Exploring the influences of undergraduate nursing educators on transition to direct patient care: A thematic analysis

Patricia Jenkins Barnard , Donna Reulens Trinkaus , Jennifer Graber , Jennifer Saylor

Journal of Nursing Education and Practice ›› 2025, Vol. 15 ›› Issue (2) : 57 -64.

PDF (312KB)
Journal of Nursing Education and Practice ›› 2025, Vol. 15 ›› Issue (2) :57 -64. DOI: 10.5430/jnep.v15n2p57
Original Research
research-article

Exploring the influences of undergraduate nursing educators on transition to direct patient care: A thematic analysis

Author information +
History +
PDF (312KB)

Abstract

Background and objective: United States nursing programs use many ways to educate their students preparing them as registered nurses. There is a lack of research supporting nursing educational experiences that are helpful to newly licensed registered nurses when they are caring for patients after graduation. The aim of this study was to gain deeper understanding of pre-licensure undergraduate nursing educator’s role in the transition to patient care among newly licensed registered nurses.
Methods: Data from newly licensed registered nurses with less than 24 months of clinical experience (n = 10) were analyzed using a thematic approach.
Results: Two main themes with 3 subthemes; 1) Developing connections with the profession with sub themes of 1a) Unrealistic expectations, 1b) Developing a new perspective, 1c) Developing confidence, and Theme 2) Relying on what has been learned.
Conclusions: Nursing educators must ensure that undergraduate education is most beneficial in achieving adequate preparation and greater satisfaction in the transition to the role of the professional nurse.

Keywords

Qualitative research / Nursing education / Nursing student / Nursing graduate / Teaching / Entry to practice

Cite this article

Download citation ▾
Patricia Jenkins Barnard, Donna Reulens Trinkaus, Jennifer Graber, Jennifer Saylor. Exploring the influences of undergraduate nursing educators on transition to direct patient care: A thematic analysis. Journal of Nursing Education and Practice, 2025, 15(2): 57-64 DOI:10.5430/jnep.v15n2p57

登录浏览全文

4963

注册一个新账户 忘记密码

References

[1]

Leighton K, Kardong-Edgren S, McNelis A, et al. Learning outcomes attributed to prelicensure clinical education in nursing. Nurse Educ. [Internet]. 2021 Jan-Feb [cited 2023 Nov 11]; 47(1): 26-30. PMid:34608061 https://doi.org/10.1097/NNE.0000000000001097

[2]

Duchscher JE. A process of becoming: the stages of new nursing graduate professional role transition. J Contin Educ Nurs. 2008 Oct; 9(10): 441-52. PMid:18990890 https://doi.org/10.3928/00220124-20081001-03

[3]

Prion S, Haerling KA. Evaluation of simulation outcomes. Annu Rev Nurs Res. 2020 Dec 1; 39(1): 149-180. PMid:33431641 https://doi.org/10.1891/0739-6686.39.149

[4]

Oermann MH. Building science and scholarship in nursing education. Nurse Educ. 2019 Sept-Oct; 44(5): 231. PMid:31441828 https://doi.org/10.1097/NNE.0000000000000733

[5]

Duchscher JE. Transition shock: the initial stage of role adaptation for newly graduated registered nurses. J Adv Nurs. 2009 May; 65(5): 1103-13. PMid:19183235 https://doi.org/10.1111/j.1365-2648.2008.04898.x

[6]

Benner P, Sutphen M, Leonard V, et al. Educating Nurses: a call for radical transformation. California: Jossey-Bass/Carnegie Foundation for the Advancement of Teaching; 2010. 266 p.

[7]

Benner P, Tanner CA, Chesla A. Expertise in nursing practice:caring, clinical judgment, and ethics. New York: Springer Publishing Company; 2009. 528 p.

[8]

Kavanaugh JM, Szweda C. A crisis in competency: the strategic and ethical imperative to assessing new graduate nurses’ clinical reasoning. Nurs Educ Perspect. 2017 Mar-Apr; 38(2): 57-62. PMid:29194297 https://doi.org/10.1097/01.NEP.0000000000000112

[9]

Creswell JW, Poth CN. Qualitative inquiry and research design: choosing among five approaches. Thousand Oaks: SAGE Publications; 2018. 552 p

[10]

Sandelowski M. Whatever happened to qualitative description? Res Nur Health. 2000 Aug; 3(4): 334-40. PMid:10940958 https://doi.org/10.1002/1098-240X(200008)23:4<334::AID-NUR9>3.0.CO;2-G

[11]

Vaismoradi M, Turunen H, Bondas T. Content analysis and thematic analysis: implications for conducting a qualitative descriptive study. Nurs Health Sci. 2013; 15(3): 398-405. PMid:23480423 https://doi.org/10.1111/nhs.12048

[12]

Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psych. 2006; 3(2): 77-101. https://doi.org/10.1191/1478088706qp063oa

[13]

Lincoln YS, Guba EG. Naturalistic Inquiry. London: SAGE Publications; 1985. 416 p.

