Abstract

Introduction: The transition period in the first year of nursing career is a difficult time for new nurses to adapt. The transition process for a new nurse is known as the Duchscher's transition shock model. Almost all hospitals worldwide have experienced difficulties with regards to the ability of new nurses to adapt to profession. The Preceptorship is a program designed to help new nurses adapt during the transition. This study aims primarily at exploring the impacts of the program to the turnover intention of fresh graduate nurses working in hospital.
 Methods: For this major purpose, a qualitative research with particular reference to phenomenology design was applied. Accordingly, this research applied in-depth interviews with active participation of 13 key informants. The informants are fresh graduate nurses employed in two private hospitals in Jakarta.
 Results: The results of thematic and cross-case analysis with N Vivo v.12 indicate four themes: preceptorship process, experiences in transition, problem arising during transition period and preceptorship program in helping nurse.
 Conclusion: It is found that nurses aged 22 years old and 7 months of working experience are the most likely to resign. The experience of new nurses undergoing to transition period affects 48% of their desire to leave work. This study recommends conducting further research on what kind of work environment is ideal for facilitating adaptation for new nurses.

Highlights

  • The transition period in the first year of nursing career is a difficult time for new nurses to adapt

  • In Canada it was found that 30% of fresh graduate nurses who graduated in the last 5 years have left their position as a nurse [5]

  • The theme of experiences in transition have sub themes: adapting to new roles, application in practice, response and efforts to knowledge, providing nursing care, new nurse role, collaborate with one profession and Interpretation of Data Analysis in Relation to the Preceptor Process Based on the results of the data analysis, each participant gave a statement regarding the question on preceptor process

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Summary

Introduction

The transition period in the first year of nursing career is a difficult time for new nurses to adapt. The Preceptorship is a program designed to help new nurses adapt during the transition. This study aims primarily at exploring the impacts of the program to the turnover intention of fresh graduate nurses working in hospital. The experience of new nurses undergoing to transition period affects 48% of their desire to leave work. This study recommends conducting further research on what kind of work environment is ideal for facilitating adaptation for new nurses. Taiwan's Nursing Board reported that the turnover rate for new nurses in the first year of employment was 57.7% and it reached its peak in the first 3 months of work at 32.1%. In Canada it was found that 30% of fresh graduate nurses who graduated in the last 5 years have left their position as a nurse [5]

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