Introduction to the Research Article
Introduction, Title, Authors, and Purpose of Paper
In the research article, Entry into Nursing: An Ethnographic Study of Newly Qualified Nurses Taking on the Nursing Role in a Hospital Setting by Mari Skancke Bjerknes and Ida Torunn Bjork, new nurses’ experiences and perceptions of transition to practice were explored using an ethnographic approach (Bjerknes & Bjork, 2012, p. 1). The purpose of this paper is to explore and analyze the research provided by the authors. This paper will analyze the type of journal that published this article, the research problem and why it is important, the research question and assumptions, ethical rigor, the research design and methodology and will conclude the results
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of the study and how the results can be applied to nursing practice and how this study will impact future nurses. Journal Description for Published Article The research article was published in Nursing Research and Practice (Bjerknes & Bjork, 2012, p. 1). This journal is an open access journal and publishes a wide range of articles in various settings as they related to nursing (Hindawi Publishing Corporation, n.d.). Open access journals are easily accessible to the public because they don’t require a subscription and are free of most copyright and licensing restrictions (Houser, 2015, p. 110). The journal requires all articles be peer-reviewed prior to publication (Hindawi Publishing Corporation, n.d.). From this, it can be inferred that this article was peer-reviewed prior to publication (Hindawi Publishing Corporation, n.d.). Being peer-reviewed means that a neutral third party looks over the article to be published and determines if the article has credibility and trustworthiness (Houser, 2015, pp. 110-111). A journal impact factor is a way to quantify how many other articles are citing the article and this lets us know how visible the article is to the community (Houser, 2015, p. 111). This journal doesn’t list an impact factor (Hindawi Publishing Corporation, n.d.). Research Problem Research problems are defined as general topics of interest and state what is known about the topic of interest and what needs to be known about the topic of interest (Houser, 2012, p. 100). A considerable amount of research has been given to the process of transition for new nurses, but little research has been done on how the new nurses’ perceived their transition to practice (Bjerknes & Bjork, 2012, p. 2). This research problem is important because various studies have shown new graduates are not prepared for their role as nurses and that they are unsuccessfully oriented to the job (Bjerknes & Bjork, 2012, p. 1). Research Question Research questions provide a template to what the researcher is questioning about an idea (Houser, 2015, p. 389). The research question presented in this article is, “What opportunities and limitations do newly qualified nurses encounter when taking on the nursing role?” (Bjerknes & Bjork, 2012, p. 2). Assumptions With ethnographic studies, there is an underlying assumption that every group of individuals develops a culture that guides the way members structure their experiences (Houser, 2014, p.
402). Currently, the nursing culture is described as a stronger treatment culture and demand greater efficiency (Bjerknes & Bjork, 2012, p. 2). The assumptions made in this article were not clearly stated, but can be inferred from the background information presented. It was inferred that new nurses do not experience the support they need and that much is expected of them upon beginning practice (Bjerknes & Bjork, 2015, p. 1). It was concluded from various studies that the quality of the transition is likely to influence the way the nurses felt about themselves and if they would stay in the field of nursing (Bjerknes & Bjork, 2012, p. 2). By providing knowledge of new graduates’ experiences and perceptions of their work, it should improve the understanding of the challenges new nurses encounter (Bjerknes & Bjork, 2012, p. …show more content…
2). Ethical Rigor The hospital research ethics committee reviewed the research that was to be conducted and received approval (Bjerknes & Bjork, 2012, p.
3). By receiving approval, it can be inferred that the study was ethically acceptable and the rights of the participants are protected (Houser, 2015, p. 61). To ensure human subjects are protected during research studies, researchers use three ethical principals: respect for persons, beneficence and justice (Houser, 2015, p. 52). Respect for persons protects the individuals right to make their own decisions, beneficience is do not harm, and justice provides the right for every individual who wants the opportunity to partipate in the study can (Houser, 2015, pp. 52-53). Respect for persons was protected by the researchers because they provided informed consent prior to data collection, data collection would remain confidential, and the participants can withdraw from the study at any time (Bjerknes & Bjork, 2012, p. 3). Beneficence was protected in this study because the researcher wasn’t an employee from the hospital; this allowed new nurses’ to share their perceptions freely, preventing any fear of retribution from being honest (Bjerknes & Bjork, 2012, p. 3). Justice was not clearly stated in this study because the researchers did not clearly state if the study was open to all new nurses on all the wards of the hospital (Bjerknes & Bjork, 2012, p.
