Supporting New Graduated Nurse's Professional Competence, a Theoretical Model for Optimal Orientation

Sponsor

Tampere University (Other)

Overall Status

Completed

CT.gov ID

NCT04474769

Collaborator

(none)

114

Enrollment

Arms

Actual Duration (Months)

Study Details

Study Description

Brief Summary

This research is a longitudinal quasi-experimental intervention study which aim is to study education intervention's impact on new graduate nurses' orientation period, professional competence and organizational commitment. The study hypothesis is that new graduate nurses who start to work at the nursing unit which belong to the intervention group are more satisfied on received orientation, their professional competence develops faster and they are more committed to the organization than new graduate nurses at the units of the control group.

Condition or Disease	Intervention/Treatment	Phase
Competence Nurse's Role	Other: Educational intervention for preceptors	N/A

Detailed Description

This research is a dissertation which aim is to study nursing orientation from the preceptors' and new graduate nurses' point of view. The purpose is to develop a theoretical model for optimal orientation.

The aim is to study whether it is possible to affect new graduate nurses' professional competence development and their organizational commitment by educating preceptors. The aim is also to study new graduate nurses' perceptions of their clinical learning environment and received orientation and supporting and impeding factors of the successful orientation from the preceptors' point of view.

In order to measure the effectiveness of the education intervention on new graduate nurses' professional competence and commitment, participating nursing units is randomized by simple random sampling into the intervention group and the control group. Intervention group's preceptors is given an eight-hour education entity about orientation and preceptorship. The objective is to enhance preceptors' knowledge and skills about the orientation and to give preceptors means to precept new graduate nurses better. Nursing units at the control group continue to precept as before. The unit managers recruit participants (preceptors to the education intervention and new graduate nurses in both groups) to the study. No blinding has been made.

The independent variables are preceptors, work community, supervisors and new graduate nurses sociodemographic characteristics. The dependent variables are new graduate nurses' professional competence and commitment.

The data will be collected by using an electronical questionnaires. The Nurse Competence Scale (NCS©) will be used to study new graduate nurses' professional competence at the baseline, three months and nine months, a modified Clinical Learning Environment Scale (CLES+T©) will be used to study new graduate nurses' clinical learning environment and their orientation period at three months and Nurse Engagement Survey© will be used to study new graduate nurses' commitment at nine months. The same evaluations will be made in both groups. Preceptors' perceptions of the enhancing and impeding factors of the successful orientation is measured by open-ended questionnaire at the beginning of the education intervention.

The study results will be published on international nursing research journals and the theoretical model for optimal orientation will be published on doctoral dissertation.

Study Design

Study Type:

Interventional

Actual Enrollment :

114 participants

Allocation:

Non-Randomized

Intervention Model:

Parallel Assignment

Intervention Model Description:

Longitudinal quasi-experimental intervention studyLongitudinal quasi-experimental intervention study

Masking:

None (Open Label)

Primary Purpose:

Health Services Research

Official Title:

Supporting New Graduated Nurse's Professional Competence, a Theoretical Model for Optimal Orientation

Actual Study Start Date :

Oct 1, 2015

Actual Primary Completion Date :

Nov 30, 2017

Actual Study Completion Date :

Nov 30, 2017

Arms and Interventions

Arm	Intervention/Treatment
Experimental: Educational intervention Intervention group's preceptors is given an eight-hour education entity about orientation and preceptorship. The objective is to enhance preceptors' knowledge and skills about the orientation and to give preceptors means to precept new graduate nurses better.	Other: Educational intervention for preceptors
No Intervention: No intervention Nursing units at the control group continue to precept as before.

Arm

Intervention/Treatment

Experimental: Educational intervention

Intervention group's preceptors is given an eight-hour education entity about orientation and preceptorship. The objective is to enhance preceptors' knowledge and skills about the orientation and to give preceptors means to precept new graduate nurses better.

Other: Educational intervention for preceptors

No Intervention: No intervention

Nursing units at the control group continue to precept as before.

Outcome Measures

Primary Outcome Measures

Professional competence, the change of the professional competence is being assessed [Baseline]
Nurse Competence Scale, min 0 to max 100. Higher scores means better outcome
Professional competence, the change of the professional competence is being assessed [Three months]
Nurse Competence Scale, min 0 to max 100. Higher scores means better outcome
Professional competence, the change of the professional competence is being assessed [Nine months]
Nurse Competence Scale, min 0 to max 100. Higher scores means better outcome

Secondary Outcome Measures

Precepting experience [Three months]
Clinical Learning Environment Scale, min 1 to max 10. Higher scores means better outcome
Organizational commitment [Nine months]
Nurse Engament Survey, min 1 to max 5. Higher scores means better outcome

Eligibility Criteria

Criteria

Ages Eligible for Study:

20 Years to 60 Years

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Inclusion Criteria:

Less than one year from the graduation, willingness to participate

Exclusion Criteria:

Already a registered nurse, more than one year from the graduation

Contacts and Locations

Locations

No locations specified.

Sponsors and Collaborators

Tampere University

Investigators

Study Director: Eija Paavilainen, PhD, Tampere University

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.

Responsible Party:

Kirsi Lindfors, Pricipal Investigator, Tampere University

ClinicalTrials.gov Identifier:

NCT04474769

Other Study ID Numbers:

PreceptOR2014

First Posted:

Jul 17, 2020

Last Update Posted:

Jul 17, 2020

Last Verified:

Jul 1, 2020

Individual Participant Data (IPD) Sharing Statement:

Plan to Share IPD:

Studies a U.S. FDA-regulated Drug Product:

Studies a U.S. FDA-regulated Device Product:

Study Results

No Results Posted as of Jul 17, 2020