{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T14:46:21Z","timestamp":1789137981216,"version":"build-2803163510"},"reference-count":62,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,6,27]],"date-time":"2025-06-27T00:00:00Z","timestamp":1750982400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Applied Nursing Research"],"published-print":{"date-parts":[[2025,8]]},"DOI":"10.1016\/j.apnr.2025.151977","type":"journal-article","created":{"date-parts":[[2025,6,19]],"date-time":"2025-06-19T11:42:28Z","timestamp":1750333348000},"page":"151977","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":4,"special_numbering":"C","title":["The challenges and experiences of New Graduate Registered Nurses (NGRNs) during the Covid-19 pandemic: An integrative review"],"prefix":"10.1016","volume":"84","author":[{"given":"Pamela F.","family":"Casia","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fuqin","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Misty M.","family":"Richmond","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carin","family":"Adams","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.apnr.2025.151977_bb0005","doi-asserted-by":"crossref","first-page":"542","DOI":"10.4236\/ojn.2021.116046","article-title":"Mixed expectations in the recruitment settlement during COVID-19 pandemic: Experiences of newly employed nurses in Oman","volume":"11","author":"Al-Adawi","year":"2021","journal-title":"Open Journal of Nursing"},{"key":"10.1016\/j.apnr.2025.151977_bb0010","author":"American Nurse Journal"},{"key":"10.1016\/j.apnr.2025.151977_bb0015","author":"American Nurses Association"},{"key":"10.1016\/j.apnr.2025.151977_bb0020","author":"American Nurses Association (ANA)"},{"issue":"5","key":"10.1016\/j.apnr.2025.151977_bb0030","doi-asserted-by":"crossref","first-page":"1111","DOI":"10.1111\/jonm.13249","article-title":"Nursing during the COVID-19 outbreak: A phenomenological study","volume":"29","author":"Arcadi","year":"2021","journal-title":"Journal of Nursing Management"},{"issue":"5","key":"10.1016\/j.apnr.2025.151977_bb0035","doi-asserted-by":"crossref","first-page":"756","DOI":"10.1111\/nuf.12759","article-title":"The lived experience of nurses transitioning to professional practice during the COVID-19 pandemic","volume":"57","author":"Aukerman","year":"2022","journal-title":"Nursing Forum"},{"issue":"3","key":"10.1016\/j.apnr.2025.151977_bb0040","first-page":"109","article-title":"Understanding moral distress: How to decrease turnover rates of new graduate pediatric nurses","volume":"45","author":"Bong","year":"2019","journal-title":"Pediatric Nursing"},{"issue":"2","key":"10.1016\/j.apnr.2025.151977_bb0050","doi-asserted-by":"crossref","first-page":"106","DOI":"10.12968\/bjon.2023.0197","article-title":"Coping after the COVID-19 pandemic: Nurses\u2019 learning intent and implications for the workforce and education","volume":"34","author":"Brackney","year":"2025","journal-title":"British Journal of Nursing"},{"key":"10.1016\/j.apnr.2025.151977_bb0055","doi-asserted-by":"crossref","DOI":"10.1016\/j.ijnsa.2024.100177","article-title":"Promoting well-being: A scoping review of strategies implemented during the COVID-19 pandemic to enhance the well-being of the nursing workforce","volume":"6","author":"Browne","year":"2024","journal-title":"International Journal of Nursing Studies Advances"},{"issue":"6","key":"10.1016\/j.apnr.2025.151977_bb0060","doi-asserted-by":"crossref","first-page":"256","DOI":"10.3928\/00220124-20220505-07","article-title":"A longitudinal view of perceptions of entering nursing practice during the COVID-19 pandemic","volume":"53","author":"Bultas","year":"2022","journal-title":"Journal of Continuing Education in Nursing"},{"issue":"4","key":"10.1016\/j.apnr.2025.151977_bb0065","doi-asserted-by":"crossref","first-page":"560","DOI":"10.1111\/inr.12890","article-title":"Experiences of new nurses in the United States during the acute phase of the COVID-19 pandemic","volume":"70","author":"Byrne","year":"2023","journal-title":"International Nursing Review"},{"issue":"6","key":"10.1016\/j.apnr.2025.151977_bb0070","doi-asserted-by":"crossref","first-page":"1072","DOI":"10.1016\/j.outlook.2021.06.006","article-title":"The lived experiences of graduate nurses transitioning