Novice Nurses Research Articles

Role transition experiences of female novice head nurses: An analysis using hermeneutic phenomenology

Background & Aim: In Taiwan—where the collective tends to be prioritized over the individual—gentleness, sacrifice, and obedience are prized qualities in the overwhelmingly female nursing workforce. Nevertheless, role changes and overlapping hierarchical boundaries often lead to stress. This study examined the role transition experiences of female novice head nurses in Taiwan. Methods & Materials: This study adopted an approach of hermeneutic phenomenology. Purposive sampling and snowball sampling were used to identify participants on Facebook who met the inclusion criteria. Considering the study purpose, the sampling criteria were as follows: female, seniority of an incumbent head nurse of 6–30 months, ability to communicate in Mandarin, willingness to participate in the study, and willingness to participate in recorded interviews. Nurses working at the same hospital as the researcher were excluded. The participants were interviewed to gain information regarding their experiences during the role transition process. Results: Ten female novice head nurses were recruited. The adjustment process of novice head nurses revealed the hierarchical culture of Taiwanese nursing. During this process, the participants encountered conflicts in role transition, adjusted their approaches, established their roles, and achieved professional success. The introduction of Western management styles to Taiwan inevitably creates cultural conflict that complicates the transition of novice head nurses into their new roles. Conclusion: Nursing organizations must consider cultural factors when helping novice head nurses transition to their new roles. Support systems and role models should be provided to help novice head nurses navigate the transition to their new roles.

Ethical Dilemmas and the Moral Distress Commonly Experienced by Oncology Nurses: A Narrative Review from a Bioethics Consortium from India

AbstractNurses working in oncology frequently have to make tough moral choices, such as how to break bad news or how to make sure a dying patient receives good palliative or end-of-life care. In the context of patient care, this may limit the ethical and moral options available to nurses. This can cause moral dissonance and ethical insensitivity on the job and can be very stressful. To be able to meet ethical problems in trying times calls for capacity to recognize and know how to manage the concerns. The purpose of this article was to describe common ethical challenges and to present some methods that may be helpful when confronting them. This narrative review discusses the ethical standards that oncology nurses should uphold and implement in their daily work. Many common ethical dilemmas are also explored, and the study hopes to shed light on how novice nurses, such as students and fresh recruits, may experience when caring for cancer patients and their family caregivers. Importantly, this review also addresses aspects of how nurses can improve their skills so that they can deal with the ethical quandaries and moral discomfort that arise on a daily basis in cancer care.

Professional socialization in nursing students: A way to develop professional nursing values

Professional socialization is a critical aspect in the field of nursing, as it encompasses the transformation of novice nurses into competent professionals who exhibit appropriate performance. This process holds immense significance in the growth and development of nursing students, commencing from their enrollment in nursing education programs and extending until their transition into the professional healthcare environment [1]. Nursing students in colleges are instructed on their roles and moral values, which they carry with them throughout their professional careers as a lifelong learning process [2]. Socialization plays a crucial role in equipping nursing students with the essential skills needed to effectively integrate into the nursing profession. It is considered a fundamental learning process that individuals undergo, facilitated by engaging in social interactions and embracing cultural norms within the nursing field [3]. Professional socialization is widely recognized as a key catalyst and significant determinant in the advancement of the nursing field. Enhancing comprehension of socialization processes and the obstacles encountered can facilitate the identification of effective educational approaches and clinical settings conducive to the growth of the nursing profession [4].

Factors associated with moral sensitivity among nurses in adult intensive care units: A cross-sectional study in China.

Moral sensitivity may play a role in dealing with ethical issues in ICUs. However, the moral sensitivity of adult ICU nurses in China and its predictors have not been well investigated. To analyse the moral sensitivity of intensive care unit (ICU) nurses and its predictors. A cross-sectional study through convenience sampling was conducted in the ICUs of five hospitals in China between November and December 2022. A total of 331 ICU nurses were recruited. Data were obtained using a self-developed socio-demographic characteristic questionnaire, the Moral Sensitivity Questionnaire, the Jefferson Scale of Empathy-Health Professionals and the Organizational Climate Scale for Nursing. The participating institutions received a link to the tools used for online data collection, which they then forwarded to nursing staff. The valid response rate was 96.98% (n = 321). The total mean moral sensitivity score of nurses was 43.04 ± 5.95. The mean scores for empathic ability and organizational climate for nursing were 91.97 ± 17.88 and 101.28 ± 14.77, respectively. Regression analyses revealed that the primary factors associated with moral sensitivity among critical care nurses included work tenure (p < .05), empathic ability (p < .001) and organizational climate (p < .001). High levels of moral sensitivity were found in critical care nurses in China. Work tenure, empathic ability and organizational climate were significant predictors of moral sensitivity in critical care nurses. To enhance the ethical sensitivity of ICU nurses, we suggest to strengthen the training of novice nurses so that they can better face the moral dilemma in clinical practice. In addition, organizational managers should also take measures to create a positive and harmonious working atmosphere, promote the application of moral knowledge in nursing practice and enhance their moral sensitivity.

