Hallaran, Amy
Using Interpretive Description to Explore How Participation in a Clinical Externship Influences the Transition to Practice of Newly Graduate Nurses
The transition from student to newly graduated nurse (NGN) can be a period filled with significant stress and uncertainty as NGNs are required to develop and refine practical skills, learn to work with interdisciplinary team members, and adjust to their new professional identity. Clinical externships provide students an opportunity to work alongside nurses as unregulated healthcare workers in hospitals. This study explored how NGNs felt their participation in a clinical extern program influenced their transition from student to nurse. Interpretive description (ID) guided the research of this study and produced a qualitative description of the experiences from a sample of eight NGNs working in Ontario.Three main themes emerged from the data collection: developing self-efficacy, developing a professional identity, and being on the inside. Implications from this study address the need for research on how clinical externships influence transition to practice and the continuation and development of such programs.
Author Keywords: clinical extern, externships, newly graduated nurse, novice nurse, transition, transition to practice
Registered Nurses' Intention to Stay Working in Ontario Rural Hospitals
The significance of nursing retention in today's healthcare system is more prominent than ever before. The purpose of this study was to answer the question: What do Registered Nurses understand about their intention to stay at Ontario rural hospitals? A qualitative descriptive phenomenological approach was used to conduct this study. Ten Registered Nurses from rural hospitals were interviewed regarding their experiences working in rural hospitals. Seven themes were developed including: Sense of Community, Pride and Identity, Weight of Responsibility, Feeling Alone, Questioning Commitment, Rural Reality, and Feeling Misunderstood. Participants shared that their nursing co-workers were the reason they continued to stay working in their rural hospitals, with the essence of the themes being we are there for each other. The findings of this study can be used to influence nursing practice, nursing education, healthcare leaders, and areas of future research.
Author Keywords: Nurses, Retention, Rural