Fresh Graduate Nurses’ Stress during the Transition in the ER during Pandemic: A Scoping Review
DOI:
https://doi.org/10.18196/jmmr.v11i2.15202Keywords:
Job Stress, Fresh graduate nurse, Transition period, Pandemic, EmergencyAbstract
The COVID-19 pandemic presents obstacles in transitioning newly graduated nurses to professional nurses in the emergency room. The transition period is challenging and stressful, affecting new nurses’ performance. This study aims to identify the stress fresh graduate nurses experienced during the transition to emergency nurses during the pandemic. A scoping review was used to identify (n=17) articles from six databases (ScienceDirect, PubMed, Proquest, Willey Library, Sega Journal, and EBSCO). An article search used the keywords with the Boolean operator “New Graduate Nurse OR Fresh Graduate Nurse OR Novice Nurse AND Adaptation OR Transition AND Emergency AND Stress” to search the literature for the last five years. The results showed that during the transition period to becoming an emergency nurse during a pandemic, newly graduated nurses experienced mild to severe stress caused by an increased workload, lack of knowledge, and competence. High stress on fresh graduate nurses is also related to the work environment and lack of experience. However, not many studies discuss the influence of organizational factors on stress levels during the transition period. This study’s results suggest providing a support program for new nurses working in the emergency room to reduce the level of stress experienced.
References
Anabel, J., Coffré, F., Ángeles, P. D. L., & Aguirre, L. (2020). Feeling, Stress, and Adaptation Strategies of Nurses against COVID-19 in Guayaquil. Enfermeria Nursing Research and Education, 38(3).
Andersson, A., Graneheim, U. H., & Nilsson, M. S. (2022). Newly-graduated nurses’ work-integrated learning: A qualitative study from an educational and occupational perspective. Nurse Education in Practice, 59, 103290. https://doi.org/10.1016/j.nepr.2022.103290
Baudoin, C. D., McCauley, A. J., & Davis, A. H. (2022). New Graduate Nurses in the Intensive Care Setting: Preparing Them for Patient Death. Critical Care Nursing Clinics of North America, 34(1), 91–101. https://doi.org/10.1016/j.cnc.2021.11.007
Casafont, C., Fabrellas, N., Rivera, P., Oliv, M. C., Querol, E., Prats, J., Cuzco, C., Frías, C. E., Silvia, P., & Zabalegui, A. (2020). Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID- 19 . The COVID-19 resource centre is hosted on Elsevier Connect , the company ’ s public news and information. Nurse Education Today Journal, 30(104711), 1–7.
Chao, L.-F., Guo, S.-E., Xiao, X., Luo, Y.-Y., & Wang, J. (2021). A Profile of Novice and Senior Nurses’ Communication Patterns during the Transition to Practice Period: An Application of the Roter Interaction Analysis System. International Journal of Environmental Research and Public Health, 18(20). https://doi.org/10.3390/ijerph182010688
Ching, P. E., & Lazaro, R. T. (2021). Preparation, roles, and responsibilities of Filipino occupational therapists in disaster preparedness, response, and recovery. Disability and Rehabilitation, 43(9), 1333–1340. https://doi.org/10.1080/09638288.2019.1663945
Crismon, D., Mansfield, K. J., Hiatt, S. O., Christensen, S. S., & Cloyes, K. G. (2021). COVID-19 pandemic impact on experiences and perceptions of nurse graduates. Journal of Professional Nursing, 37(5), 857–865. https://doi.org/10.1016/j.profnurs.2021.06.008
Fernández-basanta, S., Espremáns-cidón, C., & Movilla-fernández, M. (2022). Novice nurses ’ transition to the clinical setting in the COVID-19 pandemic : A phenomenological hermeneutic study. Collegian, 56(9), 1–9. https://doi.org/10.1016/j.colegn.2022.04.001
Galehdar, N., Toulabi, T., Kamran, A., & Heydari, H. (2021). Exploring nurses ’ perception of taking care of patients with coronavirus disease ( COVID-19 ): A qualitative study. August 2020, 171–179. https://doi.org/10.1002/nop2.616
García-martín, M., Roman, P., Rodriguez-arrastia, M., Diaz-cortes, M., Soriano-martin, P. J., & Ropero-padilla, C. (2021). Novice nurse ’ s transitioning to emergency nurse during COVID-19 pandemic : A qualitative study. Jurnal Nursing Management, 29(August 2020), 258–267. https://doi.org/10.1111/jonm.13148
Hallaran, A. J., Edge, D. S., Tregunno, D., & Almost, J. (2022). New Nurses ’ Perceptions on Transition to Practice : A Thematic Analysis. https://doi.org/10.1177/08445621221074872
Hoeve, Y., Kunnen, S., Brouwer, J., & Roodbol, P. F. (2019). The voice of nurses: novice nurses’ first experiences in a clinical setting. A longitudinal diary study. Nursing Open, 32(9), 0–1. https://doi.org/10.1111/jocn.14307
Hyunjie, L., & Morse, B. (2022). The lived experience of nurses who volunteered to combat the COVID-19 pandemic in South Korea : A qualitative phenomenological study. Journal Nurs Manag, 30(7), 864–871. https://doi.org/10.1111/jonm.13571
International Council of Nursing. (2020). Nurses and Disaster Risk Reduction, Response and Recovery. 1–5.
