Exploration of competence and incompetence in new graduate nurses: Orientation leaders’ and preceptors’ perspectives

IF 4 3区医学 Q1 NURSING Nurse Education in Practice Pub Date : 2025-05-01 Epub Date: 2025-04-05 DOI:10.1016/j.nepr.2025.104361

Lynne Porter Lewallen , Elizabeth Van Horn

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Abstract

Aim

The purpose of this study was to explore from orientation leaders' and preceptors' perspectives how they define competence and incompetence in the new graduate nurse.

Background

The combined goal of nursing education and hospital orientation programs is to prepare competent nurses for practice. Research has shown declining competence in new graduate nurses. Competence has no standard definition and is often uniquely defined by institutions.

Design

A descriptive qualitative design was used.

Methods

In-depth qualitative interviews using a semi-structured interview guide were conducted with orientation leaders and preceptors chosen from health systems in seven U.S. states.

Results

Two themes, each with subthemes, were identified. One theme was Competent, with subthemes of safety, communication and functioning as a member of the unit health care team. The other theme was Incompetent, with subthemes of not progressing, unsafe, ineffective communication and lack professional responsibility.

Conclusions

The findings of this study provide nurse orientation leaders’ and preceptors’ perspectives on the critical components of competent and incompetent practice and can be used to inform strategies to aid new graduates in becoming competent nurses. Nurse educators in practice and educational settings can monitor development of these behaviors in new graduate nurses and nursing students to either support those that lead to competent practice or make corrections in behaviors that may lead to incompetent nursing practice.

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新毕业护士胜任与不胜任的探讨：导向领导与导师的观点

背景护理教育和医院迎新计划的共同目标是培养合格的实习护士。研究表明，新毕业护士的能力正在下降。方法采用半结构化访谈指南，对美国七个州的医疗系统中的新生指导负责人和实习护士进行了深入的定性访谈。结果确定了两个主题，每个主题都有副主题。一个主题是 "胜任"，其次是 "安全"、"沟通 "和 "作为单位医疗团队成员的职能"。结论本研究的结果提供了护士定向领导者和戒护者对胜任和不胜任实践的关键要素的看法，可用于指导帮助新毕业生成为胜任护士的策略。实践和教育环境中的护士教育者可以监控新毕业护士和护生这些行为的发展，以支持那些导致合格实践的行为，或纠正那些可能导致不合格护理实践的行为。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Nurse Education in Practice NURSING-

CiteScore

5.40

自引率

9.40%

发文量

180

审稿时长

51 days

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.