Journal article
Transition to Practice in Nonhospital Settings
Journal of nursing regulation, v 6(1), pp 4-13
01 Apr 2015
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
A survey conducted in 2001, and replicated in 2003 with the same results, found that fewer than 50% of employers thought newly licensed nurses were safe and effective in practice. These findings caused concern for boards of nursing, so in 2002 the National Council of State Boards of Nursing (NCSBN) began to examine transition to practice (TTP) in nursing, developing an evidence-based model program and studying its effectiveness in hospital and nonhospital settings. After completion of the TTP study in hospitals with registered nurses (RNs) published earlier in 2015, a study was conducted in nonhospital facilities with RNs and licensed practical nurses to determine if NCSBN's TTP program could be used effectively across settings. Sites volunteering to participate, however, faced many challenges while the study was underway. This article presents the TTP program, study design, challenges faced by nonhospital sites trying to implement a TTP program, and limited findings. These results are important because they highlight what was learned and set the groundwork for future TTP programs and studies involving nonhospital sites. The study examines factors faced by new graduates, such as work-related stress and job retention.
This study included 34 nonhospital settings in three states. The sites that volunteered were nursing homes and public health and home health settings. Twenty-three facilities hired 48 new nurses who were enrolled in the study between April 1, 2012, and October 31, 2012. Each site was randomized to either the study group (TTP group), which adopted the NCSBN's TTP program or the control group, which used its existing onboarding orientation program. Results are presented on competency assessment, reports of errors and safety practices, work stress, job satisfaction, and retention.
Metrics
Details
- Title
- Transition to Practice in Nonhospital Settings
- Creators
- Nancy Spector - NCSBN, Regulatory Innovat, Chicago, IL USAMary A. Blegen - Unity Health SystemJosephine Silvestre - Centre for Innovation in Regulatory ScienceJane Barnsteiner - Univ Penn, Pediat Nursing, Philadelphia, PA 19104 USAMary R. Lynn - University of North Carolina at Chapel HillBeth Ulrich - Univ Texas Houston, Hlth Sci Ctr, Houston Sch Nursing, Innovat Hlth Resources, Houston, TX 77025 USA
- Publication Details
- Journal of nursing regulation, v 6(1), pp 4-13
- Publisher
- Elsevier
- Number of pages
- 10
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Pediatrics
- Web of Science ID
- WOS:000219501100002
- Scopus ID
- 2-s2.0-84944062747
- Other Identifier
- 991020785746204721
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InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Nursing