Registered nurses' perceptions of new nursing graduates' clinical competence: A systematic integrative review

Over the past decade, many questions have been raised about graduates’ clinical competence and fitness for practice upon completion of their undergraduate education. Despite the significance of this issue, the perspectives of registered nurses have rarely been examined. This systematic review explor...

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Bibliographic Details
Published in:Nursing & health sciences 2016-06, Vol.18 (2), p.143-153
Main Authors: Missen, Karen, McKenna, Lisa, Beauchamp, Alison
Format: Article
Language:English
Subjects:
Attitude of Health Personnel
Clinical competence
Clinical Competence - standards
Clinical nursing
Clinical research
Clinical skills
competence
Critical thinking
experienced nurse
Fitness
Humans
new nursing graduates
Nurses
Nurses - psychology
Nursing
Nursing administration
Perception
Perceptions
Professional competence
Readiness
systematic review
Technical skills
Time Factors
work-readiness
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Summary:Over the past decade, many questions have been raised about graduates’ clinical competence and fitness for practice upon completion of their undergraduate education. Despite the significance of this issue, the perspectives of registered nurses have rarely been examined. This systematic review explores the perceptions of experienced registered nurses regarding the clinical competence of new nursing graduates. Original research studies published between 2004–2014 were identified using electronic databases, reference lists, and by searching “grey literature.” Papers were critically reviewed and relevant data extracted and synthesized using an approach based on Preferred Reporting Items for Systematic Reviews and Meta‐Analysis. From 153 studies initially identified, 15 original research papers were included. Four main research themes were identified: clinical/technical skills, critical thinking, interaction/communication, and overall readiness for practice. Areas of concern in relation to the clinical competence of new nursing graduates specifically related to two themes: critical thinking and clinical/technical skills. Further research is required on strategies identified within the literature with the ultimate aim of ensuring new nursing graduates are safe and competent practitioners.
ISSN:1441-0745
1442-2018
DOI:10.1111/nhs.12249