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Transitioning into new clinical areas of practice: An integrative review of the literature
Author(s) -
Kinghorn Grant R,
Halcomb Elizabeth J,
Froggatt Terry,
Thomas Stuart DM
Publication year - 2017
Publication title -
journal of clinical nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.94
H-Index - 102
eISSN - 1365-2702
pISSN - 0962-1067
DOI - 10.1111/jocn.14008
Subject(s) - workforce , thematic analysis , nursing , critical appraisal , inclusion (mineral) , health care , variety (cybernetics) , psychology , medical education , medicine , qualitative research , alternative medicine , political science , sociology , social psychology , social science , pathology , artificial intelligence , computer science , law
Aims and objectives To critically synthesise research related to the transition of registered nurses into new areas of clinical practice. Background Global workforce shortages and rising healthcare demands have encouraged registered nurses to move into new clinical settings. While a body of literature reports on the transition of newly qualified nurses, evidence surrounding the transition of more experienced registered nurses to new clinical areas remains poorly explored. Design An integrative review was conducted, guided by Whittemore and Knafl ( Journal of Advanced Nursing , 52 , 2005, 546) framework. Methods An electronic database search was conducted for papers published between 1996–2016. Papers were then subjected to a methodological quality appraisal, with findings synthesised using thematic analysis into core themes. Results Ten articles met the inclusion criteria. Three themes emerged, namely Support, Professional Development and Emotional Impact. These themes suggest that transitioning nurses experience challenges in adapting to new clinical areas and developing necessary skills. Such challenges prompted various emotional and physical responses. While formal and informal support systems were regarded as valuable by transitioning nurses, they were inconsistent across the new clinical areas. Conclusions There is some evidence to highlight the initial shock and emotional stress experienced by registered nurses during transition to a new clinical area. However, the influence of formal and informal support systems for such registered nurses is far from conclusive. Further research is needed, to examine registered nurse transition into a variety of clinical areas to inform workforce support, policy and practices. Relevance to clinical practice The demand of health care is growing while global shortages of nursing workforce remain. To ensure retention and enhance the transition experience of registered nurses, it is important for nurse leaders, managers and policymakers to understand the transition experience and factors that impact this experience.