| The United States is experiencing a nursing shortage, the result of social, financial, and technological supply and demand factors. This research explored the intersection of nontraditional nursing education, modern nursing practice, and the current nursing shortage through a general system perspective. The study used a qualitative, retrospective, interview design to gain an understanding of the transition experiences of graduates of a nontraditional, competency based program for licensed practical nurses. Research questions focused on role development in the first year of nursing practice. Interview transcripts were analyzed using Van Maanen's technique for vocational role development analysis. Benner's theory of nursing development was used to contrast the experiences of the nontraditional graduates with previously published transition research in traditional graduates. Analysis indicated that the nontraditional graduates began nursing practice at an advanced level but expressed limited experience with expert nursing concepts. Results have the potential to contribute to a paradigm shift in nursing clinical education and intentional nursing role development. The implementation of cost-efficient and effective nursing curriculum positively impacts health care by improving patient safety and workplace morale, and by promoting critical thinking and nursing autonomy. Fostering ongoing role development for nurses contributes to a competent workforce and quality outcomes. Evidenced based improvements in nursing education promise social change through reallocation of financial and human resources to the broader social objectives of ensuring quality nursing care, creating networks of care, expanding access to health services, and promoting and supporting population health initiatives. |
