{"title":"重新进入工作岗位的护士需要“练习”多少小时才能保持安全的“练习”?","authors":"Emma Eaton , Amanda Henderson","doi":"10.1016/j.jnr.2025.06.007","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>The regulation of nursing is needed to assure the public that registered nurses are competent and capable. When nurses do not practice for extended periods, their capacity to provide safe contemporary care gradually lessens. There is little evidence about how best to ensure that nurses who re-enter the workforce will provide safe and competent care.</div></div><div><h3>Purpose</h3><div>To ascertain the number of hours nurses in a supervised practice arrangement within a clinical environment take to demonstrate competence in maintaining requisite standards of practice following an extended period away from the profession.</div></div><div><h3>Methods</h3><div>A quantitative evaluation design determined nurses’ workplace performance during a supervised return-to-practice program. Twenty nurses with supervised practice requirements placed in acute clinical areas over a 5-year period (2019–2024) were monitored. The number of supervised hours of practice were recorded until the nurse met the requisite standards for practice. Competence was determined by a user-friendly validated measure of workplace performance based on Nursing and Midwifery Board of Australia standards for practice.</div></div><div><h3>Results</h3><div>The number of hours that nurses needed to undergo supervised practice to demonstrate the requisite standard of workplace performance after a break contrasted markedly depending on whether nurses had substantial experience in a specialty prior to their break. Nurses (<em>n</em> = 10) with more than 5 years’ experience in a specialty demonstrated requisite standards for practice after 120–216 h of supervised practice, whereas nurses (<em>n</em> = 10) who had different trajectories (i.e., without substantial experience) prior to their return to work needed 450 h of supervised practice before they were deemed suitable for unconditional registration.</div></div><div><h3>Conclusion</h3><div>Supervised practice needs may vary based on a nurse's previous experience. Understanding different needs of cohorts returning to the profession can assist healthcare leaders in planning for safe supervised practice for nurses returning after prolonged periods.</div></div>","PeriodicalId":46153,"journal":{"name":"Journal of Nursing Regulation","volume":"16 2","pages":"Pages 82-91"},"PeriodicalIF":6.3000,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"How many hours do nurses who re-enter the workforce need to “practise” to maintain safe “practice”?\",\"authors\":\"Emma Eaton , Amanda Henderson\",\"doi\":\"10.1016/j.jnr.2025.06.007\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><div>The regulation of nursing is needed to assure the public that registered nurses are competent and capable. When nurses do not practice for extended periods, their capacity to provide safe contemporary care gradually lessens. There is little evidence about how best to ensure that nurses who re-enter the workforce will provide safe and competent care.</div></div><div><h3>Purpose</h3><div>To ascertain the number of hours nurses in a supervised practice arrangement within a clinical environment take to demonstrate competence in maintaining requisite standards of practice following an extended period away from the profession.</div></div><div><h3>Methods</h3><div>A quantitative evaluation design determined nurses’ workplace performance during a supervised return-to-practice program. Twenty nurses with supervised practice requirements placed in acute clinical areas over a 5-year period (2019–2024) were monitored. The number of supervised hours of practice were recorded until the nurse met the requisite standards for practice. Competence was determined by a user-friendly validated measure of workplace performance based on Nursing and Midwifery Board of Australia standards for practice.</div></div><div><h3>Results</h3><div>The number of hours that nurses needed to undergo supervised practice to demonstrate the requisite standard of workplace performance after a break contrasted markedly depending on whether nurses had substantial experience in a specialty prior to their break. Nurses (<em>n</em> = 10) with more than 5 years’ experience in a specialty demonstrated requisite standards for practice after 120–216 h of supervised practice, whereas nurses (<em>n</em> = 10) who had different trajectories (i.e., without substantial experience) prior to their return to work needed 450 h of supervised practice before they were deemed suitable for unconditional registration.</div></div><div><h3>Conclusion</h3><div>Supervised practice needs may vary based on a nurse's previous experience. Understanding different needs of cohorts returning to the profession can assist healthcare leaders in planning for safe supervised practice for nurses returning after prolonged periods.</div></div>\",\"PeriodicalId\":46153,\"journal\":{\"name\":\"Journal of Nursing Regulation\",\"volume\":\"16 2\",\"pages\":\"Pages 82-91\"},\"PeriodicalIF\":6.3000,\"publicationDate\":\"2025-07-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Nursing Regulation\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2155825625000766\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Nursing Regulation","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2155825625000766","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}
How many hours do nurses who re-enter the workforce need to “practise” to maintain safe “practice”?
Background
The regulation of nursing is needed to assure the public that registered nurses are competent and capable. When nurses do not practice for extended periods, their capacity to provide safe contemporary care gradually lessens. There is little evidence about how best to ensure that nurses who re-enter the workforce will provide safe and competent care.
Purpose
To ascertain the number of hours nurses in a supervised practice arrangement within a clinical environment take to demonstrate competence in maintaining requisite standards of practice following an extended period away from the profession.
Methods
A quantitative evaluation design determined nurses’ workplace performance during a supervised return-to-practice program. Twenty nurses with supervised practice requirements placed in acute clinical areas over a 5-year period (2019–2024) were monitored. The number of supervised hours of practice were recorded until the nurse met the requisite standards for practice. Competence was determined by a user-friendly validated measure of workplace performance based on Nursing and Midwifery Board of Australia standards for practice.
Results
The number of hours that nurses needed to undergo supervised practice to demonstrate the requisite standard of workplace performance after a break contrasted markedly depending on whether nurses had substantial experience in a specialty prior to their break. Nurses (n = 10) with more than 5 years’ experience in a specialty demonstrated requisite standards for practice after 120–216 h of supervised practice, whereas nurses (n = 10) who had different trajectories (i.e., without substantial experience) prior to their return to work needed 450 h of supervised practice before they were deemed suitable for unconditional registration.
Conclusion
Supervised practice needs may vary based on a nurse's previous experience. Understanding different needs of cohorts returning to the profession can assist healthcare leaders in planning for safe supervised practice for nurses returning after prolonged periods.
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.