‘How can we explain what we can’t see’: An Interpretive Description study on key stakeholders’ perceptions of newly qualified nurses entering General Practice as a first post destination

Abstract
Introduction
There is a widespread nursing shortage in the United Kingdom, and trends suggest that
vacancies will continue to rise. The challenge is particularly acute in primary care, where
unclear recruitment, career pathways and inconsistent employment conditions mean that
only a small proportion of nurses enter General Practice within five years of qualifying.
Published research has established that General Practice Nursing is subject to myths and
misperceptions, which may impact newly qualified nurses' entry into the profession.
Methodology and Methods
A qualitative interpretive descriptive study was undertaken to explore key stakeholders'
perceptions of newly qualified nurses entering General Practice as their first post
destination. The research comprised of three separate but interlinked studies. Purposive
sampling was conducted by recruiting student nurses within their final year of study,
newly qualified nurses whose first post-destination was General Practice, and General
Practice Nurse senior stakeholders. Data was collected using semi-structured interviews,
which were explored through a thematic analysis framework.
Findings
Two main themes were identified in all three connected studies: ‘General Practice
Workforce Inconsistencies’ and ‘General Practice Nurses' Professional Identity. ' The
research showed that various inconsistencies in a General Practice Nurse's professional
journey affected their recruitment and retention. Additionally, the study found that
General Practice Nurses face challenges related to their professional identity, which
impacts how they are perceived and interacted with by aspiring General Practice Nurses,
current healthcare professionals, and senior stakeholders.
Conclusion
Improving the inconsistencies that General Practice Nurses are subjected to may help
support their professional identity and make this role more visible and attractive to newly
qualified nurses.