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Spence Laschinger HK, Wong C, Read E, Cummings G, Leiter M, Macphee M, Regan S, Rhéaume‐Brüning A, Ritchie J, Burkoski V, Grinspun D, Gurnham ME, Huckstep S, Jeffs L, Macdonald‐Rencz S, Ruffolo M, Shamian J, Wolff A, Young‐Ritchie C, Wood K. Predictors of new graduate nurses' health over the first 4 years of practice. Nurs Open 2019; 6:245-259. [PMID: 30918676 PMCID: PMC6419115 DOI: 10.1002/nop2.231] [Citation(s) in RCA: 20] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2017] [Revised: 06/08/2018] [Accepted: 08/28/2018] [Indexed: 11/12/2022] Open
Abstract
AIM To examine predictors of Canadian new graduate nurses' health outcomes over 1 year. DESIGN A time-lagged mail survey was conducted. METHOD New graduate nurses across Canada (N = 406) responded to a mail survey at two time points: November 2012-March 2013 (Time 1) and May-July 2014 (Time 2). Multiple linear regression (mental and overall health) and logistic regression (post-traumatic stress disorder risk) analyses were conducted to assess the impact of Time 1 predictors on Time 2 health outcomes. RESULTS Both situational and personal factors were significantly related to mental and overall health and post-traumatic stress disorder risk. Regression analysis identified that cynicism was a significant predictor of all three health outcomes, while occupational coping self-efficacy explained unique variance in mental health and work-life interference explained unique variance in post-traumatic stress disorder risk.
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Affiliation(s)
| | - Carol Wong
- Arthur and Sonia Labatt Family School of NursingUniversity of Western OntarioLondonOntarioCanada
| | - Emily Read
- University of New BrunswickFrederictonNew BrunswickCanada
| | - Greta Cummings
- Faculty of NursingUniversity of AlbertaEdmontonAlbertaCanada
| | - Michael Leiter
- Department of PsychologyFaculty of ScienceAcadia UniversityWolfvilleNova ScotiaCanada
- Centre for Organizational Research and DevelopmentAcadia UniversityWolfvilleNova ScotiaCanada
| | - Maura Macphee
- School of NursingUniversity of British ColumbiaVancouverBritish ColumbiaCanada
| | - Sandra Regan
- Arthur and Sonia Labatt Family School of NursingUniversity of Western OntarioLondonOntarioCanada
| | - Ann Rhéaume‐Brüning
- School of Nursing ScienceFaculty of Health Sciences and Community ServicesUniversite de MonctonMonctonNew BrunswickCanada
| | - Judith Ritchie
- McGill University Health Centre Research DepartmentMontrealQuebecCanada
| | | | - Doris Grinspun
- Registered Nurses’ Association of OntarioTorontoOntarioCanada
| | | | | | - Lianne Jeffs
- Nursing/Clinical ResearchNursing AdministrationSt. Michael's HospitalTorontoOntarioCanada
| | | | | | | | - Angela Wolff
- Department of Clinical Education, Professional Practice and IntegrationFraser HealthSurreyBritish ColumbiaCanada
| | | | - Kevin Wood
- Arthur and Sonia Labatt Family School of NursingUniversity of Western OntarioLondonOntarioCanada
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Regan S, Wong C, Laschinger HK, Cummings G, Leiter M, MacPhee M, Rhéaume A, Ritchie JA, Wolff AC, Jeffs L, Young-Ritchie C, Grinspun D, Gurnham ME, Foster B, Huckstep S, Ruffolo M, Shamian J, Burkoski V, Wood K, Read E. Starting Out: qualitative perspectives of new graduate nurses and nurse leaders on transition to practice. J Nurs Manag 2017; 25:246-255. [PMID: 28244181 DOI: 10.1111/jonm.12456] [Citation(s) in RCA: 61] [Impact Index Per Article: 8.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/06/2016] [Indexed: 11/27/2022]
Abstract
AIM To describe new graduate nurses' transition experiences in Canadian healthcare settings by exploring the perspectives of new graduate nurses and nurse leaders in unit level roles. BACKGROUND Supporting successful transition to practice is key to retaining new graduate nurses in the workforce and meeting future demand for healthcare services. METHOD A descriptive qualitative study using inductive content analysis of focus group and interview data from 42 new graduate nurses and 28 nurse leaders from seven Canadian provinces. RESULTS New graduate nurses and nurse leaders identified similar factors that facilitate the transition to practice including formal orientation programmes, unit cultures that encourage constructive feedback and supportive mentors. Impediments including unanticipated changes to orientation length, inadequate staffing, uncivil unit cultures and heavy workloads. CONCLUSIONS The results show that new graduate nurses need access to transition support and resources and that nurse leaders often face organisational constraints in being able to support new graduate nurses. IMPLICATIONS FOR NURSING MANAGEMENT Organisations should ensure that nurse leaders have the resources they need to support the positive transition of new graduate nurses including adequate staffing and realistic workloads for both experienced and new nurses. Nurse leaders should work to create unit cultures that foster learning by encouraging new graduate nurses to ask questions and seek feedback without fear of criticism or incivility.
