Secondary Logo

Institutional members access full text with Ovid®

Educational Preparation for Clinical Practice

Reflections of Newly Graduated RNs

Hatzenbuhler, Nicole J., MSN, RN; Klein, Julie E., PhD, RN, CNE

doi: 10.1097/NNE.0000000000000550
Feature Articles

Background Preparedness of newly graduated RNs to provide safe, competent patient care is a significant concern because of increasing work demands and complexities in health care systems.

Purpose This qualitative study explored the perceptions of newly graduated RNs about how their educational experiences as prelicensure students prepared them to enter the nursing workforce.

Methods Face-to-face, semi structured interviews were conducted with 10 RNs who held baccalaureate degrees, were employed in acute care settings, and practiced for 1 to 2 years.

Results Analysis of the interview data revealed that nursing education programs did not adequately prepare graduates for their multifaceted roles and responsibilities as RNs. The participants offered recommendations for faculty use in prelicensure nursing programs to better prepare students for successful transition into clinical practice.

Conclusions Nursing faculty should implement practice-oriented educational experiences to facilitate students to assume professional roles and responsibilities when they enter the nursing workforce.

Author Affiliations: Lecturer (Ms Hatzenbuhler), School of Nursing, North Dakota State University, Bismarck; Professor and Graduate Nurse Educator Program Coordinator (Dr Klein), Division of Nursing, University of Mary, Bismarck, North Dakota.

The authors declare no conflicts of interest.

Correspondence: Ms Hatzenbuhler, NDSU Nursing at Sanford Health, 512 N 7th St, Bismarck, ND 58501 (

Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal’s Web site (

Accepted for publication: April 1, 2018

Published ahead of print: May 24, 2018

Cite this article as: Hatzenbuhler NJ, Klein JE. Educational preparation for clinical practice: reflections of newly graduated RNs. Nurse Educ. 2019;44(2):93-97. doi: 10.1097/NNE.0000000000000550

Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved