Rae Monica, Loh Leta Wei Ling, Neo Nicholas Wee Siong, Mordiffi Siti Zubaidah, Toh Zheng An, Koh Catherine Siow Lan, Woo Brigitte Fong Yeong, Ang Wei How Darryl
Nursing Department, National University Hospital, National University Health System, Singapore.
Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Nurse Educ Today. 2025 May;148:106638. doi: 10.1016/j.nedt.2025.106638. Epub 2025 Feb 22.
The turnover of new graduate nurses is a critical issue worldwide. A key contributing factor is the highly stressful transition from student to registered nurse. Graduate nurse residency programs support new graduate nurses during this transition and facilitate professional development.
This study aimed to gain insight into the experiences of registered nurses' in the graduate nurse residency program.
A descriptive qualitative study design using thematic analyses.
This study was conducted in an academic tertiary hospital in Singapore.
Registered nurses who completed the graduate nurse residency program were selected using a purposive sampling approach.
This study was conducted from September to December 2023. A total of 19 registered nurses were invited to an individual semi-structured interview. The interviews were either conducted online through Zoom or instant messaging. The Zoom interviews were audio- and video-recorded and transcribed verbatim. A six-step inductive thematic analysis was used for data analysis.
Two themes depicting nurses' experiences of the graduate nurse residency program were elucidated, (1) easing the shift from student to registered nurse; and (2) facilitating the transition to becoming a competent nurse. The participants alluded to the importance of the graduate nurse residency program in playing a supportive role in enabling their transition. The provision of technical and soft skills were valued by the participants. The graduate nurse residency program also aided in participants' professional development through evidence implementation and mentorship. The graduate nurse residency program was an enabler of participants' intent to stay in the nursing profession.
The findings of this study show that nurses viewed the graduate nurse residency program in a positive light. The provision of a multi-modal graduate nurse residency structured program focusing on building clinical competencies, mentorship, and evidence implementation projects can promote new graduate nurses' transition into professional practice. Further research is needed to examine the long term impacts of graduate nurse residency programs using cohort or randomized controlled trials.
新毕业护士的流失是一个全球性的关键问题。一个关键的促成因素是从学生到注册护士的高度压力转变。毕业护士住院医师项目在这一转变过程中支持新毕业护士，并促进其专业发展。
本研究旨在深入了解注册护士在毕业护士住院医师项目中的经历。
采用主题分析的描述性定性研究设计。
本研究在新加坡的一家学术型三级医院进行。
采用目的抽样法选取完成毕业护士住院医师项目的注册护士。
本研究于2023年9月至12月进行。共邀请19名注册护士进行个人半结构化访谈。访谈通过Zoom或即时通讯在线进行。Zoom访谈进行了音频和视频录制，并逐字转录。采用六步归纳主题分析法进行数据分析。
阐明了两个描述护士在毕业护士住院医师项目经历的主题，（1）缓解从学生到注册护士的转变；（2）促进向胜任护士的转变。参与者提到毕业护士住院医师项目在帮助他们过渡方面发挥支持作用的重要性。参与者重视技术和软技能的提供。毕业护士住院医师项目还通过证据实施和指导帮助参与者进行专业发展。毕业护士住院医师项目是参与者留在护理行业意愿的促成因素。
本研究结果表明，护士对毕业护士住院医师项目持积极态度。提供一个多模式的、侧重于培养临床能力、指导和证据实施项目的毕业护士住院医师结构化项目，可以促进新毕业护士向专业实践的转变。需要进一步研究，使用队列研究或随机对照试验来考察毕业护士住院医师项目的长期影响。