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Affiliation(s)
- Sandra Regan
- Arthur Labatt Family School of Nursing, The University of Western Ontario, London, ON, Canada
| | - Carol Wong
- Arthur Labatt Family School of Nursing, The University of Western Ontario, London, ON, Canada
| | - Heather K Laschinger
- Arthur Labatt Family School of Nursing, The University of Western Ontario, London, ON, Canada
| | - Greta Cummings
- Faculty of Nursing, The University of Alberta, Edmonton, AB, Canada
| | - Michael Leiter
- School of Psychology, Deakin University, Burwood, Vic., Australia
| | - Maura MacPhee
- School of Nursing, University of British Columbia, Vancouver, BC, Canada
| | - Ann Rhéaume
- School of Nursing, Faculty of Health Sciences and Community Services, Universite de Moncton, Moncton, NB, Canada
| | - Judith A Ritchie
- McGill University Health Centre, McGill University, Montreal, QC, Canada
| | - Angela C Wolff
- Clinical Professional Development, Fraser Health, Professional Practice and Integration, Surrey, BC, Canada
| | - Lianne Jeffs
- Nursing Administration, St. Michael's Hospital, Toronto, ON, Canada
| | | | - Doris Grinspun
- Registered Nurses' Association of Ontario, Toronto, ON, Canada
| | - Mary Ellen Gurnham
- Nova Scotia Health Authority, Halifax, Eastern Shore and West Hants, Halifax, NS, Canada
| | - Barbara Foster
- Office of Nursing Policy, Health Policy Branch, Health Canada, Ottawa, ON, Canada
| | - Sherri Huckstep
- Planning, Integration, Evaluation and Community Engagement, North Simcoe Muskoka Local Health Integration Network, Orillia, ON, Canada
| | | | | | | | - Kevin Wood
- Arthur Labatt Family School of Nursing, The University of Western Ontario, London, ON, Canada
| | - Emily Read
- Faculty of Nursing, University of New Brunswick, Fredericton, NB, Canada
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Laschinger HKS, Cummings G, Leiter M, Wong C, MacPhee M, Ritchie J, Wolff A, Regan S, Rhéaume-Brüning A, Jeffs L, Young-Ritchie C, Grinspun D, Gurnham ME, Foster B, Huckstep S, Ruffolo M, Shamian J, Burkoski V, Wood K, Read E. Starting Out: A time-lagged study of new graduate nurses' transition to practice. Int J Nurs Stud 2016; 57:82-95. [PMID: 27045567 DOI: 10.1016/j.ijnurstu.2016.01.005] [Citation(s) in RCA: 91] [Impact Index Per Article: 11.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2015] [Revised: 01/19/2016] [Accepted: 01/20/2016] [Indexed: 10/22/2022]
Abstract
BACKGROUND As the nursing profession ages, new graduate nurses are an invaluable health human resource. OBJECTIVES The purpose of this study was to investigate factors influencing new graduate nurses' successful transition to their full professional role in Canadian hospital settings and to determine predictors of job and career satisfaction and turnover intentions over a one-year time period in their early employment. DESIGN A national two-wave survey of new graduate nurses across Canada. PARTICIPANTS A random sample of 3906 Registered Nurses with less than 3 years of experience currently working in direct patient care was obtained from the provincial registry databases across Canada. At Time 1, 1020 of 3743 eligible nurses returned completed questionnaires (usable response rate=27.3%). One year later, Time 1 respondents were mailed a follow-up survey; 406 returned a completed questionnaire (response rate=39.8%). METHODS Surveys containing standardized questionnaires were mailed to participants' home address. Descriptive statistics, correlations, and hierarchical linear regression analyses were conducted using SPSS software. RESULTS Overall, new graduate nurses were positive about their experiences and committed to nursing. However, over half of new nurses in the first year of practice reported high levels of emotional exhaustion and many witnessed or experienced incivility (24-42%) at work. Findings from hierarchical linear regression analyses revealed that situational and personal factors explained significant amounts of variance in new graduate nurses' job and career satisfaction and turnover intentions. Cynicism was a significant predictor of all four outcomes one year later, while Psycap predicted job and career satisfaction and career turnover intentions. CONCLUSIONS Results provide a look into the worklife experiences of Canadian new graduate nurses over a one-year time period and identify factors that influence their job-related outcomes. These findings show that working conditions for new graduate nurses are generally positive and stable over time, although workplace mistreatment is an issue to be addressed.
