The Experiences of Newly Graduated Nurses During the Orientation Process

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Author, Journal (Peer-Reviewed), and
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Flott & Linden
Journal of advanced nursing, 
https://onlinelibrary.wiley.com/doi/abs/10.1111/jan.12861

Pasila, K., Elo, S., & Kääriäinen, M.
International journal of nursing studies
/science/article/pii/S0020748917300573

Coventry, Maslin‐Prothero & Smith
Journal of advanced nursing https://onlinelibrary.wiley.com/doi/abs/10.1111/jan.12724  

Blackstock, S., Salami, B., & Cummings
Journal of nursing management.
https://onlinelibrary.wiley.com/doi/abs/10.1111/jonm.12623

Article Title and Year Published

The clinical learning environment in nursing education: a concept analysis. 2016

Newly graduated nurses’ orientation experiences: A systematic review of qualitative studies.2017

Organizational impact of nurse supply and workload on nurses continuing professional development opportunities: an integrative review. 2015

Organizational antecedents, policy and horizontal violence among nurses: An integrative review. 2018

Research Questions (Qualitative)/Hypothesis (Quantitative), and Purposes/Aim of Study

to report an analysis of the clinical learning environment concept.

This systematic review describes the experiences of newly graduated nurses during the orientation process.

To identify the best evidence on the impact of healthcare organizations' supply of nurses and nursing workload on the continuing professional development opportunities of Registered Nurses in the acute care hospital.

To explore the organizational antecedents related to horizontal violence among nurses and the extent to which policy initiatives reduce its incidence.

Design (Type of Quantitative, or Type of Qualitative)

The clinical learning environment was investigated using Walker and Avant's concept analysis method.

Systematic review.

integrative review 

Literature review

Setting/Sample

Nursing students in clinical learning environments

Medic, EBSCO Cinahl, Scopus, PsycARTICLES and ERIC (ProQuest).

Registered Nurses perspectives related articles

18 electronic databases and reference lists of key articles

Methods: Intervention/Instruments

All data was analyzed for recurring themes to determine possible consequences of this concept.

Data was collected from five databases

literature search and data evaluation, analysis and presentation

integrative review

Analysis

All data was analyzed for recurring themes to determine possible consequences of this concept.

Content analysis was used to analyze the data

All collected data was analyzed

Collected data was analyzed

Key Findings

The clinical learning environment contains four attributes: (1) the physical space; (2) psychosocial and interaction factors; (3) the organizational culture and (4) teaching and learning components. 

Newly graduated nurses wish to continue their relationship with their preceptor after the orientation period.

Nurses are reluctant or prevented from leaving clinical settings to attend continuing professional development due to lack of relief cover, obtaining paid or unpaid study leave, use of personal time to undertake mandatory training and organizational culture and leadership issues constraining the implementation of learning to benefit patients.

Emergent themes included the influence of working conditions, relational aspects of teams and leadership, organizational culture, climate and role of structural processes, leadership role and decision‐making authority, and the relationship of organizational structures to anti‐horizontal violence policy.

Recommendations

healthcare agencies can collaborate to create a meaningful clinical experience

Encourage all nurses to continue their relationship with their preceptor

 Organizational leadership should support attendance at continuing professional development as an investment for the future.

Make strong policies against the issues of abuse

Explanation of How the Article Supports EBP/Capstone Project

This article relates to my proposal in the fact that the learning process in the hospital will help in the improvement of the quality of care accorded to stroke patients.

The article relates to my proposal in the fact that the things taught to the new nurses during the orientation process will play a substantial role in determining the quality of healthcare accorded to stroke patients.

This relates to my proposal because the continued professional development will help in the improvement of the nurse’s skills and, in turn, be able to provide quality healthcare to the stroke patients.

The issue of abuse in the workplace would affect the effectiveness of the nurses to deliver quality healthcare to the patients. Therefore, this article relates to my proposal because a good communication process is triggered by a conducive work environment.

Criteria

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Author, Journal (Peer-Reviewed), and
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