ORCID

0009-0001-6543-1747

Keywords

professional confidence, confidence, new graduate nurses, newly licensed nurses, and qualitative

Abstract

New graduate nurses (NGNs) constitute a large share of the nursing workforce but face high risks of turnover, stress, and burnout. As novices with limited experience, they struggle to navigate complex healthcare systems. Understanding how NGNs build professional confidence by integrating knowledge, skills, and abilities could help develop more effective support strategies. Professionally confident nurses are essential for sustaining the workforce and thriving in today's healthcare environment. The purpose of this dissertation is to explore professional confidence among newly licensed nurses. An exploratory qualitative study was conducted with 10 newly licensed nurses in the United States with less than 2 years of nursing experience. Semi-structured individual virtual interviews were conducted via an electronic platform and recorded. Interviews were analyzed using inductive content analysis. Findings revealed that the transition-to-practice process and practice-gap experiences form the foundation for developing professional confidence. Five themes emerged: peer support, preceptor engagement, experiences with nurse leaders, work environment, and personal factors. Newly licensed registered nurses described their professional growth and the factors influencing their professional confidence. Healthcare organizations aiming to reduce turnover will need to rely on evidence-based strategies and research to improve patient outcomes. Developing professional confidence is likely crucial for fostering competent nurses capable of providing effective patient care.

Completion Date

2026

Semester

Spring

Committee Chair

Loerzel, Victoria

Degree

Doctor of Philosophy (Ph.D.)

College

College of Nursing

Format

PDF

Document Type

Dissertation

Identifier

DP0053158

Release Date

5-15-2028

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Available for download on Monday, May 15, 2028

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