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Insufficiently supported in handling responsibility and demands: Findings from a qualitative study of newly graduated nurses

AIMS AND OBJECTIVES: To explore newly graduated registered nurses' experiences and how they manage complex patient situations. BACKGROUND: Newly graduated registered nurses' working in acute care hospital settings are challenged by managing complex patient situations in rapidly changing cl...

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Autores principales: Willman, Anna, Bjuresäter, Kaisa, Nilsson, Jan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7891354/
https://www.ncbi.nlm.nih.gov/pubmed/32889729
http://dx.doi.org/10.1111/jocn.15483
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author Willman, Anna
Bjuresäter, Kaisa
Nilsson, Jan
author_facet Willman, Anna
Bjuresäter, Kaisa
Nilsson, Jan
author_sort Willman, Anna
collection PubMed
description AIMS AND OBJECTIVES: To explore newly graduated registered nurses' experiences and how they manage complex patient situations. BACKGROUND: Newly graduated registered nurses' working in acute care hospital settings are challenged by managing complex patient situations in rapidly changing clinical contexts involving increased patient acuity, comorbidities and staffing shortages. DESIGN: Qualitative study design. METHODS: Data were collected using focus groups interviews of a total of 16 newly graduated registered nurses with clinical work experience of 6 months of direct patient care in an acute care hospital setting. Analyses were conducted using qualitative content analysis. COREQ reporting guidelines were used. RESULTS: The analysis resulted in the overarching theme “Not being sufficiently prepared and supported to meet responsibilities and demands.” The theme included three categories: “Responsibility is not in proportion to competence,” “Lack of medical competence and experience complicates patient safety” and “Strives for control to manage and organise nursing care.” CONCLUSION: The results show that newly graduated registered nurses' are not sufficiently supported for the level of responsibility and the demands placed on them when providing nursing in complex patient situations in acute care hospital settings. If they are given sole responsibility for multiple complex patient situations, patient safety may be compromised. RELEVANCE TO PRACTICE: Special attention need to be paid to NGRNs support to medical competence in the areas of assessing, planning, prioritizing, leading, and distributing nursing care in daily clinical settings for at least their first year of professional work.
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spelling pubmed-78913542021-03-02 Insufficiently supported in handling responsibility and demands: Findings from a qualitative study of newly graduated nurses Willman, Anna Bjuresäter, Kaisa Nilsson, Jan J Clin Nurs Original Articles AIMS AND OBJECTIVES: To explore newly graduated registered nurses' experiences and how they manage complex patient situations. BACKGROUND: Newly graduated registered nurses' working in acute care hospital settings are challenged by managing complex patient situations in rapidly changing clinical contexts involving increased patient acuity, comorbidities and staffing shortages. DESIGN: Qualitative study design. METHODS: Data were collected using focus groups interviews of a total of 16 newly graduated registered nurses with clinical work experience of 6 months of direct patient care in an acute care hospital setting. Analyses were conducted using qualitative content analysis. COREQ reporting guidelines were used. RESULTS: The analysis resulted in the overarching theme “Not being sufficiently prepared and supported to meet responsibilities and demands.” The theme included three categories: “Responsibility is not in proportion to competence,” “Lack of medical competence and experience complicates patient safety” and “Strives for control to manage and organise nursing care.” CONCLUSION: The results show that newly graduated registered nurses' are not sufficiently supported for the level of responsibility and the demands placed on them when providing nursing in complex patient situations in acute care hospital settings. If they are given sole responsibility for multiple complex patient situations, patient safety may be compromised. RELEVANCE TO PRACTICE: Special attention need to be paid to NGRNs support to medical competence in the areas of assessing, planning, prioritizing, leading, and distributing nursing care in daily clinical settings for at least their first year of professional work. John Wiley and Sons Inc. 2020-09-21 2021-01 /pmc/articles/PMC7891354/ /pubmed/32889729 http://dx.doi.org/10.1111/jocn.15483 Text en © 2020 The Authors. Journal of Clinical Nursing published by John Wiley & Sons Ltd This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Articles
Willman, Anna
Bjuresäter, Kaisa
Nilsson, Jan
Insufficiently supported in handling responsibility and demands: Findings from a qualitative study of newly graduated nurses
title Insufficiently supported in handling responsibility and demands: Findings from a qualitative study of newly graduated nurses
title_full Insufficiently supported in handling responsibility and demands: Findings from a qualitative study of newly graduated nurses
title_fullStr Insufficiently supported in handling responsibility and demands: Findings from a qualitative study of newly graduated nurses
title_full_unstemmed Insufficiently supported in handling responsibility and demands: Findings from a qualitative study of newly graduated nurses
title_short Insufficiently supported in handling responsibility and demands: Findings from a qualitative study of newly graduated nurses
title_sort insufficiently supported in handling responsibility and demands: findings from a qualitative study of newly graduated nurses
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7891354/
https://www.ncbi.nlm.nih.gov/pubmed/32889729
http://dx.doi.org/10.1111/jocn.15483
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