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Eklund, A. & Skyvell Nilsson, M. (2024). Program coordinators’ perspectives on implementing a transition program for newly graduated nurses: a qualitative interview study. Journal of Health Organization & Management, 38(9), 143-156
Open this publication in new window or tab >>Program coordinators’ perspectives on implementing a transition program for newly graduated nurses: a qualitative interview study
2024 (English)In: Journal of Health Organization & Management, ISSN 1477-7266, E-ISSN 1758-7247, Vol. 38, no 9, p. 143-156Article in journal (Refereed) Published
Abstract [en]

Purpose

While transition programs are widely used to facilitate newly graduated nurses transition to healthcare settings, knowledge about preconditions for implementing such programs in the hospital context is scarce. The purpose of this study was to explore program coordinators’ perspectives on implementing a transition program for newly graduated nurses.

Design/methodology/approach 

An explorative qualitative study using individual interviews. Total of 11 program coordinators at five acute care hospital administrations in a south-west region in Sweden. Data was subjected to thematic analysis, using NVivo software to promote coding.

Findings

The following two themes were identified from the analysis: Create a shared responsibility for introducing newly graduated nurses, and establish legitimacy of the program. The implementation process was found to be a matter of both educational content and anchoring work in the hospital organization. To clarify the what and why of implementing a transition program, where the nurses learning processes are prioritized, was foundational prerequisites for successful implementation.

Originality/value 

This paper illustrates that implementing transition programs in contemporary hospital care context is a valuable but complex process that involves conflicting priorities. A program that is well integrated in the organization, in which responsibilities between different levels and roles in the hospital organization, aims and expectations on the program are clarified, is important to achieve the intentions of effective transition to practice. Joint actions need to be taken by healthcare policymakers, hospitals and ward managers, and educational institutions to support the implementation of transition programs as a long-term strategy for nurses entering hospital care.

Keywords
Implementation, Healthcare organization, Newly graduated nurse, Transition program
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-21466 (URN)10.1108/jhom-01-2023-0018 (DOI)001198091700001 ()38584370 (PubMedID)2-s2.0-85189979980 (Scopus ID)
Note

CC-BY 4.0

Available from: 2024-04-10 Created: 2024-04-10 Last updated: 2024-05-17
Eklund, A., Sterner, A., Skyvell Nilsson, M. & Larsman, P. (2024). The impact of transition programs on well-being, experiences of work environment and turnover intention among early career hospital nurses. Work: A journal of Prevention, Assessment and rehabilitation, 1-10
Open this publication in new window or tab >>The impact of transition programs on well-being, experiences of work environment and turnover intention among early career hospital nurses
2024 (English)In: Work: A journal of Prevention, Assessment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, p. 1-10Article in journal (Refereed) Epub ahead of print
Abstract [en]

BACKGROUND:

Transition programs for newly graduated nurses in hospital settings are reported to provide learning opportunities, strengthening confidence, workplace integration and skills, retention and job satisfaction. Still, our knowledge of long-term effects is scarce and few studies have used control groups.

OBJECTIVE:

To explore the long-term impact of having attended a transition program on the nurses’ experiences of the first years of practice. More specifically, ideology-infused psychological contract, ethical stress, perceived organizational support, job satisfaction, opportunities for learning, and intention to stay in the nursing profession, were explored as outcome variables.

METHODS:

A questionnaire survey was carried out among registered nurses from November 2019 to January 2020, with a 54% response rate. The analysis was based on 149 nurses who had attended a transition program, and 72 who had not attended. The nurses had seniority between one and three years. Independent samples t-test were used to investigate differences between the groups.

RESULTS:

The two groups showed small and non-significant differences in the outcome variables. However, regarding the frequency of ethical value conflicts induced by insufficient resources, as well as experiences of ethical value conflict distress, the group of nurses who had attended a transition program showed statistically significantly higher mean values, although the effect sizes were small.

CONCLUSION:

Newly graduated nurses need more than transition programs and skills training to progress in their nursing role and develop competence, increase job satisfaction, and reduce stress. Achieving these goals requires a long-term supportive learning environment that is integrated into everyday work.

