title: A mixed methods exploration of the team and organizational factors that may predict new graduate nurse engagement in collaborative practice.
abstract: Although engagement in collaborative practice is reported to support the role transition and retention of new graduate (NG) nurses, it is not known how to promote collaborative practice among these nurses. This mixed methods study explored the team and organizational factors that may predict NG nurse engagement in collaborative practice. A total of 514 NG nurses from Ontario, Canada completed the Collaborative Practice Assessment Tool. Sixteen NG nurses participated in follow-up interviews. The team and organizational predictors of NG engagement in collaborative practice were as follows: satisfaction with the team (β = 0.278; p = 0.000), number of team strategies (β = 0.338; p = 0.000), participation in a mentorship or preceptorship experience (β = 0.137; p = 0.000), accessibility of manager (β = 0.123; p = 0.001), and accessibility and proximity of educator or professional practice leader (β = 0.126; p = 0.001 and β = 0.121; p = 0.002, respectively). Qualitative analysis revealed the team facilitators to be respect, team support and face-to-face interprofessional interactions. Organizational facilitators included supportive leadership, participation in a preceptorship or mentorship experience and time. Interventions designed to facilitate NG engagement in collaborative practice should consider these factors.
authors.affiliation: Faculty of Nursing, University of Windsor , Windsor, Ontario , Canada and.
authors.forename: Kathryn A
authors.initials: KA
authors.lastname: Pfaff
authors.forename: Pamela E
authors.initials: PE
authors.lastname: Baxter
authors.forename: Jenny
authors.initials: J
authors.lastname: Ploeg
authors.forename: Susan M
authors.initials: SM
authors.lastname: Jack
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D003299:Cooperative Behavior; D003430:Cross-Sectional Studies; D003657:Decision Making; D005260:Female; D006801:Humans; D007400:Interprofessional Relations; D007407:Interviews as Topic; D007588:Job Satisfaction; D007857:Leadership; D008297:Male; D009741:Nursing Staff, Hospital / Q000193:education / Q000458:organization & administration*; D009864:Ontario; D010348:Patient Care Team / Q000458:organization & administration*; D011231:Preceptorship; D012951:Socialization