Evidence map›Paper›PMID 40855433›Full record

ArticleBMC nursing2025

"I had fear when I was coming in; I am confident now": Transition experiences of newly qualified nurses and midwives in Uganda.

Enock Murokole, Madeline Powers, Rose Chalo Nabirye, Tracy Alexis Kakyo, Sarah Racheal Akello, Joshua Epuitai

Abstract read
In one paragraph

Article in BMC nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Enock MurokoleDepartment of Nursing, Faculty of Health Sciences, Busitema University, P.O Box 1460, Mbale, Uganda.
Madeline PowersDepartment of Nursing, Faculty of Health Sciences, Busitema University, P.O Box 1460, Mbale, Uganda.
Rose Chalo NabiryeDepartment of Nursing, Faculty of Health Sciences, Busitema University, P.O Box 1460, Mbale, Uganda.
Tracy Alexis KakyoDepartment of Nursing and Midwifery, Muni University, P.O Box 725, Arua, Uganda.
Sarah Racheal AkelloDepartment of Nursing and Midwifery, Muni University, P.O Box 725, Arua, Uganda.
Joshua EpuitaiDepartment of Nursing, Faculty of Health Sciences, Busitema University, P.O Box 1460, Mbale, Uganda. joshuaepuitai@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionTransitioning from university-based education to clinical practice may be quite challenging for newly qualified nurses and midwives. The study explored clinical transition experiences of newly qualified nursing and midwifery graduates in Uganda.

methodsThe qualitative descriptive design was used based on the Duchscher's transition shock theory. We conducted 15 in-depth interviews among new graduates who were working in various private and public health facilities in Uganda. The data were analysed using a deductive thematic approach.

resultsWe identified three themes: (1) transition experience, (2) recovery and adaptation to new roles (3) confidence and challenges during transition. New graduates' excitement of joining clinical practice was replaced with a transition shock experience. The shock experience involved emotional and socio-cultural responses to the realities of clinical practice. Transition shock was related to unfamiliar clinical settings, fears of fitting in, fears of making mistakes, difficulty translating theory to practice and unpreparedness for clinical practice. Transition programs, including internship, orientation, training opportunities, preceptorship, and mentorship helped new graduates to adapt to new clinical settings. While new graduates were initially bereft of confidence, they eventually gained confidence and competence. During the transition phase, new graduates faced several challenges in clinical practice. These included employment challenges, poor work conditions, mistreatment, inadequate supervision and mentorship, and unrealistic expectations.

conclusionNewly qualified nurses and midwives experience transition shock and several challenges during the transition to clinical practice. Improving new graduates' work conditions, support systems, supervision, and mentorship is critical in promoting positive transition experiences. Ultimately, this may help improve new graduates' experiences during the critical transition period. CLINICAL

trial registrationNot applicable.

Indexed as

Clinical transitionNew graduatesNursingTransition shock, Uganda

Identifiers

PMID40855433
PMCPMC12376741

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.