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Affiliation(s)
- Heather K Spence Laschinger
- Arthur Labatt Family School of Nursing, The University of Western Ontario, Health Sciences Addition, H41, 1151 Richmond Street, London, ON, Canada N6A 5C1.
| | - Greta Cummings
- Faculty of Nursing, The University of Alberta, 5-110 Edmonton Clinic Health Academy, 11405-87 Avenue, Edmonton, Alta., Canada T6G 1C9
| | - Michael Leiter
- Acadia University, Department of Psychology, Faculty of Science, Centre for Organizational Research and Development, 24 Highland Avenue, Wolfville, NS, Canada B4P 1Y7
| | - Carol Wong
- Arthur Labatt Family School of Nursing, Health Sciences Addition H27, University of Western Ontario, 1151 Richmond Street, London, ON, Canada N6A 5C1
| | - Maura MacPhee
- UBC School of Nursing, T201 2211 Wesbrook Mall, Vancouver, BC, Canada V6T 2B5
| | - Judith Ritchie
- McGill University Health Centre Research Department, 1650 Cedar Ave, Suite D6-156, Montreal, QC, Canada H3G 1A4
| | - Angela Wolff
- Clinical Education, Fraser Health, Professional Practice and Integration, #100 - 13450 102nd Ave., Surrey, BC, Canada V3T 5X3
| | - Sandra Regan
- Arthur Labatt Family School of Nursing, The University of Western Ontario, Health Sciences Addition H25, London, ON, Canada N6A 5C1
| | - Ann Rhéaume-Brüning
- Universite de Moncton, School of Nursing Science, Faculty of Health Sciences and Community Services, Pavillon Jacqueline-Bouchard, 51, avenue Antonine-Maillet, Moncton, NB, Canada E1A 3E9
| | - Lianne Jeffs
- Nursing/Clinical Research, Nursing Administration, St. Michael's Hospital, 30 Bond Street, Toronto, ON, Canada M5B 1W8
| | - Carol Young-Ritchie
- London Health Sciences Centre, 800 Commissioners Road East, London, ON, Canada N6A 5W9
| | - Doris Grinspun
- Registered Nurses' Association of Ontario, 158 Pearl St, Toronto, ON, Canada M5H 1L3
| | - Mary Ellen Gurnham
- Nova Scotia Health Authority, Halifax, Eastern Shore and West Hants, Room 125, 7B Centennial Building, 1276 South Park Street, Halifax, NS, Canada B3H 2Y9
| | - Barbara Foster
- Office of Nursing Policy, Health Policy Branch, Health Canada, Rm B529, 200 Promenade Eglantine Driveway, PL 1905B, Tunney's Pasture, Ottawa, ON, Canada K1A 0K9
| | - Sherri Huckstep
- Victorian Order of Nurses, 2150 Islington Ave, #301, Toronto, ON, Canada M9P 3V4
| | - Maurio Ruffolo
- Providence Care, 340 Union Street, Kingston, ON, Canada K7L 5A2
| | - Judith Shamian
- International Council of Nurses, 3, Place Jean Marteau, 1201 Geneva, Switzerland
| | - Vanessa Burkoski
- London Health Sciences Centre, 800 Commissioners Road East, PO Box 5010, London, ON, Canada N6A 5W9
| | - Kevin Wood
- Arthur Labatt Family School of Nursing, The University of Western Ontario, Health Sciences Addition H38, London, ON, Canada N6A 5C1
| | - Emily Read
- Arthur Labatt Family School of Nursing, The University of Western Ontario, Health Sciences Addition H38, London, ON, Canada N6A 5C1
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Stevenson L, Sabo K, Lamont L, Huckstep S, Gordon D. How we are preparing for Ebola. Can Nurse 2014; 110:24-26. [PMID: 25751978] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
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Wong CA, Spence Laschinger HK, Macdonald-Rencz S, Burkoski V, Cummings G, D'amour D, Grinspun D, Gurnham ME, Huckstep S, Leiter M, Perkin K, Macphee M, Matthews S, O'brien-Pallas L, Ritchie J, Ruffolo M, Vincent L, Wilk P, Almost J, Purdy N, Daniels F, Grau A. Part 2: Nurses' career aspirations to management roles: qualitative findings from a national study of Canadian nurses. J Nurs Manag 2012; 21:231-41. [DOI: 10.1111/j.1365-2834.2012.01451.x] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/30/2012] [Indexed: 11/28/2022]
Affiliation(s)
- Carol A. Wong
