Assessment of Challenges In Transition of New Graduate Nurses to Clinical Work Areas In Selected Governmental Hospitals in Addis Ababa Ethiopia, 2014
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Date
2014-06
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Addis Ababa University
Abstract
Background: Healthcare organizations require a stable, highly trained and fully engaged nursing
staff to provide effective levels of patient care. Nurses have served as advocates for a better,
safer, more humanistic health care system, and for public policies that promote the health of the
nation throughout the profession’s history. The healthcare system is becoming increasingly
complex; the nurse of the future will face a highly challenging healthcare delivery environment.
Therefore, the nursing profession elsewhere continues to be concerned with the process of
transition of new graduate nurses to into the world of clinical practice.
Objective: The objective of this study is to assess the transition of new graduate nurses from
education to practice area and the Challenges in transition of New Graduate Nurses to Clinical
Work Areas
Methods: Institution based cross sectional study design was used on 227 graduate nurses. Simple
random sampling technique was used in this study. The data was gathered using self administered
questionnaire. The collected data was entered using Epi info version 3.5.4; the entered data was
analyzed using SPSS version 21.0
Results: Hundred twenty nine (56.8%) of the respondents reported that they received orientation
upon employment. One hundred thirty seven (60.4%) of the respondents were agreed with the
concept “staff nurses felt students as part of health care team.” Only seventy eight (34.4%) of the
respondents agreed that they received orientation from their university or college upon graduation
about challenges that might face them in their clinical work area. one hundred twelve (49.3%) of
the respondents agreed that, nurse students received equal opportunity and recognition as other
department’s students in clinical practice. One hundred seventy eight (78.4%) of the respondents
agreed that they face difficulty to integrate theory into practice first at work, while the overall
challenge was 121 (53.3%)
Conclusion: Majority (93%) of the respondents acknowledged the educational system that they
passed through as very good and/or good. On the contrary, the way practical education was being
delivered was not satisfactory; nurse students did not receive equal opportunity and recognition
as other department’s students in clinical practice. One hundred seventy eight (78.4%) of the
respondents complained that they had faced difficulty to integrate theory into practice first at
work.
Recommendation: There is a need to establish joint special mentorship program for about 3 to 6
months by FMOH and FMOE to new graduate nurses before their placement into clinical work
area so as to enable NGNs to undertake their role effectively in contributing to health care
services
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Keywords
Clinical Work Areas, Governmental Hospitals i