UBC Theses and Dissertations

UBC Theses Logo

UBC Theses and Dissertations

A qualitative study of an emergency department practice pathway from undergraduate nurse to three months post-pathway as new graduate nurse Bryant, Erin

Abstract

Background: A health authority, university, and technical institution collaborated to create an Emergency Department (ED) Bachelor of Science in Nursing Practice Pathway. Pathway participants transitioned into the ED as new graduate nurses (NGN). Empirical knowledge related to intentional practice pathways is lacking. The purpose of this study was to investigate the perspectives of NGN who participated in the ED practice pathway and stakeholders involved in pathway development and implementation. Research Design: This study utilized an interpretive description methodology. Data collected occurred through semi-structured interviews with new graduates, a focus group with stakeholders involved in pathway implementation, and new graduate and preceptor completion of Likert-scale assessment tool. Findings: Three main themes were constructed from the data. The first theme, contextual circumstances, represents the circumstances that set the backdrop and influenced NGNs experiences of the pathway and their transition. These circumstances included transitioning during a global pandemic, the culture of nursing burnout, and the learning environment. The second theme, the pathway, reflects NGN participants actual experiences of the pathway overall, as well as its component parts and pathway stakeholders’ perspectives of the overall and specific pathway components. Finally, changes in perceived competence discusses perceived competency of the NGN from both NGN and pathway stakeholder perspectives. Discussion: The findings from the study indicate that NGN who participated in the ED practice pathway experienced enculturation into the ED, a reduction in transition shock, and an accelerated clinical progression. As this was the first study to explore this phenomena, recommendations of future investigation are provided.

Item Media

Item Citations and Data

Rights

Attribution-NonCommercial-NoDerivatives 4.0 International