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An ethnographic study of pre-graduate precepted nursing student clinical placements in long-term care homes
Long-Term Care (LTC) home recruitment challenges and nursing student disinterest in such clinical placements and careers, underscore this study’s urgent need. This qualitative focused ethnography explored preceptor, faculty advisor, and pre-graduate student beliefs, values, and practices contributing to positive LTC home clinical placements. Upon receiving research ethics board clearance, six participants were recruited through purposive sampling in southern Ontario. Using Spradley’s (1980) method, data were collected and analyzed from January-April, 2015 through: (a) 17 semi-structured interviews; (b) observation field notes; (c) journal entries and (d) document examination. Thematic analysis revealed implicit practices for realization of positive experiences: (a) intentional shaping, (b) getting familiar, (c) transitioning to independence, and (d) showcasing accomplishments. A valued relationship quality was a blend of personal and professional. Document use promoted valued placement preparation. The findings address a gerontological literature gap, providing initial insights about how positive experiences happened and what contributed to them....
Letting go: How newly-graduated registered nurses in western Canada decide to exit the nursing profession
The Canadian Nurses Association predicts the nursing shortage will rise to an estimated 60,000 Registered Nurses (RNs) by the year 2022. Further compounding this issue is the approximate 14-61% of nursing graduates who will change nursing roles or exit the profession within two years of practice. Using the Glaserian grounded theory method, the purpose of this study was to examine the basic psychosocial process labelled Letting Go involved in how newly-graduated RNs in western Canada arrive at the decision to exit the nursing profession within five years of entry into the workforce through semi-structured interviews. The study findings revealed the following themes: Navigating Constraints of the Healthcare System and Workplace; Negotiating Social Relationships, Hierarchies, and Troublesome Behaviours; Facing Fears, Traumas and Challenges; and Weighing Competing Rewards and Tensions. This study adds to a growing body of knowledge to understand new RN attrition from the profession....