Nurses Perception and Experiences about Professional Career Development
Wastu Adi Mulyono, Made Sumarwati, Haryatiningsih Purwandari, Eni Rahmawati

Department of Nursing, Faculty of Health Sciences, Jenderal Soedirman University

Abstract

Background: Nursing fresh graduates (FGs) face significant demands for adaptation during their transition to clinical practice. The theory-practice gap, the need for clinical competency, and safety culture are key issues that determine early career retention and performance.

Objective: To explore nurses^ perceptions and experiences regarding professional development strategies that are relevant for FGs to strengthen their clinical competency and facilitate work adaptation.

Method: A qualitative design with a thematic analysis approach was used. Data were collected through in-depth interviews using guiding questions. Participants (N=9) were nurses with various positions and lengths of service. Analysis involved open coding, code grouping, and theme extraction. Data trustworthiness was maintained through triangulation, limited member checking, and an audit trail.

Key Findings: Nine themes were identified: (1) Cultural & organizational adaptation- (2) Soft skills & professional attitude- (3) Critical thinking (CT) as a key competency- (4) Clinical competency development & certification- (5) Selection, interview & self-branding- (6) Networking, role models & lifelong learning- (7) Values, ethics & spirituality- (8) Learning from incidents & safety culture- (9) System context & placement. These themes form a professional development pathway for FGs, spanning from selection and orientation to clinical learning and retention.

Conclusion: Bridging programs for FGs should emphasize CT and scientific literacy, SOP-based and safety-oriented (non-blaming) clinical orientation/training, assertive data-driven interprofessional communication, core certification packages (e.g., BTCLS/BNLS), and the strengthening of values, spirituality, and formal mentorship.

Keywords: fresh graduate- professional development- critical thinking- work adaptation- safety culture- nursing

Topic: Nursing Care and Technology Development