Abstract
BackgroundGiven a persistent nursing shortage in Canada and a decline in new nurses entering the profession, new graduate nurses (NGNs) are being hired into positions historically reserved for more experienced staff. Critical care settings, which are areas of specialty nursing practice, are now routinely hiring NGNs in many hospitals. While evidence on NGN transition into critical care is emerging, best practices around training and support for these nurses are limited internationally, and non-existent within the Canadian context. Therefore, the aim of this systematic review is to identify, describe, and assess the effectiveness of interventions that support NGN transition into critical care clinical practice settings.MethodsThis is a systematic review of interventions using the Joanna Briggs Institute Methodology. Data sources will include MEDLINE, CINAHL, PsychINFO, Education Source, and Nursing and Allied Health electronic databases. Two independent reviewers will screen titles and abstracts using predetermined inclusion criteria. A consensus meeting will be held with a third reviewer to resolve conflicts when necessary. Full texts will also be screened by two independent reviewers and with conflicts resolved by consensus. Data will be extracted using a standardized extraction form. We will assess the quality of all included studies using Joanna Briggs Institute quality assessment tools. Data describing interventions will be reported narratively and a meta-analysis will be conducted to determine effectiveness, if appropriate.DiscussionThis systematic review will identify interventions that support NGN transition into critical care nursing practice. The findings of this study will provide a foundation for developing strategies to support NGN transition into these areas of specialty nursing practice.Systematic review registrationPROSPERO CRD42020147962.
Highlights
Given a persistent nursing shortage in Canada and a decline in new nurses entering the profession, new graduate nurses (NGNs) are being hired into positions historically reserved for more experienced staff
NGNs hired into critical care settings are likely to encounter additional challenges as they transition into their nursing roles as they immediately require specialized training and knowledge to be able to practice safely [6]
The NGN transition into critical care is fundamentally different than transition into general nursing practice [7]
Summary
The finalized forms will be used to extracting the following data: (1) study identification—authors, publication year, country, province/state, study design; (2) participant characteristics—gender/sex, nursing education, critical care education, sample size, years of nursing experience, years of critical care experience, nursing role; (3) specific operational definition used to identify “new graduate nurses” within the studies; (4) intervention characteristics using the Template for Intervention Description and Replication Checklist (TIDieR) [29]; and (5) outcomes (effect on NGN transition and other author-identified outcomes) For quantitative studies, this will include statistical results about the effectiveness. We will use the AMSTAR-2 (https://amstar.ca/docs/AMSTAR-2.pdf) tool, an 11-item checklist (developed as a quality appraisal tool for systematic reviews) to ensure our review meets quality standards and to avert any possible deficiencies in the conduct and reporting of our review [33]
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