An integrative literature review on clinical decision-making of novice nurses for disaster management in the Emergency Room

Novice nurses play a workflow part in responsibility among an overwhelming of patient. This emphasizes the need for nurses to have comprehensive decision-making skills, especially in disaster management. However, in practice, clinical decision-making remains a challenging issue for novice nurses working in the Emergency Room (ER). This review was conducted to synthesize the strategy that novice nurses need to do in clinical decision-making in the ER during a disaster.This review used an integrative literature review approach to identify (n=16) relevant scientific articles. Six online databases (ScienceDirect, Proquest, Sage Journals, PubMed, Willey Library, and EBSCO) were utilized to identify articles published between 2013 and 2023. The gathered articles were selected using the PRISMA method by removing duplicate articles and those that did not align with the review's objectives. The PRISMA flowchart was used to illustrate the evidence search process. Out of a total of 2,264 identified articles, sixteen articles are relevant for review.The review revealed that clinical decision-making requires careful consideration in several aspects which focused on determining the priorities of triage, assessment, diagnostic skills, and communication skills in teamwork during a disaster in the ER. This review provides evidence that the accuracy of clinical decision-making is a major influence on patient outcomes during disaster management.In conclusion, comprehensive training and more education for novice nurses about disaster precision nursing in the future are needed to reduce errors in decision-making.

Experiences of Faculty in Nursing Colleges: A Descriptive Phenomenology Study

The future of patient care is being paved by nurse educators, who mentor, teach, and inspire the next generation of novice nurses. Without them, aspiring nurses wouldn't be prepared to handle the constantly shifting needs of the modern, dynamic healthcare system. Nursing faculty needs to be knowledgeable and competent in evidence-based practice, informatics, quality improvement, inter-professional teamwork, and patient-centred care that are delivered with a focus on a culture of safety. As nursing faculties perform multidimensional work with balancing their home environment can create chaos in their life. Hence this aspect lit a spark within us to conduct a qualitative study on Nursing facultiesof southern region of Tamilnadu to analyse their work experiences. Further the study was led by in-depth face to face interview by using semi structured questionnaires. The data saturation was attained with sixteen participants. Colaizzi’s method was incorporated to analyse the data from the nursing faculty. This qualitative study lead a hand for us to showcase various themes like daily routine, job satisfaction, work life balance, interpersonal relationship and difficulties and challenges. There were also various subthemes which gave us insight on work atmosphere of the staff. Hence this study gave us an in-depth knowledge and understanding of individual nursing faculty and improvement so that the work balance could be maintained.

Factors influencing the reporting of medication errors and near misses among nurses: A systematic mixed methods review.

This study aimed to systematically review empirical evidence on factors influencing nurses to report medication errors and near misses. There is underreporting of medication errors among nurses, in particular among novice and beginner nurses. To improve quality of care, factors influencing the reporting of medication errors and near misses should be documented. A systematic mixed methods review was conducted. CINAHL, Cochrane Collaboration, Embase, Medline, PsycINFO and Web of Science databases were explored and analysed from December 1990 to December 2023. Two reviewers independently selected and extracted data using a standardized data extraction grid. Data were analysed using thematic analysis based on the adapted theory of planned behaviour. Forty-two studies met the eligibility criteria. Principal factors influencing the reporting of medication errors and near misses among nurses were associated with perceived behavioural control, subjective norm and attitude. Few studies examined factors influencing reporting medication errors and near misses among novice and beginner nurses, and sociodemographic and professional factors. To understand factors influencing reporting of medication errors and near misses, further studies should be conducted to investigate sociodemographic and professional factors.

Focused Team Engagements to Enhance Interprofessional Collaboration and Safety Behaviors among Novice Nurses and Medical Residents.

