Background <p>Newly graduated nurses with a&#xa0;bachelor’s degree are expected to have entry-level skills; however, studies show deficits in knowledge, clinical skills, and decision-making competence, which promote uncertainty and career exit. Preceptorship should facilitate this transition.</p> Aim of the study <p>The intention of this study was to evaluate the preceptorship intervention as a&#xa0;standardized 4‑phase transition program. Decision-making competence was examined based on knowledge, attitude, and quality of the documented Advanced Nursing Process as well as professional satisfaction.</p> Material and Method <p>The quasi-experimental intervention study with pretest-posttest design and a control group was conducted at an orthopedic trauma transition program in Tyrol. Randomization was ruled out as the students consciously opted for the internship.</p> Results <p>After the intervention, there were no significant differences between the intervention group (IG) and the control group (CG) in terms of knowledge and attitude towards the Advanced Nursing Process; however, nursing assessment, accuracy of nursing diagnoses, effectiveness of nursing interventions and patient outcomes were significantly better in the IG. The IG students also showed higher job satisfaction and lower intention to leave the profession.</p> Conclusion <p>The transition program increases clinical decision-making competence and promotes the application of the Advanced Nursing Process. The confidence gained could contribute to a&#xa0;longer stay in the profession.</p>

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  • Claudia Leoni-Scheiber,
  • Laura Ringel,
  • Hannah Eibl

摘要

Background

Newly graduated nurses with a bachelor’s degree are expected to have entry-level skills; however, studies show deficits in knowledge, clinical skills, and decision-making competence, which promote uncertainty and career exit. Preceptorship should facilitate this transition.

Aim of the study

The intention of this study was to evaluate the preceptorship intervention as a standardized 4‑phase transition program. Decision-making competence was examined based on knowledge, attitude, and quality of the documented Advanced Nursing Process as well as professional satisfaction.

Material and Method

The quasi-experimental intervention study with pretest-posttest design and a control group was conducted at an orthopedic trauma transition program in Tyrol. Randomization was ruled out as the students consciously opted for the internship.

Results

After the intervention, there were no significant differences between the intervention group (IG) and the control group (CG) in terms of knowledge and attitude towards the Advanced Nursing Process; however, nursing assessment, accuracy of nursing diagnoses, effectiveness of nursing interventions and patient outcomes were significantly better in the IG. The IG students also showed higher job satisfaction and lower intention to leave the profession.

Conclusion

The transition program increases clinical decision-making competence and promotes the application of the Advanced Nursing Process. The confidence gained could contribute to a longer stay in the profession.