title: Safety concerns of hospital-based new-to-practice registered nurses and their preceptors.
abstract: BACKGROUND
  On graduation, nursing students enter a critical transition process to become professional registered nurses (RNs).
  
  
  METHODS
  Six new-to-practice RN groups and seven preceptor groups convened to explore their views of the safety concerns of new-to-practice RNs.
  
  
  RESULTS
  The main learning needs of new-to-practice RNs identified by both preceptors and new-to-practice RNs centered on perceptions of uncertainty about technical aspects of nursing care. Lack of critical thinking and inability to think holistically contributed to increased stress. Preceptors who provided frequent feedback in a positive manner were rated as important to the developmental process of becoming a skilled RN.
  
  
  CONCLUSIONS
  Safety and learning needs identified in this study are amenable to teaching solutions, both in academia and in the hospital work setting.
authors.affiliation: School of Nursing, MGH Institute of Health Professions, Boston, Massachusetts, USA.
authors.forename: Sue
authors.initials: S
authors.lastname: Myers
authors.forename: Patricia
authors.initials: P
authors.lastname: Reidy
authors.forename: Brian
authors.initials: B
authors.lastname: French
authors.forename: Jeanne
authors.initials: J
authors.lastname: McHale
authors.forename: Margery
authors.initials: M
authors.lastname: Chisholm
authors.forename: Martha
authors.initials: M
authors.lastname: Griffin
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D002983:Clinical Competence; D003142:Communication; D004509:Education, Nursing, Continuing / Q000458:organization & administration*; D030141:Feedback, Psychological; D005260:Female; D017144:Focus Groups; D006801:Humans; D007400:Interprofessional Relations; D008297:Male; D019300:Medical Errors / Q000451:nursing / Q000517:prevention & control; D008875:Middle Aged; D020380:Needs Assessment; D024802:Nurse's Role / Q000523:psychology; D015404:Nursing Methodology Research; D009741:Nursing Staff, Hospital / Q000193:education / Q000523:psychology; D011231:Preceptorship / Q000458:organization & administration*; D012449:Safety; D020377:Self Efficacy; D013850:Thinking