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Trial registered on ANZCTR
Registration number
ACTRN12617000069358
Ethics application status
Approved
Date submitted
10/01/2017
Date registered
13/01/2017
Date last updated
4/02/2020
Date data sharing statement initially provided
4/02/2020
Type of registration
Prospectively registered
Titles & IDs
Public title
An ethnographic study of the new graduate nurse’s experience when encountering the culture of acute mental health services
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Scientific title
An ethnographic study of the new graduate nurse’s experience when encountering the culture of acute mental health services
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Secondary ID [1]
290881
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nil known
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Universal Trial Number (UTN)
U1111-1191-4741
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Culture of mental health nursing
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Condition category
Condition code
Public Health
301300
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0
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Health service research
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
This is an ethnographic study involving the observation of new graduate nurses as they encounter the culture of mental health nursing during their first year of practice..
This study will involve two phases - phase I: non-participant observation of new graduate nurses in the staff-only areas of each acute inpatient unit chosen; and phase II: semi-structured interviews of new graduate nurses as well as a group of recently graduate nurses (nurses who have graduated in the last 5 years).
For phase I - up to 24 new graduate nurses will be invited to participate and will be asked to allow 6 hours of observation (in 2 hour blocks) by the researcher over a period of approximately 7 months. This will occur in staff-only areas of acute mental health inpatient units. No consumers of mental health care will be included in the study. The observation will largely focus on the interactions between new graduate nurses and their colleagues.
For phase II - up to 30 participants will be invited to participate in semi-structured interviews. The primary participants will include the new graduate nurses invited to participate in phase I, and an additional number of recent graduate nurses (those who have graduated in the last five years) to increase the depth of findings.
Participants in phase II will be asked questions around their experiences of transitioning into the culture and practice of mental health nursing.
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Intervention code [1]
296828
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Not applicable
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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- Non-participant observation by the primary researcher
- Responses from semi-structured interviews
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Assessment method [1]
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Timepoint [1]
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12 month duration to complete phase I and II
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Secondary outcome [1]
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- Non-participant observation by the primary researcher
- Responses from semi-structured interviews
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Assessment method [1]
330682
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Timepoint [1]
330682
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12 month duration to complete phase I and II
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Eligibility
Key inclusion criteria
New graduate nurse - a nurse who satisfied the requirements to practice as a registered nurse in NSW Health and is currently enrolled in a new graduate nurse program within the field of mental health nursing, within the chosen NSW Health local health district.
Recent graduate nurse - a nurse who has fulfilled has completed a new-graduate nurse program in a mental health setting within the last five years.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Those who are neither a recent graduate nurse or a new-graduate nurse.
** For the purposes of this study, phase I involves the observation of new graduate nurses within staff-only areas of each mental health inpatient unit. This may involve the indirect observation of other staff members. Whilst the colleagues of new-graduate nurses are not considered primary participants, their permission to observe will be sought and information about the study will be provided to them.
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Study design
Purpose
Natural history
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Duration
Longitudinal
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Selection
Defined population
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Timing
Prospective
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Statistical methods / analysis
Ethnography requires the in-depth study of a small population or single unit. However in this study, the study focuses on the new graduate nurses who are not contained within a single site. This requires the researcher to observe this population over multiple sites.
The total number of new graduate nurses recruited to the local health district mental health transition program is 24 new graduates per year. All new graduates will be invited to participate. however it is anticipated that not all participants invited will agree to participate. The data collection will occur until data saturation is reached. In this case, it is possible that not all participants that agree to participate will be observed.
This reasoning is applied to both phase I - non-participant observation, and phase II - semi-structured interviews.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
7/02/2017
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Actual
1/04/2017
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Date of last participant enrolment
Anticipated
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Actual
1/10/2017
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Date of last data collection
Anticipated
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Actual
1/10/2017
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Sample size
Target
26
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Accrual to date
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Final
26
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Recruitment in Australia
Recruitment state(s)
NSW
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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The University of Newcastle
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Address [1]
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The University of Newcastle
School of Nursing and Midwifery
University Drive
Callaghan NSW 2308
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Country [1]
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Australia
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Primary sponsor type
University
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Name
The University of Newcastle
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Address
The University of Newcastle
University Drive
Callaghan NSW 2308
School of Nursing and Midwifery
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
294140
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Hunter New England Research Ethics committee
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Ethics committee address [1]
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Hunter New England Research Ethics & Governance Office Locked bag 1 New Lambton NSW 2305
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Ethics committee country [1]
296650
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Australia
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Date submitted for ethics approval [1]
296650
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16/09/2016
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Approval date [1]
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01/11/2016
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Ethics approval number [1]
296650
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16/09/21/4.07
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Summary
Brief summary
The aim of this study is to explore the experiences of graduate nurses during their first year of mental health nursing. Research questions Superordinate question: 1.What are the experiences of graduate nurses when encountering the culture of mental health nursing? Secondary questions: 2.Are there links between the experiences of graduate nurses and their intention to remain in the field of mental health nursing? 3.What are the processes of assimilating new nurses into the workplace? 4.Where does the new graduate fit into the organisations hierarchy, and how is this perceived by the new graduate? The research design is an ethnographic study utilising non-participant field observation; semi-structured interviews; analysis of cultural artefacts; and analysis of reflexive researcher notes as data collection methods. Data will be analysed using thematic analysis via NViVO software. The theoretical lens guiding this research is ‘viewing mental health services through the eyes of the new graduate nurse’. It is based on the organisational of mental health services and the impact of the culture on those early experiences of new nurses.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Ms Mary-Ellen Hooper
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Address
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The University of Newcastle
School of Nursing and Midwifery
University Drive
Callaghan NSW 2308
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Country
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Australia
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Phone
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+61 0433 400 943
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Mary-Ellen Hooper
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Address
71627
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The University of Newcastle
School of Nursing and Midwifery
University Drive
Callaghan NSW 2308
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Country
71627
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Australia
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Phone
71627
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+61433400943
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Fax
71627
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Email
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[email protected]
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Contact person for scientific queries
Name
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Mary-Ellen Hooper
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Address
71628
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The University of Newcastle
School of Nursing and Midwifery
University Drive
Callaghan NSW 2308
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Country
71628
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Australia
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Phone
71628
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+61433400943
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Fax
71628
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Email
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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