title: Processes influencing the development of graduate nurse capabilities in clinical risk management: an Australian study.
abstract: OBJECTIVE
  To explore and describe key processes influencing the development of graduate nurse capabilities in clinical risk management (CRM).
  
  
  METHODS
  This study was undertaken using an exploratory descriptive case study method. Four sample units of analysis were used, notably: 2 cohorts of graduate nurses (n = 11) undertaking a 12-month graduate nurse transition program; key stakeholders (n = 34), that is, nurse unit managers, clinical teachers, preceptors, a quality manager, a librarian, and senior nurse administrators employed by the participating health service; patient outcome data; and pertinent literature.
  
  
  RESULTS
  Data strongly suggested that graduate nurse capabilities in CRM were most influenced not by their supposed lack of clinical knowledge and skills but by their lack of corporate knowledge. The failure to provide new graduate nurses with pertinent information on CRM at the beginning of their employment and thereafter at pertinent intervals during the graduate nurse year program aslo hindered the development of their capabilities to manage clinical risk.
  
  
  CONCLUSIONS
  Management and educational processes pertinent to informing and involving new graduate nurses in a hospital's local CRM program (including information about the organization's local policies and procedures) need to be implemented systematically at the very beginning of a new graduate's employment and thereafter throughout the remainder of the graduate nurse year.
authors.affiliation: Division of Nursing and Midwifery, School of Health Sciences, RMIT University-Bundoora West Campus, Melbourne, Victoria, Australia. megan.johnstone@rmit.edu.au
authors.forename: Megan-Jane
authors.initials: MJ
authors.lastname: Johnstone
authors.forename: Olga
authors.initials: O
authors.lastname: Kanitsaki
mesh_terms: D015331:Cohort Studies; D004511:Education, Nursing, Graduate; D006268:Health Facilities; D006801:Humans; D007407:Interviews as Topic; D009313:National Health Programs; D011361:Professional Competence; D012308:Risk Management; D011795:Surveys and Questionnaires; D014739:Victoria