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On the difficulty of finding one’s place: A qualitative study of new nurses’ processes of growth in the workplace

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  • Ya‐Ting Ke
  • Joel F. Stocker

Abstract

Aims and objective To explore new nurses’ processes of growth in the workplace in order to understand the challenges they face. Background Quantitative and qualitative research to date has not adequately explored the complex ways in which initial work experiences may shape new nurses’ very high quit rate and, consequently, impact the long‐term nursing shortage in Taiwan. Design/Methods We conducted in‐depth interviews with new nurses to explore their professional development, including the challenges they faced, and their feelings about staying or quitting. Twenty newly registered nurses who had worked in a hospital setting full‐time for a year or less in two southern Taiwan medical centres were interviewed. Data were collected from March–November 2016. EQUATOR guidelines were followed, using the COREQ checklist. Results Interview transcripts were analysed and coded; three stages of growth were discovered: Feeling disillusioned and shocked, Gaining experiential knowledge and Making a place for oneself. Most nurses (n = 18/20) went through these three stages within 9 months and continued to work in nursing at follow‐up 2 years later. Conclusions Job continuity was contingent upon new nurses’ enduring a painful process of adjustment in the first two stages when new nurses were unsure of themselves and their interactions with preceptors were wrought with social tensions. New nurse development and retention efforts should make explicit the possibility of these tensions and how to deal with them. Relevance to clinical practice A better understanding of new nurses’ growth processes and adjustment pains can help refocus professional development and retention efforts towards how new nurses can succeed in finding a place for themselves.

Suggested Citation

  • Ya‐Ting Ke & Joel F. Stocker, 2019. "On the difficulty of finding one’s place: A qualitative study of new nurses’ processes of growth in the workplace," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(23-24), pages 4321-4331, December.
  • Handle: RePEc:wly:jocnur:v:28:y:2019:i:23-24:p:4321-4331
    DOI: 10.1111/jocn.14996
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    References listed on IDEAS

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    1. Dana Hayward & Vicky Bungay & Angela C Wolff & Valerie MacDonald, 2016. "A qualitative study of experienced nurses' voluntary turnover: learning from their perspectives," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(9-10), pages 1336-1345, May.
    2. Kihye Han & Alison M Trinkoff & Ayse P Gurses, 2015. "Work‐related factors, job satisfaction and intent to leave the current job among United States nurses," Journal of Clinical Nursing, John Wiley & Sons, vol. 24(21-22), pages 3224-3232, November.
    3. Pei‐Hern Wang & Yan‐Chiou Ku & Chi‐Chi Chen & Shiow‐Rong Jeang & Frank Huang‐Chih Chou, 2016. "Work‐related frustration among senior nurses at a medical centre," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(13-14), pages 2040-2051, July.
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    Cited by:

    1. Marie‐Louise Södersved Källestedt & Margareta Asp & Anna Letterstål & Margareta Widarsson, 2020. "Perceptions of managers regarding prerequisites for the development of professional competence of newly graduated nurses: A qualitative study," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(23-24), pages 4784-4794, December.

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