References

Baillie L. Preparing adult branch students for their management role as staff nurses: an action research project. J Nurs Manag.. 1999; 7:(4)225-234 https://doi.org/10.1046/j.1365-2834.1999.00105.x

Bradshaw A. The project 2000 nurse: the remaking of British general nursing, 1978-2000.London: Whurr Publishers; 2001a

Bradshaw A. The nurse apprentice, 1860-1977.Aldershot: Ashgate; 2001b

Broad P, Walker J, Boden R, Barnes A. Developing a ‘model of transition’ prior to preceptorship. Br J Nurs.. 2011; 20:(20)1298-1301 https://doi.org/10.12968/bjon.2011.20.20.1298

Cooper C, Taft LB, Thelen M. Preparing for practice: students' reflections on their final clinical experience. J Prof Nurs.. 2005; 21:(5)293-302 https://doi.org/10.1016/j.profnurs.2005.07.002

Council of Deans of Health. Enhanced practice support framework (EPSF). 2019. https://tinyurl.com/yyvpnnk6 (accessed 22 February 2019)

Doley B, Roberts S. Managing student transitions into primary care. Br J Community Nurs.. 2005; 10:(12)563-565 https://doi.org/10.12968/bjcn.2005.10.12.20151

Gerrish K. Still fumbling along? A comparative study of the newly qualified nurse's perception of the transition from student to qualified nurse. J Adv Nurs.. 2000; 32:(2)473-480 https://doi.org/10.1046/j.1365-2648.2000.01498.x

Hartigan-Rogers JA, Cobbett SL, Amirault MA, Muise-Davis ME. Nursing graduates' perceptions of their undergraduate clinical placement. Int J Nurs Educ Scholarsh.. 2007; 4 https://doi.org/10.2202/1548-923x.1276

Holland K. A journey to becoming: the student nurse in transition. J Adv Nurs.. 1999; 29:(1)229-236

Johanson LS. How do new BSN nurses perceive their nursing education?. Nursing. 2013; 43:(9)14-20 https://doi.org/10.1097/01.nurse.0000432075.34645.11

Kelly J, Ahern K. Preparing nurses for practice: a phenomenological study of the new graduate in Australia. J Clin Nurs.. 2009; 18:(6)910-918 https://doi.org/10.1111/j.1365-2702.2008.02308.x

Kramer M. Reality shock: why nurses leave nursing.Maryland Heights (MO): Mosby/Elsevier;

Lincoln YS, Guba EG. Naturalistic inquiry.Newbury Park (CA): Sage; 1985

New student mentoring model to be extended further across east Anglia. 2016. https://tinyurl.com/y4gzhvbw (accessed 22 February 2019)

Mooney M. Facing registration: the expectations and the unexpected. Nurse Educ Today. 2007; 27:(8)840-847 https://doi.org/10.1016/j.nedt.2006.11.003

Moule P, Aveyard H, Goodman M. Nursing research: an introduction, 3rd edn. London: Sage Publications; 2016

Nash R, Lemcke P, Sacre S. Enhancing transition: an enhanced model of clinical placement for final year nursing students. Nurse Educ Today. 2009; 29:(1)48-56 https://doi.org/10.1016/j.nedt.2008.06.004

Newton JM, Cross WM, White K, Ockerby C, Billett S. Outcomes of a clinical partnership model for undergraduate nursing students. Contemp Nurse. 2011; 39:(1)119-128 https://doi.org/10.5172/conu.2011.39.1.119

Nursing and Midwifery Council. Standards to support learning and assessment in practice: preparation for mentors, practice teachers and teachers. 2008. https://tinyurl.com/yckvg7lm (accessed 22 February 2019)

Nursing and Midwifery Council. Standards for pre-registration nursing education. 2010. https://tinyurl.com/y9l3ngde (accessed 22 February 2019)

Nursing and Midwifery Council. Realising professionalism: standards for education and training. Part 1: Standards framework for nursing and midwifery education. 2018a. https://tinyurl.com/yb6q332w (accessed 22 February 2019)

