Summary
Graduate nurses in general practice became a feature of New Zealand's health care
system in 2008 following an expansion of the New Entrant to Practice Programme. General
practice in New Zealand comprises general practitioner business owners who employ
nursing and administration staff. Practice nurses are an ageing workforce in New Zealand,
it is imperative therefore to attract younger nurses into general practice. This paper
reports a section of the findings from a constructivist grounded theory study which
examines the use of information by practice nurses in New Zealand. Initially data
were collected using the ethnographic technique of observation and field notations
in one general practice. Theoretical sensitivity to the value of role models was heightened
by this first phase of data collection. A total of eleven practice nurses were interviewed
from six general practices. One practice nurse agreed to a second interview; five
of the interviewees were new graduate nurses and the other six were experienced practice
nurses. The grounded theory constructed from this research was reciprocal role modelling which comprises the following three categories, becoming willing, realising potential and becoming a better practitioner. Graduate nurses and experienced practice nurses enter into a relationship of reciprocal role modelling. Becoming willing, the first core category of this grounded theory features three sub-categories: building respectful relationships, proving yourself and discerning decision making which are reported in this paper. Findings from this study may address the reported
phenomenon of ‘transition shock’ of newly graduated nurses in the work place.
Keywords
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References
- Decades of disparity: Ethnic mortality. Trends in New Zealand 1980–1999.University of Otago, Wellington2003
- Grounded theory method: Philosophical perspectives, paradigm of inquiry, and postmodernism.Qualitative Health Research. 1996; 6: 379-393
- National competency standards for the registered nurse.2005 (Retrieved from: http://www.anmc.org.au)
- Social learning theory.Prentic Hall Inc., Eaglewood Cliffs, NJ1977
- Turnover intention in new graduate nurses: A multivariate analysis.Journal of Advanced Nursing. 2008; 62: 41-52
- Grounded theory. A practical guide.Sage Publications Ltd., London2011
- A thousand words paint a picture: The use of storyline in grounded theory research.Journal of Research in Nursing. 2009; 14: 405-417
- Transition shock: The initial stage of role adaptation for newly graduated registered nurses.Journal of Advanced Nursing. 2009; 65: 1103-1113
- The experience of marginalization in new nursing graduates.Nursing Outlook. 2004; 52: 289-296
- The Sage handbook of grounded theory.Sage Publications Ltd., London2007
- Constructing grounded theory.Sage, London2006
- Grounded theory in ethnography.in: Atkinson P. Coffey A. Delamont S. Lofland J. Lofland J. Handbook of ethnography. Sage, London2001
- Nurse entry to practice (NETP) programme.2010 (Retrieved from: http://www.cmdhb.org.nz/funded-services/phc-nursing/netp/documents/newgraduate_expansion_handbook_jan2010.pdf)
- Methodological issues in grounded theory.Journal of Advanced Nursing. 2000; 31: 1476-1484
- Specification for nursing entry to practice programme (NETP).2005 (Retrieved from: http://www.dhbnz.org.nz/includes/download.aspx?ID=16069)
- Theoretical sensitivity.The Sociology Press, Mill Valley, CA1978
- The discovery of grounded theory: Strategies for qualitative research.Transaction Publishers, New Brunswick1967
Haggerty, C., McEldowney, R., Wilson, D., & Holloway, K. (2009). Growing our own: An evaluation of nurse entry to practice programmes in New Zealand 2006–2009. Wellington.
Hoare, K., Mills, J., & Francis, K. Dancing with data: Acquiring theoretical sensitivity in a grounded theory study. International Journal of Nursing Practice, in press.
- Evidence-based resource use by Practice Nurses in the Greater Auckland region.New Zealand Medical Journal. 2008; 121
- Continuing competence as a professional responsibility and public right. Position statement.2006 (Retrieved from: http://www.icn.ch/images/stories/documents/publications/position_statements/B02_Continuing_Competence.pdf)
- Mandatory continuing professional education: What is the prognosis?.Collegian. 2011; 18: 131-136
- Minimum requirements for primary health organisations.2001 (http://www.moh.govt.nz/moh.nsf/wpg_index/Publications-Minimum+requirements+for+Primary+Health+Organisations)
- Reality shock. Why nurses leave nursing.Mosby, St. Louis1974
- The development of constructivist grounded theory.International Journal of Qualitative Methods. 2006; 5: 1-10
- Rural and remote Australian general practice nurses’ sources of evidence for knowledge translation: A cross-sectional survey.International Journal of Evidence-Based Healthcare. 2011; 9: 246-251
- Primary health care providers.2012 (Retrieved from: http://www.health.govt.nz/our-work/primary-health-care/about-primary-health-organisations/primary-health-care-providers)
- Essentials of accessible grounded theory.Left Coast Press, Inc., Walnut Creek, CA2011
- Competencies for registered nurses.2007 (http://nur3425s2.handel.2day.com/RN%20Comps%20final.pdf)
- Basics of qualitative research: Grounded theory procedures and techniques.Sage, Newbury Park, CA1990
Article info
Publication history
Published online: May 07, 2012
Accepted:
March 25,
2012
Received in revised form:
March 7,
2012
Received:
September 28,
2011
Identification
Copyright
© 2012 Australian College of Nursing Ltd. Published by Elsevier Inc. All rights reserved.
