety Authority 2022-12-01
Series:Patient Safety
Online Access:https://doi.org/10.33940/culture/2022.12.1
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author Rebecca Toothaker
Marijo A. Rommelfaenger
Randi Sue Flexner
Lora K. Hromadik
author_facet Rebecca Toothaker
Marijo A. Rommelfaenger
Randi Sue Flexner
Lora K. Hromadik
author_sort Rebecca Toothaker
collection DOAJ
description Background: The nurse’s transition into practice is challenging. The need to facilitate a safe transition into practice and retain nurses is crucial in today’s healthcare. Objective and Design: The qualitative study aim was to describe the lived experiences of new nurses’ safe transition into practice and their perceptions of functioning as safe practitioners. Method: This descriptive, phenomenological arm of a larger, mixed methods study (Safety Transition Education to Practice study) interviewed 11 nurses with varied clinical backgrounds regarding their first six months as licensed nurses. Semistructured, one-to-one interviews with nurses representing geographical locations across the nation were conducted. Colaizzi’s method of analysis was used to extract themes. Results: The data revealed five themes with subthemes. The most universal theme was lack of practical knowledge (skills dexterity, real-world knowledge), followed by impostor syndrome, safety culture (unsafe environment, lack of supplies, lack of mentoring/management), internalized fear, and seeking the sage. Conclusion: The experiences support the understanding that transition to practice is overwhelming and uncertain. Academic faculty and practice nurses’ cooperative efforts can aid novice nurses in safe transition to practice through academic curriculum enhancement, preceptors, and nurse residency programs working toward narrowing the academic practice gap.
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spelling doaj.art-33b14a173d7044f4b28b5bf22a6e24132024-03-29T20:57:34ZengPatient Safety AuthorityPatient Safety2689-01432641-47162022-12-0144The Challenges of Transition to Practice Expressed Through the Lived Experience of New-to-Practice NursesRebecca ToothakerMarijo A. RommelfaengerRandi Sue FlexnerLora K. HromadikBackground: The nurse’s transition into practice is challenging. The need to facilitate a safe transition into practice and retain nurses is crucial in today’s healthcare. Objective and Design: The qualitative study aim was to describe the lived experiences of new nurses’ safe transition into practice and their perceptions of functioning as safe practitioners. Method: This descriptive, phenomenological arm of a larger, mixed methods study (Safety Transition Education to Practice study) interviewed 11 nurses with varied clinical backgrounds regarding their first six months as licensed nurses. Semistructured, one-to-one interviews with nurses representing geographical locations across the nation were conducted. Colaizzi’s method of analysis was used to extract themes. Results: The data revealed five themes with subthemes. The most universal theme was lack of practical knowledge (skills dexterity, real-world knowledge), followed by impostor syndrome, safety culture (unsafe environment, lack of supplies, lack of mentoring/management), internalized fear, and seeking the sage. Conclusion: The experiences support the understanding that transition to practice is overwhelming and uncertain. Academic faculty and practice nurses’ cooperative efforts can aid novice nurses in safe transition to practice through academic curriculum enhancement, preceptors, and nurse residency programs working toward narrowing the academic practice gap.https://doi.org/10.33940/culture/2022.12.1
spellingShingle Rebecca Toothaker
Marijo A. Rommelfaenger
Randi Sue Flexner
Lora K. Hromadik
The Challenges of Transition to Practice Expressed Through the Lived Experience of New-to-Practice Nurses
Patient Safety
title The Challenges of Transition to Practice Expressed Through the Lived Experience of New-to-Practice Nurses
title_full The Challenges of Transition to Practice Expressed Through the Lived Experience of New-to-Practice Nurses
title_fullStr The Challenges of Transition to Practice Expressed Through the Lived Experience of New-to-Practice Nurses
title_full_unstemmed The Challenges of Transition to Practice Expressed Through the Lived Experience of New-to-Practice Nurses
title_short The Challenges of Transition to Practice Expressed Through the Lived Experience of New-to-Practice Nurses
title_sort challenges of transition to practice expressed through the lived experience of new to practice nurses
url https://doi.org/10.33940/culture/2022.12.1
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