title: New graduate registered nurses' knowledge of patient safety and practice: A literature review.
abstract: OBJECTIVE
  To critically appraise available literature and summarise evidence pertaining to the patient safety knowledge and practices of new graduate registered nurses.
  
  
  BACKGROUND
  Responsibility for patient safety should not be limited to the practice of the bedside nurses, rather the responsibility of all in the healthcare system. Previous research identified lapses in safety across the health care, more specifically with new practitioners. Understanding these gaps and what may be employed to counteract them is vital to ensuring patient safety.
  
  
  METHODS
  A focused review of research literature.
  
  
  METHODS
  The review used key terms and Boolean operators across a 5-year time frame in CINAHL, Medline, psycINFO and Google Scholar for research articles pertaining to the area of enquiry. Eighty-four articles met the inclusion criteria, 39 discarded due to irrelevant material and 45 articles were included in the literature review.
  
  
  RESULTS
  This review acknowledges that nursing has different stages of knowledge and practice capabilities. A theory-practice gap for new graduate registered nurses exists, and transition to practice is a key learning period setting new nurses on the path to becoming expert practitioners. Within the literature, there was little to no acknowledgement of patient safety knowledge of the newly registered nurse.
  
  
  CONCLUSIONS
  Issues raised in the 1970s remain a concern for today's new graduate registered nurses. Research has recognised several factors affecting transition from nursing student to new graduate registered nurse. These factors are leaving new practitioners open to potential errors and risking patient safety.
  
  
  CONCLUSIONS
  Understanding the knowledge of a new graduate registered nurse upon entering clinical practice may assist in organisations providing appropriate clinical and theoretical support to these nurses during their transition.
authors.affiliation: School of Nursing and Midwifery, Edith Cowan University, Joondalup, WA, Australia.
authors.forename: Melanie
authors.identifier: http://orcid.org/0000-0002-6335-1356
authors.initials: M
authors.lastname: Murray
authors.affiliation: School of Nursing and Midwifery, Edith Cowan University, Joondalup, WA, Australia.
authors.forename: Deborah
authors.initials: D
authors.lastname: Sundin
authors.affiliation: School of Health Professions, Murdoch University, Murdoch, WA, Australia.
authors.forename: Vicki
authors.initials: V
authors.lastname: Cope
mesh_terms: D002983:Clinical Competence; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D024802:Nurse's Role; D009726:Nurses; D061214:Patient Safety
keywords: new graduate nurse; patient safety; readiness; theory-practice gap; transition