Evaluating The Impact Of Simulation On Perceived Knowledge And Confidence Of New Graduate Nurses (Ngns) In Maternal-Newborn Care, Disa Seymour

DNP Scholarly Projects

Abstract

Background: Nursing education worldwide varies in duration and training process, with nurses often facing rapid immersion into patient care complexities when entering the workforce. While new nurses contribute significantly to the nursing community with contemporary knowledge, their transition to practice can be daunting, necessitating support for both competence and retention. As specialty care settings integrate more new graduate nurses (NGNs) to address workforce shortages, collaboration between leaders and educators becomes crucial. Simulation emerges as a vital tool in building confidence while learning, offering a safe space for skill development and growth of confidence.

Purpose: This project’s objective was to …

Cardiac Arrest High-Fidelity Simulation: Improving Nursing Students’ Resuscitation Response In Preparation For Transition To Professional Practice, Phoebe Hanna

Seton Hall University Dissertations and Theses (ETDs)

New graduate nurses report critical hands-on skills are not taught in school and contribute to the increased stress they feel when managing a life-threatening patient condition (Bennett et al., 2017). In the United States, approximately 290,000 in-hospital cardiac arrests occur annually (Andersen et al., 2019). The current Bachelor of Science in Nursing (BSN) curriculum at a large university in northern New Jersey does not include the implementation of a high-fidelity cardiac arrest simulation. This project was designed to enhance classroom didactic education of nursing care during an emergency cardiac arrest by exposing traditional senior-level BSN students to a high-fidelity cardiac …

Growing Into The Nursing Role: Exploring The Challenges New Nurses Face And How Residency Programs Address These Problems, Jan Ashley Escosio

Nursing | Senior Theses

Background: The first year of nursing practice is filled with growth and anxiety. Novice nurses face many challenges. A high turnover rate for new nurses creates a need for this issue to be addressed. New nurse residency programs may ensure nurses remain available to meet the community’s needs.

Objective: The purpose of this paper is to understand challenges new nurses face and how residency programs can address them. Two questions guiding the research are:

• What are the challenges new nurses face during their transition to practice (TTP)?
• How do New Graduate Nurse Residency Programs address these problems to shape confident …

The Clinical Observations Of Nursing Students And Recent Graduates Caring For Lgbtq+ People, Emily E. Roy

Honors Theses and Capstones

Objective: The next generation of nurses have increased educational preparation to provide affirming care to lesbian, gay, bisexual, transgender, and queer (LGBTQ+) people, but an evaluation of the effectiveness of this teaching has not been performed. The purpose of this study was to identify nursing student and recent nursing graduate observations of affirming and non-affirming care of LGBTQ+ people in healthcare settings during clinical experiences. We also sought to understand how those experiences affect their ability and willingness to provide affirming health care to LGBTQ+ people.

Methods: Participants filled out a mixed methods Qualtrics survey that was distributed through school …

Establishing A New Graduate Nurse Peer Mentoring Program, Teresa Biediger Bowers

Doctor of Nursing Practice Scholarly Projects

Problem Statement: New Graduate Nurses (NGN) report increased stress, likely due to decreased confidence and social support (Frogeli et al., 2019). The most current NGNs are disadvantaged as much of their undergraduate clinical experience has been affected by the COVID-19 pandemic (Smith et al., 2021). At the end of their residency, information gathered from former NGNs suggested they feel they need "more support" during the residency. Purpose: The purpose of this quality improvement project was to determine if the addition of a peer mentor to the already existing nurse residency program would improve nurse confidence, job satisfaction, and intent to …

Using Group Interviews To Innovate The Selection Process For New Graduate Nurses, Karen T. Descent

DNP Qualifying Manuscripts

A pilot program in two hospitals using a group interview approach for new graduate nurse selection enabled multidisciplinary leadership participation. The interview process incorporated structured behavioral and scenario-based questions. The pilot shortened the traditional one-to-one interview process by 70% and improved retention one year from hire by 17.5%.

