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Satisfaction of newly graduated nurses enrolled in transition-to-practice programmes in their first year of employment: a systematic review

Authors

  • Karen Missen RN MHSc (Nse Ed) Grad Dip (ICU),

    Lecturer, Corresponding author
    1. Faculty of Medicine, Nursing and Health Sciences, School of Nursing and Midwifery, Monash University, Churchill, Victoria, Australia
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  • Lisa McKenna PhD RN MEdSt,

    Professor, Head of Campus (Clayton), Director of Academic Programs (International)
    1. Faculty of Medicine, Nursing and Health Sciences, School of Nursing and Midwifery, Monash University, Clayton, Victoria, Australia
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  • Alison Beauchamp MPH PhD RN

    Research Fellow
    1. Deakin Population Health SRC, Faculty of Health, Deakin University, Burwood, Victoria, Australia
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Abstract

Aims

To investigate job satisfaction and confidence levels of graduate nurses during their first year of employment and the impact various training programmes have on these factors.

Background

The transition from nursing student to practising nurse can be a challenging and stressful time for new nurses. Healthcare organizations provide transition programmes to support nurses through this vulnerable time and to assist in increasing graduates' job satisfaction and retention rates. However, no systematic review of transition programme outcomes has been undertaken to determine the impact of these programmes on improving satisfaction levels and on easing the challenges faced by nursing graduates in their new roles as Registered Nurses.

Design

Systematic review of effect using narrative synthesis.

Data sources

Quantitative studies published between 2000–December 2012 were identified using electronic databases and reference lists and by searching ‘grey literature’. Primary search terms were ‘new graduate nurse’ and ‘transitional programmes’.

Review methods

The three authors, guided by standardized procedures, performed independent, blinded data extraction and quality assessment.

Results

From 338 studies initially identified, eleven studies were included in this review. These studies used a variety of study designs including quasi-experimental and pre- and posttesting.

Conclusion

Evidence suggests that transition programmes are necessary in creating working environments that support new nurses in the clinical environment and this is demonstrated by increased job satisfaction and retention rates. However, optimum programme length and structure are unclear.

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