Assessment of Practice Preparedness among Novice Nurses in Private Hospitals: A Cross-sectional Study

Abstract

Background: The crop of novice nurses who are currently employed is a product of flexible learning who had limited contact hours with actual patients, which is contrary to those who graduated from traditional learning modalities. Hence, it is essential to evaluate how the impact of flexible learning modality has affected the practice preparedness levels of novice nurses in the hospital setting.

Objective: This study aimed to determine the level of practice preparedness and its associated factors among novice nurses who work in private hospitals.

Methods: The study utilized a cross-sectional survey design. Data was gathered from a total enumeration of ninetyfour novice staff nurses who graduated from the flexible learning curriculum and are currently employed in private hospitals in Baguio City and La Trinidad. The tool used was a questionnaire in two parts. Part 1 consisted of questions related to demographic information and factors related to practice preparedness, and part 2 included the Nursing Practice Readiness Scale, with validity and reliability scores of >0.924 and 0.90, respectively. The data was analyzed using the SPSS V27 trial version. The protocol was approved by the Saint Louis University Research Ethics Committee.

Results: Findings reveal that more novice nurses in private hospitals perceived themselves as well-prepared across all domains of practice preparedness: "Collaborative Interpersonal Relationship" (n = 94, 100%); "Patient Centeredness" (n = 92, 97.90%); "Self-regulation" (n = 90, 95.70%); "Clinical Judgment and Nursing Performance" (n = 78, 83.00%); and "Professional Attitudes" (n = 76, 80.90%). There is a significant association between practice preparedness and the following factors: "Attended more than one Training/Seminars per year" (p = 0.02), "Graduated from Private Schools" (p = 0.03), and "Assigned in Regular Wards" (p = 0.05).On the other hand, no significant association was found between practice preparedness and the following factors: "Sex" (p = 0.61) and "Membership in Professional Organizations" (p = 0.73).

Conclusion: In agreement with existing studies, practice preparedness is multifactorial. However, what this study contributes are new factors that are favorable in making novice nurses more confident in performing their roles and responsibilities. These include being a graduate of private schools, being assigned to regular wards, and attending professional training/seminars more than once annually. Advantageously, these factors that promote practice preparedness are modifiable.

Keywords: hospital nursing staff; nurses; private hospitals.