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Survey on the Education System for New Graduate Nurses in Hospitals: Focusing on the Preceptorship

신규간호사 교육체계에 대한 실태조사: 프리셉터십 운영을 중심으로

  • 신수진 (이화여자대학교 간호대학) ;
  • 박영우 (을지대학교 의료원 간호부) ;
  • 김미정 (경일대학교 간호학과) ;
  • 김정현 (이화여자대학교 간호대학) ;
  • 이인영 (이화여자대학교 간호대학)
  • Received : 2019.02.12
  • Accepted : 2019.04.29
  • Published : 2019.06.30

Abstract

The purpose of this study was to identify the current status of the new graduate nurses' education system, to establish guidelines for the education of new graduate nurses, and to provide dates for the improvement of the education system. Eighty-nine hospitals participated in the survey from July to August 2018. The questionnaires consisted of 24 items including general characteristics, new graduate nurses' education system, operation of nursing education teams, and preceptorship programs. The average duration of education/training for new graduate nurses was 57.3 days, and 26.6%-58.5% of general hospitals, hospitals, and long-term care hospitals had less than 30 days of new graduate nurses education/training, which is shorter than the education/training period of tertiary hospitals. There were new nursing education guidelines in 88.8% of all medical institutions and 58.6% of them had nursing education teams. Most of the personnel in charge of nursing education were not dedicated to education. A total of 87.6% of the all participating medical institutions had preceptorship programs, while 23.1%-33.3% of hospitals and long-term care hospitals did not. The breakdown of preceptorship programs showed 68.4% as "preceptor and preceptee are in charge of one team, and preceptor is teaching preceptee," and 19.7% were "preceptor and preceptee are in charge of each team, and preceptor is teaching preceptee at the same time." These results show that standardization and management of new graduate nurses' education programs is necessary. For the standardization and management of new graduate nurses' education programs, joint efforts of nurses' associations and support from the government should be encouraged.

Keywords

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Figure 1. Appropriateness of staffing level for nursing education.

Table 2. Total training period of new graduate nurses

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Table 3. Training guidelines for new graduate nurses

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Table 4. Establishment and operation of nursing training team

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Table 5. Nursing education personnel (multiple responses)

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Table 6. Educational nurse dedicated to educational work

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Table 7. Preceptorship program application

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Table 7. Continued

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Table 8. Type of preceptorship program

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Table 9. Preceptor qualification regulations

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Table 10. Preceptor training program

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Table 10. Continued

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Table 1. General characteristics of sample

