Newly Graduated Perioperative Nurses' Experiences of Transitioning to Clinical Practice: A Qualitative Explorative Secondary Analysis.

Ahead of Print

Publisher: Blackwell Scientific Publications Country of Publication: England NLM ID: 7609811 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1365-2648 (Electronic) Linking ISSN: 03092402 NLM ISO Abbreviation: J Adv Nurs Subsets: MEDLINE

Publication: Oxford : Blackwell Scientific Publications
Original Publication: Oxford, Blackwell.

Aim: The aim of this secondary analysis was to explore newly graduated perioperative nurses' experiences of transitioning to clinical practice to gain more in-depth knowledge of this phenomenon.
Design: A qualitative explorative study of secondary data was used, and this study was reported following the Consolidated Criteria for Reporting Qualitative Research checklist.
Methods: A secondary analysis of data collected between March 2019 and November 2020 via 16 semi-structured interviews with newly graduated perioperative nurses. The interviews were conducted 3 to 5 months after they graduated from five different educational institutions in Norway and entered clinical practice as perioperative nurses. A three-step phenomenological hermeneutical analysis inspired by Ricoeur's theory was applied: naïve reading, structural analysis and comprehensive understanding.
Results: We identified three themes: expectations of competence, facilitation for newly graduated perioperative nurses and the transition from being a student to a newly qualified perioperative nurse.
Conclusions: Newly graduated perioperative nurses emphasised the critical role of supportive facilitation, manageable expectations and support from leaders and colleagues, which seemed essential for a successful transition to clinical practice.
Impact: This study addresses knowledge essential for universities, universities colleges and clinical practice, specifically healthcare organisations, to understand the transition process for newly graduated perioperative nurses. This can support the establishment of improved practices to ensure patient safety via more specific education and mentoring and more accurate expectations of competence.
Patient and Public Contribution: No patient or public contribution.
(© 2024 The Author(s). Journal of Advanced Nursing published by John Wiley & Sons Ltd.)