Kim, J. H., & Shin, H. S. (2020). Exploring barriers and facilitators for successful transition in new graduate nurses : A mixed methods study. Journal of Professional Nursing, 36(6), 560–568. https://doi.org/10.1016/j.profnurs.2020.08.006
Kim, J., & Kim, S. (2021). Nurses ’ Adaptations in Caring for COVID-19 Patients : A Grounded Theory Study. International Journal of Environmental Research and Public Health Article, 18(10141), 1–17.
Kovancı, S. M., & Özbas, A. A. (2022). ‘ Young saplings on fire ’ newly graduated nurses in the COVID-19 pandemic : A qualitative study. Journal Nurs Manag, 30(6), 15–24. https://doi.org/10.1111/jonm.13460
Kreedi, F., Brown, M., Marsh, L., & Rogers, K. (2021). Newly Graduate Registered Nurses ’ Experiences of Transition to Clinical Practice : A Systematic Review. American Journal of Nursing Research, 9(3), 94–105. https://doi.org/10.12691/ajnr-9-3-4
Kwon, Y., & Han, H. (2022). Nursing Experience of New Nurses Caring for COVID-19 Patients in Military Hospitals : A Qualitative Study. Healthcare Article, 10(744), 1–15.
Labrague, L. J., McEnroe‐Pettite, D., & Leocadio, M. C. (2019). Transition experiences of newly graduated Filipino nurses in a resource ‐ scarce rural health care setting : A qualitative study. Nursing Forum, 1(18), 1–9. https://doi.org/10.1111/nuf.12330
Lee, J. E., & Sim, I. O. (2020). Gap between college education and clinical practice: Experience of newly graduated nurses. Nursing Open, 7(1), 449–456. https://doi.org/10.1002/nop2.409
Mailani, F., Huriani, E., Muthia, R., & Sarfika, R. (2021). Nurses’ intention to work during the covid-19 outbreak in west sumatra, indonesia. Nurse Media Journal of Nursing, 11(1), 50–60. https://doi.org/10.14710/NMJN.V11I1.34093
Mancuso, B. Y. L. (2021). Nursing during the COVID-19 pandemic. 51(1), 42–44.
Manuel, G., Practitioner, N., Pablo, R., Miguel, R., Mar, D., Practitioner, N., Pedro, J. S., & Lecturer, C. R. (2021). Novice nurse ’ s transitioning to emergency nurse during COVID-19 pandemic : A qualitative study. Journal Nurs Manag, May 2020, 258–267. https://doi.org/10.1111/jonm.13148
Murat, M. (2021). Determination of stress , depression and burnout levels of front-line nurses during the COVID-19 pandemic. International Journal of Mental Health, 30, 533–543. https://doi.org/10.1111/inm.12818
Murray, M., Sundin, D., & Cope, V. (2020). Supporting new graduate registered nurse transition for safety : A literature review update. Collegian, 27(1), 125–134. https://doi.org/10.1016/j.colegn.2019.04.007
Naylor, H., Hadenfeldt, C., & Timmons, P. (2021). Novice Nurses ’ Experiences Caring for Acutely Ill Patients during a Pandemic. NUrsing Report, 11, 382–394.
