Final clinical practicum shapes the transition experience and occupational commitment of newly graduated nurses in Europe—A longitudinal study

Anu-Marja Kaihlanen*, Kia Gluschkoff, Sanna Koskinen, Leena Salminen, Camilla Strandell- Laine, Pilar Fuster Linares, Herdís Sveinsdóttir, Natalja Fatkulina, Linda Ní Chianáin, Juliane Stubner, Helena Leino- Kilpi

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

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Abstract

Aims
The aim of the study was to examine the association between the characteristics of a nursing student’s final clinical practicum and the success of transition of newly graduated nurses (NGNs) in six European countries.

Design
A longitudinal design with two data collections points (pre- and post-graduate).

Methods
The data were collected with an online survey between May 2018 and April 2020 from graduating nursing students (n = 1796) in Finland, Germany, Iceland, Ireland, Lithuania and Spain. Altogether, 642 NGNs responded to the second questionnaire 1 year after graduation. Logistic and linear regression analyses were used to examine the associations between five clinical practicum characteristics and three indicators for the success of transition (ease of transition, turnover intentions and occupational commitment). Models were adjusted for demographic and background/workplace factors and professional competence.

Results
Several associations were observed between the different clinical practicum characteristics and the indicators for a successful transition. Good pedagogical atmosphere and good supervisory relationship were associated with higher likelihood of an easy transition. Good leadership style of the ward manager, good premises of nursing care on the ward and a good supervisory relationship were associated with higher occupational commitment. No consistent association with turnover intention was found.

Conclusion
Having a good final clinical practicum before graduation can contribute to an easier transition experience for newly NGNs and strengthen their commitment to the nursing profession.

Impact
This study adds to the limited existing knowledge about the importance of final clinical practicums in shaping the transition process and occupational commitment of NGNs. Investing in creating a good final practicum experience could help healthcare organizations engage new nursing professionals and thus alleviate the existing shortage of nurses.
Original languageEnglish
Number of pages11
JournalJournal of Advanced Nursing
Early online date08 Oct 2021
DOIs
Publication statusEarly online date - 08 Oct 2021
Externally publishedYes

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