OpenLB
Open Library of Bioscience
Advanced Search
International journal of nursing practice
Dec, 2021;27 (6): e12929.

Newly graduated nurses' perceptions of work environment: A cross-sectional study in China.

Weiguang Ma, Yishan Jiang, Tao Liang, Huan Zhang, Fang Ma
Author Information
  1. Weiguang Ma: School of Nursing, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China. ORCID
  2. Yishan Jiang: School of Nursing, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
  3. Tao Liang: School of Nursing, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
  4. Huan Zhang: School of Nursing, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
  5. Fang Ma: Nursing Department, The First Affiliated Hospital of Kunming Medical University, Kunming, China.
PMID: 33837980 DOI: 10.1111/ijn.12929

Abstract

AIM: To assess the attitudes of newly graduated nurses in China toward their work environment and identify the factors affecting their perception.
BACKGROUND: Newly graduated nurses are the primary supply to cover the nursing shortage, but their stressful transition into clinical work has contributed to high turnover for decades. Although serving as a source of stress, the work environment can also be a source of support for new nurses.
METHODS: A total of 2361 new nurses at 31 tertiary hospitals in 20 provinces were surveyed from June to November 2018, using the Chinese version of the Practice Environment Scale-Nursing Work Index. Basic information and their perception about work environment were collected.
RESULTS: New nurses rated their work environment with an overall score of 84.67 (12.85). Multiple linear regression identified that education level, monthly income, hospital type and location, participation (or not) in standardized training programmes and having (or not) a mentor/preceptor were factors significantly associated with their perception of the work environment.
CONCLUSION: The perception of newly graduated nurses in China was mainly positive overall. Nursing managers may take full advantage of factors affecting the perception of work environment to support newly graduated nurses better, to help their retention and transition.

Keywords

Practice Environment Scale-Nursing Work Index newly graduated nurses transition work environment

