From university student to registered nurse: The perennial enigma
Judith Clare
Professor of Nursing, Flinders University of South Australia, Adelaide SA
Dianne Longson
Lecturer, School of Nursing & Midwifery, Flinders University of South Australia, Adelaide SA
Pauline Glover
Senior Lecturer, School of Nursing, Flinders University of South Australia, SA
Sandra Schubert
Research Assistant, University of South Australia, SA
Anne Hofmeyer
Project Officer, School of Nursing, Flinders University, SA; University of Alberta, Edmonton, Canada
PP: 169 - 176
Abstract
Crucial issues related to the transition from university student to registered nurse are addressed, through a review of the literature. The considerable literature in this area indicates three distinct approaches in examining this question: there are personal and professional deficits which the new graduate must make up, the formal content of the university curriculum is deficient and must be replaced, the socio-political and professional contexts of practice constrains beginning practice.
Each of these approaches is examined here in the expectation that uncovering these issues will encourage employers and educators to work together to resolve some of the current conflicts and difficulties inherent in the transition from university student to registered nurse. Various models of transition in current use are then explored, since support for the graduate is paramount for provision of a cost effective and efficient nursing service in a rapidly changing health service environment.
Keywords
transition, nursing, initial employment, education to employment, internship, preceptor
References
Alex M and MacFarlane M (1992) The transition process: Joint responsibility of nurse educators and employers. Canadian Journal of Nursing Administration 5(4): 23-26.
Alexander F (1991) Joining the staff. New Zealand Nursing Journal: 25.
Allanach B and Jennings B (1990) Evaluating the effects of a nurse preceptorship program. Journal of Advanced Nursing 15: 22-28.
Australian Nursing Council (1993) National competencies for the registered and enrolled nurse in recommended domains competency.
Ambler N (1995) The beginning practitioner: 1st year RN adaptation to the workplace. Conference Proceedings Research for Practice, Newcastle University.
Andrews C (1987) Orientation: Graduates' perception of initiation. Nursing Management 18(11): 110-111.
Arnold S (1993) The race for places. Australian Nursing Journal 1(5): 19-20.
Ashton P and Richardson G (1992) Preceptorship and PREPP. British Journal of Nursing 1(3): 143-146.
Baker D and Liwu A (1991) Preceptorship in the Nineties. In G Gray and L Mayner (eds) Book of Proceedings First International Conference Nursing Research Pro-active vs Reactive. Centre for Nursing Research, Adelaide.
Barnett T (1992) Preceptorship. Chapter 14. In G Gray and R Pratt (eds) Issues in Australian Nursing 3. Melbourne, Churchill Livingstone.
Bates W (1993) The difficulties of applied practice experienced by recently graduated tertiary nursing students in their first six months of employment in a major hospital. Proceedings from National Conference Research in Nursing: Turning Points Centre for Nursing Research Inc, Adelaide.
Battersby D and Hemmings L (1991) Clinical performance of university graduates. Australian Journal of Advanced Nursing 9(1): 30-34.
Beecken J and Hockley D (1991) New Graduate Nurse Survey 1990: A report to the nurse labour force committee. South Australian Health Commission, Nursing Branch.
Benner P and Benner R (1979) The new nurse's work entry: A troubled sponsorship. Tiresias Press, New York.
Blackwell's dictionary of nursing (1994) Blackwell Scientific Publications, Oxford.
Brommeyer M (1994) Reflexive praxis through journalling: A graduate nurse year in review. Australian Paediatric Nurse 5(1): 5-9.
Bryon P and Johnson A (1990) Impact on the change of educational preparation on clinical practice and recruitment patterns. In: What, if anything, ails nurses? Contributed papers Western Sydney Area Health Service Nursing Colloquium, Westmead Hospital Education Block, New South Wales.
Burke L (1994) Preceptorship and the postregistration nurse education. Nurse Education Today 14: 60-66.
Cerinus M and Ferguson C (1993) A guiding light. Nursing Times 89(29): 40-41.
Clare J (1991) Professional disunity: The effect on preparation for practice. Nursing Praxis in New Zealand 6(3): 19-21.
Clare J (1991) Teaching and learning in nursing education: A critical approach. PhD Thesis, Massey University.
Clare J (1993) Changing the curriculum-or transforming the conditions of practice? Nurse Education Today 13(4): 282-286.
Crow M (1994) Problem based learning: a model for graduate transition in nursing. Contemporary Nurse 3(3): 105-109.
Department of Health (1986) Review of the preparation and initial employment of nurses: A report to the Director General of Health, Wellington, New Zealand.
Deshong D (1994) 'The fledgling's flight.' Unpublished report, Princess Alexandra Hospital, Queensland.
Dixon A(1996) 'Difference in practice between registered and enrolled nurses: case study as voice.' Unpublished PhD Thesis, Flinders University.
Dufault M (1990) Personal and work-milieu resources as variables associated with role mastery in the novice nurse. Journal of Continuing Education in Nursing 21(2): 73-78.