Keywords
New graduated nurses, transition, well-being, job satisfaction, moral distress, turnover, hospital work environment
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-21467 (URN)10.3233/wor-230537 (DOI)38457173 (PubMedID)
Available from: 2024-04-10 Created: 2024-04-10 Last updated: 2024-05-17
Eklund, A. (2023). Introduktionsprogram i sjukhusvården för nyutexaminerade sjuksköterskor: en internationell utblick samt forskning om och utvärdering av Kliniskt basår i Västra Götalandsregionen. Västra Götalandsregionen
Open this publication in new window or tab >>Introduktionsprogram i sjukhusvården för nyutexaminerade sjuksköterskor: en internationell utblick samt forskning om och utvärdering av Kliniskt basår i Västra Götalandsregionen
2023 (Swedish)Report (Other academic)
Place, publisher, year, edition, pages
Västra Götalandsregionen, 2023. p. 73
Keywords
Sjuksköterskor, sjukhusvård, introduktion
National Category
Nursing Learning Pedagogy
Research subject
Work Integrated Learning; NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-20788 (URN)
Note

Diarienummer: RS 2023–04178, OSN 2023–02259

Available from: 2023-09-19 Created: 2023-09-19 Last updated: 2024-01-10
Sterner, A., Eklund, A. & Skyvell Nilsson, M. (2023). Prepared to learn but unprepared for work: A cross sectional survey study exploring the preparedness, challenges, and needs of newly graduated nurses entering a hospital-based transition program. Nurse Education in Practice, 72, Article ID 103782.
Open this publication in new window or tab >>Prepared to learn but unprepared for work: A cross sectional survey study exploring the preparedness, challenges, and needs of newly graduated nurses entering a hospital-based transition program
2023 (English)In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 72, article id 103782Article in journal (Refereed) Published
Abstract [en]

The study aims to investigate new graduate nurses the perceptions of educational preparedness, their challenges, and their expectations during their transition to hospital care and introduction to work.

Background: Previous research has raised questions about new graduate nurses’ (NGNs) preparedness for work in the clinical setting, and transition programs have been implemented to smooth the transition process. Information about NGNs’ expectations of both transition programs and their introduction to work when first entering the nursing profession is scarce.

Design: A cross-sectional survey design was used. Method: NGNs enrolled in a regional transition program in six hospitals were recruited from three-cohorts during September 2021, January 2022 and September 2022. After responding to a survey both a qualitative and quantitative approach was used when analyzing responses.

Results: Quantitative and qualitative findings derived from 248 NGNs responses showed that 65% of the NGNs perceived that nursing education in general prepared them for clinical work, that they were prepared for and committed to workplace learning but require support from a well-designed transition program as well as from colleagues and managers in their ward unit.

The conclusion is that the preparation provided by nursing education as well as organizational factors in the healthcare workplace influence new graduate nurses’ readiness for clinical work, the challenges they perceive, and their needs for learning and supp

Keywords
New graduate nurse, Transition, Introduction, Nursing education, Hospital work environment
National Category
Nursing
Research subject
Work Integrated Learning; NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-20791 (URN)10.1016/j.nepr.2023.103782 (DOI)001079646600001 ()37717407 (PubMedID)2-s2.0-85171441432 (Scopus ID)
Note

CC-BY 4.0

Available from: 2023-09-19 Created: 2023-09-19 Last updated: 2024-01-26Bibliographically approved
Eklund, A. (2023). Redo att lära, oförberedd på jobbet: sex år med introduktionsprogram för nyutexaminerade sjuksköterskor. In: Abstracts för Decemberkonferensen: . Paper presented at Decemberkonferensen Institutionen för individ och samhälle 13 december 2023, Trollhättan, Sweden (pp. 1-1). Trollhättan: Högskolan Väst
Open this publication in new window or tab >>Redo att lära, oförberedd på jobbet: sex år med introduktionsprogram för nyutexaminerade sjuksköterskor
2023 (Swedish)In: Abstracts för Decemberkonferensen, Trollhättan: Högskolan Väst , 2023, p. 1-1Conference paper, Oral presentation only (Other academic)
Abstract [sv]

I presentationen berättar jag lite om hur vi arbetat med VGR:s regionala grupp för Kliniskt basår, och lite kort om våra studieresultat i kontexten att skapa förutsättningar för nyutexaminerade.