References

  1. Al Awaisi, H., Cooke, H., & Pryjmachuk, S. (2015). The experiences of newly graduated nurses during their first year of practice in the Sultanate of Oman-A case study. International Journal of Nursing Studies, 52(11), 1723-1734. https://doi.org/10.1016/j.ijnur.stu.2015.06.009
  2. Albashayreh, A., Al Sabei, S. D., Al-Rawajfah, O. M., & Al-Awaisi, H. (2019). Healthy work environments are critical for nurse job satisfaction: Implications for Oman. International Nursing Review, 66(3), 389-395. https://doi.org/10.1111/inr.12529
  3. Bennett, L. L., Grimsley, A., Grimsley, L., & Rodd, J. (2017). The gap between nursing education and clinical skills. The ABNF Journal, 28(4), 96-102.
  4. Boamah, S. A., Read, E. A., & Spence Laschinger, H. K. (2017). Factors influencing new graduate nurse burnout development, job satisfaction and patient care quality: A time-lagged study. Journal of Advanced Nursing, 73(5), 1182-1195. https://doi.org/10.1111/jan.13215
  5. Canadian Institute for Health Information (CIHI), (2015). Retrieved from https://www.cdha.ca/CDHA/TheProfession/Resources/CIHI.aspx
  6. Chen, C. M., & Lou, M. F. (2014). The effectiveness and application of mentorship programmes for recently registered nurses: A systematic review. Journal of Nursing Management, 22(4), 433-442. https://doi.org/10.1111/jonm.12102
  7. Cheng, C. Y., Tsai, H. M., Chang, C. H., & Liou, S. R. (2014). New graduate nurses' clinical competence, clinical stress, and intention to leave: A longitudinal study in Taiwan. The Scientific World Journal, 748389. (1p). https://doi.org/10.1155/2014/748389
  8. Edwards, D., Hawker, C., Carrier, J., & Rees, C. (2015). A systematic review of the effectiveness of strategies and interventions to improve the transition from student to newly qualified nurse. International Journal of Nursing Studies, 52(7), 1254-1268. https://doi.org/10.1016/j.ijnurstu.2015.03.007
  9. Esteban-Sepúlveda, S., Moreno-Casbas, M. T., Fuentelsaz-Gallego, C., & Ruzafa-Martinez, M. (2019). The nursenwork environment in Spanish nurses following an economic recession: From 2009 to 2014. Journal of Nursing Management. https://doi.org/10.1111/jonm.12811 [Epub ahead of print]
  10. Falguera, C. C., De los Santos, J. A. A., Galabay, J. R., Firmo, C. N., Tsaras, K., Rosales, R. A., … Labrague, L. J. (2020). Relationship between nurse practice environment and work outcomes: A survey study in the Philippines. International Journal of Nursing Practice, e:12873. https://doi.org/10.1111/ijn.12873
  11. Fan, Y., Zheng, Q., Liu, S., & Li, Q. (2016). Construction of a new model of job engagement, psychological empowerment and perceived work environment among Chinese registered nurses at four large university hospitals: Implications for nurse managers seeking to enhance nursing retention and quality of care. Journal of Nursing Management, 24(5), 646-655. https://doi.org/10.1111/jonm.12369
  12. Garcia, S. R., Fernandez, C. J., & Maetinez, Z. F. (2016). Relationship between job demand and burnout in nurses: Does it depend on work engagement. Journal of Nursing Management, 24(6), 780-788. https://doi.org/10.1111/jonm.12382
  13. Gardiner, I., & Sheen, J. (2016). Graduate nurse experiences of support: A review. Nurse Education Today, 40, 7-12. https://doi.org/10.1016/j.nedt.2016.01.016
  14. Goode, C. J., Lynn, M. R., McElroy, D., Bednash, G. D., & Murray, B. (2013). Lessons learned from 10 years of research on a post-baccalaureate nurse residency program. Journal of Nursing Administration, 43(2), 73-79. https://doi.org/10.1097/NNA.0b013e31827f205c
  15. Hasan, A. A., & Tumah, H. (2018). The correlation between occupational stress, coping strategies, and the levels of psychological distress among nurses working in mental health hospital in Jordan. Perspectives in Psychiatric Care, 55(2), 153-160. https://doi.org/10.1111/ppc.12292
  16. Hayes, B., Douglas, C., & Bonner, A. (2015). Work environment, job satisfaction, stress and burnout among haemodialysis nurses. Journal of Nursing Management, 23(5), 588-598. https://doi.org/10.1111/jonm.12184
  17. Hughes, A. M., Zajac, S., Woods, A. L., & Salas, E. (2019). The role of work environment in training sustainment: A meta-analysis. Human Factors. https://doi.org/10.1177/0018720819845988 [Epub ahead of print]
  18. Hussein, R., Everett, B., Ramjan, L. M., Hu, W., & Salamonson, Y. (2017). New graduate nurses' experiences in a clinical specialty: A follow up study of newcomer perceptions of transitional support. BMC Nursing, 16, 1-9. https://doi.org/10.1186/s12912-017-0236-0
  19. Kennedy, M. S. (2019). Improving the work environment, step by step. American Journal of Nursing, 119(4), 7. https://doi.org/10.1097/01.NAJ.0000554527.47868.3f
  20. Lake, E. T. (2002). Development of the practice environment scale of the nursing work index. Research in Nursing & Health, 25, 176-188. https://doi.org/10.1002/nur.10032
  21. Lake, E. T., Sanders, J., Duan, R., Riman, K. A., Schoenauer, K. M., & Chen, Y. (2019). A meta-analysis of the associations between the nurse work environment in hospitals and 4 sets of outcomes. Medical Care, 57(5), 353-361.
  22. Laschinger, H., Cummings, G., Leiter, M., Wong, C., MacPhee, M., Ritchie, J., … Read, E. (2016). Starting out: A time-lagged study of new graduate nurses' transition to practice. International Journal of Nursing Studies, 57, 82-95. https://doi.org/10.1016/j.ijnurstu.2016.01.005
  23. Lima, S., Jordan, H. L., Kinney, S., Hamilton, B., & Newall, F. (2016). Empirical evolution of a framework that supports the development of nursing competence. Journal of Advanced Nursing, 72(4), 889-899. https://doi.org/10.1111/jan.12872
