Transition to practice programs for novice perioperative nurses in Australia: Insights into program structure, duration, and educational approaches – a mixed-methods study
DOI:
https://doi.org/10.26550/2209-1092.1395Keywords:
transition to practice, perioperative nursing, novice nurses, nurse educators, quality care, improved outcomesAbstract
Background: Novice perioperative nurses face unique challenges when transitioning into highly specialised clinical environments. Transition to practice (TTP) programs are designed to support their integration, yet there is limited empirical evidence on the structure and effectiveness of these programs in the perioperative context. This study explores the current TTP programs available to novice perioperative nurses in Australia, with a focus on program content, duration and educational approaches.
Methods: A mixed-methods, multilevel triangulation design with four sequential phases was employed. For the first phase, we conducted a survey with perioperative nurse educators using both qualitative and quantitative components. Constructs measured included characteristics and effectiveness of current TTP programs in Australia.
Results: Data from 50 respondents revealed significant variability in TTP programs across different healthcare services. The length of TTP programs ranged from 1.5 to 24 months, with differences in the amount of facility orientation and supernumerary time. The content taught within these programs also varied. Some programs focused solely on specific nursing roles, others provided a comprehensive overview of perioperative care. Teaching approaches included a mixture of theoretical and experiential learning, with an emphasis on practical skills and mentorship.
Conclusion: This study found wide variation in the structure, duration and content of perioperative TTP programs across Australia. While some variation may reflect organisational needs, the lack of foundational consistency may impact preparation, confidence and support for novice nurses. Implementing national guidelines with clear learning outcomes and assessment strategies could help ensure novice perioperative nurses are adequately equipped for safe and effective practice, while allowing flexibility for local adaptation.
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Copyright (c) 2026 Nick Nijkamp, Pauline Calleja, Leanne Jack, Ashlyn Sahay
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