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New graduate nurses challenges in transition from school to practice
Nursing student professional development
Bullying in the nursing profession
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Discussion: Transition from student to nurse
Student’s Name
Institution
Transition from student to a registered nurse is the period of learning the requirements of being a qualified nurse. During this period a student acquires knowledge and skills to become a member of the nursing community. The first three to six months is considered the most challenging time for the graduates. They face the following issues during the transition period; Caring for complex patients, Lack of confidence in their own knowledge and ability, Lack of professionalism and bullying at the workplace.
The nurse graduates care for patients in increased numbers, who have complex chronic conditions. For instance, patients with heart
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They lack sufficient clinical experience and fear dealing with complex ethical situation. For instance, the new nurses may fear missing important symptoms and thus prescribing incorrect care (Hill et al,2011). In addition, they may lack sufficient clinical skills that are necessary in managing a patient. The new nurses, therefore, require a formal orientation from experienced health care providers.
During the transition period some nurses experience bullying from other staff members, which obstructs their socialization. Nurses often bully others as a way of controlling them at the work place; this promotes conflicts at work. Some new nurses that are bullied usually consider leaving the profession prematurely. In this regard, therefore, a support person is appointed for them. The person orients them to local issues and processes.
In conclusion, programs have been developed to assist in the transition from student to a registered nurse. Challenges that occur during the transition include have been discussed and solutions. The strategic implementation of programs that focus on building new nursing graduates can go a long way in making the transition process professionally rewarding. However, for a successive transition, nursing graduates should be supported by both the health care organizations and experienced
One of the many causes of stress for a new nurse practitioner is a lack of orientation period. Studies show improved confidence and ability in RNs with appropriate orientation
The national shortage of Registered Nurses (RNs) has helped generate formidable interest in the nursing profession among people entering the workforce and those pursuing a career change. According to a report issued by the U.S. Department of Health and Human Service in 2002, the national population is continuing to grow and age and medical services continue to advance, so the need for nurses will continue to increase. They report from 2000 to 2020 the predicted shortage of nurses is expected to grow to 29 percent, compared to a 6 percent shortage in 2000. With the projected supply, demand, and shortage of registered nurses and nursing salaries ever-increasing, the nursing profession can offer countless opportunities. But first one must determine which educational path to pursue, Bachelor of Science in Nursing (BSN) or Associate Degree in nursing (ADN). Most will initially be educated at the associate degree level, even though the American Organization of Nursing Executives (AONE) has recommended a baccalaureate level as a minimal for entry-level nurses. With the expanding number of RN to BSN programs available there is always the option to further one’s education at a later date. The benefits for acquiring a BSN over an ADN include a better knowledge for evidence-based practice, an increased advantage for promotion, and the necessary gateway for higher education.
The College of Nurses of Ontario (CNO) is the governing body of all registered nurses in Ontario and is regulated. The CNO provides expectations and guidelines to follow, which need to be met by each Registered Practical Nurse (RPN) individually. As a nursing student, I am taught about the CNO and the importance of referring back to the guidelines while caring for patients. While gaining experiencing in the nursing field through my clinical settings, I have realized as a nursing student there are areas I need further development in. In this paper, I will address two of my learning needs and my goal for each. I will also discuss the plan I created in order to successfully meet my learning needs prior to becoming an RPN, and
Nurse horizontal violence towards new nurses and nursing students includes methodical, unwelcome or unprovoked behaviors with the intent to upset, control, humiliate, harm, or segregate (Hutchinson, Vickers, Jackson, & Wilkes, 2006). Horizontal violence can be furtive and shrewd (such as withholding information or spreading gossip) as well as obvious and direct, such as reproaching in front of other staff, false complaints, or threatening body language (Hutchinson et al., 2006). Other forms of the experience, described both in nursing and non-nursing literature, include bullying, mobbing, intimidation, and aggression (Farrell, 2001). Bullies form cliques and engage in repetit...
Berry, P. A., Gillespie, G. L., Gates, D., & Schafer, J. (2012). Novice Nurse Productivity Following Workplace Bullying. Journal Of Nursing Scholarship, 44(1), 80-87. doi:10.1111/j.1547-5069.2011.01436.x
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.
There is a shortage of all health care professions throughout the United States. One shortage in particular that society should be very concerned about is the shortage of Registered Nurses. Registered Nurses make up the single largest healthcare profession in the United States. A registered nurse is a vital healthcare professional that has earned a two or four year degree and has the upper-most responsibility in providing direct patient care and staff management in a hospital or other treatment facilities (Registered Nurse (RN) Degree and Career Overview., 2009). This shortage issue is imperative because RN's affect everyone sometime in their lifetime. Nurses serve groups, families and individuals to foster health and prevent disease.
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 evidence-based research and nursing literature. Transition is defined as a process or period of change from one state or condition to another (Oxford, 2016). In relation to nursing students, it is also defined as students transitioning from one program to another (Oxford, 2016). It is important that students have the ability to be competent in a clinical setting.
Schoening, A. M. (2013). From bedside to classroom: the nurse educator transition model. Nursing Education Research/Educator Transition, 34(3), 167-172.
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
It has various negative effects which are persistent in nature, and the individual victim realizes the behaviour as bullying (Wilson, 2016). Bullying is associated with physical and psychological problems among nurses leading to absenteeism, poor performance, low job satisfaction, and increased turnover (Ganz, et al., 2015). The issue of bullying among nurses further affects the entire health care team including patient outcomes and health care costs due to the declining level of nurses’ performance (Becher & Visovsky, 2012). Although bullying exists in the nursing work place, they are silent in nature, and goes undetected (Becher & Visovsky,2012). Hence, identifying and managing workplace bullying needs efforts of individual facing bullying and support of the
Yildirim, D. (2009). Bullying among nurses and its effects. International Nursing Review, 56(4), 504-511. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/19930081
It has been over one year since I have started the accelerated nursing program at Southern Illinois University Edwardsville. When I first started the program in fall 2014, I have no idea what nursing was like. Although I had my bachelor from another institution, everything I learned was very different compared to the information I have learned in School of Nursing. Nursing school has slowly transformed me into a graduate professional nurse based on the professional development that I have completed along the way.
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.