  24. Liu, H. P., & Li, Z. (2016). Nursing professional development: The current situation and development trend. Beijing: People's Medical Publishing House.
  25. Liu, Y., Wu, L. M., Chou, P. L., Chen, M. H., Yang, L. C., & Hsu, H. T. (2016). The influence of work-related fatigue, work conditions, and personal characteristics on intent to leave among new nurses. Journal of Nursing Scholarship, 48(1), 66-73. https://doi.org/10.1111/jnu.12181
  26. Nardi, D. A., & Gyurko, C. C. (2013). The global nursing faculty shortage: Status and solutions for change. Journal of Nursing Scholarship, 45(3), 317-326. https://doi.org/10.1111/jnu.12030
  27. National Council of State Boards of Nursing (NCSBN), (2017). Transition to practice. https://www.ncsbn.org/transition-to-practice.htm
  28. National Health Commission of the People's Republic of China (NHC). (2019). Notice on the “Training outline for newly-recruited nurses”[EB/OL].[2019-06-24]. http://www.nhc.gov.cn/yzygj/s3594/201602/b90cabf3478f4761b142819228f5cf68.shtml
  29. National Health Commission, PRC. (2018). China health statistics yearbook. Beijing: Peking Union Medical University Press.
  30. Numminen, O., Ruoppa, E., Leino-Kilpi, H., Isoaho, H., Hupli, M., & Meretoja, R. (2016). Practice environment and its association with professional competence and work-related factors: Perception of newly graduated nurses. Journal of Nursing Management, 24(1), e1-e11. https://doi.org/10.1111/jonm.12280
  31. Olafsen, A. H., Halvari, H., Forest, J., & Deci, E. L. (2015). Show them the money? The role of pay, managerial need support, and justice in a self-determination theory model of intrinsic work motivation. Scandinavian Journal of Psychology, 56(4), 447-457. https://doi.org/10.1111/sjop.12211
  32. Park, S., & Kim, Y. (2018). Influences of nursing work environment and patient safety environment on nurse outcomes. Iranian Journal of Public Health, 47(10), 1605-1606.
  33. Regan, S., Wong, C., Laschinger, H. K., Cummings, G., Leiter, M., MacPhee, M., … Read, E. (2017). Starting out: Qualitative perspectives of new graduate nurses and nurse leaders on transition to practice. Journal of Nursing Management, 25(4), 246-255. https://doi.org/10.1111/jonm.12456
  34. Ritter, D. (2011). The relationship between healthy work environments and retention of nurses in a hospital setting. Journal of Nursing Management, 19(1), 27-32. https://doi.org/10.1111/j.1365-2834.2010.01183.x
  35. Robinson, S., Murrells, T., & Clinton, M. (2006). Highly qualified and highly ambitious: Implications for workforce retention of realising the career expectations of graduate nurses in England. Human Resource Management Journal, 16(3), 287-312. https://doi.org/10.1111/j.1748-8583.2006.00015.x
  36. Rush, K. L., Adamack, M., Gordon, J., Lilly, M., & Janke, R. (2013). Best practices of formal new graduate nurse transition programs: An integrative review. International Journal of Nursing Studies, 50, 345-356. https://doi.org/10.1016/j.ijnurstu.2012.06.009
  37. Shang, J., You, L., Ma, C., Altares, D., Sloane, D. M., & Aiken, L. H. (2014). Nurse employment contracts in Chinese hospitals: Impact of inequitable benefit structures on nurse and patient satisfaction. Human Resources for Health, 12, 1. https://doi.org/10.1186/1478-4491-12-1
  38. Smith, J. G., Morin, K. H., & Lake, E. T. (2018). Association of the nurse work environment with nurse incivility in hospitals. Journal of Nursing Management, 26(2), 219-226. https://doi.org/10.1111/jonm.12537
  39. Suo, P. Y., & Xu, C. R. (2019). Current situation and consideration of standardized training evaluation for new nurses. Journal of Nurses Training, 34(06), 513-515. https://doi.org/10.16821/j.cnki.hsjx.2019.06.007
  40. U.S. Bureau of Labor Statistics (BLS). (2012). Registered nurses. Retrieved from http://www.bls.gov/ooh/Healthcare/Registered-nurses.htm
  41. Van Rooyen, D. R. M., Jordan, P. J., Ten Ham-Baloyi, W., & Caka, E. M. (2018). A comprehensive literature review of guidelines facilitating transition of newly graduated nurses to professional nurses. Nurse Education in Practice, 30, 35-41. https://doi.org/10.1016/j.nepr.2018.02.010
  42. Wang, H., Jin, Y., Wang, D., Zhao, S., Sang, X., & Yuan, B. (2020). Job satisfaction, burnout, and turnover intention among primary care providers in rural China: Results from structural equation modeling. BMC Family Practice, 21(1), 12. https://doi.org/10.1186/s12875-020-1083-8
  43. Wang, L., & Li, L. Z. (2011). Reliability and validity of Chinese version of the practice environment scale. Chinese Journal of Nursing, 46(2), 121. https://doi.org/10.3761/j.issn.0254-1769.2011.02.002
  44. Wang, Y., Zhang, L. X., Tian, S. Y., Wu, J., Lu, J., Wang, F. F., & Wang, Z. W. (2019). The relationship between work environment and career success among nurses with a master's or doctoral degree: A national cross-sectional study. International Journal of Nursing Practice, 25, e12743. https://doi.org/10.1111/ijn.12743
  45. Whitehead, B., Owen, P., Henshaw, L., Beddingham, E., & Simmons, M. (2016). Supporting newly qualified nurse transition: A case study in a UK hospital. Nurse Education Today, 36, 58-63. https://doi.org/10.1016/j.nedt.2015.07.008
  46. Zhang, Y., Wu, J., Fang, Z., Zhang, Y., & Wong, F. K. Y. (2017). Newly graduated nurses' intention to leave in their first year of practice in Shanghai: A longitudinal study. Nursing Outlook, 65(2), 202-211. https://doi.org/10.1016/j.outlook.2016.10.007
  47. Zhou, M., Zhao, L. D., Kong, N., Kathryn, S. C., & Qu, S. J. (2018). What caused seriously shortage of Chinese nurses? Iranian Journal of Public Health, 47(7), 1065.

