We can all remember those first shifts as a newly qualified staff nurse as they are very scary times – the feeling that you are now “out there” practising as a registered nurse is very awe inspiring as a newly qualified nurse. It is vital that newly qualified nurses are supported and mentored through these times as “Building confidence is an essential part of the transition from nursing student to qualified practitioner.” (Nursing Standard) A Scottish scheme called Flying Start sets out to ease the transition between being a student nurse and qualified practitioner, with online learning, structured study days and mentor support. The program requires nurses to show evidence of learning in 10 areas to complete preceptorship and ensures that newly qualified nurses have mentors and protected learning time. This scheme has now been extended to England.
So how important is it that we support our newly qualified colleagues through this very important time? Preceptorship programmes exist to support newly qualified nurses but are these sufficient ? And are there enough of these programmes for newly qualified nurses to access ? What sort of things do preceptiorship programmes cover and is this enough ? Do newly qualified nurses have mentors as a matter of course, especially within the current climate? And is there a difference between what the NHS and what the private sector offer to newly qualified nurses?
My top ten suggestions for improving nursing - Nursing Times
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This chat kicked off by asking if we need to support newly qualified nurses. The general feeling was that newly qualified nurses do need support and some questioned the amount of practical experience students get and felt that because of this they did need support.
The idea of a probationary year was put forward and this was generally liked but it was agreed that mentors are key. It was mentioned that universities and the NHS need to work more closely in order for this to happen effectively – the skills passport was mentioned as a solution to this.
Preceptorship was also discussed and in particular the Flying Start programme. Some NurChatters had heard of this and had accessed it through both the NHS and private sector. It was stated though that the flying start scheme did not seem to be very well promoted but did provide lots of structured reflection.
Newly qualified nurses in the private sector was discussed a little and it seems that (especially in Scotland ) newly qualified nurses are increasingly being employed in nursing homes. Concerns over well trained mentors and supervision were raised and it was suggested that maybe CQC has a responsibility to ensure this happens- this ledto a debate over CQC responsibilities in this area.
Rotations were discussed and some had very positive experiences of rotations post qualifying.
A lack of mentors was identified by the participants as being a hurdle – some stated they would happily act as voluntary mentors to newly qualified nurses and ideas of how this could happen included using social networking, skype, and face to face time. Who should be responsible for this though was very much a debate and suggestions ranged from universities for 1 year post registration, to CQC and the NMC and a sigle qualifying body to support newly qualified nurses.
The chat closed by asking what participants would take away from the chat and how would they support newly qualified nurses? Suggestions included:
“Don’t be afraid to offer your knowledge you may not be a mentor but we all have something to offer and share” @kathjlo
“We need to lobby more regionally and nationally” @riffraff1985
“Important thing is that all nurses share responsibility for developing others – whatever grade” @amnerisuk
“Firmly believe we do ALL have a responsibility but frankly some need to be supported on how to support” @ SpinalNurse
Summary by Teresa Chinn RN
Summary by Teresa Chinn RN
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Chat transctript (Via Storify)

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