Place, publisher, year, edition, pages
Trollhättan: Högskolan Väst, 2023
Keywords
sjuksköterskor, lära, introduktionsprgram
National Category
Learning Nursing
Identifiers
urn:nbn:se:hv:diva-21115 (URN)
Conference
Decemberkonferensen Institutionen för individ och samhälle 13 december 2023, Trollhättan, Sweden
Available from: 2023-12-21 Created: 2023-12-21 Last updated: 2024-03-20Bibliographically approved
Eklund, A. & Gadolin, C. (Eds.). (2023). Samverkan i vården: från system till praktik. Stockholm: Liber
Open this publication in new window or tab >>Samverkan i vården: från system till praktik
2023 (Swedish)Collection (editor) (Other academic)
Abstract [sv]

Boken beskriver samverkan i hälso- och sjukvård ur olika perspektiv och ger verksamhetsnära exempel. Svensk hälso- och sjukvård har jämförelsevis goda resultat men brister i exempelvis kontinuitet och koordinering. Till följd av vårdens ökade specialisering behövs förmågan att samverka för en säker vård och ett effektivt utnyttjande av resurser...[Bokinfo] 

Place, publisher, year, edition, pages
Stockholm: Liber, 2023. p. 210
Keywords
cooperation, medical care, samverkan, vård
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-20358 (URN)9789147145416 (ISBN)
Available from: 2023-07-04 Created: 2023-07-04 Last updated: 2024-01-12Bibliographically approved
Eklund, A. (2023). Samverkan som fenomen och i praktiken (1.ed.). In: Annika Eklund & Christian Gadolin (Ed.), Samverkan i vården: från system till praktik (pp. 12-33). Stockholm: Liber
Open this publication in new window or tab >>Samverkan som fenomen och i praktiken
2023 (Swedish)In: Samverkan i vården: från system till praktik / [ed] Annika Eklund & Christian Gadolin, Stockholm: Liber, 2023, 1., p. 12-33Chapter in book (Other academic)
Abstract [sv]

Boken beskriver samverkan i hälso- och sjukvård ur olika perspektiv och ger verksamhetsnära exempel. Svensk hälso- och sjukvård har jämförelsevis goda resultat men brister i exempelvis kontinuitet och koordinering. Till följd av vårdens ökade specialisering behövs förmågan att samverka för en säker vård och ett effektivt utnyttjande av resurser.

Place, publisher, year, edition, pages
Stockholm: Liber, 2023 Edition: 1.
Keywords
cooperation, cooperativeness, medical care, Samverkan, omvårdnad
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-20355 (URN)9789147145416 (ISBN)
Available from: 2023-07-04 Created: 2023-07-04 Last updated: 2024-01-12Bibliographically approved
Eklund, A. & Gadolin, C. (2023). Samverkanskompetens. In: Annika Eklund & Christian Gadolin (Ed.), Samverkan i vården: från system till praktik (pp. 196-208). Liber
Open this publication in new window or tab >>Samverkanskompetens
2023 (Swedish)In: Samverkan i vården: från system till praktik / [ed] Annika Eklund & Christian Gadolin, Liber, 2023, p. 196-208Chapter in book (Other academic)
Place, publisher, year, edition, pages
Liber, 2023
Keywords
Samverkan, vård
National Category
Social Sciences Interdisciplinary
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-20024 (URN)978-91-47-14541-6 (ISBN)
Available from: 2023-06-02 Created: 2023-06-02 Last updated: 2024-01-11Bibliographically approved
Karlsson, S., Gyllencreutz, L., Hylander, J. & Eklund, A. (2023). Tactical leaders’ and collaborative organizations’ non-technical skills during major road tunnel incidents – An iterative focus group study. International Emergency Nursing, 71, Article ID 101357.
Open this publication in new window or tab >>Tactical leaders’ and collaborative organizations’ non-technical skills during major road tunnel incidents – An iterative focus group study
2023 (English)In: International Emergency Nursing, ISSN 1755-599X, E-ISSN 1878-013X, Vol. 71, article id 101357Article in journal (Refereed) Published
Abstract [en]

Introduction: Leadership during major incidents has been described as challenging and dependent on the non-technical skills of leaders. The complex tunnel environment contributes to an even more challenging incident response. Hence, this study aims to identify elements of non-technical skills when leading collaborative road-tunnel incident responses.