3). Research Design and Methodology Phenomena of Interest
Those who were affected by the testing in hospitals, prisons, and mental health institutions were the patients/inmates as well as their families, Henrietta Lacks, the doctors performing the research and procedures, the actual institutions in which research was being held, and the human/health sciences field as a whole. Many ethical principles can be applied to these dilemmas: Reliance on Scientific Knowledge (1.01), Boundaries of Competence (1.02), Integrity (1.04), Professional and Scientific Relationships (1.05), Exploitative Relationships (1.07, a), Responsibility (2.02), Rights and Prerogatives of Clients (2.05), Maintaining Confidentiality (2.06), Maintaining Records (2.07), Disclosures (2.08), Treatment/Intervention Efficacy (2.09), Involving Clients in Planning and Consent (4.02), Promoting an Ethical Culture (7.01), Ethical Violations by Others and Risk of Harm (7.02), Avoiding False or Deceptive Statements (8.01), Conforming with Laws and Regulations (9.01), Characteristics of Responsible Research (9.02), Informed Consent (9.03), and Using Confidential Information for Didactic or Instructive Purposes (9.04), and Debriefing (9.05). These particular dilemmas were not really handled until much later when laws were passed that regulated the way human subjects could be used for research. Patients
10).” But the conductors of the review were sure to have mentioned “The ethical and patient safety implications of randomly assigned nurses to cases stating “randomization may be unacceptable to health service providers, research ethics committees and patients, particularly for high-risk patients and procedures (p. 15)”” (ASAH.org)
But after a year, when she learned that treatment was not going to be included in the study, she should have made the decision to negate participation in this study. These men place their trust in her; I believe that if she had declined to participate in this project, the experiment on these poor black men would have ended; this experiment was able to continue because these men place their trust on Nurse Evers. Arnold and Boggs (2016) states that the nurse’s main obligation is to the patient, regardless if this is an individual, family, group, or community. She failed to comply with her obligation to this group of individuals and instead participated in this unethical study. If I place myself in Nurse Ever shoes, I would have informed the men from the time I was aware that they were not going to receive treatment, would have packed my bags for that new job and left
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.
The article I chose discusses the continual change in the roles of nurses. The article also poses a concept that nursing now is not based on caring, but medicine. “By accepting continual changes to the role of the nurse, the core function of nursing has become obscured and, despite assuming medical tasks, the occupation continues to be seen in terms of a role that is subordinate to and dependent on medicine.” (Iley 2004) Nurses are taking a more professional role, and more tasks are being delegated to assertive personnel. Therefore, with all these changes occurring, the role of the enrolled nurse is unclear. “Previously, having two levels of qualified nurse in the United Kingdom had been seen as problematic for health service managers and nurses themselves, and the ending of enrolled nurse programs in 1992 helped to solve this problem.” (2004) The study in this article gathered the characteristics of enrolled nurses and differentiated the groups converting to registered nurses, groups in the process of conversion, and groups interested or not interested in conversion. This study reveals the situation of enrolled nurses in context of continuing towards the professionalization of nursing. “The data from this study support the possibility that the role of nurses as direct caregivers is seen as a positive dimension of the work they undertake.” (2004) The findings imply that nurses need to get back to being caregivers, instead of concentrating on obtaining professional status in medicine.
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.
Newly graduated nurses lack clinical skills necessary to evolve professionally and carefully from academics to bedside practice (Kim, Lee, Eudey, Lounsbury & Wede, 2015). How scary is that not only for the patient but also for the new nurse himself or herself? While being faced with new challenges, an increasing amount of newly graduated RNs felt overcome and unqualified. Twibell and Pierre explain how new nurses express “disillusionment” about practice, scheduling, and being rewarded. Frustration and anger between employees play a huge part in NGNs resigning because of the lack of experience and knowledge of what to do in high stress situations (2012). Nursing residency programs have proven to directly improve patient care, develop critical
Zerwekh, J., Claborn, J. (2006). Nursing today: Transitions and trends (pp. 343-346). St. Louis, Missouri:
Since its establishment as a profession more than a century ago, Nursing has been a source for numerous debates related to its course, methods and development of nursing knowledge. Many nursing definitions and theories have evolved over time. Furthermore it is in a constant process of being redefined.
This is a research paper conducted on the very highly pursuited field of nursing. Nursing is a profession in the healthcare field that focuses or assisting others. Not to mention, nurses are heroes because of the many lives they save every day. This is an example that one doesn’t need tights or a cape to be a hero. Never the less, there are many reasons one may want to become nurse. Some of those reasons may be for personal gain or the greater good. However, before becoming a nurse one needs to be educated about educational requirements, licenses and certifications, projected salaries, and the projected job outlook for the next five – ten years for nursing. This research paper will provide thorough information on those four major aspects of
Our course, Transition to Professional Nursing, is barely two weeks old and already I am being enlightened and challenged to expand my experience of nursing. I will attempt to explain my personal journey and experience thus far including how and why I got here, my beliefs about nursing and related values, and my visions for the future.
The transition from student to a qualified nurse can be a stressful and overwhelming ex-perience for many newly qualified nurses. This opinion is widely upheld throughout the literature with Higgins et al (2010) maintaining that many of the problems experienced are due to lack of support during this initial transition and a period of preceptorship would be invaluable.
Nursing is a medical profession that involves the care and management of patients majorly in the hospital setting. This paper seeks to illustrate the fact that nursing is both a science and an art. Nursing is a science because it involves evidence based practice, education of the public, lifelong learning for the nurse and administrative roles that are allocated to the nurses. Nursing is also an art because nurses depend on intuition, have the capacity to promote positive change, are understanding and culturally sensitive.
In the health profession, the diversity of people requires the ability to carefully, respectfully and effectively provide care. For this reason, it is vital that the approach of care delivered to patients depend on each individuals. This approach ensures patients receive best quality of care possible and avoid situations that can potentially prevent improvement of health status. This essay will discuss the importance of nurses to be cultural competent, possible consequences of ethnocentrism and how critical reflection can help prevent ethnocentricity.
Informed Consent is fundamentally critical in preparation of research studies that involve human beings. Greenstein & Davis, 2013 explain that the Department of Health and Human Services require each individual who is part of the research to be informed of the potential risks, benefits, confidentiality, research contact information, and lastly that participation is open door policy. If I was submitting my research study, I would ensure that each individual has been well informed and given their full consent to participate.