Effects of a theory-driven hybrid online-offline mentorship program on transition outcomes of newly graduated nurses in their first year: A randomized controlled trial
Yaqi Zhu , Yuanyuan Zhang , Jie Wu , Xiaohua Ge , Yaqing Zhang
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Abstract
Aim
This study aimed to measure the feasibility and acceptability of a theory-driven hybrid online-offline mentorship program and determine its impact on transition of newly graduated nurses.
Background
Excessive transition shock for newly graduated nurses can harm their well-being and increase nursing mistakes and patient issues. Therefore, helping newly graduated nurses in transitioning is crucial.
Design
A parallel 2-arm randomized controlled trial design was used.
Method
The study randomly assigned 90 newly graduated nurses to receive either mentorship intervention or usual training. Two of them lost at the first follow-up and their data were not included in the outcome analysis. Outcomes included transition shock, job satisfaction and intent to stay. Generalized Linear Mixed Model was conducted to compare outcomes at baseline to follow-up. Semi-interviews with mentees and mentors were conducted for the qualitative part. Thematic analysis was used to code the qualitative responses. This report adheres to the CONSORT.
Results
At 6 months post-intervention, participants in the intervention group showed significant mitigation of rising levels of transition shock (Coef.=-0.223, p < 0.001) compared with the control group. Moreover, participants showed significant mitigation of declining of job satisfaction (Coef.=0.075, p < 0.05) and intent to stay (Coef.=0.435, p < 0.01). Qualitative findings showed participants’ positive experience with the program.
Conclusion
The study showed that the intervention not only effectively mitigated the transition shock for newly graduated nurses but also slowed the decline in job satisfaction and intent to stay, offering valuable insights for future nursing research, education and management.
目的本研究旨在衡量理论驱动的线上线下混合型师徒计划的可行性和可接受性，并确定其对新毕业护士转型的影响。背景对于刚毕业的护士来说，过度的过渡休克会损害他们的健康，增加护理失误和患者问题。因此，帮助刚毕业的护士过渡是至关重要的。设计采用平行双臂随机对照试验设计。方法将90名刚毕业的护士随机分为师友干预组和常规培训组。其中两人在第一次随访时死亡，他们的数据未纳入结果分析。结果包括过渡冲击、工作满意度和留下来的意愿。采用广义线性混合模型比较基线和随访的结果。质性部分对学员和导师进行半访谈。采用主题分析对定性回答进行编码。本报告遵循CONSORT。结果干预6个月后，与对照组相比，干预组参与者的过渡性休克水平升高有显著缓解（Coef =-0.223, p <； 0.001）。此外，参与者的工作满意度（Coef =0.075, p <； 0.05）和留下来的意图（Coef =0.435, p <； 0.01）的下降有显著缓解。定性调查结果显示，参与者对该项目有积极的体验。结论干预不仅有效缓解了新毕业护士的过渡冲击，而且减缓了新毕业护士工作满意度和留任意愿的下降，为今后护理研究、教育和管理提供了有价值的参考。
期刊介绍：
Nurse Education in Practice enables lecturers and practitioners to both share and disseminate evidence that demonstrates the actual practice of education as it is experienced in the realities of their respective work environments. It is supportive of new authors and will be at the forefront in publishing individual and collaborative papers that demonstrate the link between education and practice.
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