Systematic Literature Review Of Residency Program For Transition To Intensive Care, Sonja Marguerite Thornton

Walden Dissertations and Doctoral Studies

The purpose of the systematic literature review project is to present the benefits of a nurse residency program (NRP) to assist new graduate nurses (NGNs) in transition to intensive care nursing. A theory-to-practice gap in knowledge and experience results in the need to support these nurses during their transition to professional practice. This project focused on compiling a systematic review of existing literature to provide evidence and insights into the optimal structure and process of transitioning new graduate nurses to intensive care nursing practice. The American Associations of Critical Care Nurses synergy conceptual model and Patricia Benner's novice to expert …

Critical Thinking In Nursing Education: An Integrative Review, Beth Maina

Master of Science in Nursing Final Projects

Aim. This integrative review aimed to review studies on critical thinking and how it is essential in nursing education. The research question that guided this integrative review was: What teaching strategies positively influence critical thinking development in new graduate nurses?

Background. Critical thinking is an essential skill in the nursing profession which helps nurses to prioritize and perform life- saving interventions for the patient. This desirable competency is an expected outcome upon graduating from nursing school. However, there is growing concern that new graduate nurses lack this essential skill.

Data Sources. Articles were located by searching electronic data bases …

New Graduate Nurses’ Transfusion Training Views: Reflection On Experiences With Adverse Reactions, Hind Jaber-Daou

Walden Dissertations and Doctoral Studies

Abstract:New graduate nursing students transitioning to becoming professionals undergo education and training to gain knowledge and competence about transfusions. Nonetheless, new graduate nurses experience stress during a blood transfusion adverse reaction, which can be associated with lack of knowledge and inadequate training. The purpose of this qualitative study was to gather data from new graduate nurses who described their lived experiences with patients exhibiting symptoms of adverse reactions, how they reflected on their emotional effects, and the influences of the training on their knowledge and confidence. The research was grounded in social cognitive theory that centers on the concept of …

Transitioning For Success: A Pilot Program For New Nurse Graduates In A Pediatric Intensive Care Unit, Valerie Charisa Barboa

UNLV Theses, Dissertations, Professional Papers, and Capstones

Global nursing shortages, increasingly complex patients, and rapidly evolving medical knowledge and technology make it necessary for today’s new graduate nurse (NGN) to enter practice with an already well developed set of skills (clinical judgment, technical skills, and a sound knowledge base). The protracted nursing shortage has prompted health care organizations to hire NGN’s directly into intensive care units (ICU), a rare, and previously unheard-of occurrence. Many NGN’s are unprepared for the highly complex, critically unstable patient in the ICU or the fast paced, independent, yet simultaneously collaborative nature of the ICU workplace. These deficits can quickly compromise patient safety …

Exploring The Relationships Among New Graduate Nurses’ Structural Empowerment, Psychological Empowerment, Work Engagement, And Clinical Nurse Educator Leadership In Acute Care Settings, Carly Blair

Electronic Thesis and Dissertation Repository

Background: This study aimed to examine relationships and to gain further knowledge into the significance of the leadership role of acute care clinical nurse educators and the relationship with structural empowerment, psychological empowerment, and work engagement amongst new graduate nurses working in acute care settings.

Methods: 83 participants, registered with the College of Nurses of Ontario (CNO), responded to a mail-out survey package containing four instruments corresponding to each study variable, along with a demographic questionnaire. The analysis includes study descriptives, correlations of total and subscales, and moderation analysis of structural empowerment, psychological empowerment and clinical nurse educator leadership

Results: …

The Effect Of Authentic Leadership On New Graduate Nurses’ Organizational Identification, Trust In The Manager, Patient Safety Climate, And Willingness To Report Errors, Fatmah Fallatah

Electronic Thesis and Dissertation Repository

Background: Error reporting has been identified as an important approach to improve delivery of both safe and quality care. However, existing evidence suggests that nurses are reluctant to report errors they make or fail to speak up about mistakes committed by others. Authentic leadership has been linked to improved work environments for nurses and enhanced quality of care. However, the question of how authentic leaders influence new graduate nurses’ willingness to report errors has received minimal attention.

