New nurses’ Perceptions of Their Experiences During Their First Year of Practice in Oncology Setting

Background: A newly graduated nurses usually shows uneasiness in communication and dealing with clinical situations. The preceptorship program was created to develop new nurses' competencies. As well as many institutions helped their new nurses by designing a special program to ensure a smooth transition into manpower, the new graduate nurses program help them to acquire competencies which are necessary to practice the job. Aim: this study aimed to identify the nurses’ satisfaction and perception, explore the relationship between nurse experience and nurse satisfaction and measure the relationship between nurse experience and their perceptions toward support, organizing and prioritizing, communication/leadership, and professional satisfaction during the first year of practice in the oncology setting Method: A cross-sectional descriptive design was used. The participants consisted of all nurses hired by the hospital from April 2018 to April 2019. Results: A total of 101 new graduates, aged 21 to 40 (m= 24.02, SD= 2.788), responded to the survey (response rate 57%). Overall, the length of the preceptorship programs varies, and it was ranged from 8 to 12 weeks and from 4 to 6 weeks for new graduates who had completed the internship in the hospital; the respondents reported a feeling of confidence and comfort when they were asked to share their experience, 69.3% of respondents had chosen the workload (e.g. organizing, prioritizing, feeling overwhelmed, ratios, patient acuity) considering it the most difficult transition experience. The study showed significant positive relationships between nurses’ experience and their satisfaction (salary, benefits package, Opportunity to work straight days, and Opportunities for career advancement) and significant negative relationships between nurses’ experience and their perception of support factors and professional Satisfaction factor. Conclusion: the results of this study reflect the challenges experienced with fear, stress, and confidence during first year of practice. Considering the new graduate nurse's experience and voice will reflect positively on practice.

The Impact of Nurse Experience and Sequential Organ Failure Assessment on Nurses’ Workflow in an Intensive Care Unit

The purpose of this study is to understand the impact of Nurse Experience (NE) and Sequential Organ Failure Assessment (SOFA) on nurses’ workflow and process time in an Intensive Care Unit (ICU). In this study, a combination of data from the time-motion study observations, ICU nurses’ Real-Time Location System (RTLS), and the Real-Time Measurement System (RTMS) data were used to develop multiple Hierarchical Task Analysis (HTA) charts. HTA chart helped us to identify the ICU nurses’ workflow patterns. The results showed that ICU nurses spent over 47% of their time on performing primary care (in-room activities) and 25% on out-of-room activities. Furthermore, NE levels and SOFA scores had significant impacts on the average process time of nurse handoff, in-room Electronic Medical Record (EMR) charting, and the workflow patterns of out-of-room activities and out-of-room EMR usage. The outcomes of this study will provide a detailed workflow of ICU nurses and might help nurse managers to conduct a better strategy for improving ICU nurse’s workflow.

Managerial Competencies of Nurse Managers in Ghana

Managerial competencies of nurse managers are believed to influence the efficiency of healthcare. Amidst the global shortage of nurses and the rising cost of healthcare, it is imperative to assess the managerial competencies of nurse managers. Using the Katz Skills Model as the organising framework, this study assessed the managerial competencies of nurse managers at the unit level. A quantitative cross-sectional design was used to collect data from 121 nurse managers in 10 hospitals in the eastern region of Ghana. The nurse managers showed knowledge and the ability to apply different managerial competencies depending on the situation. They were more inclined to apply technical skills, followed by human skills and conceptual skills. Experience as a nurse, experience as a nurse manager, qualifications, and training in management together predicted their technical skills (R2 = 0.154, p = 0.002) and conceptual skills (R2 = 0.174, p < 0.001). However, only training in management contributed significantly to the managerial competencies of the nurse managers. At the 0.05% alpha level, increasing qualifications above an advanced diploma was associated with having better technical skills. The study presents new empirical evidence congruent with the Katz Skills Model that nurse managers require the knowledge and ability to apply technical, human, and conceptual skills in the performance of their managerial functions, and that no particular competency is ideal for every situation.

Casey-Fink Graduate Experience Survey for Nurses and Preceptors in the Kingdom of Saudi Arabia

Background: Preceptors play an essential role in supporting new nurses during the transitional period in professional roles. Moreover, graduate nurses experience several challenges during their transitional role from students to professional nurses, despite the considerable relationship between nurses and preceptors.Purpose: The study aims to evaluate the relationship between the experiences of nurses using Casey-Fink Graduate Nurse Experience Survey and the number of preceptors in Saudi hospitals.Methods: A cross-sectional study design was adopted, and Casey-Fink Graduate Nurse Experience Survey was used to collect data from 84 newly graduated nurses. Descriptive and regression analysis was used for data analysis.Results: Results showed that there was no statistically significant relationship between the responses of 5 factors of the Casey-Fink Graduate experience survey and the number of preceptors. Based on the survey, (33.8%) had to stress whereas significant causes of stress were student loans (41.9%), personal relationships (13.5%), living situation (27%), and finances (10.8%).Conclusion: No statistically significant relationship was found between variables including; support, patient safety, communication/leadership, professional satisfaction, and job satisfaction. The significance of preceptorship programs should be considered by the primary health care corporation to support and prepare preceptors of newly graduated and recruited nurses.

A phenomenologic study : Novice nurse experience in facing patients with red triase labels in emergency department (ED)

Novice nurses category will experience fear, panic, not ready and doubts to interact with patients, families of patients and other more senior nurses. This study aims to describe or explore the burden experience and source of support for novice nurse . The study used a descriptive phenomenology design involving seven participants who were nurse nurses at the emergency department. Data analysis using Braun and Clark thematic analysis. The four themes produced in the study illustrate the experience of novice nurses facing patient with emergent condition in emergency department. Required guidance and mentoring process for novice nurses at the beginning of the working period at the emergency department Keywords: novice nurses , emergency patients