Missen Karen, McKenna Lisa, Beauchamp Alison, Larkins Jo-Ann
Faculty of Health, School of Nursing, Midwifery and Healthcare, Federation University, Gippsland Campus, Northways Road, Churchill, Vic 3842, Australia.
Faculty of Medicine, Nursing and Health Sciences, School of Nursing and Midwifery, Monash University, Clayton Campus, Wellington Road, Clayton, Vic 3168, Australia.
Nurse Educ Today. 2016 Oct;45:108-13. doi: 10.1016/j.nedt.2016.07.001. Epub 2016 Jul 12.
Evidence from the literature and anecdotally from clinical settings suggests that newly graduated nurses are not fully prepared to be independent practitioners in healthcare settings.
The aim of this study was to explore perceptions of qualified nurses in relation to the practice readiness of newly registered nursing graduates and determine whether these views differ according to specific demographic characteristics, clinical settings, and geographical locations.
A descriptive quantitative design was used.
An online survey tool was used to assess how qualified nurses (n=201) in Victoria, Australia, rated newly graduated nurses' abilities on 51 individual clinical skills/competencies in eight key skill areas. A composite score was calculated for each skill area and a comparative analysis was undertaken on the various cohorts of participants according to their demographic and clinical characteristics using one-way ANOVA and post hoc tests.
Newly graduated nurses were found to be lacking competence in two key skill areas and were rated as performing adequately in the remaining six skill areas assessed. Significant differences (p≤0.05) in performance were found according to the age of the nurse, number of years registered, the educational setting in which they undertook their nurse education, their role, and the clinical area in which they worked. There were no significant differences according to whether the nurse worked in the private or public healthcare sector. Few differences were found between nurses working in a metropolitan vs. regional/rural healthcare setting.
This is the first study to quantify the scale of this problem. Our findings serve as a reference for both nurse education providers and healthcare settings in better preparing nursing graduates to be competent, safe practitioners in all clinical areas.
文献证据以及临床环境中的 anecdotal 表明，新毕业的护士并未完全准备好在医疗环境中独立执业。
本研究的目的是探讨合格护士对新注册护理毕业生实践准备情况的看法，并确定这些观点是否因特定的人口统计学特征、临床环境和地理位置而有所不同。
采用描述性定量设计。
使用在线调查工具评估澳大利亚维多利亚州的合格护士（n = 201）对新毕业护士在八个关键技能领域的 51 项个人临床技能/能力的评分。计算每个技能领域的综合得分，并使用单因素方差分析和事后检验根据参与者的人口统计学和临床特征对不同队列进行比较分析。
发现新毕业护士在两个关键技能领域缺乏能力，在其余六个评估的技能领域表现为尚可。根据护士的年龄、注册年限、接受护士教育的教育环境、他们的角色以及工作的临床领域，发现表现存在显著差异（p≤0.05）。护士在私立或公立医疗部门工作与否没有显著差异。在大都市与地区/农村医疗环境中工作的护士之间几乎没有差异。
这是第一项量化该问题规模的研究。我们的研究结果为护士教育提供者和医疗环境提供了参考，以便更好地使护理毕业生在所有临床领域成为有能力、安全的从业者。