[14]

Creswell JW. Research design: qualitative, quantitative, and mixed methods approaches 4th edition. Los Angeles: SAGE Publications; 2014. 273 p.

[15]

Duchscher JE. Kramer M. From surviving to thriving: navigating the first year of professional nursing practice. Kamloops BC: Nursing the Future; 2012 314 p.

[16]

Murray M, Sundin D, Cope V. Benner’s model and Duchscher’s theory: providing the framework for understanding new graduate nurses’ transition to practice. Nurse Educ Pract. 2019 Jan; 34: 199-203. Mid:30599429 https://doi.org/10.1016/j.nepr.2018.12.003

[17]

Mellor, P, Gregoric C. Ways of being: Preparing nursing students for transition to professional practice. J Contin Educ Nurs. 2016; 47(1): 330-340. PMid:27351266 https://doi.org/10.3928/00220124-20160616-10

[18]

Aebersold M, Schoville R. How to prevent the next generation of nurses from "Eating their Young". Clin Simul Nurs. 2020 Jan; 38: 27-34. https://doi.org/10.1016/j.ecns.2019.10.002

[19]

Clarke CM. Fostering a culture of civility and respect in nursing. J. Nurs Regul. 2019 Jan; 10(1): 44-52. https://doi.org/10.1016/S2155-8256(19)30082-1

[20]

Andrew S. Traumatized and tired, nurses are quitting due to the pandemic. CNN Science [cited 2021 Feb 20]. Available from: https://www.cnn.com/2021/02/25/us/nurses-quit-hospitals-covid-pandemic-trnd/index.html

[21]

Androus AB. The (not so) great escape: why new nurses are leaving the profession. 2021 Jan 14. Available from: https://www.registerednursing.org/articles/why-new-nurses-leaving-profession

[22]

Arnetz JE, Goetz CM, Arnetz BB, et al. Nurse reports of stressful situations during the COVID-19 pandemic: qualitative analysis of survey responses. Int J Environ Res Public Health. 2020 Nov 3; 17(21): 8126. PMid:33153198 https://doi.org/10.3390/ijerph17218126

[23]

Pezaro S, Clyne W, Fulton EA. A systematic mixed-methods review of interventions, outcomes and experiences for midwives and student midwives in work-related psychological distress. Midwifery. 2017 50: 163-173. PMid:28458125 https://doi.org/10.1016/j.midw.2017.04.003

[24]

Rajkumar RP. Harnessing the neurobiology of resilience to protect the mental well-being of healthcare workers during the COVID-19 pandemic. Front. Psychol, 2021 Mar; (12): 1-15. PMid:33815205 https://doi.org/10.3389/fpsyg.2021.621853

[25]

Reinhardt AC, León TG, Amatya A. Why nurses stay: analysis of the registered nurse workforce and the relationship to work environments. Appl Nurs Res. 2020 Oct; 55: 151316. PMid:32586647 https://doi.org/10.1016/j.apnr.2020.151316

[26]

Smiley RA, Ruttinger C, Oliveira CM, et al. The 2020 National Nursing Workforce Survey. J Nurs Regul. 2021 Apr; 12(1): S1-S96. https://doi.org/10.1016/S2155-8256(21)00027-2

[27]

Hatzenbuhler NJ, Klein JE. Educational Preparation for Clinical Practice: reflections of newly graduated RNs. Nurs Educ. 2019 Mar/Apr; 44(2): 93-97. PMid:29794883 https://doi.org/10.1097/NNE.0000000000000550

[28]

Tanner CA. Thinking like a nurse: a research-based model of clinical judgment in nursing. J Nurs Educ. 2006 Jun; 45(6): 204-11. PMid:16780008 https://doi.org/10.3928/01484834-20060601-04

[29]

Ortiz J. New graduate nurses’ experiences about lack of professional confidence. Nurse Educ Pract. 2016 Jul; 19: 19-24. PMid:27428687 https://doi.org/10.1016/j.nepr.2016.04.001

PDF (312KB)

125

Accesses

0

Citation

Detail

Sections
Recommended

/