Nursing first year of practice, past, present and future: documenting the journey in New Zealand

J Nurs Manag. 2009 Jul;17(5):570-5. doi: 10.1111/j.1365-2834.2008.00932.x.

Abstract

Aim: Documenting the journey of graduate nurse support in New Zealand from local programmes to a nationally consistent framework.

Background: Education of nurses in New Zealand has changed over the decades, from apprenticeship-style hospital-based training to academically prepared registered nurses. Newly graduated nurses require time to become confident within the clinical setting. To achieve this, a well-supported graduate nurse programme is required.

Evaluation: The authors utilized historical reviews of nursing education within New Zealand and current work being undertaken by a national working party to implement a nationally consistent graduate nurse programme.

Key issues: Disparity between locally delivered graduate programmes. Lack of funding to provide a well-structured programme and the impact on the recruitment and retention of new nurses.

Conclusions: It was identified that there was a strong need to ensure graduate nurse programmes were consistent across New Zealand in order to support graduate nurses and retain them in the workforce.

Implications for nursing: management The first year of practice remains a challenging transition time with a need for a well-structured and supported programme. Key needs include learning activities grounded in practice experience, robust programme coordination, skilled clinical educators, preceptors, and a structured learning framework.

MeSH terms

  • Adaptation, Psychological
  • Attitude of Health Personnel*
  • Clinical Competence
  • Curriculum
  • Education, Nursing, Continuing / organization & administration*
  • Forecasting
  • Guidelines as Topic
  • Humans
  • Inservice Training / organization & administration*
  • Models, Educational
  • Models, Nursing
  • Needs Assessment / organization & administration*
  • New Zealand
  • Nurse's Role
  • Nursing Education Research
  • Nursing Staff* / education
  • Nursing Staff* / psychology
  • Pilot Projects
  • Preceptorship / organization & administration*
  • Program Development
  • Program Evaluation
  • Social Support
  • Training Support