Maori registered nurses experiences after completing the nursing entry to practice transition programme between the years of 2010 - 2012
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Authors
Foxall, Donna
Author ORCID Profiles (clickable)
Degree
Master of Nursing
Grantor
Eastern Institute of Technology
Date
2014
Supervisors
Meyer, Salomé
Forrest, Rachel
Forrest, Rachel
Type
Masters Thesis
Ngā Upoko Tukutuku (Māori subject headings)
Keyword
Aotearoa
New Zealand
Māori nurses
registered nurses
transition programmes
experience
interviews
New Zealand
Māori nurses
registered nurses
transition programmes
experience
interviews
ANZSRC Field of Research Code (2020)
Citation
Foxall, D. (2014). Māori registered nurses experiences after completing the nursing entry to practice transition programme between the years of 2010 - 2012. (Unpublished document submitted in partial fulfilment of the requirements for the degree of Master of Nursing). Eastern Institute of Technology (EIT), New Zealand.
Abstract
Cultural values, practices and beliefs imprint upon us a moral and ethical compass. For health professionals these are essential tools. A registered nurse (RN) may encounter complex clinical and professional situations that require knowledge and engagement of the ethical frameworks and processes to make sound ethical judgements. This highlights one of the many crucial skills that the nursing student will develop and acquire during the undergraduate nursing training programme. The journey of transition from undergraduate student to RN can be wrought with a cascade of emotive, cultural and ethical experiences.
The purpose of this study was to capture kōrero pūrākau (experiences) of Māori nurses who transitioned from being an undergraduate nursing student to RN by completing the 12 month Nursing Entry To Practice Transition Programme also known as NETP. Participants from two District health Boards who had completed NETP in 2010-2012 were invited to participate and share their experiences for this study. A qualitative approach engaging face to face interviews with semi-structured, predesigned, open-ended questions was conducted. The participants’ kōrero pūrākau were recorded. The interviews were transcribed and a thematic analysis undertaken. The process of this study was informed by kaupapa Māori philosophy and principles.
There are two main categories identified, with themes and sub-themes within each. The first category was work environment with Māori identity, workload, study and support as the themes for this category. Subthemes were also identified as contributing to the main themes. Whilst being Māori was not found to impact on the ability to complete NETP, participants did express experiencing racially motivated behaviour within their work environment.
A positive aspect of NETP was the social interaction with other new graduate nurses completing NETP. One participant volunteered information on how she integrated a Māori model of health into her clinical practice. Workload and staff shortages were identified by participants as having a negative impact on their training experience. Participants also indicated that post graduate study was challenging throughout the programme.
The theme of support examines the sub-themes of preceptors, supervision, peer support and orientation process. In this theme the key finding was the importance and variable impact of preceptorship delivery, implementation and duration for the research participants.
The second category was experiences and perceptions, and three themes were identified: experiences and perceptions before NETP; during NETP; and after NETP completion. Expectations of NETP prior to the commencement of the programme varied amongst the participants. However predominant feelings expressed during the training programme included stress, anxiety and fear. Participants described the positive impact the training programme had on their growing confidence, knowledge and development as well as positive self-satisfaction on completion of the training programme.
The overall findings highlight challenges faced by new graduate nurses during their transition training programmes in New Zealand and identify the critical importance of the support mechanisms to mitigate the emotional trauma faced during this crucial time of change. This study was unique as it captures the views and perspectives of Indigenous Māori nurses and may provide useful information for the development of future transition programs.
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