Aiken, L. H., D. M. Sloane, H. M. Brom, et al. 2021. “Value of Nurse Practitioner Inpatient Hospital Staffing.” Medical Care 59, no. 10: 857–863. https://doi.org/10.1097/MLR.0000000000001628.
Aldosari, N., S. Pryjmachuk, and H. Cooke. 2021. “Newly Qualified Nurses' Transition From Learning to Doing: A Scoping Review.” International Journal of Nursing Studies 113, no. 103: 792. https://doi.org/10.1016/j.ijnurstu.2020.103792.
Beitz, J. M. 2019. “The Perioperative Succession Crisis: A Cross‐Sectional Study of Clinical Realities and Strategies for Academic Nursing.” Nursing Economics 37, no. 4: 179–197. https://www.proquest.com/scholarly‐journals/perioperative‐succession‐crisis‐cross‐sectional/docview/2289558335/se‐2.
Benner, P. 1984. “From Novice to Expert.” American Journal of Nursing 82, no. 3: 402–407. https://www.jstor.org/stable/3462928.
Bransford, J. D., A. L. Brown, and R. R. Cocking. 2000. How People Learn: Brain, Mind, Experience, and School. Washington, DC: National Academy Press.
Cadorette, J., M. McCurry, and E. Danells Chin. 2023. “Reflective Transition Practice Model: The New Graduate Registered Nurse.” Nursing Science Quarterly 36, no. 3: 282–291. https://doi.org/10.1177/08943184231169763.
Callaghan, A. 2011. “Student Nurses' Perceptions of Learning in a Perioperative Placement.” Journal of Advanced Nursing 67, no. 4: 854–864. https://doi.org/10.1111/j.1365‐2648.2010.05518.x.
Chatfield, S. L. 2020. “Recommendations for Secondary Analysis of Qualitative Data.” Qualitative Report 25, no. 3: 833–842. https://doi.org/10.46743/2160‐3715/2020.4092.
Duchscher, J. B., and M. Windey. 2018. “Stages of Transition and Transition Shock.” Journal for Nurses in Professional Development 34, no. 4: 228–232. https://doi.org/10.1097/NND.0000000000000461.
Duchscher, J. E. B. 2009. “Transition Shock: The Initial Stage of Role Adaptation for Newly Graduated Registered Nurses.” Journal of Advanced Nursing 65, no. 5: 1103–1113. https://doi.org/10.1111/j.1365‐2648.2008.04898.x.
Eriksson, J., B. M. Lindgren, and E. Lindahl. 2020. “Newly Trained Operating Room Nurses' Experiences of Nursing Care in the Operating Room.” Scandinavian Journal of Caring Sciences 34, no. 4: 1074–1082. https://doi.org/10.1111/scs.12817.
Frögéli, E., A. Rudman, and P. Gustavsson. 2019. “The Relationship Between Task Mastery, Role Clarity, Social Acceptance, and Stress: An Intensive Longitudinal Study With a Sample of Newly Registered Nurses.” International Journal of Nursing Studies 91: 60–69. https://doi.org/10.1016/j.ijnurstu.2018.10.007.
Fukada, M. 2018. “Nursing Competency: Definition, Structure and Development.” Yonago Acta Medica 61, no. 1: 1–7. 10.33160/yam.2018.03.001.
Hallaran, A. J., D. S. Edge, J. Almost, and D. Tregunno. 2023. “New Nurses' Perceptions on Transition to Practice: A Thematic Analysis.” Canadian Journal of Nursing Research 55, no. 1: 126–136. https://doi.org/10.1177/08445621221074872.
Halpin, Y., L. M. Terry, and J. Curzio. 2017. “A Longitudinal, Mixed Methods Investigation of Newly Qualified Nurses' Workplace Stressors and Stress Experiences During Transition.” Journal of Advanced Nursing 73, no. 11: 2577–2586. https://doi.org/10.1111/jan.13344.
Hawkins, N., S. Jeong, and T. Smith. 2019. “New Graduate Registered Nurses' Exposure to Negative Workplace Behaviour in the Acute Care Setting: An Integrative Review.” International Journal of Nursing Studies 93: 41–54. https://doi.org/10.1016/j.ijnurstu.2018.09.020.
Hillanbrand, M. 2023. “Patient Safety and Risk Management.” In Alexander's Care of the Patient in Surgery, edited by J. C. Rothrock and D. R. McEwen, 17th ed., 16–38. St. Louis, MO: Elsevier.
Kaldal, M. H., T. Conroy, R. Feo, M. Grønkjær, and S. L. Voldbjerg. 2023. “Umbrella Review: Newly Graduated Nurses' Experiences of Providing Direct Care in Hospital Settings.” Journal of Advanced Nursing 79, no. 6: 2058–2069. https://doi.org/10.1111/jan.15434.
Kaldal, M. H., S. Lygum, M. Grønkjær, T. Conroy, and R. Feo. 2023. “Newly Graduated Nurses' Commitment to the Nursing Profession and Their Workplace During Their First Year of Employment: A Focused Ethnography.” Journal of Advanced Nursing 80, no. 3: 1058–1071. https://doi.org/10.1111/jan.15883.
Kaldheim, H. K. A., M. Fossum, J. Munday, J. Creutzfeldt, and Å. Slettebø. 2021. “Use of Interprofessional Simulation‐Based Learning to Develop Perioperative Nursing Students' Self‐Efficacy in Responding to Acute Situations.” International Journal of Educational Research 109, no. 101: 801. https://doi.org/10.1016/j.ijer.2021.101801.
Kaldheim, H. K. A., M. Fossum, J. Munday, J. Creutzfeldt, and Å. Slettebø. 2022. “Professional Competence Development Through Interprofessional Simulation‐Based Learning Assists Perioperative Nurses in Postgraduation Acute Clinical Practice Situations: A Qualitative Study.” Journal of Clinical Nursing 32: 2757–2772. https://doi.org/10.1111/jocn.16377.
Kapaale, C. C. 2018. “Understanding Value as a Key Concept in Sustaining the Perioperative Nursing Workforce.” AORN Journal 107, no. 3: 345–354. https://doi.org/10.1002/aorn.12074.
Kramer, M. 1974. Reality Shock: Why Nurses Leave Nursing. St. Louis, MO: Mosby Company.
