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A narrative study of newly graduated registered Swedish nurses’ establishment in the profession and the portrayal of a healthcare organisation

Helena Blomberg (School of Health, Care and Welfare, Mälardalen University, Eskilstuna, Sweden)
Jonas Welander (School of Health, Care and Welfare, Mälardalen University, Eskilstuna, Sweden)

Journal of Health Organization and Management

ISSN: 1477-7266

Article publication date: 20 June 2019

Issue publication date: 8 July 2019

Abstract

Purpose

The purpose of this paper is to investigate how the participants talk about their experiences as newly graduated nurses, managers and nursing colleagues in the context of “newcomers’ establishment in the profession” and to identify how they portray the healthcare organisation in their narratives.

Design/methodology/approach

A narrative approach is used to reveal and illustrate three perspectives on the topic “new-comers’ establishment”. In total, 14 interviews are conducted with 4 managers, 4 nursing colleagues and 6 newly graduated registered nurses. The focus of this study is how a healthcare organisation embraces and retains newly graduated registered nurses and how this is perceived.

Findings

The newcomers’ establishment is facilitated by an orientation programme and an orientation period, individual support provided by managers and colleagues, and the creation of trust to boost confidence in nursing situations. The organisation is portrayed as struggling with high workloads, nursing shortages, high levels of responsibility and showing concern and an interest in the newcomer. The parties criticise the university for not teaching the most basic knowledge, thereby revealing the existence of a theory-practice gap.

Originality/value

The research shows how building trust amongst the organisation’s members is essential for creating a satisfying workplace and the retention of newly graduated registered nurses. Empirical descriptions of newly graduated nurses, managers and nursing colleagues experiences of “newcomers establishment” are rare, which is why the description of such “establishment” in this research increases the value of the paper.

Keywords

Acknowledgements

The authors declare no conflict of interest. The authors are grateful to the colleagues in the Nordic Narrative Network at Karlstad University for their helpful comments and advice.

Citation

Blomberg, H. and Welander, J. (2019), "A narrative study of newly graduated registered Swedish nurses’ establishment in the profession and the portrayal of a healthcare organisation", Journal of Health Organization and Management, Vol. 33 No. 4, pp. 413-425. https://doi.org/10.1108/JHOM-09-2018-0251

Publisher

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Emerald Publishing Limited

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