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      Protocol for a Case Study to Explore the Transition to Practice of New Graduate Nurses in Long-Term Care

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          Abstract

          A qualitative case study protocol for an exploration of the transition to practice of new graduate nurses in long-term care is presented. For the new graduated nurse, the transition to professional practice is neither simple nor easy. This time of transition has been examined within the hospital setting, but little work has been done from the perspective and context of long-term care. As the global population continues to age and the acuity of persons accessing services outside of hospital continues to increase, there is a need to better understand the transition experience of new graduate nurses in alternative, tertiary settings such as long-term care. Therefore, the purpose of this report is to situate a study and describe a protocol that explored the transition to practice experience of seven new graduate nurses in long-term care using Yin’s case study methodology. The case or phenomenon being explored is new graduate nurse transition to practice. This report presents an overview of the literature in order to situate and describe the case under study, a thorough description of the binding of the case as well as the data sources utilized, and ultimately reflects upon the lessons learned using this methodology. The lessons learned include challenges related to precise case binding, the role and importance of context in conducting case study research, and difficulties in disseminating study findings. Overall, this report provides a detailed example of the application of the case study design through description of a study protocol in order to facilitate learning about this complex and often improperly utilized study design.

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          Transition shock: the initial stage of role adaptation for newly graduated registered nurses.

          The aim of this paper is to provide a theoretical framework of the initial role transition for newly graduated nurses to assist managers, educators and seasoned practitioners to support and facilitate this professional adjustment appropriately. The theory of Transition Shock presented here builds on Kramer's work by outlining how the contemporary new graduate engaging in a professional practice role for the first time is confronted with a broad range and scope of physical, intellectual, emotional, developmental and sociocultural changes that are expressions of, and mitigating factors within the experience of transition. This paper offers cumulative knowledge gained from a programme of research spanning the last 10 years and four qualitative studies on new graduate transition. New nurses often identify their initial professional adjustment in terms of the feelings of anxiety, insecurity, inadequacy and instability it produces. The Transition Shock theory offered focuses on the aspects of the new graduate's roles, responsibilities, relationship and knowledge that both mediate the intensity and duration of the transition experience and qualify the early stage of professional role transition for the new nursing graduate. Transition shock reinforces the need for preparatory theory about role transition for senior nursing students and the critical importance of bridging undergraduate educational curricula with escalating workplace expectations. The goal of such knowledge is the successful integration of new nursing professionals into the stressful and highly dynamic context of professional practice.
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            Qualitative inquiry & research design: Choosing among give approaches

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              From novice to expert.

              P Benner (1982)
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                Author and article information

                Journal
                SAGE Open Nurs
                SAGE Open Nurs
                SON
                spson
                SAGE Open Nursing
                SAGE Publications (Sage CA: Los Angeles, CA )
                2377-9608
                12 September 2018
                Jan-Dec 2018
                : 4
                : 2377960818797251
                Affiliations
                [1 ]School of Nursing, McMaster University, Hamilton, ON, Canada
                Author notes
                [*]Carly Whitmore, Faculty of Health Sciences, School of Nursing, McMaster University, 1280 Main Street West, HSC-3N25J Hamilton, ON, Canada L8S 4K1. Email: whitmorc@ 123456mcmaster.ca
                Author information
                https://orcid.org/0000-0001-8168-8449
                Article
                10.1177_2377960818797251
                10.1177/2377960818797251
                7774378
                fc295e9f-6248-49c4-956c-c2085b51c19b
                © The Author(s) 2018

                Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License ( http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages ( https://us.sagepub.com/en-us/nam/open-access-at-sage).

                History
                : 12 May 2018
                : 3 August 2018
                : 6 August 2018
                Funding
                Funded by: Registered Practical Nurses Association of Ontario, FundRef ;
                Categories
                Systematic Report
                Custom metadata
                January-December 2018

                case study research,protocol,qualitative research,graduate nurse,long-term care,registered practical nurse,registered nurse,clinical practice nursing research,transition to practice

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