Nurse Residency Programs in Canada: A National Needs Assessment
Notice bibliographique
Résumé
Purpose: Newly graduated registered nurses (NGRNs) often face significant challenges when transitioning into professional practice, including the need to bridge the gap between academic preparation and clinical expectations, manage high workloads, and further develop their practice. Organizational support is crucial for their growth, and nurse residency programs have shown promise in addressing these challenges. This project aimed to conduct a comprehensive needs assessment of hospitals across Canada to examine current practices supporting NGRN transitions and to assess employer interest in adopting a national standardized new graduate nurse residency program. Additionally, the assessment sought to identify barriers that may hinder the successful implementation of such a program. Method: This study used a mixed-methods needs assessment design to investigate the transition to practice and the use of nurse residency programs. We developed a survey, consisting of 11 questions adapted from previous research, to collect insights on current transition practices, challenges, barriers, and motivations for participating in a national residency program. The survey was initially distributed through HealthCareCAN, with additional outreach efforts aimed at nursing leaders responsible for NGRNs’ education and practice to ensure broader participation. Results: The survey received responses from 33 participants, representing hospitals in Atlantic and Northern Canada. The findings highlighted significant gaps in the current orientation and support systems for NGRNs. Respondents expressed a clear need for improvements in existing transition-to-practice programs and demonstrated a strong willingness to adopt changes, particularly through a national standardized nurse residency program. Most participants recognized the potential benefits of such a program, noting that it could address current challenges. Conclusion: The study identified significant gaps in current orientation support for NGRNs, highlighting the need for an enhanced approach to easing their transition into practice. Most participants showed strong interest in the development of a national standardized new graduate nurse residency program, recognizing its potential to improve their professional integration. Key challenges included a shortage of experienced nurses to serve as preceptors and mentors, inconsistent onboarding practices across health care settings, and limited resources for comprehensive education. To effectively address these issues, it is recommended to develop inclusive and supportive programs that meet the needs of both NGRNs and nurse leaders. Additionally, conducting further comprehensive and diverse needs assessments using mixed-methods research approaches would provide valuable insights for improving these initiatives.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,005 | 0,009 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,001 |
| Méta-épidémiologie (sens large) | 0,000 | 0,001 |
| Bibliométrie | 0,004 | 0,006 |
| Études des sciences et des technologies | 0,009 | 0,001 |
| Communication savante | 0,002 | 0,001 |
| Science ouverte | 0,001 | 0,003 |
| Intégrité de la recherche | 0,001 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,001 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».