Nurse Preceptor Experience in Preceptorship Program: A Systematic Literature Review of Qualitative Studies

This systematic literature review describes the experiences of the nurse preceptor in the preceptorship program in health care services. Data was collected from three databases: EBSCO, ScienceDirect, and Scopus. Qualitative, peer-reviewed, original studies published in English from 2013 until 2017 and exploring preceptor experiences of the preceptorship program were involved. The manuscripts were selected by screening titles, abstracts and full papers and the quality of the studies was measured. Data were analysed using content analysis.Ten studies were chosen for the review. Nurse preceptor experiences were divided into four main categories: experiences related to the preparation; experiences related to the preceptee; experiences preceptor role during the program; and experiences related to work environment. The findings establish that the nurse preceptor has a great impact to determine the quality of nursing services to the new graduate nurses, but many challenges face during the program.

Download Full-text

Influence of Sleep Characteristic Changes on Nurses’ Quality of Life during Their Transition to Practice: A Prospective Cohort Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph19010573 ◽

2022 ◽

Vol 19 (1) ◽

pp. 573

Author(s):

Kyoungja Kim ◽

Youngjin Lee

Keyword(s):

Quality Of Life ◽

Mixed Model ◽

Linear Mixed Model ◽

Generalized Linear Mixed Model ◽

Transition To Practice ◽

Quality Of Sleep ◽

Graduate Nurses ◽

New Graduate Nurses ◽

New Graduate

Aim: To explore the effect of changes in sleep characteristics on changes in quality of life during the transition period of new graduate nurses. Background: Sleep problems among nurses are associated with negative physical and psychological consequences. Methods: This prospective cohort study was conducted at a tertiary hospital in South Korea. Participants included 88 newly graduated nurses. Data were collected twice, prior to shift work and after 4 months of working as a nurse, via online structured self-report questionnaires created using Survey Monkey from March 2018 to February 2020. A generalized linear mixed model was used to analyze the influence of changes in sleep characteristics on quality of life. Results: A generalized linear mixed model showed that changes in the subjective quality of sleep, subjective health perception, and daytime dysfunction influenced quality of life changes during the transition. This implies that deterioration already existed. From their undergraduate period to four months after they began working as nurses, a significant decrease was observed in the quality of sleep. Participants’ quality of life significantly decreased. Conclusions: Changes in the quality of life of new graduate nurses may show deterioration with a significant drop in subjective sleep quality. Institutions should improve existing work adaptation programs provided during new graduate nurses’ transition to practice by including information on changes in nurses’ health caused by changes in sleep characteristics and sleep quality.

Download Full-text

Transition From Education to Practice for New Nursing Graduates: A Literature Review

Creative Nursing ◽

10.1891/1078-4535.23.4.248 ◽

2017 ◽

Vol 23 (4) ◽

pp. 248-254 ◽

Cited By ~ 4

Author(s):

Bobbi Shatto ◽

Lauren M. Lutz

Keyword(s):

Literature Review ◽

The United States ◽

Graduate Nurses ◽

New Graduate Nurses ◽

New Nurses ◽

Nurse Residency ◽

Nurse Turnover ◽

Self Confidence ◽

New Graduate ◽

Nurse Residency Programs

New nurse turnover costs organizations in the United States an estimated $1.4 billion to $2.9 billion per year (Meyer, Shatto, Delicath, & von der Lancken, 2017; Ulrich et al., 2010). Retention of graduate nurses can decrease costs, combat nursing shortages, and improve patient outcomes. Despite the increase in prevalence of nurse residency programs, new nurses are leaving their first positions at alarming rates. The purpose of this literature review is to examine the factors that affect graduate nurse transition to practice. Findings indicate that a supportive environment free from bullying, a positive preceptor experience, and self-confidence were keys to retaining new graduate nurses.

