Transition experiences of newly graduated Filipino nurses in a resource-scarce rural health care setting: A qualitative study

Nurs Forum. 2019 Apr;54(2):298-306. doi: 10.1111/nuf.12330. Epub 2019 Feb 18.

Abstract

Problem: Without a doubt, the transition to a professional nursing role is a challenging and stressful experience for many new nurses, regardless of where they are employed; yet, no study has been conducted to comprehend in detail the transition experiences of newly graduated nurses employed in a resource-scarce rural health care setting.

Purpose: This study describes the transition experiences of newly graduated Filipino nurses during their initial clinical placement process.

Methods: A qualitative phenomenological approach using structured interviews with 15 newly graduated Filipino nurses were used along with the Coliazzi's methodological framework for data analysis.

Findings: Four distinct themes emerged from the content analysis, as follows: experiencing transition shock, feeling pressured, learning excitement, and needing support.

Conclusions: Similar to the findings of other international studies, newly graduated Filipino nurses described their transition experiences as a stressful and challenging journey. Both academic and nursing administration team members can play key roles in facilitating a smooth transition and the integration of new nurses into the nursing workforce through the employment of evidence-based educational and structured organizational strategies.

Keywords: new graduate; novice; nursing; reality shock; transition; transition shock.

MeSH terms

  • Adaptation, Psychological
  • Adult
  • Attitude of Health Personnel*
  • Female
  • Humans
  • Male
  • Nurse's Role / psychology*
  • Nursing Staff, Hospital / psychology*
  • Philippines
  • Poverty
  • Qualitative Research
  • Rural Health*
  • Stress, Psychological / psychology*
  • Young Adult