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Journal ArticleDOI

Best practices of formal new graduate nurse transition programs: An integrative review

01 Mar 2013-International Journal of Nursing Studies (Int J Nurs Stud)-Vol. 50, Iss: 3, pp 345-356
TL;DR: The stronger evidence suggests that new graduate education should focus on practical skill development, preceptors should receive a level of formal training, formal support should be available at least through the difficult six to nine month post-hire period, opportunities for connection with their peers should be provided, and organizations should strive to ensure clinical units with healthy work environments.
About: This article is published in International Journal of Nursing Studies.The article was published on 2013-03-01 and is currently open access. It has received 382 citations till now. The article focuses on the topics: Nursing research & Mentorship.
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Journal ArticleDOI
TL;DR: Although SMS reminders are used with different patient groups in health care, SMS is less systematically studied with randomized controlled trial study design, although the amount of evidence for SMS application recommendations is still limited, having 77% of the studies showing improved outcomes may indicate its use in health Care settings.
Abstract: Background: Mobile text messages are a widely recognized communication method in societies, as the global penetration of the technology approaches 100% worldwide. Systematic knowledge is still lacking on how the mobile telephone text messaging (short message service, SMS) has been used in health care services. Objective: This study aims to review the literature on the use of mobile phone text message reminders in health care. Methods: We conducted a systematic literature review of studies on mobile telephone text message reminders. The data sources used were PubMed (MEDLINE), CINAHL, Proquest Databases/ PsycINFO, EMBASE, Cochrane Library, Scopus, and hand searching since 2003. Studies reporting the use of SMS intended to remind patients in health services were included. Given the heterogeneity in the studies, descriptive characteristics, purpose of the study, response rates, description of the intervention, dose and timing, instruments, outcome measures, and outcome data from the studies were synthesized using a narrative approach. Results: From 911 initial citations, 60 studies were included in the review. The studies reported a variety of use for SMS. Mobile telephone text message reminders were used as the only intervention in 73% (44/60) of the studies, and in 27% (16/60) of the remaining studies, SMS was connected to another comprehensive health intervention system. SMS reminders were sent to different patient groups: patients with HIV/AIDS (15%, 9/60) and diabetes (13%, 8/60) being the most common groups. The response rates of the studies varied from 22-100%. Typically, the text message reminders were sent daily. The time before the specific intervention to be rendered varied from 10 minutes (eg, medication taken) to 2 weeks (eg, scheduled appointment). A wide range of different evaluation methods and outcomes were used to assess the impact of SMS varying from existing databases (eg, attendance rate based on medical records), questionnaires, and physiological measures. About three quarters of the studies (77%, 46/60) reported improved outcomes: adherence to medication or to treatment reportedly improved in 40% (24/60) of the studies, appointment attendance in 18% (11/60) of the studies, and non-attendance rates decreased in 18% (11/60) of the studies. Other positive impacts were decreased amount of missed medication doses, more positive attitudes towards medication, and reductions in treatment interruptions. Conclusions: We can conclude that although SMS reminders are used with different patient groups in health care, SMS is less systematically studied with randomized controlled trial study design. Although the amount of evidence for SMS application recommendations is still limited, having 77% (46/60) of the studies showing improved outcomes may indicate its use in health care settings. However, more well-conducted SMS studies are still needed. [J Med Internet Res 2014;16(10):e222]

254 citations


Cites background from "Best practices of formal new gradua..."

  • ...Increase, decrease, or unchanged were then presented as arrows up (↑), down (↓) or horizontal (⇔) (respectively) (see [28])....

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Journal ArticleDOI
TL;DR: The evidence suggests that transition interventions/strategies do lead to improvements in confidence and competence, job satisfaction, critical thinking and reductions in stress and anxiety for the newly qualified nurse.

252 citations


Cites result from "Best practices of formal new gradua..."

  • ...This concurs with the findings of Rush et al 2013 who found that increased competency occurred regardless of who rated the level of competency (self, peer, preceptor, manager or administrator), duration or type of programme....

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  • ...As found in previous reviews (Salt et al 2008, Rush et al 2013) drawing firm conclusions with regard to the effectiveness of the main strategies used to support newly qualified nurses during the transition into the clinical workplace is limited due the poor methodological quality of these studies....