to professional practice during a pandemic","volume":"69","author":"Casey","year":"2021","journal-title":"Nursing Outlook"},{"key":"10.1016\/j.apnr.2025.151977_bb5020","series-title":"Risk factors for stress and burnout. [National Institute for Occupational Safety and Health]","author":"Center for Desease Control and Prevention","year":"2024"},{"issue":"5","key":"10.1016\/j.apnr.2025.151977_bb0075","doi-asserted-by":"crossref","first-page":"857","DOI":"10.1016\/j.profnurs.2021.06.008","article-title":"COVID-19 pandemic impact on experiences and perceptions of nurse graduates","volume":"37","author":"Crismon","year":"2021","journal-title":"Journal of Professional Nursing: Official Journal of the American Association of Colleges of Nursing"},{"key":"10.1016\/j.apnr.2025.151977_bb0080","series-title":"A descriptive phenomenology to understand the lived experience of the 2020 graduate nurse\u2019s transition to practice during COVID-19 [doctoral dissertation, University of Phoenix]","author":"Crum","year":"2022"},{"key":"10.1016\/j.apnr.2025.151977_bb0085","doi-asserted-by":"crossref","first-page":"515","DOI":"10.1186\/s12912-024-02177-4","article-title":"Learning from a crisis: A qualitative study on how nurses reshaped their work environment during the COVID-19 pandemic","volume":"23","author":"de Vos","year":"2024","journal-title":"BMC Nursing"},{"issue":"1","key":"10.1016\/j.apnr.2025.151977_bb0095","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1016\/S2155-8256(23)00067-4","article-title":"Associations between the COVID-19 pandemic and new nurses\u2019 transition to practice outcomes: A multi-site, longitudinal study","volume":"14","author":"Djukic","year":"2023","journal-title":"Journal of Nursing Regulation"},{"issue":"1","key":"10.1016\/j.apnr.2025.151977_bb0100","first-page":"10","article-title":"\u201cWe were thrown into the deep end\u201d: The experiences of new graduate nurses during the COVID-19 pandemic","volume":"31","author":"Doyle","year":"2024","journal-title":"Collegian"},{"key":"10.1016\/j.apnr.2025.151977_bb0105","series-title":"The lived experiences of new graduate nurse during the COVID-19 pandemic: A phenomenological study [doctoral dissertation, University of Phoenix]","author":"Druse","year":"2021"},{"issue":"10","key":"10.1016\/j.apnr.2025.151977_bb5005","doi-asserted-by":"crossref","first-page":"441","DOI":"10.3928\/00220124-20081001-03","article-title":"A process of becoming: the stages of new nursing graduate professional role transition","volume":"39","author":"Duchscher","year":"2008","journal-title":"Journal of continuing education in nursing"},{"issue":"4","key":"10.1016\/j.apnr.2025.151977_bb0110","doi-asserted-by":"crossref","first-page":"228","DOI":"10.1097\/NND.0000000000000461","article-title":"Stages of transition and transition shock","volume":"34","author":"Duchscher","year":"2018","journal-title":"Journal for Nurses in Professional Development"},{"issue":"5","key":"10.1016\/j.apnr.2025.151977_bb0120","doi-asserted-by":"crossref","first-page":"654","DOI":"10.1016\/j.colegn.2022.04.001","article-title":"Novice nurses\u2019 transition to the clinical setting in the COVID-19 pandemic: A phenomenological hermeneutic study","volume":"29","author":"Fern\u00e1ndez-Basanta","year":"2022","journal-title":"Collegian (Royal College of Nursing, Australia)"},{"issue":"2","key":"10.1016\/j.apnr.2025.151977_bb5010","doi-asserted-by":"crossref","first-page":"258","DOI":"10.1111\/jonm.13148","article-title":"Novice nurse\u2019s transitioning to emergency nurse during COVID-19 pandemic: A qualitative study","volume":"29","author":"Garc\u00eda-Mart\u00edn","year":"2021","journal-title":"Journal of nursing management"},{"issue":"2","key":"10.1016\/j.apnr.2025.151977_bb0125","doi-asserted-by":"crossref","first-page":"96","DOI":"10.4037\/ajcc2022312","article-title":"Critical care nurses\u2019 experiences during the COVID-19 pandemic: A US national survey","volume":"31","author":"Guttormson","year":"2022","journal-title":"American Journal of Critical Care: An Official Publication, American Association of Critical Care Nurses"},{"issue":"3","key":"10.1016\/j.apnr.2025.151977_bb0130","doi-asserted-by":"crossref","DOI":"10.1111\/ijn.12714","article-title":"Coming ready or not! An