Maja Djukic PhD, RN, FAAN, Nikhil Padhye PhD, Zhichun Ke MS, Erica Yu PhD, RN, Caitlin McVey MBA, RN, CPHQ, LSSBB, Warisara Manuel MSN, RN, Yashamika Short MSN, NPD-BC, Rosemary Pine PhD, RN, NPD-BC, Shamail Caligone
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引用次数: 0
Abstract
Background
The transition between nursing school and nursing practice has been well studied and recognized as a turbulent time for new nurses. Existing literature suggests that transition to practice (TTP) programs can successfully support new nurses through this challenging period. However, TTP program outcomes have not been studied related to the COVID-19 pandemic, which altered TTP experiences for many new nurses by limiting their access to clinical sites for hands-on patient care experience and shifting delivery of nursing education and TTP programs from in-person to virtual environments.
Purpose
The purpose of this study was to analyze the associations between TTP outcomes and the COVID-19 pandemic.
Methods
This was a retrospective correlational, longitudinal study using secondary analysis of Vizient /AACN Nurse Residency Program survey data from the Casey-Fink Graduate Nurse Experience Survey and the Nurse Resident Progression Survey. Self-reported data from new nurses in Southeast Texas who participated in a standardized TTP program before the COVID-19 pandemic (2017–2019) were compared with self-reported data from nurses who participated in the TTP program during the pandemic (2020 and 2021).
Results
A total of 2,673 nurses participated in this study. When adjusting for demographic composition of the cohorts, statistically significant differences (p < .05) were identified in the advocacy, patient safety, and commitment outcomes with a decline in change scores from baseline to 12 months in the COVID-19 pandemic cohort compared to the pre–COVID-19 pandemic cohort.
Conclusion
Our findings provide new information on the impact of the COVID-19 pandemic on new nurses’ participating in a standardized TTP program. The results indicate that patient safety and commitment to staying employed in the organization and the nursing profession should be priority improvement areas for employers and TTP program staff as they work to support new nurses’ TTP in a pandemic.
期刊介绍:
Journal of Nursing Regulation (JNR), the official journal of the National Council of State Boards of Nursing (NCSBN®), is a quarterly, peer-reviewed, academic and professional journal. It publishes scholarly articles that advance the science of nursing regulation, promote the mission and vision of NCSBN, and enhance communication and collaboration among nurse regulators, educators, practitioners, and the scientific community. The journal supports evidence-based regulation, addresses issues related to patient safety, and highlights current nursing regulatory issues, programs, and projects in both the United States and the international community. In publishing JNR, NCSBN''s goal is to develop and share knowledge related to nursing and other healthcare regulation across continents and to promote a greater awareness of regulatory issues among all nurses.