Team communication remains a challenge in hospital settings. Hospital-based teams are diverse, team composition changes daily, and team members are frequently not co-located. Novice nurses and medical residents entering the workforce during the coronavirus 2019 pandemic experienced higher communication challenges than before and lacked adequate opportunities for interprofessional learning and communication. We evaluated perceptions of safety and communication among novice nurses and medical residents after a 1-hour focused team engagement consisting of an interprofessional virtual simulation and debrief. We conducted a retrospective pre/post survey to measure perceptions of interprofessional collaboration using the Interprofessional Socialization and Valuing Scale. Sixty-eight pediatric nurse residents and medical residents participated in the survey. Overall, the focused team engagements significantly improve participants' perceptions of interprofessional collaboration, with participants showing statistically significant improvement in seven of nine retrospective pre/post survey questions. When analyzing by discipline, nurse residents show stronger gains than medical residents. The interprofessional structured debriefings encourage nurses and medical residents to collaborate and discuss important safety topics away from bedside stressors. After completing the virtual simulation, the outcomes show improved perceptions of interprofessional collaboration and enhanced knowledge of safety techniques.

Virtually integrated nursing care: A case study in diffusion of innovations

Bedside nurses are suffering from nurse fatigue owing to excessive workload and work hours. Nurse fatigue results in missed nursing care, which has a direct impact on patient care and safety. Loss of experienced nurses also affects novice nurses, leaving them without strong mentoring. They may suffer from imposter syndrome, which instils self-doubt and limits their professional development, potentially resulting in burnout and attrition. A case study regarding the leadership of the Chief Nursing Officer as aligned with Rogers’ diffusion of innovations theory is presented. There is an initial accumulation of knowledge regarding the innovation, followed by persuasion (through perception of positive attributes to enhance speed of adoption), decision making, actual implementation and confirmation. Use of virtually integrated nursing helped alleviate bedside nurse fatigue by removing overtime hours and reducing workload. The virtually integrated nurses supported the bedside nurses, allowing them additional time in direct patient care, enhancing patient satisfaction and safety. The objective data indicates a decrease in patient fall by over 50 per cent. The integration of virtual nursing reversed the nurse attrition rates. Initial results revealed a 47 per cent reduction in registered nurse turnover. This allowed for retention of experienced nurses, which aids in mentoring novice nurses. The impact of virtually integrated nursing is yet to be completely realised. Based on this case study, the implementation of virtually integrated nursing is possible and beneficial to nursing, patient safety and the bottom line. This innovation had additional positive consequences and led to future considerations regarding continual process improvement and dissemination of knowledge.

How clinical resource nurses can support new nurses and address safety concerns.

Inexperienced nursing staff can jeopardize patient safety and contribute to burnout. This quality improvement project evaluated a clinical resource nurse (CRN) role designed to address disparities in nurses' skills and experience. Survey results suggested that the CRN role effectively supported novice nurses.

Relationship between work readiness, transition shock, and job competency among new nurses in oncology hospitals - A longitudinal study based on a latent growth model

BackgroundNursing job competency is critical for talent development both globally and in China, relating to work readiness and transition shock. Previous studies, which have typically relied on average measurements at fixed time points, have not provided comprehensive longitudinal insights. AimThis study aimed to investigate the developmental trajectories of transition shock in new nurses at oncology specialty hospitals. Furthermore, we sought to explore the longitudinal mediating role of transition shock in the relationship between work readiness and the development of nursing job competency. DesignLongitudinal follow-up study. MethodsWe conducted three follow-up surveys over 8 months using the Work Readiness Scale, the Transition Shock Scale, and the Nursing Job Competency Scale to assess 252 novice nurses at two high-volume oncology centers. The surveys were conducted at 0, 4, and 8 months, with demographic information collected during the first survey. Data were analyzed using R 4.1.2 and Mplus 8.0. Results(1) Over the 8-month period, transition shock exhibited a linear decrease. Notably, nurses with a higher initial transition shock experienced a slower rate of decline. (2) There were positive correlations between work readiness and nursing job competency at all three measurement points. Conversely, transition shock was negatively correlated with both work readiness and nursing job competency. (3) Transition shock functioned as a longitudinal mediator in the relationship between work readiness and nursing job competency. ConclusionThis study clarified the longitudinal mediating role of transition shock in the relationship between work readiness and job competency in oncology settings. Targeted interventions are necessary to mitigate excessive transition shock, thereby improving the nursing job competency of new nurses in oncology hospitals. Registration23/313-4055.

"It's a Thing": What Nurse Elders Believe Novice Nurses Need to Know About Managing Emotional Labour.

