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An ethnographic study of the new graduate nurse’s experience when encountering the culture of acute mental health services

An ethnographic study of the new graduate nurse’s experience when encountering the culture of acute mental health services

Status
Completed
Phases
Unknown
Study type
Observational
Source
ANZCTR
Registry ID
ACTRN12617000069358
Enrollment
26
Registered
2017-01-13
Start date
2017-04-01
Completion date
2017-10-01
Last updated
2020-02-10

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

The aim of this study is to explore the experiences of graduate nurses during their first year of mental health nursing. Research questions Superordinate question: 1.What are the experiences of graduate nurses when encountering the culture of mental health nursing? Secondary questions: 2.Are there links between the experiences of graduate nurses and their intention to remain in the field of mental health nursing? 3.What are the processes of assimilating new nurses into the workplace? 4.Where does the new graduate fit into the organisations hierarchy, and how is this perceived by the new graduate? The research design is an ethnographic study utilising non-participant field observation; semi-structured interviews; analysis of cultural artefacts; and analysis of reflexive researcher notes as data collection methods. Data will be analysed using thematic analysis via NViVO software. The theoretical lens guiding this research is ‘viewing mental health services through the eyes of the new graduate nurse’. It is based on the organisational of mental health services and the impact of the culture on those early experiences of new nurses.

Interventions

This is an ethnographic study involving the observation of new graduate nurses as they encounter the culture of mental health nursing during their first year of practice.. This study will involve two phases - phase I: non-participant observation of new graduate nurses in the staff-only areas of each acute inpatient unit chosen; and phase II: semi-structured interviews of new graduate nurses as well as a group of recently graduate nurses (nurses who have graduated in the last 5 years). For phas

This is an ethnographic study involving the observation of new graduate nurses as they encounter the culture of mental health nursing during their first year of practice.. This study will involve two phases - phase I: non-participant observation of new graduate nurses in the staff-only areas of each acute inpatient unit chosen; and phase II: semi-structured interviews of new graduate nurses as well as a group of recently graduate nurses (nurses who have graduated in the last 5 years). For phase I - up to 24 new graduate nurses will be invited to participate and will be asked to allow 6 hours of observation (in 2 hour blocks) by the researcher over a period of approximately 7 months. This will occur in staff-only areas of acute mental health inpatient units. No consumers of mental health care will be included in the study. The observation will largely focus on the interactions between new graduate nurses and their colleagues. For phase II - up to 30 participants will be invited to participate in semi-structured interviews. The primary participants will include the new graduate nurses invited to participate in phase I, and an additional number of recent graduate nurses (those who have graduated in the last five years) to increase the depth of findings. Participants in phase II will be asked questions around their experiences of transitioning into the culture and practice of mental health nursing.

Sponsors

The University of Newcastle
Lead SponsorUniversity

Eligibility

Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
Yes

Inclusion criteria

New graduate nurse - a nurse who satisfied the requirements to practice as a registered nurse in NSW Health and is currently enrolled in a new graduate nurse program within the field of mental health nursing, within the chosen NSW Health local health district. Recent graduate nurse - a nurse who has fulfilled has completed a new-graduate nurse program in a mental health setting within the last five years.

Exclusion criteria

Those who are neither a recent graduate nurse or a new-graduate nurse. ** For the purposes of this study, phase I involves the observation of new graduate nurses within staff-only areas of each mental health inpatient unit. This may involve the indirect observation of other staff members. Whilst the colleagues of new-graduate nurses are not considered primary participants, their permission to observe will be sought and information about the study will be provided to them.

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026