Grants

  1. 71704189/National Natural Science Foundation of China
  2. 2017330010/Youth Foundation of Chinese Academy of Medical Sciences/Peking Union Medical College

MeSH Term

Cross-Sectional Studies
Humans
Nurse Administrators
Nurses
Personnel Turnover
Surveys and Questionnaires
Workplace
Journal Article

Word Cloud

Created with Highcharts 10.0.0worknursesenvironmentgraduatedperceptionnewlyChinafactorstransitionaffectingNewlysourcesupportnewPracticeEnvironmentScale-NursingWorkIndexoverallAIM:assessattitudestowardidentifyBACKGROUND:primarysupplycovernursingshortagestressfulclinicalcontributedhighturnoverdecadesAlthoughservingstresscanalsoMETHODS:total236131tertiaryhospitals20provincessurveyedJuneNovember2018usingChineseversionBasicinformationcollectedRESULTS:Newratedscore84671285Multiplelinearregressionidentifiededucationlevelmonthlyincomehospitaltypelocationparticipationstandardizedtrainingprogrammesmentor/preceptorsignificantlyassociatedCONCLUSION:mainlypositiveNursingmanagersmaytakefulladvantagebetterhelpretentionnurses'perceptionsenvironment:cross-sectionalstudy

Similar Articles

Cited By