Bridging the Gap: A Systematic Review of Transition Challenges and CPR Readiness Among Newly Graduated Nurses

Abstract

Background: As new graduate nurses, they are known to have difficulties in the transition period between theory and practice and specifically when it comes to cardiopulmonary resuscitation (CPR) where the ability to save the patient depends on the competency level. High fidelity simulation (HFS) and altered Objective Structured Clinical Examination (OSCE) has become novel methods to improve clinical training and testing. Purpose: The paper sought to assess the effects of an adapted OSCE and high-fidelity simulation on CPR skills in new nurses. Method: The systematic review approach was used, with an emphasis on articles published within 2020-2024. Several databases such as PubMed, CINAHL, Scopus, Web of science, Cochrane Library and Google Scholar were searched with predetermined keywords. A total of 70 studies were found, screened, and 18 studies were included according to inclusion criteria. The thematic analysis was employed to synthesize data. Results: 6 key themes were revealed: transition issues, readiness to practice, simulation training, development of CPR competencies, organized transition programs, and competency testing. The results have suggested that HFS is beneficial in terms of clinical skills, confidence, and decision-making, and modified OSCE is more effective in terms of overall evaluation of technical and non-technical skills. Conclusion: Modified OSCE integration with HFS can greatly enhance CPR competency and clinical readiness in newly graduated nurses, which is crucial to safer and more effective nursing care.