integrative review examining new graduate nurses' transition in acute care","volume":"25","author":"Hawkins","year":"2019","journal-title":"International Journal of Nursing Practice"},{"issue":"12","key":"10.1016\/j.apnr.2025.151977_bb0135","first-page":"1159","article-title":"Our new normal: Pediatric nurse residents\u2019 experiences with transition to practice during the COVID-19 pandemic","volume":"12","author":"Hinderer","year":"2024","journal-title":"Healthcare (Basel, Switzerland)"},{"issue":"113","key":"10.1016\/j.apnr.2025.151977_bb0140","article-title":"The experience of new graduate nurses in long-term care: A qualitative study","volume":"23","author":"Ho","year":"2024","journal-title":"BMC Nursing"},{"key":"10.1016\/j.apnr.2025.151977_bb0145","author":"Hong"},{"issue":"24","key":"10.1016\/j.apnr.2025.151977_bb0150","doi-asserted-by":"crossref","first-page":"12975","DOI":"10.3390\/ijerph182412975","article-title":"The psychological impact of COVID-19 on front line nurses: A synthesis of qualitative evidence","volume":"18","author":"Huerta-Gonz\u00e1lez","year":"2021","journal-title":"International Journal of Environmental Research and Public Health"},{"issue":"1","key":"10.1016\/j.apnr.2025.151977_bb0155","first-page":"2345","article-title":"The transition challenges faced by new graduate nurses in their first year of professional experience","volume":"5","author":"Hung","year":"2018","journal-title":"GSTF Journal of Nursing and Health Care"},{"issue":"5","key":"10.1016\/j.apnr.2025.151977_bb0160","doi-asserted-by":"crossref","first-page":"2924","DOI":"10.3390\/ijerph19052924","article-title":"A phenomenological study of nurses' experience in caring for COVID-19 patients","volume":"19","author":"Jang","year":"2022","journal-title":"International Journal of Environmental Research and Public Health"},{"issue":"6","key":"10.1016\/j.apnr.2025.151977_bb0165","doi-asserted-by":"crossref","first-page":"772","DOI":"10.1111\/jnu.12783","article-title":"Challenges faced by new nurses during the COVID-19 pandemic","volume":"54","author":"Jerome-D\u2019Emilia","year":"2022","journal-title":"Journal of Nursing Scholarship: An Official Publication of Sigma Theta Tau International Honor Society of Nursing"},{"issue":"18","key":"10.1016\/j.apnr.2025.151977_bb0170","doi-asserted-by":"crossref","first-page":"9471","DOI":"10.3390\/ijerph18189471","article-title":"New nurses\u2019 experience of caring for COVID-19 patients in South Korea","volume":"18","author":"Ji","year":"2021","journal-title":"International Journal of Environmental Research and Public Health"},{"key":"10.1016\/j.apnr.2025.151977_bb0175","doi-asserted-by":"crossref","DOI":"10.1016\/j.ijnurstu.2020.103578","article-title":"The performance and professionalism of nurses in the fight against the new outbreak of COVID-19 epidemic is laudable","volume":"107","author":"Jiang","year":"2020","journal-title":"International Journal of Nursing Studies"},{"key":"10.1016\/j.apnr.2025.151977_bb0180","doi-asserted-by":"crossref","first-page":"1271","DOI":"10.2147\/RMHP.S258785","article-title":"The lived experience of nurses caring for patients with COVID-19 in Iran: A phenomenological study","volume":"13","author":"Karimi","year":"2020","journal-title":"Risk Management and Healthcare Policy"},{"issue":"3","key":"10.1016\/j.apnr.2025.151977_bb0185","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1016\/j.bpa.2020.11.009","article-title":"Economic impact of COVID-19 pandemic on healthcare facilities and systems: International perspectives","volume":"35","author":"Kaye","year":"2021","journal-title":"Best Practice & Research Clinical Anaesthesiology"},{"issue":"12","key":"10.1016\/j.apnr.2025.151977_bb0190","doi-asserted-by":"crossref","DOI":"10.2196\/31358","article-title":"Nursing perspectives on the impacts of COVID-19: Social media content analysis","volume":"5","author":"Koren","year":"2021","journal-title":"JMIR Formative Research"},{"issue":"1","key":"10.1016\/j.apnr.2025.151977_bb0195","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1111\/jonm.13460","article-title":"\u201cYoung saplings on fire\u201d newly graduated nurses in the COVID-19 pandemic: A qualitative study","volume":"30","author":"Kovanc\u0131","year":"2021","journal-title":"Journal of Nursing