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, Lisa McKenna
School of Nursing and Midwifery, Monash University, Peninsula Campus, Australia
Received 21 March 2006; received in revised form 19 May 2006; accepted 31 May 2006
Abstract
Background: Becoming a new graduate nurse is both a complex and stressful transition. Graduates must socialise into
the context of nursing practice, become accountable for patient care and ward activities, interact with other health
professionals and develop their own clinical expertise. In Australia, many hospitals provide Graduate Year
Programmes to assist new graduates to assimilate into their new roles and environments.
Aims: This paper describes a study that explored how graduate nurses develop their knowledge and skills during their
graduate programmes, as well as identies factors assisting or hindering knowledge and skill acquisition.
Methods: Employing a qualitative approach, this study used a series of focus groups and anecdotes to collect data from
25 participants recruited from four different hospitals in Victoria, Australia. Focus groups were conducted between 4
and 6 months, 11 and 12 months into, and 46 following completion of the graduate programme. Interview transcripts
were analysed allowing feedback to be provided to participants.
Results: Six themes emerged from the focus groups analysis that described graduates knowledge and skill acquisition
and reected their development at the different stages. These were: gliding through during undergraduate studies,
surviving, beginning to understand, and sheltering under the umbrella in the rst interview, knowing how to, and
weve come a long way by the end of their programme.
Conclusions: The year following graduation is one of immense personal and professional development. Despite nurse
education being in tertiary settings for many years, preparation of undergraduate students still appears unable to reduce
reality shock and ease transition for graduates into their working lives.
r 2006 Elsevier Ltd. All rights reserved.
Keywords: Focus group; Graduate nurse; Knowledge development; Transition; Socialisation
What is already known about the topic?
New nursing graduates experience feelings of being
unprepared and stress on entering the nursing work-
force for the rst time.
Professional socialisation for new graduates involves
adjusting to new roles, increasing accountability for
patient care, coping with fears of making mistakes or
interacting with other health professionals.
Graduates move through phases, initially internalis-
ing, focusing on themselves, before being able to
work independently and focus on patient and ward
requirements.
What this paper adds
Undergraduate nursing students underestimate their
preparation for their impending roles as new
ARTICLE IN PRESS
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doi:10.1016/j.ijnurstu.2006.05.017