Development of the CLEAR Program to Bridge the Theory-Practice Gap for New Graduate Nurses.
TL;DR
The findings indicate that an integrated experiential learning approach-combining case-based learning, clinical application, and structured reflection-supports safe transition and professional growth.
Abstract
Background
New graduate nurses often face challenges in bridging the gap between theoretical knowledge and clinical practice. This study developed and evaluated the Case-based Learning, Experiential Analysis & Application, and Reflection (CLEAR) program, a structured experiential learning model based on Kolb's theory, to facilitate their early adaptation.
Method
A single-group pretest-posttest design was employed with 30 new graduate nurses. The 8-week program, developed using the Analysis, Design, Development, Implementation, and Evaluation (ADDIE) model, integrated case-based learning, experiential analysis, clinical application, and structured reflection.
Results
Practical knowledge and clinical readiness improved significantly (p < .001). Although total organizational socialization scores remained stable, subdomains showed mixed results: self-efficacy and job satisfaction significantly increased, whereas self-perceived job performance declined, reflecting a "reality check" and recalibration of self-appraisal. Educational satisfaction was high.
Conclusion
The CLEAR program effectively transformed abstract knowledge into actionable clinical competence. The findings indicate that an integrated experiential learning approach-combining case-based learning, clinical application, and structured reflection-supports safe transition and professional growth.