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New graduate nurses' clinical competence, clinical stress, and intention to leave: a longitudinal study in Taiwan.

Cheng CY, Tsai HM, Chang CH, Liou SR - ScientificWorldJournal (2014)

Bottom Line: Results showed that posttest clinical competence was significantly higher than pretest competence, positively related to clinical competence at 3 and 12 months, and negatively related to clinical stress at 3 months.The training program improved students' clinical competence.The stressful time that was correlated with new graduate nurses' intention to leave their job was between the sixth and twelfth months after employment.

View Article: PubMed Central - PubMed

Affiliation: Chang Gung University of Science and Technology, 2 Chiapu Road, West Sec., Putz, Chiayi 613, Taiwan.

ABSTRACT
This longitudinal research study aimed to develop a pregraduation clinical training program for nursing students before graduation and evaluate its effect on students' self-perceived clinical competence, clinical stress, and intention to leave current job. A sample of 198 students returned the questionnaires before and after the program. They were followed up at 3, 6, and 12 months after graduation. Results showed that posttest clinical competence was significantly higher than pretest competence, positively related to clinical competence at 3 and 12 months, and negatively related to clinical stress at 3 months. The clinical competence at 3 months was positively related to clinical competence at 6 and 12 months, and clinical competence at 6 months was related to intention to leave at 12 months. Intention to leave at 6 months was positively related to intention to leave at 3 and 12 months. Clinical stress at 3 months was positively related to clinical stress at 6 and 12 months, but not related to intention to leave at any time points. The training program improved students' clinical competence. The stressful time that was correlated with new graduate nurses' intention to leave their job was between the sixth and twelfth months after employment.

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Study conceptual framework.
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Related In: Results  -  Collection


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fig1: Study conceptual framework.

Mentions: Studies have focused on the relationship between clinical stress and intention to leave among new graduate nurses, but little attention has been paid to the relationships between clinical competence, clinical stress, and intention to leave all together in a longitudinal study. Clearly, the new employment orientation period encompasses substantial learning and is a stressful time for new graduate nurses. Therefore, the purpose of this study was to develop a pregraduation clinical training program for senior nursing students in their last semester before graduation and evaluate the effects of this program empirically and longitudinally on students' self-perceived clinical competence, clinical stress, and intention to leave their current job. The conceptual framework guiding this study is illustrated in Figure 1. The research questions guiding this study are as follows: (1) What is the relationship between clinical competence, clinical stress, and intention to leave longitudinally? (2) What is the effect of the pregraduation clinical training program on clinical competence among new graduate nurses in their first year of employment? (3) Is there any difference in clinical competence, clinical stress, and intention to leave between students who remain in the hospital where they completed the pregraduation clinical training program and students who do not remain?


New graduate nurses' clinical competence, clinical stress, and intention to leave: a longitudinal study in Taiwan.

Cheng CY, Tsai HM, Chang CH, Liou SR - ScientificWorldJournal (2014)

Study conceptual framework.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC3926320&req=5

fig1: Study conceptual framework.
Mentions: Studies have focused on the relationship between clinical stress and intention to leave among new graduate nurses, but little attention has been paid to the relationships between clinical competence, clinical stress, and intention to leave all together in a longitudinal study. Clearly, the new employment orientation period encompasses substantial learning and is a stressful time for new graduate nurses. Therefore, the purpose of this study was to develop a pregraduation clinical training program for senior nursing students in their last semester before graduation and evaluate the effects of this program empirically and longitudinally on students' self-perceived clinical competence, clinical stress, and intention to leave their current job. The conceptual framework guiding this study is illustrated in Figure 1. The research questions guiding this study are as follows: (1) What is the relationship between clinical competence, clinical stress, and intention to leave longitudinally? (2) What is the effect of the pregraduation clinical training program on clinical competence among new graduate nurses in their first year of employment? (3) Is there any difference in clinical competence, clinical stress, and intention to leave between students who remain in the hospital where they completed the pregraduation clinical training program and students who do not remain?

Bottom Line: Results showed that posttest clinical competence was significantly higher than pretest competence, positively related to clinical competence at 3 and 12 months, and negatively related to clinical stress at 3 months.The training program improved students' clinical competence.The stressful time that was correlated with new graduate nurses' intention to leave their job was between the sixth and twelfth months after employment.

View Article: PubMed Central - PubMed

Affiliation: Chang Gung University of Science and Technology, 2 Chiapu Road, West Sec., Putz, Chiayi 613, Taiwan.

ABSTRACT
This longitudinal research study aimed to develop a pregraduation clinical training program for nursing students before graduation and evaluate its effect on students' self-perceived clinical competence, clinical stress, and intention to leave current job. A sample of 198 students returned the questionnaires before and after the program. They were followed up at 3, 6, and 12 months after graduation. Results showed that posttest clinical competence was significantly higher than pretest competence, positively related to clinical competence at 3 and 12 months, and negatively related to clinical stress at 3 months. The clinical competence at 3 months was positively related to clinical competence at 6 and 12 months, and clinical competence at 6 months was related to intention to leave at 12 months. Intention to leave at 6 months was positively related to intention to leave at 3 and 12 months. Clinical stress at 3 months was positively related to clinical stress at 6 and 12 months, but not related to intention to leave at any time points. The training program improved students' clinical competence. The stressful time that was correlated with new graduate nurses' intention to leave their job was between the sixth and twelfth months after employment.

Show MeSH