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Factors Influencing New RNs’ Supervisory Performance in Long-Term Care Facilities*

Published online by Cambridge University Press:  11 October 2017

Dawn Prentice ,
Veronique Boscart ,
Katherine S. McGilton  and
Astrid Escrig
Dawn Prentice*
Affiliation:
Department of Nursing, Brock University
Veronique Boscart
Affiliation:
CIHR/Schlegel Industrial Research Chair for Colleges in Seniors Care, Conestoga College
Katherine S. McGilton
Affiliation:
Senior Scientist, Toronto Rehabilitation Institute
Astrid Escrig
Affiliation:
Enhancing the Care of Older Adults (EnCOAR) Research Team, Toronto Rehabilitation Institute; Dalla Lana School of Public Health
*
†La correspondance et les demandes de tirés-à-part doivent être adressées à : / Correspondence and requests for offprints should be sent to: Dawn Prentice, RN, Ph.D. Department of Nursing Brock University 1812 Sir Isaac Brock Way St. Catharines, ON L2S 3A1 <dprentice@brocku.ca>
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Abstract

In long-term care facilities (LTCF), registered nurses (RNs) perform both clinical and supervisory roles as part of a team aiming to provide high-quality care to residents. The residents have several co-morbidities and complex care needs. Unfortunately, new RNs receive minimal preparation in gerontology and supervisory experience during their program, leading to low retention rates and affecting resident outcomes. This qualitative study explored factors that influence supervisory performance of new RNs in LTCF from the perspective of 24 participants from Ontario, Canada. Data were collected through individual interviews, followed by a directed content analysis. Three levels of influences were identified: personal influences, organizational influences, and external influences. Each level presented with sub-elements, further describing the factors that impact the supervisory performance of the new RN. To retain new RNs in LTC, organizations must provide additional gerontological education and mentoring for new RNs to flourish in their supervisory roles.

Résumé

Dans les établissements de soins de longue durée (ÉSLD), les infirmières autorisées (IAs) exercent à la fois des fonctions cliniques et de supervision en tant que membres d’une équipe visant à dispenser des soins de grande qualité aux résidents. Les résidents sont affectés par plusieurs comorbidités et leurs besoins en matière de soins sont complexes. Malheureusement, les infirmières nouvellement agréées ne reçoivent que peu de formation en gérontologie et leur expérience de supervision est minimale, ce qui entraîne de faibles taux de rétention et affecte les résultats chez les patients. Cette étude qualitative a exploré les facteurs influençant l’expérience de supervision des nouvelles IA en ÉSLD à porter d’un échantillon de 24 participants en Ontario (Canada). Les données ont été recueillies par la voie d’entrevues individuelles, et une analyse de contenu directe fut réalisée. Trois niveaux d’influence ont été identifiés : influences personnelles, influences organisationnelles et influences externes. Chacun des niveaux présentait des sous-éléments qui décrivaient plus précisément les facteurs ayant de l’impact sur la performance de la nouvelle IA en supervision. La rétention des nouvelles IA en ÉSLD nécessiterait la mise en place d’une formation additionnelle en gérontologie et d’un processus de mentorat par ces organisations, afin d’assurer le développement de leurs rôles de supervision.

Keywords

agingeducationregistered nurseslong-term carework environmentnew graduatesvieillissementformationinfirmières autoriséessoins de longue duréeenvironnement de travailnouveaux diplômés
Type
Articles
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 36 , Issue 4 , December 2017 , pp. 463 - 471
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Copyright
Copyright © Canadian Association on Gerontology 2017 

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Footnotes

*

We would like to acknowledge the contributions of all the stakeholders who participated in this research study. We would also like to acknowledge Meagan Blodgett for her assistance with this study. The study was funded by the Health Services Research Fund: Ontario Ministry of Health and Long-Term Care Grant.

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