How new graduate nurses working in Ontario long-term care homes develop the nurse role of leader
Bibliographic record
Abstract
In the literature, new nurses seem to consider behaviours and knowledge of the leader professional role as ‘soft skills’ (Laari et al. 2024) and perhaps less important that nursing ‘tasks’. Clinical leadership skill is defined as ‘‘staff nurse behaviours that provide direction and support to clients and the health care team in the delivery of patient care’’ with five defining characteristics: clinical expertise, effective communication, collaboration, coordination, and interpersonal understanding (Patrick et al., 2011). A most recent integrative review of new graduate nurses’ self-assessed competencies (Song & McCreary, 2020) reported that new graduate nurses had difficulties in assigning duties and communicating with staff and their confidence in collaborating seemed to be limited to immediate team members. These findings are worrisome given the expectations for the nurse leader role of new graduate nurses. This review highlighted the new graduate nurse concerns mainly involved “soft-skill” competency areas as insufficient including communicating and collaborating with personnel other than nurses to achieve multidisciplinary teamwork (Lancaster et al., 2015). The findings of this scoping review present an understanding of leadership development from perspectives of nurse educators and curriculum, and transition programs or supports. The perspective of the new graduate nurse regarding ‘how’ they develop the associated skills and knowledge to fulfill their professional role as leader after successfully passing the registration exam and working in their new role as a registered practical nurse or registered nurse is lacking in the literature. How new graduate nurses develop these competencies to fulfill their professional role as leader during their first year of working as a new nurse in long-term care is less known. Therefore, this study will (1) identify the knowledge, skills, behaviours perceived to be needed for the nurse leader role by new nurse graduates working in long-term care; and (2) describe the process of how new graduate nurses develop the knowledge, skills, behaviours for the nurse leader role during the first year of working in long-term care.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.004 | 0.014 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.002 | 0.001 |
| Scholarly communication | 0.003 | 0.003 |
| Open science | 0.001 | 0.002 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.003 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".