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The voice of nurses: Novice nurses’ first experiences in a clinical setting. A longitudinal diary study

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  • Yvonne ten Hoeve
  • Saskia Kunnen
  • Jasperina Brouwer
  • Petrie F Roodbol

Abstract

Aims and objectives To gain greater understanding of which personal and professional demands novice nurses are confronted with and what can be done to improve the transition from novice to professional staff nurse. Background Novice nurses are confronted with a lot of physical, emotional and intellectual changes in the role‐transition process from student nurse to professional staff nurse, which are often related to feelings of confusion, uncertainty and stress. Few studies have investigated, on a longitudinal basis, the lived experiences of novice nurses in the clinical setting. Design The study adopted a qualitative longitudinal approach to investigate the described experiences of novice nurses during their first 2 years after graduation. Written diaries were selected for optimal data collection. Methods A sample of eighteen novice nurses was recruited from several wards at a University Medical Center in the Netherlands. The inclusion criteria were a Bachelor's degree in nursing, aged under 30, and no more than 1 year's work experience. Data were collected from weekly measurements from September 2013–September 2014. Results Eight major themes emerged from the diaries (n = 580): relatedness, competence, development, organisational context, existential events, goals, autonomy and fit. This study revealed that the need for relatedness was by far the most reported theme. Support and positive feedback from colleagues appeared to be crucial for novices starting work in a highly complex environment. Conclusion This study showed that one of the strategies novice nurses use to deal with challenging and existential situations is to share their experiences with colleagues. Therefore, novice nurses should always work in a safe environment which enables this. Relevance to clinical practice Identification of key issues around understanding novice nurses’ first clinical experiences may help to improve their transition from novice to professional staff nurse. The presence and support from supervisors and mentors are inevitable to keep novice nurses motivated for the profession.

Suggested Citation

  • Yvonne ten Hoeve & Saskia Kunnen & Jasperina Brouwer & Petrie F Roodbol, 2018. "The voice of nurses: Novice nurses’ first experiences in a clinical setting. A longitudinal diary study," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(7-8), pages 1612-1626, April.
  • Handle: RePEc:wly:jocnur:v:27:y:2018:i:7-8:p:e1612-e1626
    DOI: 10.1111/jocn.14307
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    References listed on IDEAS

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    1. Mari Skancke Bjerknes & Ida Torunn Bjørk, 2012. "Entry into Nursing: An Ethnographic Study of Newly Qualified Nurses Taking on the Nursing Role in a Hospital Setting," Nursing Research and Practice, Hindawi, vol. 2012, pages 1-7, September.
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    Cited by:

    1. Jiwon Kang & Youngjin Lee, 2022. "Health-Related Factors Influencing Nurse Turnover by Clinical Career: A Secondary Data Analysis of Clinical Nurses in South Korea," IJERPH, MDPI, vol. 19(22), pages 1-14, November.
    2. Sophie Schön Persson & Petra Nilsson Lindström & Pär Pettersson & Marie Nilsson & Kerstin Blomqvist, 2018. "Resources for work‐related well‐being: A qualitative study about healthcare employees’ experiences of relationships at work," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(23-24), pages 4302-4310, December.
    3. Samantha Jakimowicz & Jill Maben, 2020. "“I can’t stop thinking about it”: Schwartz Rounds® an intervention to support students and higher education staff with emotional, social and ethical experiences at work," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(23-24), pages 4421-4424, December.

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