Abstract
Aim: The most important mission of Healthcare systems is to deliver safe, efficient, and high-quality patient care. Manpower is the key pillar in achieving this goal. Studies show that newly graduated nurses do not have sufficient clinical competence to care for patients. This study aimed to explore the reasons for inadequate competence of newly graduated nurses. Method: The present study is a qualitative study. Participants in this study were 30 individuals, including nursing students, newly graduates nurses, nursing faculties, clinical nurses, nursing managers and deputies for the education of nursing schools who were selected by purposeful sampling method. Data were collected through semi-structured interviews. The data collection continued to data saturation. Data were analyzed using qualitative content analysis in MAXQDA 10 software. Results: Three main categories emerged as reasons for the inadequate clinical competency in the newly graduated nurses i.e. inefficient mechanism of student recruitment, ineffective education, and gloomy outlook for the nursing profession. Conclusion: Training qualified clinical nurses is a dynamic process that requires enrolling the appropriate individuals, preparing a suitable infrastructure to train, training them effectively, providing in-service training, and providing the necessary motivation for professional development in the health care settings.
Highlights
Over 19 million nurses care for individuals, families, and communities worldwide every day [1]
This study determined the causes of the inadequate clinical competence of newly graduated nursing staffs as three main categories of inefficient mechanism of student recruitment, ineffective education, and gloomy outlook for the nursing profession
Other physical and psychological factors, and interest of student did not consider carefully. This category has two subcategories: Nursing students' lack of interest in the study field In general, interest is one of the essential components to choose afield, in particular, in the field of nursing, as it is directly related to human life
Summary
Over 19 million nurses care for individuals, families, and communities worldwide every day [1]. Nurses are working in a variety of settings such as hospitals, physicians' offices, outpatient care facilities, clinics, nursing homes, schools, and community health centers, but the majority of nurses (61%) are employed at state, local and private hospitals [2]. More than 10% of nursing staff in each hospital are novice nurses which are on the rise due to the increasing number of nursing graduates entering the health care settings [3]. Studies have shown that newly graduated nurses are not clinically competence in caring for patients [4]. Observational studies associated increased mortality of patients with lower professional competence of nurses [3]
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