Unmet job expectations and transition challenges of newly qualified nurses in Northern Ghana

Abstract

Background: The transition from nursing student to qualified staff is often stressful, particularly in resource-limited settings. In Northern Ghana, newly qualified nurses (NQNs) face unique challenges that may affect job expectations and satisfaction. Aims and Objectives: This study aimed to assess unmet job expectations and transition challenges among NQNs in Northern Ghana. Materials and Methods: A descriptive cross-sectional study was conducted among 384 NQNs. Data were collected using structured questionnaires and analyzed using descriptive statistics (frequency, percentage, mean, and standard deviation). Associations and predictors of job satisfaction were examined. Results: Most NQNs expected decent service conditions, including better salaries (58.1%) and staff accommodation (79.3%). A majority hoped to work in well-equipped hospitals (81.2%) with supportive colleagues and supervisors (77.9%). However, many reported unmet expectations, leading to moderate job dissatisfaction. Key challenges included lack of proper orientation (81.3%), heavy workload (68.0%), lack of confidence (64.1%), and mismatched role expectations (28.4%). Significant associations with job satisfaction were age (P=0.04), department unit (P<0.001), and years of experience (P=0.02). Significant predictors of job satisfaction were age (adjusted odds ratio [AOR]=0.49, P=0.01), years of experience (AOR=3.28, P=0.03), and unit of employment (AOR=0.36, P<0.05). Conclusion: NQNs entered the workforce anticipating fair remuneration and supportive work environments, but faced the opposite. These unmet expectations highlight the importance of structured transition and orientation programs. Strengthening collaboration between nursing schools and healthcare facilities is crucial for easing this transition and improving outcomes for new nurses.