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  • Title: Transition experiences of newly qualified registered graduate nurses employed in a Neonatal Intensive Care Unit.
    Author: McKenzie R, Miller S, Cope V, Brand G.
    Journal: Intensive Crit Care Nurs; 2021 Dec; 67():103112. PubMed ID: 34247938.
    Abstract:
    OBJECTIVE: To explore the experiences of newly qualified registered graduate nurses' clinical and professional learning experiences, during their first six-months of post registration employment within a graduate nurse transition program in a Neonatal Intensive Care Unit (NICU). METHOD: Narrative inquiry with thematic analysis was used to explore the newly qualified registered graduate nurses' accounts via semi-structured interviews, conducted between January 2018 - January 2019, of their clinical and professional learning during their employment in the Neonatal Intensive Care Unit. SETTING: In total, eight newly qualified registered graduate nurses employed at two Western Australian Hospitals sites were recruited. FINDINGS: Themes identified included: feeling unprepared; experiences of horizontal violence; the need for a supportive structural environment and seeking feedback. Participants reported overwhelming feelings of stress, emotional exhaustion, concerns for patient safety and for some, fear of early career burnout. CONCLUSION: In this study, newly qualified registered graduate nurses were clinically underprepared for entering a Neonatal Intensive Care Unit with all participants reporting high levels of psychosocial distress. This was further compounded by a lack of structured support, horizontal violence, and inadequate or no regular feedback from preceptors, resulting from a negative workplace culture and poor educator behaviours. Recommendations for improving the experiences of newly qualified registered graduate nurses employed in the Neonatal Intensive Care are discussed.
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