Podcast
Questions and Answers
Communication with providers is always straightforward and positive.
Communication with providers is always straightforward and positive.
False (B)
New graduates often feel overwhelmed with their tasks and responsibilities.
New graduates often feel overwhelmed with their tasks and responsibilities.
True (A)
Confidence in a clinical setting increases after completing orientation.
Confidence in a clinical setting increases after completing orientation.
True (A)
During emergencies, only nursing staff are required to respond.
During emergencies, only nursing staff are required to respond.
Feeling nervous is uncommon for new graduates in their initial roles.
Feeling nervous is uncommon for new graduates in their initial roles.
Teamwork among co-workers can enhance confidence on the unit.
Teamwork among co-workers can enhance confidence on the unit.
The transition from novice to expert in nursing is immediate and easy.
The transition from novice to expert in nursing is immediate and easy.
New nurses often rely on their gut instinct when something feels wrong with a patient.
New nurses often rely on their gut instinct when something feels wrong with a patient.
New nursing graduates should be shielded from the most difficult patients during their orientation.
New nursing graduates should be shielded from the most difficult patients during their orientation.
Rapid response teams were developed around 2005 to assist in preventing failure to rescue situations.
Rapid response teams were developed around 2005 to assist in preventing failure to rescue situations.
Simulation does not significantly prepare nurses for the care of deteriorating patients.
Simulation does not significantly prepare nurses for the care of deteriorating patients.
Confidence building in new graduates is important for making safe clinical decisions.
Confidence building in new graduates is important for making safe clinical decisions.
The guidance of experienced educators is unnecessary for nursing students and new graduates.
The guidance of experienced educators is unnecessary for nursing students and new graduates.
Coordination with clinical partners is essential for ensuring optimal clinical learning experiences for nursing students.
Coordination with clinical partners is essential for ensuring optimal clinical learning experiences for nursing students.
New graduate nurses are trained to recognize resources available to them in clinical settings.
New graduate nurses are trained to recognize resources available to them in clinical settings.
Research is not needed to determine best practices in nursing schools for preparing students to handle deteriorating patients.
Research is not needed to determine best practices in nursing schools for preparing students to handle deteriorating patients.
An experienced nurse is mentioned as a resource to help novice nurses understand their patients' vital signs.
An experienced nurse is mentioned as a resource to help novice nurses understand their patients' vital signs.
It took a new nurse one week of orientation to feel comfortable with calling for help.
It took a new nurse one week of orientation to feel comfortable with calling for help.
Knowing who to contact for assistance is not considered an important skill for novice nurses.
Knowing who to contact for assistance is not considered an important skill for novice nurses.
A novice nurse expressed confidence in their clinical reasoning skills from the start of their orientation.
A novice nurse expressed confidence in their clinical reasoning skills from the start of their orientation.
A vital part of the transition from novice to expert includes developing a personal system that works for each nurse.
A vital part of the transition from novice to expert includes developing a personal system that works for each nurse.
Calling for help was deemed unnecessary by most participants even when vital signs were changing.
Calling for help was deemed unnecessary by most participants even when vital signs were changing.
The statement 'it finally clicked' refers to the moment a nurse begins to understand their role and responsibilities.
The statement 'it finally clicked' refers to the moment a nurse begins to understand their role and responsibilities.
New nurses reported that communication with other healthcare staff was less important than patient care.
New nurses reported that communication with other healthcare staff was less important than patient care.
Flashcards
Iffy feeling
Iffy feeling
A feeling of uncertainty or doubt; a sense something is not quite right
Clinical reasoning
Clinical reasoning
The process of making decisions about patient care based on critical thinking, patient information, and clinical knowledge.
Orientation
Orientation
The time period when new nurses learn to adapt to their new roles and work environment.
Vital signs changing
Vital signs changing
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Calling for help
Calling for help
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Knowing who to call
Knowing who to call
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Personal system (for new nurses)
Personal system (for new nurses)
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Clicking for Nurses
Clicking for Nurses
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Rapid Response Teams (RRTs)
Rapid Response Teams (RRTs)
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New Graduate Confidence
New Graduate Confidence
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Provider Communication
Provider Communication
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Patient Deterioration
Patient Deterioration
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New Graduate Support
New Graduate Support
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Overwhelmed Tasks
Overwhelmed Tasks
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Clinical Collaboration
Clinical Collaboration
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Clinical Progression
Clinical Progression
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Simulation Training
Simulation Training
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Responding to Emergencies
Responding to Emergencies
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Multi-Patient Scenarios
Multi-Patient Scenarios
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Teamwork Support
Teamwork Support
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Rapid Response Team
Rapid Response Team
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Resource Awareness
Resource Awareness
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Clinical Reasoning Development
Clinical Reasoning Development
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Clinical Learning Experiences
Clinical Learning Experiences
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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.
