Experiences of newly qualified professional nurses in primary health care facilities in the Amathole District, Eastern Cape Province, South Africa

Abstract

The purpose of this study was to explore and describe the experiences of professional nurses during their first two years of professional service, inclusive of one year of community service in Primary Health Care facilities in the Eastern Cape Province. The study followed a qualitative and exploratory approach. Its design was phenomenological in nature. A purposive sample of 20 newly qualified professional nurses participated in the study. Data were collected through individual interviews behind closed doors and field notes were taken. Data were coded manually and analysed, using Coliazzi’s six steps of data analysis. Results revealed inappropriate induction programmes, lack of support and supervision, and inadequate training and development programmes for newly qualified professional nurses. The nurses’ experiences were manifested in lack of motivation, lack of confidence and poor service delivery. There is need to develop clear guidelines for induction programmes, with role clarification; course duration and timing; guidelines on supervision; and support of newly qualified nurses. Additionally, a coaching and mentoring programme for newly qualified nurses should be developed in order to assist nurses to have a smooth transition from studentship to a professional nurse, which in turn will enhance quality patient care.

Keywords: Experiences, professional nurses, Amathole district, primary health care facilities.