Associations Between the COVID-19 Pandemic and New Nurses’ Transition to Practice Outcomes: A Multi-site, Longitudinal Study

IF 4.2 4区 医学 Q1 NURSING
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.

COVID-19大流行与新护士向实践结果过渡之间的关系:一项多地点纵向研究
从护理学校到护理实践的过渡已经得到了很好的研究,并被认为是新护士的动荡时期。现有文献表明,过渡到实践(TTP)计划可以成功地支持新护士通过这一具有挑战性的时期。然而,TTP项目的结果尚未与COVID-19大流行相关的研究,这改变了许多新护士的TTP体验,限制了他们到临床场所进行实际患者护理体验,并将护理教育和TTP项目的交付从面对面转移到虚拟环境。本研究的目的是分析TTP结局与COVID-19大流行之间的关系。方法采用回顾性、纵向研究,对来自Casey-Fink毕业生护士经历调查和住院护士进展调查的Vizient /AACN住院护士计划调查数据进行二次分析。将德克萨斯州东南部在2019冠状病毒病大流行之前(2017-2019年)参加标准化TTP计划的新护士的自我报告数据与大流行期间(2020年和2021年)参加TTP计划的护士的自我报告数据进行比较。结果共2673名护士参与本研究。当对队列的人口组成进行调整时,统计学上显着差异(p <在倡导、患者安全性和承诺结果中发现,与COVID-19大流行前队列相比,COVID-19大流行队列从基线到12个月的变化评分下降。结论新冠肺炎大流行对新护士参与标准化TTP计划的影响提供了新的信息。结果表明,当雇主和TTP项目人员在大流行期间努力支持新护士的TTP时,患者安全和继续留在组织和护理专业的承诺应该是他们优先改进的领域。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.60
自引率
12.50%
发文量
50
审稿时长
54 days
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.
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