Methods: The study was conducted using four focus group discussions with tactical leaders from the rescue services, emergency medical services, police, and collaborative organizations from the emergency dispatch center and road-traffic control center. The data was analyzed using a non-technical skills taxonomy.

Results: Twelve non-technical skill elements emerged. Abilities to gather, sort, and proactively share relevant information and dispatch the correct resources were described. Additionally, abilities to prioritize actions and cooperate to establish a shared operational picture were found. Abilities to adjust leadership to the tunnel environment and conditions and assess the severity of the incident to make decisions were also described.

Conclusion: When managing a road-tunnel incident response, tactical leaders utilizes a range of non-technical skills. The elements of these skills were found to be specific both to the tunnel environment and the collaborative nature of the response. Further studies into and development of these skills are needed to facilitate a timely response and minimize potential risks to personnel or evacuees in future tunnel incident responses.  

Place, publisher, year, edition, pages
Elsevier, 2023
Keywords
Emergency Medical Services; Focus Groups; Humans; article; emergency medical dispatch; human; leadership; organization; police; rescue personnel; skill; taxonomy; traffic; emergency health service; information processing
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-21190 (URN)10.1016/j.ienj.2023.101357 (DOI)001087580800001 ()37797417 (PubMedID)2-s2.0-85173034245 (Scopus ID)
Note

CC BY 4.0 All Open Access, Hybrid Gold Open Access

Available from: 2024-01-15 Created: 2024-01-15 Last updated: 2024-01-15Bibliographically approved
Sterner, A., Skyvell Nilsson, M. & Eklund, A. (2023). The value of simulation-based education in developing preparedness for acute care situations: An interview study of new graduate nurses’ perspectives. Nurse Education in Practice, 67, 1-7, Article ID 103549.
Open this publication in new window or tab >>The value of simulation-based education in developing preparedness for acute care situations: An interview study of new graduate nurses’ perspectives
2023 (English)In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 67, p. 1-7, article id 103549Article in journal (Refereed) Published
Abstract [en]

Aim

This study aimed to explore how new graduated nurses experience a one-day simulation based education, contributing to providing care in acute situations two months after completion.

Background

Simulation-based education is often offered to new graduated nurses as part of important workplace learning. Simulation-based education is a valid learning and teaching strategy and is suggested as a measure to improve nurses’ ability in acute situations. However, studies are often conducted as pre-post evaluations immediately after completion of a simulation. Thus, knowledge of the clinical impact of simulation-based education on actual acute care situations could benefit both research and practice.

Design/method

During the winter of 2021–2022, 14 semi-structured interviews were conducted with newly graduated nurses two months after they completed the simulation-based education and the interviews were analyzed using thematic analysis.

Results

The results are presented in three themes: a structured and shared strategy to handle acute situations, a developed role in acute situations and a more comprehensive understanding of acute situations. The results revealed that simulation-based education can contribute to the ability to care in acute situations in terms of action readiness and broad contextual understanding.

Conclusion

Simulation-based education can help develop the ability to care for patients in acute situations. However, differences in participant experiences must be acknowledged and processed in order for the implementation and outcome to be successful.

Place, publisher, year, edition, pages
Elsevier, 2023
Keywords
Nursing, Simulation, New graduate nurse, Acute care, Transition program
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-19637 (URN)10.1016/j.nepr.2023.103549 (DOI)000920415400001 ()36642012 (PubMedID)2-s2.0-85146260778 (Scopus ID)
Note

CC BY 4.0

Available from: 2023-02-10 Created: 2023-02-10 Last updated: 2024-01-12Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-0871-0475

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