title: Lessons Learned: Newly Hired Nurses' Perspectives on Transition Into Practice.
abstract: This descriptive qualitative study explored data from debriefs of all newly hired nurses at 3, 6, and 12 months posthire during a newly designed transition-to-practice program at a pediatric hospital. Four major themes emerged: preceptors, education process, adaptation to the organization, and role transition. Supportive factors included staged orientation, limited preceptors, mentors, regular communication with leaders, and a culture of teamwork. Stressors included too many preceptors, mentorship needs, floating, communication challenges, and organizational changes.
authors.affiliation: Carolyn Ziebert, MS, RN, PCNS-BC, is Patient Safety Specialist, Children's Hospital of Wisconsin, Milwaukee. Carol Klingbeil, DNP, RN, CPNP-PC, is Clinical Assistant Professor of Nursing, College of Nursing, University of Wisconsin-Milwaukee, and APRN, Children's Hospital of Wisconsin, Milwaukee. Catherine A. Schmitt, PhD, RN, CNOR, is Assistant Professor, College of Nursing, University of Wisconsin-Oshkosh. Alice V. Stonek, MS, BSN, CPN-BC, is retired APRN, Children's Hospital of Wisconsin, Milwaukee. Joan P. Totka, MSN, RN, is Clinical Education/Simulation Manager, Children's Hospital of Wisconsin, Milwaukee. Ashley Stelter, MS, RN, is Unit-Based Clinical Nurse Specialist, Children's Hospital of Wisconsin, Milwaukee. Rachel F. Schiffman, PhD, RN, FAAN, is Professor and Associate Dean for Research, College of Nursing, University of Wisconsin-Milwaukee.
authors.forename: Carolyn
authors.initials: C
authors.lastname: Ziebert
authors.forename: Carol
authors.initials: C
authors.lastname: Klingbeil
authors.forename: Catherine A
authors.initials: CA
authors.lastname: Schmitt
authors.forename: Alice V
authors.initials: AV
authors.lastname: Stonek
authors.forename: Joan P
authors.initials: JP
authors.lastname: Totka
authors.forename: Ashley
authors.initials: A
authors.lastname: Stelter
authors.forename: Rachel F
authors.initials: RF
authors.lastname: Schiffman
mesh_terms: D000328:Adult; D002983:Clinical Competence; D004508:Education, Nursing, Baccalaureate; D005260:Female; D006776:Hospitals, Pediatric; D006801:Humans; D007318:Inservice Training / Q000458:organization & administration*; D007400:Interprofessional Relations; D007857:Leadership; D008297:Male; D008611:Mentors / Q000523:psychology*; D009726:Nurses / Q000523:psychology*; D009741:Nursing Staff, Hospital / Q000193:education / Q000523:psychology; D011231:Preceptorship; D036301:Qualitative Research