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New graduate nurses’ preparation for recognition and prevention of failure to rescue: A qualitative study

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  • Elizabeth K. Herron

Abstract

Aim and Objective To explore new graduate nurses’ experiences with recognition and prevention of failure to rescue. Background Failure to rescue is recognised as a quality–of‐care indicator, a core measure of nursing care in hospitals, and a determinant for staffing in acute care facilities. Clinical reasoning is an essential component in preventing failure to rescue and should be emphasised in nursing education and new graduate orientation. Many nurses graduate without the ability to use clinical reasoning in providing patient care which can lead to adverse patient outcomes. Design A descriptive phenomenological design was used. Methods A purposive sample of 14 new graduate nurses from a nursing programme in the south‐eastern USA, in practice for no more than eighteen months, was recruited. Individual one‐on‐one interviews were conducted from January–June 2016 and audio‐recorded for accuracy. Data were evaluated using the consolidated criteria for reporting qualitative research (COREQ) guidelines. Recordings were professionally transcribed and reviewed. Results Using Giorgi's methods for data analysis, five main themes were discerned in the data: clinical preparation in school; experience with emergent situations; development of clinical reasoning; low confidence as a new graduate; and responding to emergencies. Within each theme, subthemes emerged. Conclusion The words of the participants provided rich detail into the preparation of new graduate nurses and how nurse educators, managers and preceptors can better focus learning opportunities to prepare them for practice. Experiential learning combined with collaboration among education stakeholders will lead to a better prepared and more confident nursing work force. Relevance to clinical practice Better preparation and continued support of new graduate nurses lead to positive patient outcomes and more satisfaction with their choice of nursing as a profession.

Suggested Citation

  • Elizabeth K. Herron, 2018. "New graduate nurses’ preparation for recognition and prevention of failure to rescue: A qualitative study," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(1-2), pages 390-401, January.
    • Handle: RePEc:wly:jocnur:v:27:y:2018:i:1-2:p:e390-e401
    DOI: 10.1111/jocn.14016
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    References listed on IDEAS

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    1. Amy Purling & Lindy King, 2012. "A literature review: graduate nurses' preparedness for recognising and responding to the deteriorating patient," Journal of Clinical Nursing, John Wiley & Sons, vol. 21(23-24), pages 3451-3465, December.
    2. Patricia L. Hart & LeeAnna Spiva & Lonnie Dolly & Kristen Lang‐Coleman & Nadia Prince‐Williams, 2016. "Medical‐surgical nurses' experiences as first responders during deterioration events: a qualitative study," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(21-22), pages 3241-3251, November.
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    Cited by:

    1. Potdar, Balkrushna & Garry, Tony & McNeill, Lisa & Gnoth, Juergen & Pandey, Rakesh & Mansi, Mansi & Guthrie, John, 2020. "Retail employee guardianship behaviour: A phenomenological investigation," Journal of Retailing and Consumer Services, Elsevier, vol. 54(C).
    2. Melanie Murray & Deborah Sundin & Vicki Cope, 2019. "New graduate nurses’ understanding and attitudes about patient safety upon transition to practice," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(13-14), pages 2543-2552, July.

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