Emotional labour (EL) can take a significant toll on nurses' mental health and well-being and has serious implications for the retention of nurses in the workforce. Nurse educators have struggled to prepare novices to manage EL or find serviceable resources with which to do so within the body of nursing literature, which is dominated by essentially unhelpful narratives and is absent of the practical, real-world wisdom of elder nurses. This exploratory research study illuminated elder nurses' experiential knowledge and beliefs of what is important for novices to learn about EL. Conventional Content Analysis (CCA) of qualitative survey data from 688 nurses with 20+ years of experience. CCA generated descriptive categories and sub-categories: What the elders themselves learned as student nurses, and their advice to novices in the individual realm, ("It's a Thing," healthy disengagement, supporting mental and physical well-being, reframing self-reproach), team realm (peer support, mentors), and institutional realm (structural barriers to mentors' support of novices, building novices' capacities for self-advocacy, resources to support health and well-being). The elders' data confronted and reframed legacy individuated narratives in the literature by supporting and contextualizing nurses' emotional work. Elders advised novices that EL is a reality requiring concrete strategies to manage it throughout their practices. Elders extended their focus for management of EL beyond the individual to include peer support, mentorship, and the structural conditions in which nurses perform their EL, highlighting the need to empower nurses by building their capacity for self-advocacy of their workers' rights.

Development of a Critical Reflection Mentorship Program to Enhance Critical Thinking Among Novice Nurses.

The increasing complexity of care and the decrease in overall nursing experience pose a threat to patient safety and clinical outcomes in health care. Within the local environment, a critical need was identified to connect expert bedside nurses with novice nurses to support the development of critical thinking. This article describes the development and pilot evaluation of a critical reflection mentorship program, Beyond the Bedside. The program was developed and deployed in three inpatient units within an adult academic health center. Critical thinking was evaluated using the Nursing Critical Thinking in Clinical Practice Questionnaire (N-CT-4 Practice) pre- and postprogram implementation. Five nurses participated in the pre- and postevaluation, and the N-CT-4 Practice mean scores were significantly higher after program implementation. Education leaders should prioritize programs that support critical thinking among novice nurses, and the Beyond the Bedside program can be adapted for use in other health care settings. [J Contin Educ Nurs. 202x;5x(x):xx-xx.].

Exploring the relationship between authentic nurse leadership and moral injury from the perspective of novice nurses.

Exploring the relationship between authentic nurse leadership and moral injury from the perspective of novice nurses.

Exploring the relationship between authentic nurse leadership and moral injury from the perspective of novice nurses.

Exploring the relationship between authentic nurse leadership and moral injury from the perspective of novice nurses.

Factors Influencing Novice and Beginner Nurses' Intention to Report Medication Errors and Near Misses.

Novice and beginner nurses make more medical errors than senior nurses. However, there is significant underreporting of medication errors and near misses among novice and beginner nurses. To identify the factors that influence the intention of novice and beginner nurses to report medication errors and near misses. A cross-sectional exploratory study was carried out among third-year nursing students in a Quebec university (n = 143). Data was collected through a self-reported questionnaire based on the adapted Theory of Planned Behavior. Simple descriptive analyses and a series of contingency analyses were performed using Chi-2 or Fisher exact tests. Correction of multiple tests was done using Bonferroni test. All theoretical constructs were significantly associated with intention. Sociodemographic factors (age, sex, experience and education program) were also associated with intention. Further studies are needed to identify the determinants of intention to report medication errors and near misses among novice and beginner nurses. More attention is required in nursing practice and education to act on these factors, thus encouraging novice and beginner nurses to report medication errors and near misses.

Exploring the genuine psychological experiences of novice nurses at emergency resuscitation events: A qualitative interview study

PurposeAn emergency rescue situation is an inevitable challenge in medical work, requiring collaborative efforts from healthcare professionals. Due to a lack of practical experience, novice nurses may encounter difficulties in successfully managing emergency resuscitation events. This study aimed to analyse the authentic psychological experiences of novice nurses participating in emergency resuscitation events by exploring applicable coping methods and management strategies. MethodsThis study utilized a hermeneutic phenomenological qualitative research method. We employed purposive sampling to select 27 Novice nurses from West China Hospital of Sichuan University for face-to-face semistructured interviews. Data collection for this study was conducted from November 2023 to January 2024. The interviews were fully audio-recorded and transcribed verbatim. The data were coded, categorized and summarized with the help of Nvivo 20.0 software based on the interpretation of phenomenological research methods. Thematic analysis was performed to deeply analyse and extract corresponding themes. The COREQ criteria were used to guide the reporting of this study. ResultsThe authentic psychological experiences of novice nurses participating in emergency rescue events mainly include six aspects: lack of rescue knowledge reserves and related abilities, psychological and emotional changes, psychological stress after the rescue, rational arrangement of manpower, team cooperation, and postevent reflection and learning. Their authentic psychological experiences directly affect whether novice nurses can effectively respond to emergency rescue events. ConclusionsThis study suggested enhancing novice nurses' knowledge, improving their resuscitation skills, and improving their psychological well-being during resuscitation events. It advocates for organized staffing, effective teamwork, and robust support systems to empower novice nurses and improve their overall capabilities in emergencies. These findings offer valuable insights for future research in this area.

