ArticleBMJ open2019
The factors influencing the effective early career and rapid transition to a nursing specialty in differing contexts of practice: a modified Delphi consensus study.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 28 citations in OpenAlex.
- Toward optimizing new nurse anaesthetist training: a qualitative study of perceptions, experiences, and systemic challenges.BMC nursing · 2025Article
- Perioperative Nursing Shortages: An Integrative Review of Their Impact, Causal Factors, and Mitigation Strategies.Journal of nursing management · 2024Review
- Factors influencing the transition and retention of mental health nurses during the initial years of practice: Scoping review.Journal of nursing management · 2022Article
- Graduating nurse students' interest in older people nursing-A cross-sectional survey in six European countries.International journal of older people nursing · 2022Article
- Identification of nutritional risk in the acute care setting: progress towards a practice and evidence informed systems level approach.BMC health services research · 2021Review
- Facilitating an early career transition pathway to community nursing: A Delphi Policy Study.Nursing open · 2020Article
- Evaluation of a nursing and midwifery exchange between rural and metropolitan hospitals: A mixed methods study.PloS one · 2020Article
- The ongoing evolution of mentorship: Advancing the formal mentorship program at AKU-SONAM.Pakistan journal of medical sciencesArticle
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThis study aimed to test and further develop the 'Early Career and Rapid Transition to a Nursing Specialty' (TRANSPEC) model to a nursing specialty developed from a systematic review. Semi-structured interviews of specialist clinically based nurses and a consensus Delphi study with an expert panel were used to expand and achieve consensus, agreement, reliability and stability of the model.
designA modified Delphi, two rounds (64 and 52 Likert items) of reiterative online questionnaires and one round as a nominal group technique, was informed by qualitative thematic analysis of semi-structured interviews. SETTING AND
participantsInterviews with 14 specialists clinical practicing registered nurses and a panel of 25 national experts participated in the Delphi study.
resultsThe interview participants experienced 14 rapid transitions and three were early career transition. The overarching themes from the preliminary model were confirmed and further expanded. These were the self (personal and professional); the transition processes (final and informal); a sense of belonging; and the overarching context of practice over a time continuum. In the Delphi, the highest rating item was 'Specialty work colleagues respect, include, support, and accept specialist nurse on completion of transition processes'. Pre-entry was highlighted as an important time point prior to transition. All items reaching consensus were included in the final model. Cronbach α increased from 0.725 to 0.875 for the final model.
conclusionsThe TRANSPEC model is a valid and reliable evidence-based tool for use in the career pathway and development of nursing specialists. Using the Benner model 'Novice to Expert' after the novice incomer phase is achieved, further lifelong learning development will transform the novice specialist over time continuum.
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