Experiences of an ongoing preceptorship programme for newly employed nurses in medical departments - A qualitative study

Abstract

Objective: To explore the experiences of head nurses, preceptors, and newly employed nurses in five Danish medical departments on an ongoing preceptorship programme.
Methods: The Rigorous and Accelerated Data Reduction (RADaR) technique was used to design this study and guide the data collection and analysis. In December 2023, 21 participants (head nurses, preceptors, and newly employed nurses) were interviewed in qualitative semi-structured interviews.
Results: The findings show an overall need for a structure of the content, planning, and execution of the preceptorship programme and a specific focus on the newly employed nurses’ personalities and individual needs throughout the introduction. Three themes were unveiled after the RADaR analysis: “Aiming for overall structure and individuality,” “Preceptoring - Advantages and disadvantages of cutting corners,” and “Clarifications of expectations and progress.”
Conclusions: A more structured preceptorship programme that considers individual needs and focuses on social interactions could strengthen the future introduction of newly employed nurses in medical departments. Even though the head nurses and preceptors considered the preceptorship programme too lengthy and time-consuming, it could be time and money well spent as it may increase retention and reduce turnover of newly employed nurses.

Keywords

Individual needs / Medical departments / Newly employed nurses / RADaR technique / Retention / Social introduction / Qualitative

References

[1] Dewanto A, Wardhani V. Nurse turnover and perceived causes and consequences: a preliminary study at private hospitals in Indonesia. BMC Nursing. 2018; 17(2): 52. PMid: 30574016. https://doi.org/10.1186/s12912-018-0317-8

[2] Falatah R, Salem OA. Nurse turnover in the Kingdom of Saudi Arabia: An integrative review. Journal of Nursing Management. 2018; 26(6): 630-638. PMid: 29624760. https://doi.org/10.1111/jonm.12603

[3] White EM, Aiken LH, McHugh MD, et al. Registered Nurse Burnout, Job Dissatisfaction, and Missed Care in Nursing Homes. American Geriatrics Society. 2020; 67(10): 2065-2071. PMid: 31334567. https://doi.org/10.1111/jgs.16051

[4] Sasso L, Bagnasco A, Catania G, et al. Push and pull factors of nurses’ intention to leave. Journal of Nursing Management. 2019; 27(5): 946-954. PMid: 30614593. https://doi.org/10.1111/jonm.12745

[5] Zamel LGA, Abdullah KL, Chan CM. Factors Influencing Nurses’ Intention to Leave and Intention to Stay: An Integrative Review. Home Health Care Management & Practice. 2020; 32(4): 218-228. https://doi.org/10.1177/1084822320931363

[6] Hart SM, Warren AM. Understanding nurses’ work: Exploring the links between changing work, labour relations, workload, stress, retention, and recruitment. The Journal of Industrial Economics. 2015; 36(2): 305-329. https://doi.org/10.1177/0143831X13505119

[7] Duffield CM, Roche MA, Homer C, et al. A comparative review of nurse turnover rates and costs across countries. Journal of Advanced Nursing. 2014; 70(12): 2703-2712. PMid: 25052582. https://doi.org/10.1111/jan.12483

[8] Fallatah F, Laschinger HKS, Read EA. The effects of authentic leadership, organizational identification, and occupational coping self-efficacy on new graduate nurses’ job turnover intentions in Canada. Nursing Outlook. 2017; 65(2): 172-183. PMid: 28126250. https://doi.org/10.1016/j.outlook.2016.11.020

[9] Lalonde M, Hall LM. The socialisation of new graduate nurses during a preceptorship programme: Strategies for recruitment and support. Journal of Clinical Nursing. 2017; 26(5-6): 774-783. PMid:27572740. https://doi.org/10.1111/jocn.13563

[10] Van den Heede K, Florquin M, Bruyneel L, et al. Effective strategies for nurse retention in acute hospitals: a mixed method study. International Journal of Nursing Studies. 2013; 50(2): 185-194. PMid:22204812. https://doi.org/10.1016/j.ijnurstu.2011.12.001

[11] Torres DA, Jeske L, Marzinski SJ, et al. Best Fit Orientation - An Innovative Strategy to Onboard Newly Licensed Nurses. Journal for Nurses in Professional Development. 2022; 38(6): 350-359. PMid: 34334735. https://doi.org/10.1097/NND.0000000000000784

[12] Rush KL, Janke R, Duchscher JE, et al. Best practices of formal new graduate transition programs: An integrative review. International Journal of Nursing Studies. 2019; 94: 139-158. PMid: 30965203. https://doi.org/10.1016/j.ijnurstu.2019.02.010

[13] Brooks J, Aitken L, Webb R, et al. Characteristics of successful interventions to reduce turnover and increase retention of early career nurses: A systematic review. International Journal of Nursing Studies. 2019; 91: 47-59. PMid: 30669077. https://doi.org/10.1016/j.ijnurstu.2018.11.003

[14] Ke KT, Kuo CC, Hung CH. The effects of nursing preceptorship on new nurses’ competence, professional socialization, job satisfaction, and retention: A systematic review. Journal of Advanced Nursing. 2017; 73: 2296-2305. PMid: 28398636. https://doi.org/10.1111/jan.13317

[15] Brook J, Aitken LM, Salmon D. Effectiveness appraisal of interventions to increase retention of newly qualified nurses implemented in the final year of pre-registration programmes: A literature review. Nurse Education in Practice. 2024; 74: 103851. PMid: 38007847. https://doi.org/10.1016/j.nepr.2023.103851

[16] Edward KL, Ousey K, Playle J, et al. Are new nurses work ready - The impact of preceptorship. An integrative systematic review. Journal of Professional Nursing. 2017; 33: 326-333. PMid: 28931479. https://doi.org/10.1016/j.profnurs.2017.03.003

