New Graduate Nurses and Failure to Rescue
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Questions and Answers

Communication with providers is always straightforward and positive.

False

New graduates often feel overwhelmed with their tasks and responsibilities.

True

Confidence in a clinical setting increases after completing orientation.

True

During emergencies, only nursing staff are required to respond.

<p>False</p> Signup and view all the answers

Feeling nervous is uncommon for new graduates in their initial roles.

<p>False</p> Signup and view all the answers

Teamwork among co-workers can enhance confidence on the unit.

<p>True</p> Signup and view all the answers

The transition from novice to expert in nursing is immediate and easy.

<p>False</p> Signup and view all the answers

New nurses often rely on their gut instinct when something feels wrong with a patient.

<p>True</p> Signup and view all the answers

New nursing graduates should be shielded from the most difficult patients during their orientation.

<p>False</p> Signup and view all the answers

Rapid response teams were developed around 2005 to assist in preventing failure to rescue situations.

<p>True</p> Signup and view all the answers

Simulation does not significantly prepare nurses for the care of deteriorating patients.

<p>False</p> Signup and view all the answers

Confidence building in new graduates is important for making safe clinical decisions.

<p>True</p> Signup and view all the answers

The guidance of experienced educators is unnecessary for nursing students and new graduates.

<p>False</p> Signup and view all the answers

Coordination with clinical partners is essential for ensuring optimal clinical learning experiences for nursing students.

<p>True</p> Signup and view all the answers

New graduate nurses are trained to recognize resources available to them in clinical settings.

<p>True</p> Signup and view all the answers

Research is not needed to determine best practices in nursing schools for preparing students to handle deteriorating patients.

<p>False</p> Signup and view all the answers

An experienced nurse is mentioned as a resource to help novice nurses understand their patients' vital signs.

<p>True</p> Signup and view all the answers

It took a new nurse one week of orientation to feel comfortable with calling for help.

<p>False</p> Signup and view all the answers

Knowing who to contact for assistance is not considered an important skill for novice nurses.

<p>False</p> Signup and view all the answers

A novice nurse expressed confidence in their clinical reasoning skills from the start of their orientation.

<p>False</p> Signup and view all the answers

A vital part of the transition from novice to expert includes developing a personal system that works for each nurse.

<p>True</p> Signup and view all the answers

Calling for help was deemed unnecessary by most participants even when vital signs were changing.

<p>False</p> Signup and view all the answers

The statement 'it finally clicked' refers to the moment a nurse begins to understand their role and responsibilities.

<p>True</p> Signup and view all the answers

New nurses reported that communication with other healthcare staff was less important than patient care.

<p>False</p> Signup and view all the answers

Study Notes

Aim and Objective

  • Explore new graduate nurses' experiences with recognizing and preventing failure to rescue.
  • Failure to rescue is a quality-of-care indicator and a core measure of nursing care in hospitals.

Background

  • Failure to rescue is a determinant for staffing in acute care facilities.
  • Clinical reasoning is essential for preventing failure to rescue.
  • Many new graduate nurses lack the ability to use clinical reasoning when providing patient care, which can lead to adverse patient outcomes.

Design

  • A descriptive phenomenological design was used.

Methods

  • 14 new graduate nurses from a southeastern US nursing program, in practice for no more than 18 months, participated.
  • Individual one-on-one interviews were conducted from January-June 2016.
  • Interviews were audio-recorded and transcribed for accuracy.
  • Consolidated criteria for reporting qualitative research (COREQ) guidelines were used.

Results

  • Five main themes emerged from the data:
    • Clinical preparation in school
    • Experience with emergent situations
    • Development of clinical reasoning
    • Low confidence as a new graduate
    • Responding to emergencies.
  • Subthemes emerged within each main theme.

Conclusion

  • New graduate nurses' experiences provide insight into preparation for practice.
  • Nurse educators, managers, and preceptors can better prepare new grads for practice focusing on experiential learning and collaboration.
  • Better preparation and support leads to positive patient outcomes and greater job satisfaction amongst new grads.

Relevance to clinical practice

  • Nurse educators should focus on the importance of clinical reasoning, preparation for emergencies, and interprofessional communication.
  • Nurse educators should collaborate with clinical unit staff to provide adequate new graduate orientation.
  • Improved preparation will lead to better patient outcomes and more positive experiences for new graduates.

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Description

This quiz explores the experiences of new graduate nurses in recognizing and preventing failure to rescue incidents in clinical settings. It highlights the importance of clinical reasoning and its impact on patient outcomes. Participate to deepen your understanding of nursing care quality indicators and staffing determinants in acute care.

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