Evaluating Smart Glasses for Cardiopulmonary Resuscitation.

Smart glasses allow care providers to connect to remote experts for consultation and have the potential to improve care. The purpose of this study was to evaluate the user experience with smart glasses in a simulated nursing care environment. We collected data via post-simulation semi-structured interviews and System Usability Scale (SUS) surveys. The median SUS score was 74 (range 57.5 to 90). The qualitative and quantitative findings of our study highlighted the potential benefits of smart glasses for assisting novice nurses in patient care, as well as the technical and workflow challenges that need further investigation.

Analysis of Relevant Predictive Indicators for Postoperative Condition Change in Brain Tumor Patients.

Novice nurse need more guidance and professional confidence. This study aimed to explore early relevant predictive indicators for postoperative condition changes in brain tumor patients, which can be used to map patients' condition changes for novice nurses. The authors prospectively collected clinical data, including nursing records of cerebral tumor patients after operation from July 2020 to June 2021 in the Department of Neurosurgery. Univariant analysis and multivariable logistic regression analysis were performed to identify independent predictors, the satisfaction questionnaire for teaching nurses is used to evaluate the new nurse's performance during perioperative period, psychometric scale is used to assess nurses' psychological stress. Nine hundred ninety-five cerebral tumor patients were enrolled in this study, and 115 (11.6%) patients' conditions were changed. Relevant predictive indicators, including vision, myodynamia, urine volume, nausea, vomit, pain, Glasgow Coma Scale (GCS), and Modified Early Warning System (MEWS), among them GCS, MEWS, and vision can basically cover the above indicators through simulation and calculation of the integrated model was set as Z=22*vision+1*GCS+3*MEWS. The satisfaction rate of teaching nurses has increased from 78.125 to 86.25%. Novice nurses' psychological stress was dropped from 30.637% to 19.844%. GCS and MEWS. GCS, MEWS and vision can map patients' condition change after cerebral tumor operation. The warning model has reduced their psychological stress, and the teaching nurse expressed that the effective evaluation of postoperative patient conditions by novice nurses reduces their nursing and teaching work greatly.

Pressure Ulcer Management Virtual Reality Simulation (PU-VRSim) for Novice Nurses: Mixed Methods Study.

Pressure ulcers (PUs) are a common and serious complication in patients who are immobile in health care settings. Nurses play a fundamental role in the prevention of PUs; however, novice nurses lack experience in clinical situations. Virtual reality (VR) is highly conducive to clinical- and procedure-focused training because it facilitates simulations. We aimed to explore the feasibility of a novel PU management VR simulation (PU-VRSim) program using a head-mounted display for novice nurses and to investigate how different types of learning materials (ie, VR or a video-based lecture) impact learning outcomes and experiences. PU-VRSim was created in the Unity 3D platform. This mixed methods pilot quasi-experimental study included 35 novice nurses categorized into the experimental (n=18) and control (n=17) groups. The PU-VRSim program was applied using VR in the experimental group, whereas the control group received a video-based lecture. The PU knowledge test, critical thinking disposition measurement tool, and Korean version of the General Self-Efficacy Scale were assessed before and after the intervention in both groups. After the intervention, the experimental group was further assessed using the Clinical Judgment Rubric and interviewed to evaluate their experience with PU-VRSim. The results compared before and after the intervention showed significant improvements in PU knowledge in both the experimental group (P=.001) and control group (P=.005). There were no significant differences in self-efficacy and critical thinking in either group. The experimental group scored a mean of 3.23 (SD 0.44) points (accomplished) on clinical judgment, assessed using a 4-point scale. The experimental group interviews revealed that the VR simulation was realistic and helpful for learning about PU management. The results revealed that PU-VRSim could improve novice nurses' learning of PU management in realistic environments. Further studies using VR for clinical training are recommended for novice nurses.