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  • ...As found in previous reviews (Rush et al., 2013; Salt et al., 2008) drawing firm conclusions about the effectiveness of strategies used to support newly qualified nurses during the transition into the clinical workplace is limited due to the poor methodological quality of studies....

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Journal ArticleDOI
TL;DR: The findings indicate that the development of professional confidence is a dynamic process that occurs throughout the first year of practice, and new graduate nurses must experience both positive and negative circumstances in order to move toward the attainment of professionalconfidence.

139 citations

Journal ArticleDOI
TL;DR: A wide variety of interventions and components within those interventions were identified to improve nurse retention and turnover, and clinical practice areas are recommended to assess their current interventions against the identified criteria to guide development of their effectiveness.

127 citations


Cites background from "Best practices of formal new gradua..."

  • ...…in nursing programmes that are weighted in favour of theory rather than practical placements Orientation and Transition to Practice Programmes (Rush et al., 2013) Designed to support the socialisation of new nurses in to the workplace May be generalised to promote transition in to the…...

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  • ...Intervention Description Characteristics Preceptorship (Irwin et al., 2018; Ke et al., 2017; Whitehead et al., 2013) Designed to support transition from student to qualified practitioner, originated in the USA In the UK seen as a way of socializing the new nurse in to the profession Newly qualified nurse is allocated a qualified nurse preceptor and regular meetings are arranged May involve formal teaching, supervision and competency assessment Usually of defined length but can vary from a few weeks to up to two years in duration Relationship between preceptor and preceptee is fundamental for psychological support, knowledge exchange and role modelling Mentoring Programmes (Zhang et al., 2016) Draws on a mentoring relationship to support transition into the workplace Relationship between mentor and mentee may be enduring and nurturing Vary widely in format and structure May include dyad models, peer mentoring, group mentoring, constellation models or online distance mentoring Mentors may be allocated to mentees or may rely on self-selection or incentives to motivate tenacity in the relationship Residency Programmes and Internships (Al-Dossary et al., 2014; Anderson et al., 2009) Predominantly established in the USA, Canada and Australia in response to retention challenges in the 1980s Aim to develop and consolidate clinical reasoning and leadership skills of new graduates Contractual arrangement between the new graduate nurse and the employer Usually lasts between six months and one year Delivered in partnership between academia and practice Involve structured teaching linked to clinical immersion and a mentoring relationship Externships (Friday et al., 2015) Opportunities for student nurses to undertake experiential learning in a new clinical area on a short placement Usually lasts no longer than a semester Opportunity for student to apply theoretical knowledge, experience the clinical environment and understand workplace opportunities Valuable in nursing programmes that are weighted in favour of theory rather than practical placements Orientation and Transition to Practice Programmes (Rush et al., 2013) Designed to support the socialisation of new nurses in to the workplace May be generalised to promote transition in to the organisation or more specialised, to facilitate development of skills specific to a particular clinical area Involve formal teaching and a mentor or preceptor relationship Often shorter in duration Clinical Ladder or Advancement Programmes (Drenkard and Swartwout, 2005) Organisational structures that allow nurses to gain promotion and recognition for their developing skill and achievement Implemented as a means of enhancing the quality of nursing care and as a mechanism for enhancing nurse satisfaction Offer clarity about professional development and promotion May involve competency assessment Usually involve remuneration for achievement...

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References
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Journal Article
TL;DR: The QUOROM Statement (QUality Of Reporting Of Meta-analyses) as mentioned in this paper was developed to address the suboptimal reporting of systematic reviews and meta-analysis of randomized controlled trials.
Abstract: Systematic reviews and meta-analyses have become increasingly important in health care. Clinicians read them to keep up to date with their field,1,2 and they are often used as a starting point for developing clinical practice guidelines. Granting agencies may require a systematic review to ensure there is justification for further research,3 and some health care journals are moving in this direction.4 As with all research, the value of a systematic review depends on what was done, what was found, and the clarity of reporting. As with other publications, the reporting quality of systematic reviews varies, limiting readers' ability to assess the strengths and weaknesses of those reviews. Several early studies evaluated the quality of review reports. In 1987, Mulrow examined 50 review articles published in 4 leading medical journals in 1985 and 1986 and found that none met all 8 explicit scientific criteria, such as a quality assessment of included studies.5 In 1987, Sacks and colleagues6 evaluated the adequacy of reporting of 83 meta-analyses on 23 characteristics in 6 domains. Reporting was generally poor; between 1 and 14 characteristics were adequately reported (mean = 7.7; standard deviation = 2.7). A 1996 update of this study found little improvement.7 In 1996, to address the suboptimal reporting of meta-analyses, an international group developed a guidance called the QUOROM Statement (QUality Of Reporting Of Meta-analyses), which focused on the reporting of meta-analyses of randomized controlled trials.8 In this article, we summarize a revision of these guidelines, renamed PRISMA (Preferred Reporting Items for Systematic reviews and Meta-Analyses), which have been updated to address several conceptual and practical advances in the science of systematic reviews (Box 1). Box 1 Conceptual issues in the evolution from QUOROM to PRISMA

