Volume 9, Issue 3

Newly Graduate Registered Nurses’ Experiences of Transition to Clinical Practice: A Systematic Review
Literature Review
New graduate registered nurses encounter many difficulties such as unexpected role, stress and lack of support. Therefore, many of them consider leaving their nursing roles. This systematic review aims to explore the experiences of newly graduate registered nurses about the transition from student nurse to graduate nurse in clinical practice. A qualitative systematic review was conducted using inclusion and exclusion criteria and PRISMA guideline. Twenty-three studies are included in the review and analysed using thematic analysis. The four researchers managed quality appraisal and data extraction. Of 23 studies included in the review, 22 were qualitative studies, and one was mixed methods. Following the thematic analysis, four themes were identified: (i) the impact of the undergraduate experience (ii) mental stress and coping strategies (iii) Existing knowledge of organizational support and (iv) professional accountability and competency. Findings show that newly graduate registered nurses experience high levels of turnover due to work stress, lack of support and inadequate undergraduate preparation. The successful transition is influenced by educational preparation, hospital orientation, and organizational support. Further research is required to explore the experiences of newly graduate registered nurses in developing countries, as there is limited research, which has considered nursing education, healthcare facilities, and cultural influences in these countries. New graduate registered nurses play a significant role in the provision of patient care and enhancing patient safety. This review explored their experiences about the transition from student to registered nurses to recommend comprehensive practical guidelines to support their involvement in patient safety and to provide insight for nurse’s leaders to understand the retention issues for new nurses. In addition to helping undergraduate nursing education programs to improve their strategies in preparing graduates for entry into professional practice.
American Journal of Nursing Research. 2021, 9(3), 94-105. DOI: 10.12691/ajnr-9-3-4
Pub. Date: April 09, 2021
Knowledge of Nurses in Hospital Preparedness in Emergency Response in Saudi Arabia: Basis for Staff Program Development
Original Research
Objective: The study assessed the level of knowledge of nurses in hospital emergency response based on WHO standard and determine what staff program development may propose to enhance the knowledge of nurses in hospital emergency response. Methods: The study utilized quantitative type of research and used the descriptive evaluative design. Results: Results of the study revealed that respondents are knowledgeable in 2 categories of hospital preparedness in emergency response, the safety and security (WM=2.5443, SD=.13295)) during MCI and the human resource during MCI (WM=2.9266, SD= .13901). Conclusion: With the findings of the study the respondents need to have more training related to hospital preparedness in emergency response. The training should focus on incident command system, communication, triage during MCI, surge capacity during MCI, continuity of essential service, logistics and supply and post disaster recovery. The training should situate the Health Emergency Response Recovery Plan (HERRP) and policy of hospital, covering all-hazard approach based on their risk assessment.
American Journal of Nursing Research. 2021, 9(3), 85-93. DOI: 10.12691/ajnr-9-3-3
Pub. Date: March 30, 2021
Pressure Injury Care Program Effects on Nurses’ Performance and Patients’ Pressure Injury Wound Healing Outcomes
Original Research
Pressure Injury (PI) is a major health problem which imposes a considerable social and economic burden nationally and globally. Aim of the study was to investigate the effect of PI care program on nurse's performance and patients' pressure injury wound healing outcomes. Study design was a quasi-experimental control group using pre-post and follow up design. Sample of thirty nurses and fifty patients were allocated in the current study in two medical units at one of the general hospitals in Ismailia City. Tools: Six tools included nurses' demographic data sheet, pressure injury knowledge questionnaire, and pressure injury care observational checklist, patients' demographic and medical profile data sheet, The Braden Scale, and patients’ pressure injury wound healing outcomes were used to collect data. Results: The study revealed that nurses' knowledge and practices, were significantly improved towards PI care post program implementation when compared to preprogram. Moreover, there was a significant improvement in PI wound healing among patients cared with nurses after receiving the educational program compared with patients who received care before the program. Conclusion: The PI educational program could improve nurses' performance as well as PI wound healing among cared patients. Recommendation: Endorse the educational program for pressure injury care in the nurses' orientation program plus continuous in-service education.
American Journal of Nursing Research. 2021, 9(3), 76-84. DOI: 10.12691/ajnr-9-3-2
Pub. Date: March 26, 2021
Comparing Accuracy of Manual Triage with Electronic Triage System
Original Research
BACKGROUND: Triage is the process of sorting patients in the emergency department (ED) based on the severity of their clinical presentation. There are several protocols to categorize patients and provide order in which and where a patient will be seen in the ED. It is a useful tool for organization and managing resources in the ED. OBJECTIVE: This research aims to compare the accuracy and applicability of the electronic Canadian Triage and Acuity Scale (CTAS) to the manual CTAS system. DESIGN: It is a descriptive, analytical prospective study that was conducted in King Abdullah Medical City (KAMC), Makkah, Saudi Arabia. SUBJECTS AND METHODS: During the study period, 389 patients were triaged with both manual and electronic CTAS triaging systems. RESULTS: Our research shows a low strength of agreement between manual and electronic triaging systems. The scores differ significantly that we cannot interpret the accuracy between the two systems. Additionally, our study shows that the predominant triaging score was CTAS 3 in both electronic and manual triaging systems and this could reflect the higher acuity of patient presentations to KAMC ED. KAMC is a specialized tertiary care center where patients frequently require a higher level of care. CONCLUSION: Our research demonstrates the potentials of improving the triage process in the ED. Furthermore, this research highlighted the higher acuity of patients presented to KAMC ED and we believe this can give insight and further guidance for staffing, type, and the number of beds needed for our ED. However, further studies are needed to compare the electronic versus the manual triaging systems regarding the time required for completing the triage, impact of bed occupancy at the time of triage, as well as the number of staff available.
American Journal of Nursing Research. 2021, 9(3), 71-75. DOI: 10.12691/ajnr-9-3-1
Pub. Date: March 04, 2021