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Nurses’ Lived Experience of Precepting Newly Graduated Nurses in the ICU

Primary Author: Laurie A Kunkel-Jordan, MSN, RN, ANP-BC, CCRN, CNE  
Co-Principal Investigators/Collaborators: Marilyn Bratt, PhD
Organization: Carroll University

 

 

 

Abstract

Purpose

The purpose of this study was to describe critical care nurses’ lived experience of precepting newly graduated nurses (NGNs) in the intensive care unit  (ICU). 

Background

Newly graduated nurses working in critical care at risk for failure to thrive in clinical practice (Valdez, 2008). Overburdened hospital budgets, increasing patient acuity, and diminishing numbers of experienced intensive care unit nurses to act as preceptors have resulted in the mismanagement of NGN early practice experiences (Bérubé et al., 2012). In turn, low productivity, job dissatisfaction, and demoralization are reflected by strikingly high attrition rates (Badger, 2008; Duchscher, 2008; Friedman, Cooper, Click, & Fitzpatrick, 2011; Laschinger, Wong, & Grau, 2012; McKenna & Green, 2004): Up to 60% of NGNs leave their first job within the first year of practice (Bowles & Candela, 2005; Friedman et al., 2011). Preceptorship is the primary mechanism by which NGNs are transitioned to professional practice in critical care. Review of the literature revealed that several studies aimed at organizational benefits associated with structured NGN critical care preceptorships (Bérubé et al., 2012; DuVall, 2009; Eigsti, 2009; Elmers, 2010; Morris et al., 2009; 2012; Sandeau & Halm, 2010); a few studies explored resultant NGN perceptions (O’Kane, 2011; Reising, 2002; Saghafi, Hardy, & Hillege, 2012); and almost no research aimed primarily at critical care nurse preceptor perspectives. 

Materials & Methods

Husserlian descriptive phenomenology was employed. Four ICU nurses, experienced in the preceptorship of NGNs, were interviewed using open-ended questions: Interviews were digitally recorded and transcribed verbatim. 

Results

Preliminary analysis using Colaizzi’s 7 stage framework revealed two, distinct, overarching themes: 1) Ideas that motivate critical care nurse preceptors of NGNs, and 2) Actions carried out by critical care nurse preceptors of NGNs on account of what motivated them. 

Conclusion

Ensuring the integrity of the critical care nursing workforce, present and future, is dependent upon successful transition and retention of NGNs. Knowledge of the perspectives of critical care nurse preceptors is essential to this purpose.

 

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© Improvement Science Research Network, 2012

The ISRN published this as received and with permission from the author(s).