Management"},{"issue":"1","key":"10.1016\/j.apnr.2025.151977_bb0205","doi-asserted-by":"crossref","first-page":"14","DOI":"10.4037\/aacnacc2021816","article-title":"Experiences of nurses during the COVID-19 pandemic: A mixed-methods study","volume":"32","author":"LoGiudice","year":"2021","journal-title":"AACN Advanced Critical Care"},{"key":"10.1016\/j.apnr.2025.151977_bb0210","doi-asserted-by":"crossref","DOI":"10.1016\/j.ijans.2022.100501","article-title":"Transition of graduate nurses from student to practice during the COVID-19 pandemic: Integrative review","volume":"17","author":"Matlhaba","year":"2022","journal-title":"International Journal of Africa Nursing Sciences"},{"issue":"1","key":"10.1016\/j.apnr.2025.151977_bb0215","article-title":"Stress, anxiety, and growth in nurses during the COVID-19 pandemic","volume":"28","author":"Mazanec","year":"2023","journal-title":"Online Journal of Issues in Nursing"},{"issue":"1","key":"10.1016\/j.apnr.2025.151977_bb0220","first-page":"78","article-title":"New graduate nurses navigating entry to practice in the COVID-19 pandemic","volume":"55","author":"McMillan","year":"2023","journal-title":"The Canadian Journal of Nursing Research (Revue Canadienne de Recherche en Sciences Infirmieres)"},{"issue":"4","key":"10.1016\/j.apnr.2025.151977_bb0230","doi-asserted-by":"crossref","first-page":"367","DOI":"10.1055\/s-0041-1739167","article-title":"Validation of algorithms for donning and doffing personal protective equipment during the COVID-19 pandemic","volume":"41","author":"Miranda","year":"2021","journal-title":"Journal of Coloproctology"},{"issue":"13\u201314","key":"10.1016\/j.apnr.2025.151977_bb5015","doi-asserted-by":"crossref","first-page":"2543","DOI":"10.1111\/jocn.14839","article-title":"New graduate nurses\u2019 understanding and attitudes about patient safety upon transition to practice","volume":"28","author":"Murray","year":"2019","journal-title":"Journal of clinical nursing"},{"key":"10.1016\/j.apnr.2025.151977_bb0235","author":"National Council of State Boards of Nursing (NCSBN)"},{"issue":"2","key":"10.1016\/j.apnr.2025.151977_bb0240","doi-asserted-by":"crossref","first-page":"382","DOI":"10.3390\/nursrep11020037","article-title":"Novice nurses' experiences caring for acutely ill patients during a pandemic","volume":"11","author":"Naylor","year":"2021","journal-title":"Nursing Reports (Pavia, Italy)"},{"key":"10.1016\/j.apnr.2025.151977_bb0250","series-title":"Writing for publication in nursing","author":"Oermann","year":"2021"},{"issue":"1","key":"10.1016\/j.apnr.2025.151977_bb0255","first-page":"39","article-title":"Challenges of graduate registered nurses entering practice during a pandemic: Clinical educators\u2019 perspectives","volume":"32","author":"O\u2019Reilly","year":"2025","journal-title":"Collegian"},{"key":"10.1016\/j.apnr.2025.151977_bb0260","doi-asserted-by":"crossref","DOI":"10.1590\/1980-265x-tce-2020-0327","article-title":"From Florence nightingale to the COVID-19 pandemic: The legacy we want","volume":"29","author":"Padilha","year":"2020","journal-title":"Texto & Contexto Enfermagem"},{"key":"10.1016\/j.apnr.2025.151977_bb0265","article-title":"The PRISMA 2020 statement: An updated guideline for reporting systematic reviews","volume":"372","author":"Page","year":"2021","journal-title":"BMJ (Clinical Research ed.)"},{"issue":"1","key":"10.1016\/j.apnr.2025.151977_bb0270","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1186\/s12912-022-00885-3","article-title":"The first COVID-19 new graduate nurses\u2019 generation: Findings from an Italian cross-sectional study","volume":"21","author":"Palese","year":"2022","journal-title":"BMC Nursing"},{"key":"10.1016\/j.apnr.2025.151977_bb0275","article-title":"COVID-19 pandemic and the social determinants of health","volume":"372","author":"Paremoer","year":"2021","journal-title":"BMJ (Clinical Research Ed.)"