Presenter Information

Shekinah AkutFollow

Start Date

16-11-2018 9:30 AM

End Date

16-11-2018 11:30 AM

Abstract

Background: The ongoing nursing shortage forced hospitals to employ new graduate nurses in specialty care areas including critical care. Transition to practice programs were implemented to effectively aid new graduate nurses as they enter the practice, as well as improve their competency and retention. While these programs have been successful in accomplishing its purpose, there is a lack of knowledge of the different factors that influence their effectiveness.

Objectives: To identify the predictors of success of transition to practice programs on new graduates nurses in critical care, and to examine the relationship between those factors and new graduate nurses’ competency and retention.

Methods: This integrative literature review conducted a comprehensive analysis and comparison of methods, results and findings of relevant literature extracted from databases such as Cumulative Index to Nursing and Health Literature (CINAHL), PubMed, PsycINFO, and ProQuest.

Results: Preceptor-resident relationship, nature and length of program and supportive clinical environment affecting the success of a transition to practice programs were identified in this review. New graduate nurses’ (NGNs) competency was analyzed through development of critical thinking skills influenced by those factors. Despite the lack of data to discover relationship between those factors and retention rates, an increase in NGNs retention rate was noted in transition to practice programs involving a combination of clinical learning, didactic learning and simulation.

Conclusion: Knowledge of these factors may help improve the quality of current established programs and may provide essential information for future research related to the concept. Future studies should identify learning needs of NGNs through negative factors influencing their perception of transition to practice programs and how those factors affect retention rates of NGNs in critical care.

Keywords: new graduate nurse, critical care, nurse residency, transition to practice program, preceptorship

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Nov 16th, 9:30 AM Nov 16th, 11:30 AM

Predictors of Success in Transition to Practice on New Graduate Registered Nurses in Critical Care Settings: An Integrative Literature Review

Background: The ongoing nursing shortage forced hospitals to employ new graduate nurses in specialty care areas including critical care. Transition to practice programs were implemented to effectively aid new graduate nurses as they enter the practice, as well as improve their competency and retention. While these programs have been successful in accomplishing its purpose, there is a lack of knowledge of the different factors that influence their effectiveness.

Objectives: To identify the predictors of success of transition to practice programs on new graduates nurses in critical care, and to examine the relationship between those factors and new graduate nurses’ competency and retention.

Methods: This integrative literature review conducted a comprehensive analysis and comparison of methods, results and findings of relevant literature extracted from databases such as Cumulative Index to Nursing and Health Literature (CINAHL), PubMed, PsycINFO, and ProQuest.

Results: Preceptor-resident relationship, nature and length of program and supportive clinical environment affecting the success of a transition to practice programs were identified in this review. New graduate nurses’ (NGNs) competency was analyzed through development of critical thinking skills influenced by those factors. Despite the lack of data to discover relationship between those factors and retention rates, an increase in NGNs retention rate was noted in transition to practice programs involving a combination of clinical learning, didactic learning and simulation.

Conclusion: Knowledge of these factors may help improve the quality of current established programs and may provide essential information for future research related to the concept. Future studies should identify learning needs of NGNs through negative factors influencing their perception of transition to practice programs and how those factors affect retention rates of NGNs in critical care.

Keywords: new graduate nurse, critical care, nurse residency, transition to practice program, preceptorship