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Charting the Course: A Phenomenological Exploration of New Graduate Nurses' Transition Experiences

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Steele, Jenell
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2025
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dissertation
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This interpretive study explored the lived experiences of newly graduated nurses (NGNs) as they transition into acute care settings in the post-pandemic healthcare environment. Drawing on van Manen’s hermeneutic approach, Duchscher’s Stages of Transition Theory and Transition Shock Model the research investigated how NGNs perceive, navigate, and make meaning of their transition to practice, amidst the lingering effects of the pandemic. Ten Bachelor’s-prepared registered nurses with 5-12 months of experience participated in semi-structured interviews focused on their transition experiences, coping strategies, and support needs. Guided by Duchscher’s conceptual framework of transition, NGN’s progress through a developmental trajectory beginning with 'doing' (focused on survival and task mastery), followed by 'being' (increased confidence and role integration), culminating in 'knowing' (emerging professional identity and competence was explored. Data were analyzed using van Manen's hermeneutic approach, examining five existential lived dimensions: body, time, space, relations, and materiality. Findings revealed that NGNs experienced accelerated role progression beyond traditional developmental timelines, sometimes assuming charge nurse or preceptor roles as early as six months into practice, due to staffing shortages rather than demonstrated readiness. The complex emotional labor of projecting confidence while managing uncertainty also represented significant work during the transition. Unit culture and relationship quality with preceptors emerged as critical factors in supporting or hindering integration and professional development. The findings provide insight into how post-pandemic systemic conditions are reshaping the NGN’s transition experience. Developmental timelines are no longer aligned with programmatic support, forcing NGNs into high-responsibility roles before consolidation of clinical competence, creating additional challenges for today's new nurses. Acknowledging this altered trajectory, recommendations include redesigned transition support responsive to individual development, organizational context, and realignment of formal transition programs given the realities of compressed timelines.

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University of Maryland, Baltimore. Nursing, Ph.D. 2025.
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