The purpose of this qualitative case study was to explore new nurse graduates’ perspectives on emotional and physical challenges experienced during the transition from academia to clinical practice settings with the intent to understand how these experiences prepared new graduates for the clinical setting. The problem addressed was that new nurse graduates emotional and physical experiences during transition from academia to the clinical setting affected self-confidence and new nurse graduates’ competency to function optimally in the workplace. The research question focused on new nurse graduates’ perspectives on emotional and physical challenges. experienced. Benner’s novice to expert model and Duchscher’s transition model served as the guiding theoretical framework for the study. A purposeful sample of 12 participants of new nurse graduates was selected for the study from the medical/ surgical units of a not-for-profit hospital in New York City. Data were collected from semi-structured interviews and participants’ reflective writing journals. From the analysis of the data 12 major themes emerged, six themes from the interviews and six themes from the participants’ reflective journals. Themes from the interviews were: perceptions of emotional experiences, physical challenges of nurse graduates, academic preparation, preceptor assistance, healthcare team assistance, and nurse graduates’ recommendations. Themes from the reflective writing journals were value differences in clinical settings, perceptions towards mentally ill patients, emotional impact on performance, reflection on clinical performance, completion of clinical duties, and nurse graduates’ concerns. There were four recommendations for practice that included the provision of designated preceptor for new nurse graduate, appropriate nurse/patient ratio, support for nursing schools and universities in the development of programs and curricula, and a social support network for new nurse graduates. Also, collaborate with academic institutions to develop and implement current guidelines to provide student nurses with opportunities for live practice. There were six recommendations for future research which involved targeting a similar group of participants with different perspectives, using a stratified sample of participants, executing a similar study but with larger sample size, comparing males and females perspective in a similar study and an exploratory study focused on the effects of emotional and physical experiences on the resilience of new nurse graduates.
|Advisor:||George, Robert, Watkins, Julia|
|Commitee:||Lyles , Sylvia|
|Department:||School of Education|
|School Location:||United States -- California|
|Source:||DAI-A 82/8(E), Dissertation Abstracts International|
|Subjects:||Nursing, Occupational psychology, Educational psychology|
|Keywords:||Advanced beginner, Competent beginner, Emotional challenges, Physical challenges, Preceptor|
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