46,935 citations

Journal ArticleDOI
TL;DR: PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) is introduced, an update of the QUOROM guidelines for reporting systematic reviews and meta-analyses.
Abstract: Moher and colleagues introduce PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses), an update of the QUOROM guidelines for reporting systematic reviews and meta-analyses. Us...

23,203 citations

Journal ArticleDOI
TL;DR: This work uncovers the Knowledge Embedded in Clinical Nursing Practice and discusses the Dreyfus Model of Skill Acquisition Applied to Nursing and its implications for Research and Clinical Practice.
Abstract: 1. Uncovering the Knowledge Embedded in Clinical Nursing Practice. 2. The Dreyfus Model of Skill Acquisition Applied to Nursing. 3. An Interpretive Approach to Identifying and Describing Clinical Knowledge. 4. The Helping Role. 5. The Teaching-Coaching Function. 6. The Diagnostic and Monitoring Function. 7. Effective Management of Rapidly Changing Situations. 8. Administering and Monitoring Therapeutic Interventions and Regimens. 9. Monitoring and Ensuring the Quality of Health Care Practices. 10. Organizational and Work-Role Competencies. 11. Implications for Research and Clinical Practice. 12. Implications for Career Development and Education. 13. The Quest for a New Identity and New Entitlement in Nursing. 14. Excellence and Power in Clinical Nursing Practice. Epilogue: Practical Applications. References. Glossary. Appendix. Index.

5,161 citations

Journal ArticleDOI
TL;DR: Results confirmed findings of an earlier meta-analysis and in addition revealed four new predictors of postpartum depression: self-esteem, marital status, socioeconomic status, and unplanned/unwanted pregnancy.
Abstract: Background Approximately 13% of women experience postpartum depression. Early recognition is one of the most difficult challenges with this mood disorder because of how covertly it is suffered. Objectives The purpose of this meta-analysis was to update the findings of an earlier meta-analysis of postpartum depression predictors that had synthesized the results of studies conducted mostly in the 1980s. Method A meta-analysis of 84 studies published in the decade of the 1990s was conducted to determine the magnitude of the relationships between postpartum depression and various risk factors. Using the software system Advanced Basic Meta-Analysis, effect sizes were calculated three ways: unweighted, weighted by sample size, and weighted by quality index score. Results Thirteen significant predictors of postpartum depression were revealed. Ten of the 13 risk factors had moderate effect sizes while three predictors had small effect sizes. The mean effect size indicator ranges for each risk factor were as follows: prenatal depression (.44 to .46), self esteem (.45 to. 47), childcare stress (.45 to .46), prenatal anxiety (.41 to .45), life stress (.38 to .40), social support (.36 to .41), marital relationship (.38 to .39), history of previous depression (.38 to .39), infant temperament (.33 to .34), maternity blues (.25 to .31), marital status (.21 to .35), socioeconomic status (.19 to .22), and unplanned/unwanted pregnancy (.14 to .17). Conclusions Results confirmed findings of an earlier meta-analysis and in addition revealed four new predictors of postpartum depression: self-esteem, marital status, socioeconomic status, and unplanned/unwanted pregnancy.

1,822 citations


"Best practices of formal new gradua..." refers methods in this paper

  • ...In addition, each paper was scored for its levels of evidence using an adaptation of a system developed by Beck (2001) and later modified by Park and Jones (2010)....

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