Introduction The nurse’s first year of practice is the time to acquire new skills and build knowledge and confidence upon the same. Due to deficiency of skills, practical experience, and conflicts in the theoretical knowledge and practical knowledge during the initial phase of their employment, Registered Nurses (RN) face a lot of problems and challenges. Due to these gaps of knowledge, fresh graduates have a lot of stress to perform equivalent to the experienced nurses, which they find difficult. Due to this self-expectation and the expectation on the part of employers and senior nurses newly qualified nurses feel a lot of stress. Fresh nurses consider themselves ready to perform at the new job placements but find themselves not on par with …show more content…
The major one is the stress faced by the newly qualified nurses. Stress arises mainly due to expectations, role stress or role overload, lack of support and difficulty in obtaining permanent position post formal education (Christopher, 2016 & Martin and Wilson, 2011). Conflict often arises between new graduate nurses and experienced staff over the ideal patient care. The realities of practice often turn out to be contrary to what graduates were taught in university (Phillips, Kenny, Esterman, & Smith, 2014). These discrepancies in practices have been shown to create distress and reality shock for new RNs (Gardiner & Sheen, 2016). Reality shock is experienced when the considerate effort is put into preparing for a specific employment and new employee finds the candidate not prepared at all (Harwood, 2011). This often stems as a result of the gap between a theoretical and practical component of an education (Whitehead, 2011). Ortiz discussed that university education does not prepare graduate nurses to deal with the irritated physicians and family members (2016). All these experiences presented together to the newly qualified nurse 's results in reality …show more content…
Whitehead (2011) discussed the expectations of the ward managers to integrating quickly into the ward routines along with the added responsibilities and accountability were seen as too overwhelming by the graduate nurses. She argued that although the theoretical component of the education was adequate, there were inconsistencies in the practical aspects, especially around the skills of time management, decision making, and drug administration. She said it varied greatly depending on the type of clinical placements undertaken by the students, as each clinical placements offered different skills and hence, varied individual experiences and
The role of nurse practitioner in the Canadian healthcare system is relatively new compared to the traditional roles of doctors and registered nurses, and as with any new role, there are people who oppose the changes and others who appreciate them. Some members of the public and the healthcare system believe that the addition of the nurse practitioner (NP) role is an unnecessary change and liability to the system because it blurs the line between a doctor and a nurse; this is because nurse practitioners are registered nurses with additional training (usually a masters degree) that allows them to expand their scope of practice into some areas which can be treated by doctors. Other people feel that nurse practitioners can help provide additional primary care services, while bridging communication between nurses and doctors. There are always legitimate challenges to be overcome when changing a system as complicated as healthcare,
Transitioning from academic nursing student to Registered Nurse/New Graduate Nurse (NGN) within the healthcare environment is a challenging task for many NGNs. They may encounter a number of challenges, such as the following: transition shock, professional isolation, lack of clinical experience, stress, lack of a support network and cultural incompetence. At the end, this essay will discuss the rationale for developing my two most important goals for the next twelve months. I presume the transition from academic nursing student to Graduate Nurse will be challenging and rewarding. In their findings, the researchers Doody, Tuohy & Deasy (2012) stated that for a successful transition NGNs need to be competent in a range of domains: interpersonal skills, managing workloads, providing health information, communication, and prioritising care delivery.
As new nursing graduates begin the process of transition into the nursing practice. There are many challenges and issues which are associated throughout the transition. New graduates may embark their journey through a graduate program or seek employment solo. The transition period may consist of challenges, that students will encounter during their journey. This essay will identify, discuss and critically reflect nursing key challenges that student nurses may face, throughout the process of the transition phase. The nursing key challenges chosen for this essay include professionalism, preparation, personal factors, competency factors, patient- centered care and job satisfaction. These nursing challenges will be thoroughly discussed and supported by current evidenced based research and nursing literature.
To investigate these questions a preliminary interview and survey of several new graduate nurses, younger nurses with 2-8 years of experience, highly experienced nurses with 15 or more years of nursing experience, as well as nursing instructors and nursing precept...
‘The Nursing Stress Scale’ (Gray-Toft and Anderson, 1981) categorizes sources of stress and possible stressful situations in the clinical nursing arena: workload, death and dying, inadequate preparation, lack of staff support, uncertainty concerning treatment, conflict with other staff were all cited. The transition from internship to staff nurse and medical student to intern for doctors are huge role changes which inevitably cause chronic stress as well as the theory-practice gap. Preceptorship for newly qualified nurses is highly recommended in reducing stress levels, which transcends into better nursing care. Low confidence in the new role, moving wards, feeling excluded and unmet learning needs following undergraduate training and combining academic demands with work for doctors while training (Suresh, 2009). According to Tomioka et al., (2011), occupational stress because of the effort-reward disproportion was a bigger feature than the hours worked for depression among doctors. It also indicated adequate management of workplace stress is necessary to counteract depression among
The above question analyzes the applicants stress management skills. Registered nurses go through mental trauma and stress. They have to deal with a lot of workload, make quick decisions, and deal with uneasy patients.