Nursing and Midwifery Council. Realising professionalism: standards for education and training. Part 2: Standards for student supervision and assessment. 2018b. https://tinyurl.com/y8ws3y7c (accessed 22 February 2019)

Nursing and Midwifery Council. Future nurse: standards of proficiency for registered nurses. 2018c. https://tinyurl.com/yaln93xh (accessed 22 February 2019)

Nursing and Midwifery Council. Realising professionalism: standards for education and training. Part 3: Standards for pre-registration nursing programmes. 2018d. http://tinyurl.com/yaale26c (accessed 22 February 2019)

O'Shea M, Kelly B. The lived experiences of newly qualified nurses on clinical placement during the first six months following registration in the Republic of Ireland. J Clin Nurs.. 2007; 16:(8)1534-1542 https://doi.org/10.1111/j.1365-2702.2006.01794.x

Parahoo K. Nursing research: principles, process and issues, 3rd edn. London: Palgrave Macmillan; 2014

Pearson H. Transition from nursing student to staff nurse: a personal reflection. Paediatr Nurs.. 2009; 21:(3)30-32 https://doi.org/10.7748/paed2009.04.21.3.30.c7035

Ross H, Clifford K. Research as a catalyst for change: the transition from student to registered nurse. J Clin Nurs.. 2002; 11:(4)545-553

Shosha GA. Employment of Colaizzi's strategy in descriptive phenomenology: A reflection of a researcher. European Scientific Journal. 2012; 8:(27)31-43

Thrysoe L, Hounsgaard L, Dohn NB, Wagner L. Expectations of becoming a nurse and experiences on being a nurse. Nordic Journal of Nursing Research. 2011; 31:(3)15-19 https://doi.org/10.1177/010740831103100304

Walsh K. Student life: reality shock absorber. Nursing Standard. 2015; 29:(51) https://doi.org/10.7748/ns.29.51.66.s51

Wieland DM, Altmiller GM, Dorr MT, Wolf ZR. Clinical transition of baccalaureate nursing students during preceptored, pregraduation practicums. Nurs Educ Perspect.. 2007; 28:(6)315-321

The experience of preparing for and transitioning to registered practice

28 March 2019
Volume 28 · Issue 6

Abstract

Background:

over the past 10 years higher education institutions (HEIs) have redeveloped their nursing courses so that students follow a degree-level programme. The curriculum requires 50% of the total learning hours to be clinically based. This includes placements within the final year to assess management skills.

Aims:

this study focuses on exploring retrospective experiences of learning and support within the final placements, as reflected upon by newly qualified nurses in one trust.

Method:

phenomenological one-to-one interviews were used, and data were analysed using Colaizzi's method.

Findings:

the study found a positive experience of placements. The level of support final-placement students experienced was found to be dependent on staffing levels, commitment from staff and their passion for teaching. Placements were found to support preparation for practice. The impact of familiarity with a trust in improving transition was also recognised.

Conclusion:

this study recommends supporting transition through targeted placements based on employment, solid links between the HEI and trusts and increased support and teaching for students.

Students' experiences of their final placements may contribute to their ability to transition into registered practice and may help to prevent ‘reality shock’ and burnout, first described by Kramer (1974), which is still evident in recent years (Broad et al, 2011; Walsh, 2015).

The undergraduate nursing curriculum has been revised regularly over the past 50 years, and particularly since the introduction of university-based training in the form of Project 2000 (Bradshaw, 2001a). We are in the process of reinvigorating pre-registration training once again following the publication of the new Nursing and Midwifery Council (NMC) standards (NMC, 2018a; 2018b; 2018c; 2018d). The current mentor system will be replaced by supervisor and assessor roles, where all registered nurses will be expected to undertake a supervisor role supporting students in their day-to-day practice. Students can, however, be supervised by any registered health professional. The formal assessment role will be undertaken by two assessors, a practice assessor and an academic assessor, who will provide formal assessment of practice and academic achievements. Each year of the programme will require a different academic assessor just as each practice period will have a different practice assessor.

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