This clinical study aims to implement and evaluate a professional development programme (ProDeveloP) designed to facilitate the transition of newly graduated nurses (NGNs) into their new roles. NGNs face several challenges in the work environment and in developing their professional competencies. The aim is to support NGNs in a county hospital in central Sweden to facilitate their professional development. Data will be collected during the NGNs' first year through measures at week week 13 (for both arms) and quarterly (intervention grpoup). This will be combined with individual interviews and focus groups with NGNs, dialogue facilitators and managers.
The primary outcomes will be role clarity, task mastery, social acceptance, recovery and stress. The researchers will compare the results of the primary outcomes with those of a control group measure. Secondary outcomes will be experience of the intervention, transition support, job satisfaction and intention to leave. Informed consent was signed prior to participation in the study. The ethical application has been approved by the Ethics Authority IS, diary number 2022-05682-0.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Enrollment
101
The professional development programme include dialogue groups facilitated by registered nurses (RN) who are expert and experienced supervisors that received a three day training before conducting the groups. Then including education days with joint lectures and simulations with experts in the field with experience. The programme provides NGNs with regular opportunities for reflection for learning from experiences of care to enhance personal and professional growth.
Mälardalens University
Västerås, Sweden
Role Clarity
Role clarity, the professional development process in terms of gaining clarity about the responsibilities content and boundaries of the role, was measured with the Validated scale from the Questionnaire for Psychological and Social Factors at Work (QPS Nordic). A 5-point Likert scale was used with three items. During the last week, how did you feel about: 1. Having clearly defined goals? 2. You know what your responsibilities are? 3. You know exactly what is required of you at work? These items range from 'Very seldom or never (0)' to 'Very often or always' (4). The items were summed to between 0-12. Higher summed scores indicated better outcomes.
Time frame: The measurement was collected at one time point at thirteen weeks of participation in the ProDeveloP for the intervention group or in the prior introduction programme for the control group.
Task Mastery
Task mastery was measured with the validated scale from Swedish version of the Needs Satisfaction and Frustration Scale (NSFS). A 5-point Likert scale was used with two items. 1. During the last week, have you felt that you have been able to fulfil even the most demanding tasks? 2. During the last week, have you felt that you have been good at doing your job? These items range from 'Very seldom or never (0)' to 'Very often or always' (4). The items were summed to between 0-8. Higher summed scores indicated better outcomes.
Time frame: The measurement was collected at one time point at thirteen weeks of participation in the ProDeveloP for the intervention group or in the prior introduction programme for the control group.
Social Acceptance
Social acceptance, of being integrated into the work group and belonging at work, was measured with the validated Needs Satisfaction and Frustration Scale (NSFS). A 5-point Likert scale was used with two items. During the last week: I have felt that the people I work with have really cared about me? I have felt included in the work group?A 5-point lickert scale was used. These items range from 'Very seldom or never (0)' to 'Very often or always' (4). The items were summed to between 0-8. Higher summed scores indicated better outcomes.
Time frame: The measurement was collected at one time point at thirteen weeks of participation in the ProDeveloP for the intervention group or in the prior introduction programme for the control group.
Stress
Stress levels was measured with the validated Stress and Energy Questionnaire (SEQ). A 5-point Likert scale was used with three items. During the last week when you have been working, how often have you felt: 1. Tense? 2. Stressed? 3. Pressured? These items range from 'Very seldom or never (0)' to 'Very often or always' (4). The items were summed to between 0-12. Lower summed scores indicated better outcomes.
Time frame: The measurement was collected at one time point at thirteen weeks of participation in the ProDeveloP for the intervention group or in the prior introduction programme for the control group.
Job Satiscation
Job satisfaction was measrued validated Job Satisfaction scale with 5-point lickert scale with three items. How often do you feel about your work in the following ways 1. I feel happy at work? 2. I feel satisfied with the work I have? 3. I feel satisfaction with my work? Range from 'Very seldom or never´(0) och 'Very often or often´ (4). Summed items to between 0-12. Higher scores better outcomes.
Time frame: Measured during months 4, 8 and 12 after enrollment of the intervention. No control group measurements are available for the secondary outcomes.
Intentions to Leave
Intentions to leave the workplace or profession was measured by the validated Organizational Commitment on Job Turnover Intention scale. Please respond to the following statements about changing workplace: 1. I often think about leaving my current place of work? 2. As sson as possible I will leave my current workplace? 3. I am actively looking for a job outside my current workplace? Please comment on the following statements about changing profession: 1. I often think about changing profession? 2. I actively look for work outside this profession? 3. I would like to leave this profession as soon as possible? Using a 7-point Likert scale with a range of 'completely incorrrect´ (0) to'completely correct´ (6).
Time frame: Measured during months 4, 8 and 12 after enrollment of the intervention. No control group measurements are available for the secondary outcomes.
Recovery
Recovery was measured by the validated Karolinska Sleep Questionnaireith 5-point Likert scale ranging from "not at all" to "very much". The Sleep quality of 3 items from the subjective meaning of good sleep from: 1\. Did you have trouble falling asleep last night? 2. How did you sleep last night? 3. Have you slept restlessly? 2 item of being able to let go of work thoughts 1. During the past week, have I had difficulty letting go of thoughts about work during my free time? 2. During the past week, have you been able to relax? 1 items engagement in leisure activities scale of using a 5-point Lickert scale ranging from "never" to "daily". 1\. During the past week, have you been able to do activities that give you energy?
Time frame: Measured during months 4, 8 and 12 after enrollment of the intervention. No control group measurements are available for the secondary outcomes.
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