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All Journal An Idea Health Journal
Aghata Christie Jelita Angkouw
Universitas Karya Husada
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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Experience’s of Transtion From New Graduate Nurse (NGN) to Professional in Yemen Muhammed Ahmed Al-Mekhlafi; Haeril Amir; Nasrullah Nasrullah; Aghata Christie Jelita Angkouw
An Idea Health Journal Vol 6 No 03 (2026)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/ihj.v6i03.693

Abstract

Background: The transition from new graduate nurse to professional nurse represents a critical developmental phase marked by psychological adjustment, clinical skill acquisition, and identity formation. In fragile and resource-constrained health systems such as Yemen. This study aimed to explore the lived experiences of nurses transitioning from novice to professional roles in public hospitals in Yemen. Methods: A qualitative descriptive design was employed to obtain an in- depth understanding of participants’ experiences. Ten newly graduated nurses working in government hospitals in Yemen were recruited using purposive sampling. Data collected between January and December 2025 through semi- structured, in-depth interviews. All interviews were audio-recorded, transcribed verbatim, and analyzed using thematic analysis to identify patterns and meanings across narratives. Result: Three major themes emerged. included Emotional Turbulence in Early Practice, included subthemes of transition shock, fear of clinical errors, and role uncertainty. The second theme, Developing Clinical Competence and Professional Confidence, encompassed experiential learning, mentorship support, and adaptive coping strategies. The third theme, Negotiating Professional Identity within System Constraints, comprised subthemes of interprofessional dynamics, workload pressure, and commitment to patient- centered care despite limited resources. Conclusion: Structured mentorship, supportive leadership, and competency- based transition programs are essential to facilitate smoother professional integration and enhance retention of newly graduated nurses in fragile health systems.
Factors Associated with Nurses’ Early Warning System (EWS) Scoring Accuracy and Patient Clinical Outcomes Aghata Christie Jelita Angkouw; Sabina Gero; Amrih Widiati; Eko Winarto
An Idea Health Journal Vol 6 No 03 (2026)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/ihj.v6i03.855

Abstract

Background: Hospital healthcare services are required to produce positive outcomes, including reducing patient mortality rates. The Early Warning System (EWS) is used to detect early deterioration in patient conditions so that interventions can be administered more quickly. This study aims to analyze the factors associated with the accuracy of nurses’ EWS scoring and patient clinical outcomes at RSUD Mitra Sehat. Methods: This study was a quantitative study using an analytical observational design with a prospective cohort approach. Primary data were collected through questionnaires to analyze the effects of the King’s Interaction System and TOUS factors on the accuracy of nurses’ EWS scoring and their association with patient clinical outcomes at RSUD Mitra Sehat. Result: The results of the logistic regression test showed that the p-value for nurses’ knowledge was greater than the α value (0.05), at 0.220, with Exp(β) = 0.358. Nurses’ transactions had a p-value of 0.371, with Exp(β) = 2.116. These results indicate that both variables did not have a significant effect and were not statistically strong enough. Conclusion: Nevertheless, these factors still play a role. Patient clinical outcomes are more strongly influenced by underlying clinical conditions, comorbidities, disease severity, and limited medical resources, all of which can lead to delays in intervention.
Co-Authors Amrih Widiati Eko Winarto Haeril Amir Muhammed Ahmed Al-Mekhlafi Nasrullah Nasrullah Sabina Gero