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Nurses' perceptions and experiences of work role transitions: a mixed methods systematic review of the literature.
- Source :
- Journal of Advanced Nursing (John Wiley & Sons, Inc.); Aug2016, Vol. 72 Issue 8, p1735-1750, 16p, 3 Diagrams, 2 Charts
- Publication Year :
- 2016
-
Abstract
- Aim. To understand nurses' perceptions and experiences of work role transitions. Background. Globally an uncertain healthcare landscape exists and when changing work roles nurses experience periods of transition when they may not cope well. A greater understanding of work role transitions may help facilitate workforce retention and successful careers. Design. Mixed methods systematic review. Data sources. Six data bases were searched for peer reviewed primary empirical research, published in English language between January 1990 and December 2014, supplemented by hand and citation searching. Review methods. Evidence for Policy and Practice Information and Co-ordinating Centre methods for systematic reviews principles were followed. Analysis and synthesis of the qualitative and quantitative papers was conducted separately using thematic analysis. A third synthesis combined the narrative findings and a narrative synthesis of results is presented. Results. Twenty-six papers were included. Across nurses' work role transitions two pathways were found: Novice and Experienced. 'Novice' comprises pre-registration and newly qualified nurses. 'Experienced' comprises, Enrolled/Licensed Practical Nurse to Registered Nurse, experienced to specialist nurse and clinical role changes. Each pathway results in different emphasizes of two themes; 'Striving for a new professional self' includes emotional upheaval and identity while 'Know how' includes competence and boundaries. Novice nurses are more susceptible to the extremes of emotional upheaval while experienced nurses' competence eases aspects of transitions while boundary issues pervade. Conclusion. Informed work and educational environments are required for all groups of nurses. Using existing models of transition can facilitate successful individual transitions and develop the workplace. [ABSTRACT FROM AUTHOR]
- Subjects :
- ANXIETY
CINAHL database
CLINICAL competence
CONFIDENCE
DATABASES
ERIC (Information retrieval system)
EXPERIENTIAL learning
EXPERTISE
MEDICAL information storage & retrieval systems
PSYCHOLOGY information storage & retrieval systems
JOB stress
RESEARCH methodology
MEDLINE
NURSES
NURSES' attitudes
NURSING
NURSING practice
ONLINE information services
PRACTICAL nurses
PROFESSIONAL employee training
ROLE conflict
SELF-perception
TIME management
UNCERTAINTY
WORK
EMPLOYEES' workload
SYSTEMATIC reviews
QUALITATIVE research
OCCUPATIONAL roles
QUANTITATIVE research
THEMATIC analysis
ENTRY level employees
DESCRIPTIVE statistics
SOCIAL role change
INFERENTIAL statistics
META-synthesis
Subjects
Details
- Language :
- English
- ISSN :
- 03092402
- Volume :
- 72
- Issue :
- 8
- Database :
- Complementary Index
- Journal :
- Journal of Advanced Nursing (John Wiley & Sons, Inc.)
- Publication Type :
- Academic Journal
- Accession number :
- 116829030
- Full Text :
- https://doi.org/10.1111/jan.12912