A transition support programme to facilitate the competencies of newly qualified registered nurses at public hospitals in Namibia
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Date
2021
Authors
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Journal ISSN
Volume Title
Publisher
University of Namibia
Abstract
Globally, competencies among newly qualified registered nurses (NQRNs) during
transition have been described as a worldwide concern. Health care systems are becoming more demanding with patients and communities becoming more aware of their rights to health care. Therefore, NQRNs are expected to be competent to deliver quality and safe care. It is, therefore, important that transition support programmes are put in place to provide a baseline for the guidance and support of newly graduated nurses. The study was aimed at determining the competence of NQRNs and to develop a transition support programme to facilitate their competencies at public hospitals in Namibia. The objectives of the study were: to determine and describe the self-reported competence of newly qualified registered nurses, determine and describe the views of newly qualified registered
nurses competence as rated by their unit managers, to develop a conceptual framework that informs the development of the programme, to develop the transition support programme to facilitate the competencies of newly qualified registered nurses, and to propose guidelines regarding the implementation of the programme. The study was conducted in three phases. Phase one was a situational analysis, followed by the development of a conceptual framework in phase two, and the development of the transition support programme in phase three. A quantitative approach with descriptive, analytic survey design was followed. Data were collected from the two study populations by means of questionnaires. Data were analysed using the Statistical Package for the Social Sciences software, version 24. The study findings were as follows: In relation to professional, ethical and legal competencies (domain 1) of NQRNs, the different items reviewed on the NQRNs indicated that they were not completely competent in this domain. Similarly, the responses from unit managers supported these responses, with the unit managers indicating that NQRNs were not completely competent in the professional, legal and ethical domain, but rather possess basic competencies. Findings on domain 2: Knowledge-based practice This domain summarised the clinical competencies of NQRNs in relation to the provision of nursing care based on knowledge base practice. This study revealed that NQRNs are not completely competent in most clinical areas, but rather possess basic or adequate knowledge. Findings on Domain 3: This domain reviewed the NQRNs competencies in management and leadership. The findings reveal that NQRNs are not completely competent, but rather possess either basic or little knowledge. Recommendations were made to the Ministry of Health and Social Services (MoHSS), education institutions, and suggestions for further research were made based on the study findings.
Description
A research dissertation submitted in fulfillment of the requirements for the Degree of Doctor of Science in Nursing
Keywords
Support programme, Health care system