Grace Suva1, Shelley Sager2, Elaine Santa Mina3, Nancy Sinclair4, Monique Lloyd5, Irmajean Bajnok6, Sarah Xiao7. 1. Program Manager, International Affairs and Best Practice Guidelines Centre (IaBPG), Registered Association of Ontario (RNAO), Toronto, Ontario, Canada. 2. Coordinator RPN to BScN Program, Conestoga College Institute of Technology and Advanced Learning, Kitchener, Ontario, Canada. 3. Associate Director, Daphne Cockwell School of Nursing, Ryerson University, Toronto, Ontario, Canada. 4. Sessional Faculty and Coordinator RPN to BScN Stream, School of Nursing, Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada. 5. Associate Director, Guideline Development, Research and Evaluation, IaBPG Centre, RNAO, Toronto, Ontario, Canada. 6. Director, IaBPG Centre, RNAO, Toronto, Ontario, Canada. 7. Doctoral Student, University of Toronto, Lawrence S. Bloomberg Faculty of Nursing, Toronto, Ontario, Canada.
Abstract
PURPOSE: To review the evidence examining the influences of successful education and professional role transition for registered practical nurses (RPNs) pursuing a baccalaureate degree in nursing (BScN) and registered nurse (RN) licensure through RPN-to-RN bridging programs. DESIGN: Systematic review of papers published between 1995 and 2014 that evaluated students' education and professional role transitions from RPN to RN. METHODS: Thirty-nine papers were selected that observed or studied the change or transition in designation from RPN to RN, or its equivalent, through bridging programs and analyzed thematically according to Meleis, Sawyer, Im, Hilfinger Messias, and Schumacher's transition model. FINDINGS: Personal, community, and social conditions related to preparation for entry, program enrolment, and postgraduate clinical integration influence successful education and professional role transitions for RPN-to-RN bridging students. CONCLUSIONS: Providing key transition supports may enhance the potential for successful student transition into and throughout a bridging program, but further research is necessary to enhance this understanding and to recommend best practices for optimizing students' success. CLINICAL RELEVANCE: The evidence from this review identifies facilitators and barriers to successful education and professional role transition for RPN-to-RN bridging students, and identifies important considerations for future research.
PURPOSE: To review the evidence examining the influences of successful education and professional role transition for registered practical nurses (RPNs) pursuing a baccalaureate degree in nursing (BScN) and registered nurse (RN) licensure through RPN-to-RN bridging programs. DESIGN: Systematic review of papers published between 1995 and 2014 that evaluated students' education and professional role transitions from RPN to RN. METHODS: Thirty-nine papers were selected that observed or studied the change or transition in designation from RPN to RN, or its equivalent, through bridging programs and analyzed thematically according to Meleis, Sawyer, Im, Hilfinger Messias, and Schumacher's transition model. FINDINGS: Personal, community, and social conditions related to preparation for entry, program enrolment, and postgraduate clinical integration influence successful education and professional role transitions for RPN-to-RN bridging students. CONCLUSIONS: Providing key transition supports may enhance the potential for successful student transition into and throughout a bridging program, but further research is necessary to enhance this understanding and to recommend best practices for optimizing students' success. CLINICAL RELEVANCE: The evidence from this review identifies facilitators and barriers to successful education and professional role transition for RPN-to-RN bridging students, and identifies important considerations for future research.