title: What newly licensed registered nurses have to say about their first experiences.
abstract: To understand factors that promote retention of Newly Licensed Registered Nurses (NLRNs) and those that contribute to turnover, a survey of a national sample of NLRNs was conducted. This article describes the content analysis of 612 NLRN comments about their work life. Using Krippendorff's technique, 5 themes were discovered. Colliding expectations describes conflicts between nurses' personal view of nursing and their lived experience. The need for speed describes the pressure related to a variety of temporal issues. You want too much expresses the pressure and stress NLRNs feel personally and professionally. How dare you describes unacceptable communication patterns between providers. Change is on the horizon suggests optimism for the future as NLRNs speak of transforming the systems where care is provided. This content analysis reveals that the working environment where NLRNs begin their career is in need of reform. Suggestions are offered from the nurses themselves.
authors.affiliation: Yale University School of Nursing, New Haven, CT 06536, USA. linda.pellico@yale.edu
authors.forename: Linda Honan
authors.initials: LH
authors.lastname: Pellico
authors.forename: Carol S
authors.initials: CS
authors.lastname: Brewer
authors.forename: Christine Tassone
authors.initials: CT
authors.lastname: Kovner
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D002055:Burnout, Professional / Q000453:epidemiology / Q000523:psychology*; D002983:Clinical Competence; D003430:Cross-Sectional Studies; D005260:Female; D006301:Health Services Needs and Demand; D006801:Humans; D007400:Interprofessional Relations; D007588:Job Satisfaction; D008008:Licensure, Nursing; D008297:Male; D024802:Nurse's Role / Q000523:psychology; D015404:Nursing Methodology Research; D009740:Nursing Staff / Q000193:education / Q000458:organization & administration / Q000523:psychology*; D017009:Professional Autonomy; D036301:Qualitative Research; D012919:Social Behavior; D014481:United States / Q000453:epidemiology; D016526:Workload / Q000523:psychology; D017132:Workplace / Q000458:organization & administration / Q000523:psychology*