Nursing Department, National University Hospital, National University Health System, 1E Kent Ridge Road, NUHS Tower Block Level 6, 119228, Singapore.
Nurse Educ Today. 2023 Jul;126:105801. doi: 10.1016/j.nedt.2023.105801. Epub 2023 Mar 15.
There is an urgency to retain nurses globally. Evidence has shown that nurse residency programs promote retention of new graduate nurses. However, there is a dearth of studies examining the impact of nurse residency programs longitudinally.
To evaluate the impact of a transition-to-practice program on new graduate nurses' practice confidence and job satisfaction over 24 months.
A retrospective longitudinal study.
A 1200-bed public tertiary academic hospital.
New graduate nurses from local universities who joined the hospital and were enrolled in the Graduate Nurse Residency Program (n = 104).
The program was conducted for 24 months and consisted of modules on bedside knowledge and skills, and a mentorship program with senior nurse leaders. Practice confidence and job satisfaction were measured using the Casey-Fink graduate nurse experience survey. The survey was administered four times over the 24 months as part of the program. Data was analyzed using repeated measures ANOVA.
Practice confidence increased and job satisfaction decreased over the 24 months. Practice confidence total score at 6 months and an extended probation period were factors associated with attrition during the 24-month clinical practice.
This is the first longitudinal study to demonstrate the impact of a transition-to-practice program in a multiethnic Asian setting. The Graduate Nurse Residency Program enhanced the practice confidence of new graduate nurses.
全球范围内都急需留住护士。有证据表明，护士驻院实习计划有助于新毕业护士的留用。然而，目前缺乏对护士驻院实习计划进行纵向研究的相关研究。
评估一项过渡到实践计划对新毕业护士实践信心和工作满意度的影响，时间跨度为 24 个月。
回顾性纵向研究。
一家拥有 1200 张床位的公立三级学术医院。
来自当地大学、加入医院并参加护士驻院实习计划的新毕业护士（n=104）。
该计划持续 24 个月，包括床边知识和技能模块以及与资深护士领导者的指导计划。使用 Casey-Fink 新毕业护士体验调查来衡量实践信心和工作满意度。该调查作为计划的一部分，在 24 个月内进行了 4 次。使用重复测量方差分析对数据进行分析。
实践信心在 24 个月内增加，工作满意度在 24 个月内下降。6 个月时的实践信心总分和延长试用期是 24 个月临床实践中离职的相关因素。
这是第一项在多民族亚洲环境中进行的关于过渡到实践计划的纵向研究。护士驻院实习计划增强了新毕业护士的实践信心。
