Developing critical thinking skills among nursing

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Reference no: EM133772063

Research Summary Project

The practice issue is the potential shortfall of traditional clinical training in adequately developing critical thinking skills among nursing students. As healthcare settings grow in complexity, the urgency to implement educational strategies that thoroughly prepare students for dynamic clinical challenges has become more pronounced

Practice Issue and PICOT Statement

Multiple factors exist that compound the nursing shortage phenomenon.Statistics report that the combination of nurses retiring and leaving bedside positions contributesto the vacancy of 195,000 nurses yearly through 2030 (Bureau of Labor Statistics, U.S. Department of Labor, 2021). The projected demand for critical care specialty nurses is greater than the supply of adequately trained nurses. As of 2021, the average turnover rate of acute care nurses reached 18.7%, with as much as 24% of new graduate nurses (NGNs)leaving within the first year of hire (NSI Nursing Solutions, Inc. [NSI], 2021).Southwest General Hospital's (SWGH)current hiring practices do not include hiring NGNsdirectly to the intensive care unit (ICU). The hospital continues to struggle to recruit and retain critical care nurses.

Will implementing a new graduate nurse NGN (P) critical-care internship and residency program at SWGH (I) help integrate NGNs to improve ICU recruitment and retention rates (O) compared to no critical-care nurse internship and residency program (C) during a 6-8-week timeframe (T)?

Article #1
The experiences of new graduate nurses hired and retained in adult intensive care units. Intensive and Critical Care Nursing

Purpose The study explored the experiences of new graduateregistered nurses NGNshired in adult ICUswho survived their transition from novice to competent. The researchsought to explore the experiences and professional growth of NGNs hired into adult ICUs post-graduation. The studyevaluatedNGNs' learning experiences, thoughts, feelings, perceptions, interpersonal relationships, and contextual factors of becoming an ICU nurse.

Article #2 Intensive care experiences of intern nurse students: A qualitative study. Nurse Education Today

Purpose Researchers sought to define senior nursing students' clinical experience of their critical care internship within a Turkish university ICU.

Article #3

Purpose This study aimed to identify factors that enhance positive nurse residency experiences. Researchers developed questions to examine the direct effects of positive preceptor relationships and the moderating effects of decreased stress due to supportive preceptor experiences.
The following questions guided the focus of the research:
1. Is there a significant relationship between higher preceptor ratingsand higher residency ratings?
2. Is there a significant relationship between higher debriefing ratingsand higher residency ratings?
3. Does decrease stress due to mentorship moderate the relationshipbetween preceptor ratings and residency ratings?
4. Does decreased stress due to mentorship moderate the relationshipbetween debriefing ratings and residency ratings?

Article #4

Purpose This study explored the relationships betweennursing students'self-efficacy, professional identity, and competence variables.The research sought to investigate the
the phenomenon of student nurses'competence, professional identity, and self-efficacy during their internship experience,identify the relationship between the variables, and explore if self-efficacy affects the association between student nurses' professional identity and competence.

Article #5
Purpose Researchers cannot readily duplicate studies examining the influence of NGN mentorship on decreasing NGN turnover rates becausethe strategies used in residency or mentoring programs vary depending on the facility, culture, or clinical setting. Additionally, researchers rarely analyze the turnover rates of NGNs after exposure to a residency program. Therefore, this study aimed to examinethe trends in NGNs turnover rates and address research gaps related to NGN residency programs using the following questions:What is the trend in the turnover rates of new graduate nurses within three years of their first job in China?To what extent is a one-on-one mentorship program better than a basic preceptorship in decreasing the turnover rate over time?

Reference no: EM133772063

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