Dufault M, Bartlett B, Dagrosa C and Joseph D (1992) A statewide consortium initiative to establish an undergraduate clinical internship program. Journal of Professional Nursing 8(4): 239-244.
Faculty of Nursing University of Newcastle and Hunter Area Health Service (1995) 'Follow-up survey of the University of Newcastle Graduates (1900-1992) and their experiences of initial employment.' Unpublished report, Faculty of Nursing.
Hart G (1988) Teleconferencing: Peer support for new graduates and preceptors. Australian Journal of Advanced Nursing 6(2): 8-12.
Hemmings L (1993) From student to nurse: A grounded theory study. Proceedings from National Conference Research in Nursing: Turning Points Centre for Nursing Research Inc, Adelaide.
Hiscott R (1995) Changes in the school-to-work transition for Canadian nursing program graduates. Canadian Journal of Nursing Research 27(4): 151-163.
Horner B (1994) Review of graduate nurse programs in Western Australia. Proceedings from 6th National Nurse Education Conference, September.
Horsburgh M (1989) Graduate nurses' adjustment to initial employment: Natural field work. Journal of Advanced Nursing 14(8): 610-617.
Howie J (1987) Bridging the gap. Australian Nurses' Journal 17(4): 47.
Johnson S (1986) Bridging the gap: A new graduate nurse program that works. Journal of Nursing Staff Development 2(4): 166-168.
Kotecki C (1992) Nursing internships: Taking a second look. Journal of Continuing Education in Nursing 23(5): 201-205.
Kramer M (1974) Reality shock: Why nurses leave nursing. Mosby, St Louis.
Kramer M and Schmalenberg C (1977) Path to biculturalism. Nursing Resources, Wakefield, Massachusett.
Lathlean J (1987) Are you prepared to be a staff nurse? Nursing Times 83(36): 25-27.
Lay J (1990) Some action research on 'new' student nurses. The Lamp 46(11): 37-40.
Lee G and Raleigh E (1983) A half-way house for the new graduate. Nursing Management 14(1): 43-45..
McArthur J, Brooke A and Bruni N (1981) The first working year in nursing: An evaluation of a group of college graduates. Commonwealth Tertiary Education Commission, Canberra.
McCloskey J and McCain B (1987) Satisfaction, commitment and professionalism of newly employed nurses. Image: Journal of Nursing Scholarship 19(1): 20-24.
McGrath B and Princeton J (1987) Evaluation of a clinical preceptor program for new graduates -eight years later. Journal of Continuing Education in Nursing 18(4): 133-136.
Moorhouse C (1992) Registered nurse: The first year of professional practice. La Trobe University Press, Melbourne.
National Action Group (1988) Guidelines for the initial employment and orientation of new graduate nurses. Publication No.2 Department of Health, Wellington, New Zealand.
Nayak S (1991) Strategies to support the new nurse in practice. Journal of Nursing Staff Development 7(2): 64-66.
Oechsle L and Landry L (1987) Congruity between role expectations and actual work experience: A study of recently employed registered nurses. Western Journal of Nursing Research 9(4): 555-571.
Paulk L, Hill K and Robinson S (1985) Determining the quality of registered nurse orientation programmes. The Journal of Continuing Education in Nursing 16(5): 167-173.
Perry J (1985) 'Theory and practice in the induction of five graduate nurses: a reflexive critique.' Unpublished MA Thesis, Massey University, New Zealand.
Terry J (1987-9) Transition from student to graduate: Phases one to three, monographs. Department of Health, Wellington, New Zealand.
Pickhaver A, Young B and Goldsworthy T (1985) They seem different somehow. Commonwealth Tertiary Education Commission, Canberra.
Reid J (1994) Nursing education in Australian universities: Report of the National Review of Nurse Education in the Higher Education Sector-1994 and beyond. Commonwealth Department of Human Services and Health, AGPS, Canberra.
Ryan M and Hodson K (1992) Employer evaluations of nurse graduates: A critical program assessment element. Journal of Nursing Education 31(5): 198-202.
Schempp C and Rompre R (1986) Transition programs for new Graduates: How effective are they? Journal of Nursing Staff Development 4(2): 150-156.
Sebastian P (1994) An educational program designed for newly qualified registered nurses working for nursing agencies. Proceedings from 6th National Nurse Education Conference, September.
Seigloff L and Walker M (1992) Developing a new reality from strong foundations. Chapter 13, In G Gray and R Pratt (eds) Issues in Australian Nursing 3. Churchill Livingstone, Melbourne.
Tattam A (1995) Review or revue? Graduates jump through hoops to scarce job market. Editorial Australian Nursing Journal 3(5): 3.
Thomas J, Bounds W and Brown G (1991) Helping nurses adjust: Who provides what job information? Journal of Nursing Staff Development 7(3): 130-133.
Walter S, James R and Roberts S (1993) Students voice concern over computer match service. Letters to the editor, Australian Nursing Journal 1(5): 4.
Woodruff A (1982) Role conflict and the graduate nurse. Chapter 8, In E Jenkins, B King and G Gray (eds) Issues in Australasian Nursing. Churchill Livingstone, Melbourne.
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