Facilitating an early career transition pathway to community nursing: A Delphi Policy Study

Diane Chamberlain, Clare Harvey, Desley Hegney, Lily Tsai, Sandy Mclellan, Agnieszka Sobolewska, Elspeth Wood, Joyce Hendricks, Troy Wake

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7 Citations (Scopus)
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To further develop and validate a new model of the early career transition pathway in the speciality of community nursing.
Delphi policy approach, guided by a previous systematic review and semi‐structured interviews.
Four rounds of an expert panel (N = 19). Rounds one, two and four were questionnaires consisting of a combination of closed (Likert response) and open‐ended questions. Round three comprised of a focus group conducted using virtual meeting technology.
The final model demonstrated reliable and valid measures. There were deficiencies in “pre‐entry”—where the marketing of community nursing was negligible and the support around orientation informal and minimal, mainly due to tight budgetary concerns. Community practice holds a whole new dimension for nurses transitioning from acute care as the concept of “knowing your community” took time and support—time to be accepted reciprocally and develop a sense of belonging to the community.
Original languageEnglish
Pages (from-to)100-126
Number of pages27
JournalNursing Open
Issue number1
Publication statusPublished - 1 Jan 2020

Bibliographical note

This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. © 2019 The Authors. Nursing Open published by John Wiley & Sons Ltd.


  • community health nursing
  • consensus
  • Delphi technique
  • education continuing
  • health transition
  • health workforce
  • model nursing
  • policy
  • safety management


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