Literature DB >> 29194297

A Crisis in Competency: The Strategic and Ethical Imperative to Assessing New Graduate Nurses' Clinical Reasoning.

Joan M Kavanagh1, Christine Szweda.   

Abstract

AIM: The aim of the study was to assess entry-level competency and practice readiness of newly graduated nurses.
BACKGROUND: Literature on success of new graduates focuses primarily on National Council of State Boards of Nursing Licensure Examination (NCLEX-RN) pass rates, creating a false and incomplete picture of practice readiness.
METHOD: Posthire and prestart Performance-Based Development System assessments were administered to more than 5,000 newly graduated nurses at a large midwestern academic medical center between July 2010 and July 2015.
RESULTS: Aggregate baseline data indicate that only 23 percent of newly graduated nurses demonstrate entry-level competencies and practice readiness.
CONCLUSION: New data suggest that we are losing ground in the quest for entry-level competency. Graduates often are underprepared to operate in the complex field of professional practice where increased patient acuity and decreased length of stay, coupled with a lack of deep learning in our academic nursing programs, have exacerbated a crisis in competency.

Entities:  

Mesh:

Year:  2017        PMID: 29194297     DOI: 10.1097/01.NEP.0000000000000112

Source DB:  PubMed          Journal:  Nurs Educ Perspect        ISSN: 1536-5026


  9 in total

1.  Nursing students' risk perceptions related to medication administration error: A qualitative study.

Authors:  Joanne Roman Jones; Marie Boltz; Rachel Allen; Kimberly Van Haitsma; Douglas Leslie
Journal:  Nurse Educ Pract       Date:  2021-12-10       Impact factor: 2.281

2.  Explaining the inhibitory characteristics of clinical instructors in the process of developing clinical competence of nursing students: a qualitative study.

Authors:  Amir Sadeghi; Khodayar Oshvandi; Yaser Moradi
Journal:  J Family Med Prim Care       Date:  2019-05

3.  Essential dimensions of professional competency examination in Iran from academic and clinical nurses' perspective: A mixed-method study.

Authors:  Foroozan Atashzadeh-Shoorideh; Sadat Seyed Bagher Maddah; Leila Azimi; Tahereh Toulabi; Leila Valizadeh; Vahid Zamanzadeh; Raziyeh Ghafouri
Journal:  J Educ Health Promot       Date:  2021-11-30

4.  Strategic Planning for a Very Different Nursing Workforce.

Authors:  Marla J Weston
Journal:  Nurse Lead       Date:  2022-01-20

5.  Improving Physical Assessment and Clinical Judgment Skills without Increasing Content in a Prelicensure Nursing Health Assessment Course.

Authors:  Kathryn Kinyon; Shannon D'Alton; Kristen Poston; Sarah Navarrete
Journal:  Nurs Rep       Date:  2021-08-02

6.  The Effect of Nursing Simulation on the Clinical Judgment of Nursing Care for Patients with Increased Intracranial Pressure (IICP).

Authors:  Ae Ri Jang; Jeong Eun Moon
Journal:  Iran J Public Health       Date:  2021-10       Impact factor: 1.429

7.  Where Are We Now? A Follow-up Survey on Regulation of Simulation Use in United States Prelicensure Nursing Programs.

Authors:  Kim Curry-Lourenco; Cynthia Sherraden Bradley; Patti White; Ann Loomis; Reba Moyer Childress; K T Waxman
Journal:  Clin Simul Nurs       Date:  2022-08-24       Impact factor: 2.856

8.  Nurses' perceptions of continuing professional development: a qualitative study.

Authors:  Xiaoyan Yu; Yi Huang; Yu Liu
Journal:  BMC Nurs       Date:  2022-06-23

9.  Nurses' professional competences in providing care to the injured in earthquake: A qualitative study.

Authors:  Soheila Ahangarzadeh Rezaei; Alireza Abdi; Farzaneh Akbari; Khalil Moradi
Journal:  J Educ Health Promot       Date:  2020-07-28
  9 in total

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