Becoming willing to role model. Reciprocity between new graduate nurses and experienced practice nurses in general practice in New Zealand: A constructivist grounded theory

Author(s):  
Karen J. Hoare ◽  
Jane Mills ◽  
Karen Francis
2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Robin Lewis ◽  
Rachel Ibbotson ◽  
Shona Kelly

Abstract Background The demand for General Practice services in the UK, and elsewhere, is rising quickly. In part, the increasing demand is from an aging population that requires management of multiple long-term conditions. The General Practice Nurse is increasingly taking on the role. It is acknowledged that if general practice is to be able to recruit sufficient General Practice Nurses (GPNs) to meet this increasing demand in the future, new graduate nurses must be encouraged to consider general practice as a viable career option. This research is part of a review of the Advanced Training Practice Scheme (ATPS) which supported clinical placements in participating general practices. Methods The aim of the study was to examine nursing students’ perceptions of GP placements, and their effect upon career intentions following graduation from Sheffield Hallam University (SHU), in the UK. Interviews and an online survey were used collect data. Only the survey is reported here. The bespoke survey examined students’ views of: opportunities for learning new clinical skills and consolidating existing clinical skills; the learning environment in general practice and their views on a career in general practice. Results One thousand one hundred twenty undergraduate adult-field nursing students were contacted, with a response rate of 41% (N = 462). Ninety respondents had a placement and, 92% (N = 84) viewed practice nursing positively, and 77% (N = 70) felt that the placement had transformed their views on general practice. The opportunity to participate in the management of the various aspects of chronic disease was identified by 84% (N = 76) of the students as a key new skill they had acquired. They also reported that they valued a team ethos, control over aspects of work, and the variety of health problems they encountered. Conclusion The findings from this study demonstrate a positive experience arising from the provision of General Practice placements for nursing students. The use of ‘targeted’ placement schemes with appropriate support such as this may be seen as a viable way of exposing nursing students to General Practice nursing, and of encouraging new graduate nurses to consider General Practice nursing as a viable career option.


2019 ◽  
Author(s):  
Michelle Kurzbach

Over the past few decades, researchers have been exploring the cause and effects of incivility in the nursing profession. With the nursing shortage on the rise, organizations are focused on decreased retention rates and the impact on patient outcomes and organizational costs. In order to assess and evaluate the current literature on incivility toward new nurses and its’ impact on retention, an integrative review was conducted. The purpose of this project was to evaluate incivility toward new graduate nurses and the impact incivility has on career retention. The Theory of Planned Behaviour was the framework used to guide this review. The CINAHL database search revealed 26 articles; the PRISMA flow chart was used to document the search path. Five articles met the inclusion and exclusion criteria. The included articles were reviewed using Polit&Beck’s literature review; quantitative research and qualitative research report guidelines. A cross-literature analysis was then conducted to identify common themes and key findings. The review revealed that incivility continues to greatly influence new nurses’ intentions to leave their current positions and possibly the profession. The numbers of articles was limited but were of high quality and provided sound data that revealed the impact of incivility on new graduate nurses and their retention intentions. In conclusion, incivility is under-addressed and under-recognized as a cause of decreased job satisfaction and retention. Further research should evaluate the effectiveness of empowerment, education programs, zero tolerance, and behavioral accountability in decreasing the incidence and impact of incivility. Advance Practice Registered Nurses (APRNs) can role model and support nurses to be accountable for their behaviors and can teach team building skills to build a zero-tolerance civil work environment.


2021 ◽  
pp. 103049
Author(s):  
Benjamin Hartung ◽  
Michelle Lalonde ◽  
Brandi Vanderspank-Wright ◽  
J. Craig Phillips

2019 ◽  
Vol 75 (6) ◽  
pp. 1272-1283 ◽  
Author(s):  
Carly Whitmore ◽  
Sharon Kaasalainen ◽  
Jenny Ploeg ◽  
Pamela Baxter

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