Purpose: The aim of this study was to test a theoretical model that examined the influence of authentic leadership on new graduate nurses’ …

Use Of Simulations To Improve Clinical Judgment In New Graduate Nurses, Aaliyah Sabreen Franks

Walden Dissertations and Doctoral Studies

The goal of healthcare organizations across the world is to provide safe, efficient healthcare for patients and their families. The practice problem for this DNP Project, a staff education project, addressed simulation as a strategy to improve clinical judgment in new graduate nurses. Recent studies have shown that 23% of new nurses do not demonstrate entry-level competency and are not as effective as more experienced nurses when making clinical judgment decisions. This lack of efficacy poses a threat to patient safety. This was based on nurse’s progression through Benner’s five levels of competency and was designed to enhance new graduate …

Exploring The Different Factors Associated With Burnout, Natassja J. Debra

Honors Undergraduate Theses

Maslach and Leiter determined burnout to be caused by three major components: exhaustion, cynicism, and inefficiency. This literature review focuses on factors that directly contribute to new graduate nurse burnout. Major factors discussed in this paper are differences in expectations versus reality, influences from past education, developing professional identity, and the effect of the workplace environment on new graduate transition. Interventions to combat burnout are discussed along with recommendations for future research.

New Graduate Nurses' Understanding And Attitudes About Patient Safety Upon Transition To Practice, Melanie Murray, Deborah Sundin, Vicki Cope

Research outputs 2014 to 2021

AIMS: To explore the transition experiences of newly graduated registered nurses with particular attention to patient safety.

BACKGROUND: New graduate registered nurses' transition is accompanied by a degree of shock which may be in tune with the described theory-practice gap. The limited exposure to clinical settings and experiences leaves these nurses at risk of making errors and not recognising deterioration, prioritising time management and task completion over patient safety and care.

DESIGN: Qualitative descriptive approach using semi-structured interviews.

METHODS: Data were collected during 2017-18 from 11 participants consenting to face-to-face or telephone semi-structured interviews. Interviews were transcribed verbatim, and data …

The Influence Of Nurse Residency Programs On Retention Rates Of New Graduate Nurses, Keterly Steyer Franken

Nursing (graduate) Student Scholarship

The purpose of this study was to examine the influence of nurse residency programs (NRPs) on retention rates. This study was an evidence synthesizing project including data analysis, a comprehensive literature review, and a critique of the literature. This study was conducted through a search strategy using online databases. Nine pieces of evidence were chosen for review and critique. The need for confident and intelligent nurses is extremely evident in today’s healthcare. New graduate nurses account for a majority of the nursing workforce today. In order to meet this demand, new graduate nurses need to be adequately trained and prepared …

Linking Patient Safety To Clinical Practice: The Insight Of New Graduate Registered Nurses, Melanie Murray

Theses: Doctorates and Masters

New graduate registered nurses’ (NGRNs) transition to practice with limited clinical experiences and skills. The related anxiety and stress predispose new graduate nurses to increased risk of contributing to preventable errors or adverse events. This risk, together with the new graduate’s fledgling ability to manage clinical deterioration, potentially compromises quality and safety of patient outcomes.

A longitudinal mixed methods design was used to develop an understanding of new graduate registered nurses’ patient safety knowledge and actions within the first year of nursing registration and offer important insights into NGRNs’ transition with a patient safety focus. New graduate registered nurses employed …

The Impact Of Reflection On The Development Of Critical Thinking For Novice Nurses, Katherine D. Taylor

Nursing (graduate) Student Scholarship

This capstone project explores the use of intentional reflection as and educational intervention during the orientation process and the development of critical thinking skills in new graduate nurses. Nurse educators in the clinical practice setting could potentially impact one aspect of the transition to practice for the novice nurse through the development of critical thinking through by facilitating the incorporation of reflection during the onboarding of a novice nurse. Further investigation in the form of an evidence syntheses specifically related to the impact of reflection on the development of critical thinking in the new graduate nurse was necessary. The results …

Patient Deterioration Simulation Education And New Graduate Nurses' Self-Confidence And Competence, Heather B. Norris