Labrague, L. J., and J. A. A. De los Santos. 2020. “Transition Shock and Newly Graduated Nurses' Job Outcomes and Select Patient Outcomes: A Cross‐Sectional Study.” Journal of Nursing Management 28, no. 5: 1070–1079. https://doi.org/10.1111/jonm.13033.
Laschinger, H. K. S., A. L. Grau, J. Finegan, and P. Wilk. 2010. “New Graduate Nurses' Experiences of Bullying and Burnout in Hospital Settings.” Journal of Advanced Nursing 66, no. 12: 2732–2742. https://doi.org/10.1111/j.1365‐2648.2010.05420.x.
Lindseth, A., and A. Norberg. 2004. “A Phenomenological Hermeneutical Method for Researching Lived Experience.” Scandinavian Journal of Caring Sciences 18, no. 2: 145–153. https://doi.org/10.1111/j.1471‐6712.2004.00258.x.
Lindseth, A., and A. Norberg. 2021. “Elucidating the Meaning of Life World Phenomena: A Phenomenological Hermeneutical Method for Researching Lived Experience.” Scandinavian Journal of Caring Sciences 36, no. 3: 883–890. https://doi.org/10.1111/scs.13039.
Lögde, A., G. Rudolfsson, R. R. Broberg, A. Rask‐Andersen, R. Wålinder, and E. Arakelian. 2018. “I Am Quitting My Job. Specialist Nurses in Perioperative Context and Their Experiences of the Process and Reasons to Quit Their Job.” International Journal for Quality in Health Care 30, no. 4: 313–320. https://doi.org/10.1093/intqhc/mzy023.
Mayes, C. G., and K. Cochran. 2023. “Factors Influencing Perioperative Nurse Turnover: A Classic Grounded Theory Study.” AORN Journal 117, no. 3: 161–174. https://doi.org/10.1002/aorn.13880.
McCarthy, C., M. Boniol, K. Daniels, et al. 2020. State of the World's Nursing 2020: Investing. In Education, Jobs and Leadership. Geneva: World Health Organization.
Ministry of Education and Research. 2021. “Regulations on National Guidelines for Perioperative Nursing Education.” https://lovdata.no/dokument/SF/forskrift/2021‐10‐26‐3095.
Moultrie, D. A. 2023. “Perioperative Nurses' Perceptions Post Perioperative Nurse Residency Program Completion: A Qualitative Inquiry.” Perioperative Care and Operating Room Management 30, no. 100: 307. https://doi.org/10.1016/j.pcorm.2023.100307.
Murray, M., D. Sundin, and V. Cope. 2019. “Benner's Model and Duchscher's Theory: Providing the Framework for Understanding New Graduate nurses' Transition to Practice.” Nurse Education in Practice 34: 199–203. https://doi.org/10.1016/j.nepr.2018.12.003.
Nijkamp, N., P. Calleja, and A. Sahay. 2023. “Transition Support Arrangements to Support New Graduate & Novice Nurses Entry Into Perioperative Nursing: A Scoping Review.” Heliyon 10: e23316. https://doi.org/10.1016/j.heliyon.2023.e23316.
Ortiz, J. 2016. “New Graduate Nurses' Experiences About Lack of Professional Confidence.” Nurse Education in Practice 19: 19–24. https://doi.org/10.1016/j.nepr.2016.04.001.
Peutere, L., J. Pentti, A. Ropponen, et al. 2024. “Association of Nurse Understaffing and Limited Nursing Work Experience With In‐Hospital Mortality Among Patients: A Longitudinal Register‐Based Study.” International Journal of Nursing Studies 150, no. 104: 628. https://doi.org/10.1016/j.ijnurstu.2023.104628.
Pupkiewicz, J., A. Kitson, and J. Perry. 2015. “What Factors Within the Peri‐Operative Environment Influence the Training of Scrub Nurses?” Nurse Education in Practice 15, no. 5: 373–380. https://doi.org/10.1016/j.nepr.2015.03.004.
QSR International Pty Ltd. 2022. “NVivo (Version 14).” https://www.qsrinternational.com/nvivo‐qualitative‐data‐analysissoftware/home.
Ricoeur, P. 1973. “The Hermeneutical Function of Distanciation.” Philosophy Today 17, no. 2: 129–141. https://doi.org/10.5840/philtoday197317233.
Sterner, A., N. Ramstrand, M. Nyström, M. A. Hagiwara, and L. Palmér. 2018. “Novice nurses' Perceptions of Acute Situations—A Phenomenographic Study.” International Emergency Nursing 40: 23–28. https://doi.org/10.1016/j.ienj.2017.12.001.
Tong, A., P. Sainsbury, and J. Craig. 2007. “Consolidated Criteria for Reporting Qualitative Research (COREQ): A 32‐Item Checklist for Interviews and Focus Groups.” International Journal for Quality in Health Care 19, no. 6: 349–357. https://doi.org/10.1093//intqhc/mzm042.
van Rooyen, D. R., P. J. Jordan, W. ten Ham‐Baloyi, and E. M. Caka. 2018. “A Comprehensive Literature Review of Guidelines Facilitating Transition of Newly Graduated Nurses to Professional Nurses.” Nurse Education in Practice 30: 35–41. https://doi.org/10.1016/j.nepr.2018.02.010.
Willman, A., K. Bjuresäter, and J. Nilsson. 2021. “Insufficiently Supported in Handling Responsibility and Demands: Findings From a Qualitative Study of Newly Graduated Nurses.” Journal of Clinical Nursing 30, no. 1–2: 83–92. https://doi.org/10.1111/jocn.15483.
World Medical Association. 2013. “WMA: Declaration of Helsinki. Ethical Principles for Medical Research Involving Human Subjects.” Journal of the American Medical Association 310, no. 20: 2191–2194. https://doi.org/10.1001/jama.2013.281053.

Keywords: newly graduated nurses; perioperative nursing; qualitative research; secondary analysis; transition to clinical practice

Date Created: 20241019 Latest Revision: 20241019

20241020

10.1111/jan.16537

39425757