The Open Nursing Journal

ISSN: 1874-4346 ― Volume 10, 2016

Nurse Managers’ Strategies for the Integration of Newly Graduated Nurses into Clinical Units in Japan: A Qualitative Exploratory Study

Misuzu F. Gregg*, 1, Toyomi Wakisaka2, Chifuyu Hayashi1
1 Kobe City College of Nursing, Kobe, Japan
2 Konan Women’s University, Kobe, Japan



The purpose of this study was to explore the strategies used by nurse managers in Japan to facilitate the integration of newly graduate nurses (NGNs) into their clinical units.


The integration of NGNs into clinical units is an important issue for both NGNs and nurse managers because the first year of practice plays a vital role in a NGN’s career.


Data were generated through semi-structured interviews with 9 nurse managers in 9 acute care hospitals. Data analysis was conducted using a qualitative content analysis method.


Nurse managers used a total of 6 strategies: understanding the circumstances of NGNs, providing opportunities for experience and learning, supporting nurses who teach NGNs, facilitating self-learning, promoting awareness of being a nurse in the clinical unit, and strengthening the sense of comradeship in clinical units. Three of these strategies were particularly important for NGNs’ integration into clinical units: facilitating self-learning, promoting awareness of being a nurse in the clinical unit, and strengthening the sense of comradeship in clinical units. These strategies were described in this study.


The strategies adopted by nurse managers should be aimed at all nurses, not just NGNs, in order to strengthen the sense of comradeship in clinical units. This approach would create a supportive environment for the integration of NGNs into clinical units. The strategies presented in this study can be utilized not just by nurse managers but all senior nurses in the unit. NGNs can use these strategies to help them understand what they need to do to become a full member of their unit.

Keywords: : Clinical units, integration, newly graduated nurses, nurse managers, qualitative descriptive study, strategies.

Article Information

Identifiers and Pagination:

Year: 2013
Volume: 7
First Page: 157
Last Page: 164
Publisher Id: TONURSJ-7-157
DOI: 10.2174/1874434601307010157

Article History:

Received Date: 9/7/2013
Revision Received Date: 2/10/2013
Acceptance Date: 2/10/2013
Electronic publication date: 31/10/2013
Collection year: 2013

© Gregg et al.; Licensee Bentham Open.

open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

* Address correspondence to this author at the 3-4 GakuenNishi-machi, Nishi-ku, Kobe-shi, Hyogo-ken, 651-2103, Japan; Tel/Fax: 81-78-794-8045; E-mail:


Browse Contents

Webmaster Contact:
Copyright © 2016 Bentham Open