The factors influencing the effective early career and rapid transition to a nursing specialty in differing contexts of practice: a modified Delphi consensus study

Simple item page
dc.citation.issue8
dc.citation.volume9
dc.contributor.authorChamberlain D
dc.contributor.authorHegney D
dc.contributor.authorHarvey C
dc.contributor.authorKnight B
dc.contributor.authorGarrahy A
dc.contributor.authorTsai LP-S
dc.coverage.spatialEngland
dc.date.accessioned2023-08-15T03:06:50Z
dc.date.accessioned2023-09-04T01:41:14Z
dc.date.available2019-08-27
dc.date.available2023-08-15T03:06:50Z
dc.date.available2023-09-04T01:41:14Z
dc.date.issued2019-08-27
dc.date.updated2023-08-14T02:13:01Z
dc.description(c) The Author/s 2019
dc.description.abstractObjectives: This 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. Design: A 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 participants: Interviews with 14 specialists clinical practicing registered nurses and a panel of 25 national experts participated in the Delphi study. Results: The 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. Conclusions: The 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.
dc.format.extente028541-
dc.identifierbmjopen-2018-028541
dc.identifierhttps://www.ncbi.nlm.nih.gov/pubmed/31462470
dc.identifier.citationChamberlain D, Hegney D, Harvey C, Knight B, Garrahy A, Tsai LP-S. (2019). The factors influencing the effective early career and rapid transition to a nursing specialty in differing contexts of practice: a modified Delphi consensus study.. BMJ Open. 9. 8. (pp. e028541-).
dc.identifier.doi10.1136/bmjopen-2018-028541
dc.identifier.eissn2044-6055
dc.identifier.elements-typejournal-article
dc.identifier.harvestedMassey_Dark
dc.identifier.issn2044-6055
dc.identifier.urihttp://hdl.handle.net/10179/19939
dc.languageeng
dc.publisherBMJ Publishing Group
dc.relation.isPartOfBMJ Open
dc.rightsCC BY-NC
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/en_US
dc.subjectTRANSPEC model
dc.subjecthealth safety
dc.subjectmedical education training
dc.subjectnursing
dc.subjectquality inhealthcare
dc.subjectAdult
dc.subjectCareer Choice
dc.subjectConsensus
dc.subjectDelphi Technique
dc.subjectHumans
dc.subjectMiddle Aged
dc.subjectModels, Theoretical
dc.subjectNurse Specialists
dc.subjectSpecialties, Nursing
dc.titleThe factors influencing the effective early career and rapid transition to a nursing specialty in differing contexts of practice: a modified Delphi consensus study
dc.typeJournal article
pubs.elements-id438716
pubs.organisational-groupOther
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
438716.pdf
Size:
1.55 MB
Format:
Adobe Portable Document Format
Description:
Download
Collections
Journal Articles