- Arthur Labatt Family School of Nursing; The University of Western Ontario; London; Ontario
| | - Heather K. Spence Laschinger
- Health Human Resources Optimization; Arthur Labatt Family School of Nursing; The University of Western Ontario; London; Ontario
| | | | | | - Greta Cummings
- Faculty of Nursing; University of Alberta; Population Health Investigator; Alberta Heritage Foundation for Medical Research; Edmonton; Alberta
| | | | - Doris Grinspun
- Registered Nurses' Association of Ontario; Toronto; Ontario
| | | | | | - Michael Leiter
- Centre for Organizational Research and Development; Wolfville; Nova Scotia
| | | | - Maura Macphee
- School of Nursing; University of British Columbia; Vancouver; British Columbia
| | | | | | - Judith Ritchie
- Nursing Research; Department of Nursing; McGill University Health Care; Montreal; Quebec
| | | | | | - Piotr Wilk
- Department of Epidemiology and Biostatistics; The University of Western Ontario; London; Ontario
| | - Joan Almost
- School of Nursing; Queen's University; Kingston; Ontario
| | - Nancy Purdy
- Daphne Cockwell School of Nursing; Ryerson University; Toronto; Ontario
| | - Frieda Daniels
- Arthur Labatt Family School of Nursing; The University of Western Ontario; London; Ontario; Canada
| | - Ashley Grau
- Arthur Labatt Family School of Nursing; The University of Western Ontario; London; Ontario; Canada
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Spence Laschinger HK, Wong CA, Macdonald-Rencz S, Burkoski V, Cummings G, D'amour D, Grinspun D, Gurnham ME, Huckstep S, Leiter M, Perkin K, Macphee M, Matthews S, O'brien-Pallas L, Ritchie J, Ruffolo M, Vincent L, Wilk P, Almost J, Purdy N, Daniels F, Grau A. Part 1: The influence of personal and situational predictors on nurses' aspirations to management roles: preliminary findings of a national survey of Canadian nurses. J Nurs Manag 2012; 21:217-30. [DOI: 10.1111/j.1365-2834.2012.01452.x] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/30/2012] [Indexed: 11/30/2022]
Affiliation(s)
- Heather K. Spence Laschinger
- Health Human Resources Optimization; Arthur Labatt Family School of Nursing; The University of Western Ontario; London, Ontario
| | - Carol A. Wong
- Arthur Labatt Family School of Nursing; The University of Western Ontario; London, Ontario
| | | | - Vanessa Burkoski
- Professional Practice; Chief Nursing Executive; London Health Sciences Centre; London, Ontario
| | - Greta Cummings
- Faculty of Nursing; University of Alberta; Population Health Investigator; Alberta Heritage Foundation for Medical Research; Edmonton, Alberta
| | | | - Doris Grinspun
- Registered Nurses' Association of Ontario; Toronto, Ontario
| | - Mary-Ellen Gurnham
- Professional Practice; Capital Health District Health Authority; Halifax, Nova Scotia
| | - Sherri Huckstep
- Operations and Chief of Practice; Victorian Order of Nurse; Ottawa, Ontario
| | - Michael Leiter
- Centre for Organizational Research and Development; Wolfville, Nova Scotia
| | - Karen Perkin
- Professional Practice and Chief Nurse Executive; St. Joseph's Health Care; London, Ontario
| | - Maura Macphee
- School of Nursing; University of British Columbia; Vancouver, British Columbia
| | | | | | - Judith Ritchie
- Nursing Research; Department of Nursing; McGill University Health Care; Montreal, Quebec
| | - Maurio Ruffolo
- Patient and Client Care and Chief; Nursing Executive; Providence Care; Kingston, Ontario
| | - Leslie Vincent
- Patient Services and Chief Nursing Executive; Mount Sinai Hospital; Toronto, Ontario
| | - Piotr Wilk
- Department of Epidemiology and Biostatistics; The University of Western Ontario; London, Ontario
| | - Joan Almost
- School of Nursing; Queen's University; Kingston, Ontario
| | - Nancy Purdy
- Daphne Cockwell School of Nursing; Ryerson University; Toronto, Ontario
| | - Frieda Daniels