Doctor of Nursing Practice Projects

Inconsistent identification and intervention for patient deteriorations has been identified as a global healthcare issue that has a profound effect on patient outcomes. Failure to rescue (FTR) rates are influenced by the quality of care a hospital provides in the event of patient deterioration. Rapid Response Teams (RRTs) are summoned to the bedside in the event of a patient deterioration to assess the patient and intervene quickly. Efficient use of RRTs prevents cardiopulmonary arrests and decreases hospital mortality, thirty-day morality, and length of stay. Patient deterioration simulation education can improve the use of RRTs and positively influence patient outcomes. New …

A Nurse Mentor Program In A Long Term Acute Care Hospital, Regina Masters

Doctor of Nursing Practice Projects

Nurse turnover is a national problem with the potential to affect quality of care and patient outcomes. A Long Term Acute Care Hospital (LTACH) with nurse turnover rates above the national average as high as 28% sought to address this problem. A review of the literature identified nurse mentor programs increasing registered nurse (RN) satisfaction and decreasing turnover. Therefore, the purpose of this project was to implement a mentor program for newly hired RNs. Mentors were paired with new RNs for a four-week program. Pre and post intervention data were collected via the McCloskey Mueller Nurse Satisfaction Survey (MMSS) and …

Factors Influencing The Perceived Stressors Of New Graduate Nurses Transitioning Into Acute Care Settings: A Secondary Data Analysis, Eileen K. Mahler

Theses & Dissertations

Background: The transition into practice of new graduate nurses continues to be of concern to the nursing profession. Smooth transition into practice takes on increased importance in the current era of healthcare transformation and resulting impact on the clinical environments within which nurses practice. It is important to study the stressors and challenges new graduates face in the practice environment. Methods: This descriptive study utilized secondary data analysis to explore new graduate nurses' self-report of clinical stressors during their transition into the professional RN role. Meleis’ Transitions Theory and Lazarus and Folkman’s Transactional Model of Stress and Coping provided the …

Lateral Violence Among New Graduate Nurses, Megan Russell

Nursing Theses and Capstone Projects

Lateral violence is an act of aggression that is committed against one nurse by another. There are many names for lateral violence, some of these include: horizontal violence, bullying, aggression, horizontal hostility, verbal abuse, or nurses eating their young. Lateral violence occurs when nurses covertly or overtly direct the dissatisfaction they are feeling inward toward each other. The effects of lateral violence on new graduate nurses and the organizations in which they work can be detrimental. An extensive literature review was undertaken to understand the significance and prevalence of lateral violence against new graduate nurses. The purpose of this study …

Practice Preparedness In New Graduates: Exploring The Education-Practice Gap, Wendy L. Batch-Wilson

Walden Dissertations and Doctoral Studies

As newly licensed registered nurses enter their first nursing role, their perceived preparation for practice may vary. This descriptive study addressed the education-practice gap that exists as nurses transition into nursing practice. The use of Benner's skill acquisition model offers a structure for connecting theory to practice. New graduate nurses responded to the Casey-Fink Graduate Nurse Experience Survey-© to identify gaps in preparedness for novice practice. A convenience sample of nurses within the first 12 months of hire (n = 35) was sent the survey link by educators from the chosen sites. Anonymity was maintained with 18 total responses and …

Linking Psychological Capital, Structural Empowerment And Perceived Staffing Adequacy To New Graduate Nurses' Job Satisfaction, Lisa Stam

Electronic Thesis and Dissertation Repository

Reports indicate that new graduate nurses (NGNs) are experiencing stressful work environments, affecting job satisfaction and retention in current positions. New nurses are a health human resource that must be retained in order to ensure the replacement of retiring nurses, and to address impending shortages. As a result, creating supportive work environments that promote NGNs’ job satisfaction may play an important role in the retention and recruitment of skilled, satisfied nursing staff. The purpose of this study was to test the relationships between new graduates’ self-reported psychological capital (PsyCap), access to empowerment structures, perceptions of staffing adequacy and job satisfaction. …