Download Full-text

The effects of payments for pharmaceuticals: a systematic literature review

Health Economics Policy and Law ◽

10.1017/s1744133116000335 ◽

2017 ◽

Vol 14 (03) ◽

pp. 337-354 ◽

Cited By ~ 4

Author(s):

Katarzyna Kolasa ◽

Marta Kowalczyk

Keyword(s):

Health Care ◽

Literature Review ◽

Health Outcomes ◽

Health Care Costs ◽

Drug Cost ◽

Systematic Literature Review ◽

Cost Sharing ◽

Health Care Services ◽

Care Services ◽

Care Costs

AbstractThe existence of different forms of out-of-pocket payments (OOPs) for pharmaceuticals across the globe provokes the question whether they can achieve more negative or positive consequences. A systematic literature review was conducted to assess the association between drug cost sharing and health care services utilization, health care costs as well as health outcomes. Studies published in The Cochrane Library, PubMed, Embase were searched with such keywords as: drug, pharmaceutical, cost sharing, out of pocket, co-payments paired with the following: impact, health outcomes, health care costs and utilization. The final review included 18 articles. A total of 11 publications reported the association between drug cost sharing and health care utilization patterns, of which nine found a statistically significant direct relationship. In all 10 publications concerned the association between drug copayments and health care costs. Majority were limited to the impact on the drug budget. Seven studies looked into the link between drug cost sharing and health outcomes, of which five reported statistically significant inverse relationship. There is some evidence for the association between drug copayments, health outcomes and health care services consumption. The optimal system of OOPs’ payments for pharmaceuticals needs to prevent drugs’ overconsumption and mitigate the risks of excessive cost sharing’s burden.

Download Full-text

Nursing Graduates and Quality of Acute Hospital Care in 33 OECD Countries: Evidence From Generalized Linear Models and Data Envelopment Analysis

SAGE Open Nursing ◽

10.1177/23779608211005217 ◽

2021 ◽

Vol 7 ◽

pp. 237796082110052

Author(s):

Arshia Amiri

Keyword(s):

Acute Care ◽

Hospital Care ◽

Clinical Effectiveness ◽

Acute Hospital ◽

Nursing Graduates ◽

Graduate Nurses ◽

New Graduate Nurses ◽

Acute Hospital Care ◽

New Graduate

Background There is a lack of cross-national research to examine the role of new graduate nurses in improving the quality of nursing care and patient outcomes. Purpose To measure the role and clinical effectiveness of new graduate nurses in improving the quality of acute hospital care in the members of Organisation for Economic Co-operation and Development (OECD). Methods The total number of nursing graduates per 100,000 population and three OECD’s Health Care Quality Indicators (HCQI) in acute care including 30-day in-hospital and out-of-hospital mortality rates per 100 patients based on acute myocardial infarction (MORTAMIO), hemorrhagic stroke (MORTHSTO) and ischemic stroke (MORTISTO) were collected in 33 OECD countries. Four control variables including the number of medical graduates, practicing nurses and doctors densities per 1000 population (proxies for other health professions) and the total number of Computed Tomography scanners per one million population (proxy of medical technology level) were added in investigations. The statistical technique of Generalized Linear Models (GLM) and Data Envelopment Analysis (DEA) were used in data analysis. Results Results of GLM confirm the existence of meaningful association between the density of nursing graduates and improving the quality of acute care i.e. a 1% rise in the number of nursing graduates in year 2015 reduced MORTAMIO, MORTHSTO and MORTISTO by 1.11%, 0.08% and 0.46%, respectively. According to the result of DEA, clinical effectiveness of new graduate nurses – i.e. reaching the higher clinical outcomes with the same staffing level – in reducing mortality rates in patients with life-threatening conditions were at highest level in Luxembourg, Finland, Japan, Italy, Norway, Sweden and Switzerland. Conclusions Higher staffing level of new graduate nurses associates with better patient outcomes in acute care, although the clinical effectiveness of nursing graduates – associated with the level of education and practice – is the determinant factor of improving the quality of acute hospital care and patient survival rates in OECD.

Download Full-text