- Arthur Labatt Family School of Nursing; The University of Western Ontario; London, Ontario
| | - Ashley Grau
- Arthur Labatt Family School of Nursing; University of Western Ontario; London; Canada
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Huckstep S, Yearwood D, Shamian J. Who doesn't deserve excellent care? Healthc Q 2012; 15 Spec No:72-75. [PMID: 24863124 DOI: 10.12927/hcq.2012.23153] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
Discussion on implementation of the Excellent Care for all Act, 2010 (ECFA Act), Bill 46, has focused on the hospital sector in Ontario, but it also has relevance outside the hospital setting. As primary healthcare, long-term care and home care all receive public funding, these sectors should be expected to be compliant with Bill 46. But does the act also govern government-funded (i.e., by other than the Ministry of Health and Long-Term Care) community-based programs such as adult day programs, meals-on-wheels, nutrition programs for children, and more? We propose that we cannot exclude any of these essential programs. We also consider the non-hospital sector and health organizations that do not receive public funding. The healthcare system will be well served if we consider whether the EFCA Act's key elements should be implemented across the system both vertically and horizontally. Vertical implementation in the hospital sector could be followed by primary care, home and community care, long-term care, and the rest of the vertical silos within the healthcare system. But by taking the horizontal approach, all sectors within and outside of what we traditionally think of health would be integrated using an evidence-informed and outcome-based approach and methodology.
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Affiliation(s)
- Sherri Huckstep
- Vice-president, central region & chief of practice for VON Canada
| | - Debra Yearwood
- Senior director of communications and relations at the Victorian Order of Nurses, which she joined in 2008
| | - Judith Shamian
- President emerita of the Victorian Order of Nurses. She is the past president of the Canadian Nurses Association (CNA), a professor at the Lawrence S. Bloomberg, Faculty of Nursing at the University of Toronto, and a co-investigator with the Nursing Health Services Research Unit
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Lankshear S, Huckstep S, Lefebre N, Leiterman J, Simon D. The ALIVE program: developing a web-based professional development program for nursing leaders in the home healthcare sector. ACTA ACUST UNITED AC 2011; 23 Spec No 2010:61-74. [PMID: 20463446 DOI: 10.12927/cjnl.2010.21747] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
Home healthcare nurses often work in isolation and rarely have the opportunity to meet or congregate in one location. As a result, nurse leaders must possess unique leadership skills to supervise and manage a dispersed employee base from a distance. The nature of this dispersed workforce creates an additional challenge in the ability to identify future leaders, facilitate leadership capacity, and enhance skill development to prepare them for future leadership positions. The ALIVE (Actively Leading In Virtual Environments) web-based program was developed to meet the needs of leaders working in virtual environments such as the home healthcare sector. The program, developed through a partnership of three home healthcare agencies, used nursing leaders as content experts to guide program development and as participants in the pilot. Evaluation findings include the identification of key competencies for nursing leaders in the home healthcare sector, development of program learning objectives and participant feedback regarding program content and delivery.
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