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References

  1. Korea Health Industry Development. National health and medical care survey [Internet]. Cheongju: Korea Health Industry Development; 2018 [cited 2019 Jan 17]. Available from: https://www.khidi.or.kr/board/view?linkId= 48711764&menuId=MENU01522.
  2. Ministry of Health and Welfare. Health and welfare statistical yearbook 2018 [Internet]. Sejong: Ministry of Health and Welfare; 2018 [cited 2019 Jan 17]. Available from: http://www.mohw.go.kr/react/jb/sjb030301vw.jsp?PAR_MENU_ID=03&MENU_ID=032901&CONT_SEQ=347082&page=1.
  3. Hospital Nurses Association. Survey on the status of hospital nursing staff placement [Internet]. Seoul: Hospital Nurses Association; 2019 [cited 2019 Jan 30]. Available from: http://khna.or.kr/web/information/resource.php.
  4. Bontrager S, Hart PL, Mareno N. The role of preceptorship and group cohesion on newly licensed registered nurses' satisfaction and intent to stay. J Contin Educ Nurs. 2016;47(3):132-9. https://doi.org/10.3928/00220124-20160218-09
  5. Kovner CT, Brewer CS, Fatehi F, Jun J. What does nurse turnover rate mean and what is the rate? Policy Polit Nurs Pract. 2014;15(3-4):64-71. https://doi.org/10.1177/1527154414547953
  6. Ministry of Health and Welfare. Press release [Internet]. Sejong: Ministry of Health and Welfare; 2017 [cited 2019 Mar 20]. Available from: http://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&CONT_SEQ=339529&page=1.
  7. Yun HJ, Kwak EM, Kim HS. Focus group study on reality shock experiences of new graduate nurses. J Qual Res. 2018;19(2):102-11. https://doi.org/10.22284/QR.2018.19.2.102
  8. Ji EA, Kim JS. Factor influencing new graduate nurses' turnover intention according to length of service. J Korean Acad Nurs Adm. 2018;24(1):51-60. https://doi.org/10.11111/jkana.2018.24.1.51
  9. Yoo CS, Kim JH, Kim MY, Kim SJ, Kim YS, Kim JA, et al. Factors related to organizational socialization of new nurses. J Korean Clinl Nurs Res. 2012;18(2):239-50.
  10. Yun HM, Kim JS. An analysis of the factors affecting turnover intention of new nurses. Glob Health Nurs. 2012;2(2):52-61.
  11. Ashton KS. The orientation period: essential for new registered nurses' adaptation. Nurs Sci Q. 2015;28(2):142-50. https://doi.org/10.1177/0894318415571600
  12. Van Camp J, Chappy S. The effectiveness of nurse residency programs on retention: a systematic review. AORN J. 2017;106(2):128-44. https://doi.org/10.1016/j.aorn.2017.06.003
  13. Levett-Jones T, FitzGerald M. A review of graduate nurse transition programs in Australia. Aust J Adv Nurs. 2005-2006;23(2):40-5.
  14. Baumann A, Hunsberger M, Crea-Arsenio M, Akhtar-Danesh N. Policy to practice: investment in transitioning new graduate nurses to the workplace. J Nurs Manag. 2018;26(4):373-81. https://doi.org/10.1111/jonm.12540
  15. Kramer M, Brewer BB, Maguire P. Impact of healthy work environments on new graduate nurses' environmental reality shock. West J Nurs Res. 2013;35(3):348-83. https://doi.org/10.1177/0193945911403939
  16. Shin YW, Lee HJ, Lim YJ. Predictors of clinical competence in new graduate nurses. J Korean Acad Nurs Adm. 2010;16(1):37-47. https://doi.org/10.11111/jkana.2010.16.1.37
  17. Hospital Nurses Association. Survey on the education status of new nurses [Internet]. Seoul: Hospital Nurses Association; 2010 [cited 2019 Mar 20]. Available from: http://khna.or.kr/web/information/resource.php.
  18. Shin S, Park Y, Kim M, Kim J, Lee I. New nurse education management system guidelines report. Seoul: Center for Nursing Workforce Employment Education, Korean Nurses Association; 2018.
  19. Son HM, Lee EH, Cho KS. Affecting factors of new nurse's intention to retention in hospitals. J Muscle Jt Health. 2017;24(3):205-16.
  20. Bakon S, Craft J, Wirihana L, Christensen M, Barr J, Tsai L. An integrative review of graduate transition programmes: developmental considerations for nursing management. Nurse Educ Pract. 2018;28:80-5. https://doi.org/10.1016/j.nepr.2017.10.009
  21. Rush KL, Adamack M, Gordon J, Lilly M, Janke R. Best practices of formal new graduate nurse transition programs: an integrative review. Int J Nurs Stud. 2013;50(3):345-56. https://doi.org/10.1016/j.ijnurstu.2012.06.009
  22. Kim S, Lee K. Predictors of turnover among new nurses using multilevel survival analysis. J Korean Acad Nurs. 2016;46(5):733-43. https://doi.org/10.4040/jkan.2016.46.5.733
  23. Korea Health Industry Development. Survey of nurses' activity status [Internet]. Cheongju: Korea Health Industry Development; 2015 [cited 2019 Jan 17]. Available from: https://www.khidi.or.kr/board/view?linkId=158628&menuId=MENU00085.
  24. Cosme S, Yarbrough C, O'Brien M, Chappell K. Using the magnet criteria to document new graduate nurses' transition to practice. J Nurses Prof Dev. 2018;34(1):20-5. https://doi.org/10.1097/nnd.0000000000000412
  25. Edwards D, Hawker C, Carrier J, Rees C. A systematic review of the effectiveness of strategies and interventions to improve the transition from student to newly qualified nurse. Int J Nurs Stud. 2015;52(7):1254-68. https://doi.org/10.1016/j.ijnurstu.2015.03.007
  26. Irwin C, Bliss J, Poole K. Does preceptorship improve confidence and competence in newly qualified nurses: a systematic literature review. Nurse Educ Today. 2018;60:35-46. https://doi.org/10.1016/j.nedt.2017.09.011
  27. Professional Practice Education and Training Team. Guidelines for the preceptorship for new clinical registrants [Internet]. Kettering: Northamptonshire Healthcare NHS Foundation Trust; 2018 [cited 2019 Jan 17]. Available from: https://www.nhft.nhs.uk/download.cfm?doc=docm93jijm4n1844.
  28. Park YC, Park HS. Clinical competence and organizational socialization according to communication style of preceptors as perceived by new nurses. J Korean Acad Fundam Nurs. 2016;23(1):42-50. https://doi.org/10.7739/jkafn.2016.23.1.42
  29. Han J, Yoo EK. The study of preceptor nurses' occupational stress and burden. Korean J Stress Res. 2018;26(1):38-45. https://doi.org/10.17547/kjsr.2018.26.1.38

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