Transition and pathway programs from second to first level nursing: A scoping review

Second-level nurses comprise a large proportion of the nursing workforce in many countries. Despite differences in nomenclature, these nurses work under the supervision of first-level registered nurses and possess a more restricted scope of practice. Transition programs facilitate second-level nurse...

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Published inNurse education today Vol. 125; p. 105777
Main Authors Joyce-McCoach, Joanne, Ashworth, Philippa, Park, Seung A., Kellerman, Tarryn, McKenna, Lisa
Format Journal Article
LanguageEnglish
Published Scotland Elsevier Ltd 01.06.2023
Subjects
Enrolled nurse
Humans
Licensed practical nurse
Nursing Staff
Program
Qualitative Research
Second-level nurse
Students
Transition
Transition
Licensed practical nurse
Second-level nurse
Program
Enrolled nurse
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Abstract Second-level nurses comprise a large proportion of the nursing workforce in many countries. Despite differences in nomenclature, these nurses work under the supervision of first-level registered nurses and possess a more restricted scope of practice. Transition programs facilitate second-level nurses upgrading their qualifications to become first-level nurses. Globally, the impetus for transition of nurses to higher levels of registration has been to increase the skill mix demands in health care settings. However, no review has sought to explore these programs internationally and experiences of those making the transition. To explore what is known about transition and pathway programs from second to first level nursing. Scoping review informed by the work of Arksey and O'Malley. Four databases were searched, CINAHL, ERIC, Proquest Nursing and Allied Health and DOAJ, using defined search strategy. Titles and abstracts were uploaded into the online program Covidence for screening, followed by full-text screening. Two members of the research team screened all entries at both stages. Quality appraisal was performed to assess overall quality of research. Transition programs are often undertaken to open up career pathways, job and financial advancement. These programs can be challenging as students seek to maintain dual identities, grapple with academic requirements and juggle work, study and personal demands. Despite their prior experience, there is a need for students to receive support as they adjust to their new role and scope of practice. Much of the existing research around second to first-level nurse transition programs is dated. There is a need for longitudinal research to examine students' experiences as they transition across the roles.
AbstractList Second-level nurses comprise a large proportion of the nursing workforce in many countries. Despite differences in nomenclature, these nurses work under the supervision of first-level registered nurses and possess a more restricted scope of practice. Transition programs facilitate second-level nurses upgrading their qualifications to become first-level nurses. Globally, the impetus for transition of nurses to higher levels of registration has been to increase the skill mix demands in health care settings. However, no review has sought to explore these programs internationally and experiences of those making the transition. To explore what is known about transition and pathway programs from second to first level nursing. Scoping review informed by the work of Arksey and O'Malley. Four databases were searched, CINAHL, ERIC, Proquest Nursing and Allied Health and DOAJ, using defined search strategy. Titles and abstracts were uploaded into the online program Covidence for screening, followed by full-text screening. Two members of the research team screened all entries at both stages. Quality appraisal was performed to assess overall quality of research. Transition programs are often undertaken to open up career pathways, job and financial advancement. These programs can be challenging as students seek to maintain dual identities, grapple with academic requirements and juggle work, study and personal demands. Despite their prior experience, there is a need for students to receive support as they adjust to their new role and scope of practice. Much of the existing research around second to first-level nurse transition programs is dated. There is a need for longitudinal research to examine students' experiences as they transition across the roles.
BACKGROUNDSecond-level nurses comprise a large proportion of the nursing workforce in many countries. Despite differences in nomenclature, these nurses work under the supervision of first-level registered nurses and possess a more restricted scope of practice. Transition programs facilitate second-level nurses upgrading their qualifications to become first-level nurses. Globally, the impetus for transition of nurses to higher levels of registration has been to increase the skill mix demands in health care settings. However, no review has sought to explore these programs internationally and experiences of those making the transition. OBJECTIVESTo explore what is known about transition and pathway programs from second to first level nursing. DESIGNScoping review informed by the work of Arksey and O'Malley. DATA SOURCESFour databases were searched, CINAHL, ERIC, Proquest Nursing and Allied Health and DOAJ, using defined search strategy. REVIEW METHODSTitles and abstracts were uploaded into the online program Covidence for screening, followed by full-text screening. Two members of the research team screened all entries at both stages. Quality appraisal was performed to assess overall quality of research. RESULTSTransition programs are often undertaken to open up career pathways, job and financial advancement. These programs can be challenging as students seek to maintain dual identities, grapple with academic requirements and juggle work, study and personal demands. Despite their prior experience, there is a need for students to receive support as they adjust to their new role and scope of practice. CONCLUSIONMuch of the existing research around second to first-level nurse transition programs is dated. There is a need for longitudinal research to examine students' experiences as they transition across the roles.
ArticleNumber 105777
Author Joyce-McCoach, Joanne
Park, Seung A.
Kellerman, Tarryn
Ashworth, Philippa
McKenna, Lisa
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Keywords Transition
Licensed practical nurse
Second-level nurse
Program
Enrolled nurse
Language English
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Copyright © 2023 The Authors. Published by Elsevier Ltd.. All rights reserved.
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Snippet Second-level nurses comprise a large proportion of the nursing workforce in many countries. Despite differences in nomenclature, these nurses work under the...
BACKGROUNDSecond-level nurses comprise a large proportion of the nursing workforce in many countries. Despite differences in nomenclature, these nurses work...
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crossref
pubmed
elsevier
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Publisher
StartPage 105777
SubjectTerms Enrolled nurse
Humans
Licensed practical nurse
Nursing Staff
Program
Qualitative Research
Second-level nurse
Students
Transition
Title Transition and pathway programs from second to first level nursing: A scoping review
URI https://dx.doi.org/10.1016/j.nedt.2023.105777
https://www.ncbi.nlm.nih.gov/pubmed/36905747
https://search.proquest.com/docview/2786099257
Volume 125
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