Nursing education exposes students to a greater level of stress when compared to students undergoing other education (Gibbons et al, 2007). Among other potential sources of stress, the peculiarity of the educational standard is a risk factor for higher stress levels. These peculiarities range from insecurity about clinical experience to excessive assignments and interpersonal conflicts with other nurses (Nancy, 2011). As a result of these experiences, the student nurses
I believe placing student nurses in the clinical setting is vital in becoming competent nurses. Every experience the student experiences during their placement has an educative nature therefore, it is important for the students to take some time to reflect on these experiences. A specific situation that stood out to me from my clinical experience was that; I didn’t realize I had ignored the patient’s pain until I was later asked by the nurse if the patient was in any pain.
There is a saying in our profession that “nurses eat their young” referring to the way certain veteran nurses are said to treat new nursing graduates. When becoming a nurse, we should have a desire to be a leader, an edu...
Today I had the pleasure of interviewing Celia George. Celia works for Troy Beaumont on Cardiac Progressive Care Unit (CPCU) as Registered Nurses (RN) with her bachelor’s degree (BSN). Celia job title at Troy Beaumont is Clinical Nurse 1. Celia is an amazing co-worker to me. She is very helpful and full of knowledge. This is why I choose Celia to interview on Saturday March 17, 2018. Currently, Celia is enrolled in Chamberlain for her Family Nurse Practitioner (FNP) degree. I hope to follow in her foot steps this Fall and enroll to get my masters in FNP.
New nurses are faced with discomfort as soon as they enter the profession. Hence, it is suggested that precautions be taken even before nurses graduate. The educational system should consider the involvement of clinical staff in the teaching process. This will enable student nurses to meet actual nurses prior to entering the profession (Goodare, 2015). In other words, to make the transition easy, nursing education must include actual exposure to the clinical practice where student nurses are required to not merely become observers but actually participate in the process of providing care. In this manner, the student nurses will not find it hard to transition into the workplace when they become official part of
The highly complex practice environment can impact the new graduate nurse with feelings of inadequacy, inability to keep up with the pace or acuity of patients, challenges navigating the complex work environment, and the lack of empowerment (Casey et al., 2011). Casey, et al. (2011), identified a mismatch with senior nursing student’s perception of readiness for the practice environment and the skills needed to independently practice safely during the first year. Managing multiple patients, changing patient conditions, delegation of duties, and calling providers were identified as gaps in preparation for the work environment (Casey et al., 2011). A senior practicum experience is suggested to address the gaps identified. Paired with a preceptor from the practice organization, student nurses would be immersed in the practice environment, facilitating additional experiences with patient care and the challenges of the practice
There are many perks to being in nursing school and eventually passing the NCLEX and becoming a registered nurse. However, there are many stresses and challenges that these future nurses have to face, even more stress than an average student or person. According to recent studies from Beck (1997) stress levels of nursing students are at higher levels than those of other professions such as that of medicine, social work, and even students in pharmacy school. Another study produced by Pryjmachuk (2004) also showed that majority of student’s in nursing school are more susceptible to mental health problems, including depression and anxiety, due to the excess level of stress that these students experience.
Nursing in healthcare settings has grown so complex that it is no longer possible to standardize, routinize, and delegate much of what the nurse does. Increased acuity levels of patients, decreased the length of hospitalization, and the proliferation of healthcare technology and specialization have increased the need for highly experienced nurses (McHugh, 2011). The complexity and responsibility of nursing practice today requires long-term and ongoing career development. Characteristically, the proficient performer perceives situations as wholes, rather than in terms of aspects, and performance is guided by maxims (McHugh, 2011). Experience teaches the proficient nurse what typical events to expect in a given situation and how to modify plans
After reflecting on the research and this assignment, I have identified that the nurses have greater accountability professionally, legally and ethically, which expects nurses to keep the safety and well-being of patients at the center of their care. Moreover, EDs are busy and overcrowded environment where people are acutely ill, and often require immediate attention and intervention, which can result in nurses becoming stressed and overworked results in understaffing (Kennedy , 2017). The nurses can try to reduce their feeling of stress in nursing or eliminate the stressful situations by using different strategies, resources and techniques such as self-reliance, seeking help from others and spiritual coping (Akbar, Elahi, Mohammadi, & Khoshknab, 2017). Lastly, these strategies also provide nurses internal strength to fight against stressors and eventually nurses will stay in the profession for