Experiences of resilience among newly graduated nurses transitioning to practice: A qualitative study

Background: The pervasive nursing shortage is exacerbated by newly graduated nurse turnover. Resilience can help new nurses manage stress and burnout, aiding their success and retention. Aims: To explore lived experiences of resilience among newly graduated nurses transitioning to practice and describe facilitators and barriers to their resilience. Methods: Online photovoice surveys (n = 30) and remote focus groups (n = 3) were conducted with 10 associate degree nursing students. Data were collected at three timepoints: baseline (final semester in school), 3-4 months into practice, and 7-8 months into practice and analyzed with interpretive phenomenological techniques. Results: Six main themes emerged: (1) motivational aspirations, (2) supportive systems, (3) emerging stressors, (4) hidden obstacles in school and practice, (5) incivility from professionals, and (6) learning to endure. Conclusions: Burnout starts in nursing school and resilience can develop during the transition to practice. Strategies for educators and leaders to promote resilience and retain new nurses are identified. Future research should consider cultural and socioeconomic impacts on resilience.

Duke Scholars

Author Donald Etheridge Bailey Jr. School of Nursing

Author Amy Lynn Corneli Population Health Sciences

Author Jennie De Gagne School of Nursing

Author Tolulope Oyesanya School of Nursing