The Effect of Mentoring Programme on Reality Shock, Clinical Adaptation and Professional Competencies of New Graduated Nurses
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Enrollment
- 56
- Locations
- 1
- Primary Endpoint
- Evaluation of reality shock in newly graduated nurses
Study Overview
Brief Summary
The study was conducted to evaluate the effects of mentoring programme on the reality shock, clinical adaptation, and professional competence of new graduate nurses. The research questions were: Are the reality shock scores of new graduate nurses participating in the mentoring program lower than those in the control group? Is the clinical adaptation of new graduate nurses participating in the mentoring program higher than those in the control group? Are the professional competence scores of new graduate nurses participating in the mentoring program higher than those in the control group? The study was a mixed-use study with intervention and control groups, blinded design, randomized controlled experimental method, and focus group interview method. The number of nurses comprising the sample was determined using power analysis. The study population consisted of 65 newly graduated nurses who had started the institution, and the sample consisted of 56 nurses (28 in the intervention group and 28 in the control group) who were randomly assigned. In the first phase of the study, mentor nurses were trained according to the developed training program, and in the second phase, the mentor nursing practice was implemented. During this period, nurses in the control group received a one-month routine clinical orientation training, nurses in the intervention group received a one-month nursing mentorship program, and newly graduated nurses were monitored for three months. Quantitative data were collected before and after the nursing mentorship program, and in the third month of the study. Focus Group Interviews were conducted before and after the nursing mentorship program to collect qualitative data.
Detailed Description
This study evaluated the effect of a mentoring program on reality shock, clinical adaptation, and professional competence of new graduate nurses. Participants were randomly assigned to either the intervention group, which received the mentoring program, or the control group, which did not receive any intervention. Randomization was performed using unique codes and random numbers generated via www.random.org
, ensuring allocation concealment. Outcome measures were collected at three time points: before the intervention, immediately after the intervention, and three months post-intervention.
A qualitative component was conducted using focus group interviews to explore participants' perceptions and experiences regarding the mentoring program. The qualitative data complemented the quantitative measures and provided in-depth insights into the participants' adaptation process. Participants were not informed of their group assignment, and information about the mentoring program was provided in a way that did not break the blinding.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Other
- Masking
- Single (Participant)
Eligibility Criteria
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •New graduate
- •First time working as a nurse
Exclusion Criteria
- •Leaving the institution during the research process
- •Not having completed the orientation process
Outcomes
Primary Outcomes
Evaluation of reality shock in newly graduated nurses
Time Frame: Measured at three time points: baseline (before starting the mentoring program), immediately after the one-month mentoring program, and at three months after program initiation
Reality shock score :The Reality Shock scale was used for this measurement. It is an assessment tool developed by Cennet Çiriş Yıldız and Yasemin Ergün in 2019 to determine the reality shock of newly graduated nurses. The scale consists of 47 questions and 4 subdimensions. These subdimensions are Collaboration and Relationships (24 items), Professional Knowledge (12 items), Responsibility (7 items), and Performance (4 items). The scale is a 5-point Likert-type scale with scores of Never (1), Rarely (2), Sometimes (3), Often (4), and Always (5). There are no reverse-coded items. The minimum score obtained from the scale is 47, and the maximum is 235. Increasing mean scores on the scale subdimensions indicate an increasing level of reality shock.
Evaluation of professional competencies of newly graduated nurses
Time Frame: Measured at three time points: baseline (before starting the mentoring program), immediately after the one-month mentoring program, and at three months after program initiation
The Nursing Professional Competency Scale was used for this measurement. This scale is an assessment tool developed by Figen Çalışkan and Emine Şenyuva in 2020 to measure the professional competencies of nurses. The scale consists of 67 items and 7 subdimensions. These subdimensions are Diagnosis, Implementation of the Nursing Process, Health/Patient Education, Professional Development, Ethical Practices, Critical Thinking and Teamwork, and Research and Development. The scale is a 4-point Likert-type scale with scores of Always (4), Usually (3), Sometimes (2), and Never (1). All items on the scale are positive, and there are no reverse-coded items. The minimum score on the scale is 67 and the maximum score is 268. An increase in the scale score indicates an increase in the professional competence of nurses.
Evaluation of clinical adaptation of newly graduated nurses
Time Frame: Measured at three time points: baseline (before starting the mentoring program), immediately after the one-month mentoring program, and at three months after program initiation
Clinical orientation of new graduate nurses was assessed using the Clinical Orientation Portfolio. This measurement tool was developed by the researcher to assess the clinical orientation of new graduate nurses and the competencies they should possess. The Clinical Orientation Portfolio consists of seven competency areas and 30 competency statements.
Evaluation of new graduate nurses' experiences and perceptions regarding the mentoring program
Time Frame: Assessed before the mentoring program and immediately after its completion
A focus group interview form was used for this measurement. To assess new graduate nurses' views on the mentoring program, the first interview consisted of four items, and the final interview consisted of a semi-structured questionnaire consisting of five main items and sub-items. Care was taken to ensure that the questions were structured to allow for sub-questions to be asked during the interview if necessary, were clear and simple enough to be easily understood, and were not directive. Before the data collection phase, a preliminary interview was conducted with a group of eight individuals excluded from the sample, and the focus group interview questions were tested and finalized.
Secondary Outcomes
No secondary outcomes reported
Investigators
Selma Karakaplan
Registered Nurse (RN), Principal Investigator
Istanbul University - Cerrahpasa