[17] Lima MS, Alzyood M. The impact of preceptorship on the newly qualified nurse and preceptors working in a critical care environment: An integrative literature review. Nursing in Critical Care. 2024; 1-12. PMid: 38511618. https://doi.org/10.1111/nicc.13061

[18] Joseph HB, Issac A, George AG, et al. Transitional Challenges and Role of Preceptor among New Nursing Graduates. Journal of Caring Science. 2022; 11(2): 56-63. PMid: 35919276. https://doi.org/10.34172/jcs.2022.16

[19] Danish Regions [Internet]. Danish Regions and the Danish Council of Nursing have decided on common principles for introduction of newly educated nurses (In Danish: Danske Regioner og Dansk Sygeplejeråd har aftalt fælles principper for introduktionsforløb for nyuddannede sygeplejersker). 2022. Available from: https://www.regioner.dk/services/nyheder/2022/juni/danske-regioner-og-dansk-sygeplejeraad-har-aftalt-faelles-principper-for-introduktionsforloeb-for-nyuddannede-sygeplejersker

[20] Holveck CA, Wick JY. Addressing the Shortage of Geriatric Specialists. The Consultant Pharmacist. 2018; 33(3): 130-138. PMid:29720298. https://doi.org/10.4140/TCP.n.2018.130

[21] Zealand University Hospital [Internet] New in Zealand University Hospital? Ww are looking forward to welcoming you (In Danish: Ny på Sjællands Universitetshospital - Vi glæder os til at tage imod dig). Available from: https://www.sjaellandsuniversitetshospital.dk/job-og-uddannelse/suh-som-arbejdsplads/ny-medarbejder-onboarding-paa-suh

[22] Harpelund C, Højberg MT. Onboarding: A flying start (In Danish: Onboarding: en flyvende fra start). Jyllands-Posten, 2016.

[23] Watkins DC. Rapid and Rigorous Qualitative Data Analysis: The “RADaR” Technique for Applied Research. International Journal of Qualitative Methods. 2017; 16: 1-9. https://doi.org/10.1177/1609406917712131

[24] Houghton C, Hunter A, Meskell P. Linking aims, paradigm and method in nursing research. Nursing Research. 2012; 20: 34-39. PMid: 23316536. https://doi.org/10.7748/nr2012.11.20.2.34.c9439

[25] Berthelsen C. Saving time and staying rigorous: The RADaR technique for qualitative research. Nordic Journal of Nursing Research. 2024; 44: 1-3. https://doi.org/10.1177/20571585241259314

[26] Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): A 32-item checklist for interviews and focus groups. International Journal for Quality in Health Care. 2007; 19(6): 349-357. PMid: 17872937. https://doi.org/10.1093/intqhc/mzm042

[27] Polit DF, Beck CT. Nursing research: Generating and assessing evidence for nursing practice (10th edit.). Wolthers Kluwer; 2018.

[28] Calleja P, Adonteng-Kissia B, Romeroa B. Transition support for new graduate nurses to rural and remote practice: A scoping review. Nurse Education Today. 2019; 76: 8-20. PMid: 30739877. https://doi.org/10.1016/j.nedt.2019.01.022

[29] Kakyo TA, Xiao LD, Chamberlain D. Benefits and challenges for hospital nurses engaged in formal mentoring programs: A systematic integrated review. International Nursing Review. 2022; 69(2): 115-254. PMid: 34820833. https://doi.org/10.1111/inr.12730

[30] Marufu TC, Collins A, Vargas L, et al. Factors influencing retention among hospital nurses: systematic review. British Journal of Nursing. 2021; 30(5): 302-308. PMid: 33733849. https://doi.org/10.12968/bjon.2021.30.5.302

[31] Zhang Y, Qian Y, Wu J, et al. The effectiveness and implementation of mentoring program for newly graduated nurses: A systematic review. Nurse Education Today. 2016; 37: 136-144. PMid: 26725949. https://doi.org/10.1016/j.nedt.2015.11.027

[32] Missen K, McKenna L, Beauchamp A. Satisfaction of newly graduated nurses enrolled in transition-to-practice programmes in their first year of employment: a systematic Review. Journal of Advanced Nursing. 2014; 70(11): 2419-2433. PMid: 24989716. https://doi.org/10.1111/jan.12464

[33] Frögéli E, Jenner B, Gustavsson P. Effectiveness of formal onboarding for facilitating organizational socialization: A systematic review. PLoS ONE. 2023; 18(2): e0281823. PMid: 36795691. https://doi.org/10.1371/journal.pone.0281823

[34] Sak AM, Gruman JA. Socialization resources theory and newcomers’ work engagement: A new pathway to newcomer socialization. Career Development International. 2018; 23(1): 12-32. https://doi.org/10.1108/CDI-12-2016-0214

[35] Vindrola-Padros C, Johnson GA. Rapid techniques in qualitative research: a critical review of the literature. Qualitative Health Research. 2020; 30(10): 1596-1604. PMid: 32667277. https://doi.org/10.1177/1049732320921835

[36] Gale RC, Wu J, Erhardt T, et al. Comparison of rapid vs in-depth qualitative analytic methods from a process evaluation of academic detailing in the Veterans Health Administration. Implementation Science. 2019; 14(1): 11. PMid: 30709368. https://doi.org/10.1186/s13012-019-0853-y

[37] Luciani M, Strachan PH, Conti A, et al. Methodological and Practical Considerations in Rapid Qualitative Research: Lessons Learned From a Team-Based Global Study During COVID-19 Pandemic. International Journal of Qualitative Methods. 2021; 20(1-13). https://doi.org/10.1177/16094069211040302