Mesaglio Maura, Dentice Sara, Grassetti Luca, Achil Illarj, Bernardinis Anna, Caruzzo Davide, Inserra Anna, Mansutti Irene, Mattiussi Elisa, Menegoz Sandra, Piani Tommaso, Vanzo Elena, Chiappinotto Stefania, Palese Alvisa
Azienda Sanitaria Universitaria Friuli Centrale, Udine, Italy.
Department of Medicine, University of Udine, Udine, Italy.
J Clin Nurs. 2024 Dec 12. doi: 10.1111/jocn.17617.
To understand the role of simulation in ensuring the development of the competencies expected by newly graduated register nurses (NGRNs) from the work initiation up to 5 months of transition.
Mixed-method study design. A longitudinal phase employing the Nurse Competence Scale (NCS, from 0 to 100, excellent) to assess the perceived competencies among NGRNs (N = 151) at three time points (first day of work up to fifth month); followed by a qualitative phase involving four focus groups of preceptors (N = 16) to explore the potential role of simulation in the NGRNs' working transition. Integration was performed at findings level, using the building procedures and joint displaying the results.
During the different time periods, variations emerged in the NCS scores from 64.41 out of 100 in the first day of work to 61.82 after 15 days, reaching 69.25 and 73.21 at 3 and 5 months. Nine potentialities have been identified as having simulation supporting NGRNs during their transition to independent practice. Simulation may contribute to develop competencies in some competence domains (diagnostic function, managing situation, therapeutic intervention, quality assurance and working role) while not in others (helping role and teaching-coaching).
Early interventions, through integration of simulation sessions into strategies offered at the unit's level may be useful to ensure an effective working transition.
Problem the study addresses: Challenges in transition from education to working settings are increasing given the difficulties of the units in providing time and support to NGRNs.
Competencies of NGRNs' are fluctuant in the five first months of work, and sub-optimal in certain domains. Simulation may support the full development of most competencies. Impact on research: Healthcare organisations can support NGRNs to ensure smoother transitions by integrating simulations in their strategy.
This study was conducted following the Good Reporting of a Mixed-Methods Study.
Only healthcare professionals were involved.
了解模拟训练在确保新毕业注册护士（NGRNs）从工作开始到5个月过渡期内所需能力发展方面的作用。
采用混合方法研究设计。纵向阶段运用护士能力量表（NCS，范围为0至100，优秀）在三个时间点（工作第一天至第五个月）评估151名NGRNs的感知能力；随后是定性阶段，涉及四个带教老师焦点小组（共16人），以探讨模拟训练在NGRNs工作过渡中的潜在作用。在结果层面进行整合，运用构建程序并联合展示结果。
在不同时间段，NCS得分出现变化，从工作第一天的100分中64.41分，到15天后的61.82分，在3个月和5个月时分别达到69.25分和73.21分。已确定有九种潜在作用，表明模拟训练在NGRNs向独立执业过渡期间为其提供支持。模拟训练可能有助于在某些能力领域（诊断功能、处理情况、治疗干预、质量保证和工作角色）培养能力，而在其他领域（帮助角色和教学指导）则不然。
通过将模拟训练课程纳入单位层面提供的策略中进行早期干预，可能有助于确保有效的工作过渡。
该研究解决的问题：鉴于单位难以向NGRNs提供时间和支持，从教育到工作环境的过渡面临的挑战日益增加。
NGRNs的能力在工作的前五个月波动，在某些领域未达最佳状态。模拟训练可能支持大多数能力的全面发展。对研究的影响：医疗保健组织可通过将模拟训练纳入其策略来支持NGRNs，以确保更顺利的过渡。
本研究按照混合方法研究的良好报告规范进行。
仅涉及医疗保健专业人员。