O’Keefe, R., & Auffermann, K. (2022). Exploring the Effect of COVID-19 on Graduate Nursing Education. Academic Medicine : Journal of the Association of American Medical Colleges, 97(3S), S61–S65. https://doi.org/10.1097/ACM.0000000000004537
Powers, K., Herron, E. K., & Pagel, J. (2019). Nurse Preceptor Role in New Graduate Nurses’ Transition to Practice. Dimensions of Critical Care Nursing, 38(3), 131–136. https://doi.org/10.1097/DCC.0000000000000354
Pragholapati, A., Yosef, I., & Soemantri, I. (2020). The Correlation of Resilience With Nurses Work Stress In Emergency Unit Rumah Sakit Al Islam (RSAI) Bandung. Sorume Health Sciences Journal, 1(1), 9–18.
Said, R. M., & El-shafei, D. A. (2021). Occupational stress , job satisfaction , and intent to leave : nurses working on front lines during COVID-19 pandemic in Zagazig City , Egypt. 19, 8791–8801.
Sarnkhaowkhom, C., Ritthapanya, N., & Pomisrikeaw, S. (2021). “ Novice nurse and novel coronavirus ”— experiences of novice nurses caring for patients diagnosed with COVID- 19 in Thailand. Nursing Open, 00(6), 1–12. https://doi.org/10.1002/nop2.996
Serafin, L., & Kusiak, A. (2022). The COVID-19 Pandemic Increased Burnout and Bullying among Newly Graduated Nurses but Did Not Impact the Relationship between Burnout and Bullying and Self-Labelled Subjective Feeling of Being Bullied : A Cross-Sectional , Comparative Study. International Journal of Environmental Research and Public Health Article, 19(1730), 1–12.
Sessions, L. C., Ogle, K. T., Lashley, M., & Austin, E. N. (2021). Coming of Age During Coronavirus: New Nurses’ Perceptions of Transitioning to Practice During a Pandemic. The Journal of Continuing Education in Nursing, 52(6), 294–300. https://doi.org/10.3928/00220124-20210514-09
Sim, I. O. (2020). Capabilities that experienced nurses expect of new nurses in pediatric wards: A research study using Q methodology. Nurse Education Today, 92, 104511. https://doi.org/10.1016/j.nedt.2020.104511
Suzuki, E., Takayama, Y., Kinouchi, C., Asakura, C., Tatsuno, H., Machida, T., Yanahara, H., Kitajima, H., & Miwa, M. (2021). A causal model on assertiveness , stress coping , and workplace environment : Factors affecting novice nurses ’ burnout. Nursing Open, 8(August 2020), 1452–1462. https://doi.org/10.1002/nop2.763
Tricco, A. C., Lillie, E., Zarin, W., O’Brien, K. K., Colquhoun, H., Levac, D., Moher, D., Peters, M. D. J., Horsley, T., Weeks, L., Hempel, S., Akl, E. A., Chang, C., McGowan, J., Stewart, L., Hartling, L., Aldcroft, A., Wilson, M. G., Garritty, C., … Straus, S. E. (2018). PRISMA extension for scoping reviews (PRISMA-ScR): Checklist and explanation. Annals of Internal Medicine, 169(7), 467–473. https://doi.org/10.7326/M18-0850
Wildermuth, M. M., Weltin, A., & Simmons, A. (2019). Transition experiences of nurses as students and new graduate nurses in a collaborative nurse residency program. Journal of Professional Nursing, June, 0–1. https://doi.org/10.1016/j.profnurs.2019.06.006
Zhang, M., Ping, R. N., Liu, R. N. Y., Hui, R. N., Bs, W., Hu, K., & Du, R. N. M. (2021). Influence of perceived stress and workload on work engagement in front- line nurses during COVID- 19 pandemic. May 2020, 1–12. https://doi.org/10.1111/jocn.15707
Downloads
Published
Issue
Section
License
Copyright (c) 2022 JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit)
This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License.
