Abstract
Background: Newly graduated registered nurses (NGRNs) enter the 21st-century medical-surgical health care environment where they continue to be a marginalized and disenfranchised population struggling with vast, often untold workplace challenges. Objective: This study reveals these challenges before the COVID-19 pandemic and aims to improve the educational curriculum for baccalaureate student nurses at Schools of Nursing provincially, nationally, and internationally. Methods: A qualitative narrative inquiry research design exposed narratives from NGRNs working in 21st-century medical-surgical nursing environments. The research methodology of critical theory with narrative inquiry examined perspectives and experiences of NGRNs. Interviews were conducted with NGRNs working on medical-surgical nursing units. Results: NGRNs strongly recommend increased dedicated time in their nursing curriculum for the fundamental components of communication and leadership training. Recommendations were also made to enhance curriculum in other capacities, from acutely ill patient care and workload management to work-life balance and coping with shift work. Conclusion: The overwhelming number of NGRNs who identified communication and leadership as significant challenges in the medical-surgical nursing environment is substantial and commands attention. Implications for practice include review of education curriculum and committed support for NGRNs.
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