New graduate nurse experience: A qualitative study in an acute cardiac specialty area

Aim: This study explored the lived experience of the new graduate nurse (NGN) transition to practice on an acute cardiac specialty unit. Background: The NGN transition to practice has been widely studied, yet there is a paucity of literature exploring the transition to specialty nursing areas. Methods: This phenomenological study utilized semi-structured interviews with five participants, including a five-year follow-up to assess employment retention. Results: Fear, stress, and perceived expectations mirror the existing literature. Higher acuity resulted in greater burden of responsibility. In addition, the need to consolidate nursing practice while simultaneously acquiring specialty education produced anxiety and a perception of workload imbalance. Discussion: Although challenging, these additional pressures also served as a driver for achievement. Supportive relationships contribute to positive outcomes for the NGN transition. Specialty practice areas hiring new graduate nurses should provide extended mentored orientation, phased continuing education, and foster peer support during the transition process.