},{"issue":"3","key":"10.1016\/j.apnr.2025.151977_bb0280","doi-asserted-by":"crossref","first-page":"190","DOI":"10.14744\/jern.2024.35582","article-title":"Emotional intelligence and positive mental health among nurses: A replication study","volume":"21","author":"Peacock","year":"2024","journal-title":"Journal of Educational Research in Nursing"},{"issue":"6","key":"10.1016\/j.apnr.2025.151977_bb0290","doi-asserted-by":"crossref","first-page":"2887","DOI":"10.1002\/nop2.996","article-title":"Novice nurse and novel coronavirus: Experiences of novice nurses caring for patients diagnosed with COVID-19 in Thailand","volume":"9","author":"Sarnkhaowkhom","year":"2022","journal-title":"Nursing Open"},{"issue":"6","key":"10.1016\/j.apnr.2025.151977_bb0305","doi-asserted-by":"crossref","first-page":"294","DOI":"10.3928\/00220124-20210514-09","article-title":"Coming of age during coronavirus: New nurses\u2019 perceptions of transitioning to practice during a pandemic","volume":"52","author":"Sessions","year":"2021","journal-title":"Journal of Continuing Education in Nursing"},{"issue":"4","key":"10.1016\/j.apnr.2025.151977_bb0310","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1097\/NNE.0000000000001042","article-title":"Impact of COVID-19 on new graduate nurses\u2019 transition to practice: Loss or gain?","volume":"46","author":"Smith","year":"2021","journal-title":"Nurse Educator"},{"issue":"10","key":"10.1016\/j.apnr.2025.151977_bb0315","doi-asserted-by":"crossref","first-page":"451","DOI":"10.3928\/00220124-20220907-06","article-title":"The lived experiences of new nurses during the COVID-19 pandemic and their contributions to nursing education and professional development","volume":"53","author":"Suplee","year":"2022","journal-title":"Journal of Continuing Education in Nursing"},{"issue":"2","key":"10.1016\/j.apnr.2025.151977_bb0320","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1097\/NND.0000000000000608","article-title":"Transition to practice: The lived experience of new graduate nurses in early solo flight","volume":"36","author":"Urban","year":"2020","journal-title":"Journal for Nurses in Professional Development"},{"issue":"5","key":"10.1016\/j.apnr.2025.151977_bb0335","doi-asserted-by":"crossref","first-page":"546","DOI":"10.1111\/j.1365-2648.2005.03621.x","article-title":"The integrative review: Updated methodology","volume":"52","author":"Whittemore","year":"2005","journal-title":"Journal of Advanced Nursing"},{"issue":"19","key":"10.1016\/j.apnr.2025.151977_bb0340","doi-asserted-by":"crossref","first-page":"10178","DOI":"10.3390\/ijerph181910178","article-title":"COVID just amplified the cracks of the system: Working as a frontline health worker during the COVID-19 pandemic","volume":"18","author":"Willis","year":"2021","journal-title":"International Journal of Environmental Research and Public Health"},{"issue":"1","key":"10.1016\/j.apnr.2025.151977_bb0345","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1080\/10376178.2024.2432636","article-title":"Transition shock of newly graduated nurses: A qualitative study","volume":"61","author":"Zhang","year":"2024","journal-title":"Contemporary Nurse"},{"issue":"3","key":"10.1016\/j.apnr.2025.151977_bb0350","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1016\/j.anr.2021.05.001","article-title":"The work experience of newly recruited male nurses during COVID-19: A qualitative study","volume":"15","author":"Zhou","year":"2021","journal-title":"Asian Nursing Research"}],"container-title":["Applied Nursing Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0897189725000795?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0897189725000795?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,7,29]],"date-time":"2025-07-29T06:18:31Z","timestamp":1753769911000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0897189725000795"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8]]},"references-count":62,"alternative-id":["S0897189725000795"],"URL":"https:\/\/doi.org\/10.1016\/j.apnr.2025.151977","relation":{},"ISSN":["0897-1897"],"issn-type":[{"value":"0897-1897","type":"print"}],"subject":[],"published":{"date-parts":[[2025,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"The challenges and experiences of New Graduate Registered Nurses (NGRNs) during the Covid-19 pandemic: An integrative review","name":"articletitle","label":"Article Title"},{"value":"Applied Nursing Research","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.apnr.2025.151977","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 The Authors. Published by Elsevier Inc.","name":"copyright","label":"Copyright"}],"article-number":"151977"}}