Shatto Bobbi, Meyer Geralyn, Delicath Timothy A
3525 Caroline Mall, Saint Louis, MO 63104, USA.
Saint Louis University, USA.
Nurse Educ Pract. 2016 Jul;19:97-103. doi: 10.1016/j.nepr.2016.05.008. Epub 2016 May 26.
This study looks at Direct Entry Clinical Nurse Leader graduates and how their transition to practice experiences develops over time as well as factors influencing their transition. Graduates were surveyed at graduation, three, six and 12 months. Seventeen participated; eight completed all surveys. Most were from the Millennial generation. The survey consisted of two parts: school satisfaction and the Casey-Fink Graduate Nurse Experience Scale. The results showed the Casey-Fink total score at 12 months was 0.75 points higher than at three months; suggesting a positive transition. The highest score occurred at six months which conversely had the lowest levels of satisfaction with both educational experience and intent to stay in their current role. Despite having 850 precepted/mentored clinical hours, 57.1% of these graduates stated they felt unprepared for the reality of nursing after 12 months. Regardless of feeling unprepared, the results suggest these students displayed a positive transition to practice. At 12 months, 88.2% were still with their first employers which contrasted the results of Casey-Fink and other studies of Millennial gradate nurses, which showed higher actual and intent to leave results. This study suggests that Direct Entry Clinical Nurse Leader students do indeed transition to practice more positively than traditional nursing graduates.
本研究关注直接入职临床护士领导者毕业生，以及他们向实践经验的过渡如何随时间发展，还有影响其过渡的因素。在毕业时、毕业三个月、六个月和十二个月时对毕业生进行了调查。十七人参与，八人完成了所有调查。大多数来自千禧一代。调查包括两部分：学校满意度和凯西 - 芬克毕业生护士体验量表。结果显示，十二个月时凯西 - 芬克总分比三个月时高0.75分，表明过渡积极。六个月时得分最高，相反，此时对教育经历和留在当前岗位意愿的满意度最低。尽管有850小时的带教/指导临床实习时间，但57.1%的毕业生表示，十二个月后他们仍觉得自己对护理现实准备不足。尽管感觉准备不足，但结果表明这些学生向实践的过渡是积极的。十二个月时，88.2%的人仍在他们的第一家雇主处工作，这与凯西 - 芬克以及其他关于千禧一代毕业生护士的研究结果形成对比，那些研究显示实际离职率和离职意愿更高。本研究表明，直接入职临床护士领导者学生向实践的过渡确实比传统护理毕业生更积极。
