In Australia Registered nurses are primarily obtained from recently graduated university who has successfully finished a three years of education in the bachelor of nursing. New graduates student nurse are very significant to the healthcare sector. The transition from new graduate to registered nurse is challenging which requires support from the entire medical team. The aim of this paper is to explore the transition from student nurse to registered nurse. The paper will focus on the theme skills transition into practice and other issues during the transition.
In 2008 the National League of Nursing (NLN) conducted a survey of students enrolled in nursing schools across the United States. Fifty three percent of students were enrolled in ADN programs, forty three percent were in BSN, while the remaining four percent were in a Diploma of Nursing program (National League of Nursing Data Review 2010). The rate of completion of the ADN nurse has exceeded that of the BSN, creating a deficit in higher educated
Can you imagine back when you were a child and the feeling you had that was associated with going to the Doctor? Do you remember the image of that long, skinny needle that the doctors would have in their hand in preparation to stick you with? If so, you may remember those memories not always being pleasant ones. However, as adults looking back, we may think to ourselves how important that it was to go to the doctor and how important it is now. Despite the importance of the medical profession, nursing in particular requires a tremendous amount of training and further education. However, it is known that becoming a nurse is not an easy task to accomplish which means a greater shortage of nurses. As Lisa Seldomridge and Mary DiBartolo ,two professors of nursing notes in 1998 that “ The current shortage of nurses. . .” led up to the conclusion that precautions need to be taken to determine students that are likely to fail which does not benefit the nurse shortage(361).
An ongoing debate for the requirements to become a Registered Nurse (RN) has been unsettled. Several different educational pathways lead to an RN licensure; however, the minimum educational requirements must be standardized at the baccalaureate level for several reasons. Spetz and Bates (2013) published that a growing number of hospitals prefer hiring nurses with a Bachelor Science in Nursing (BSN) as this increases the status of the nursing profession (p. 1). Associate Degree in Nursing (ADN), as well as a certificate on-the-job training Diploma are two other educational pathways to become an RN, which can be disadvantageous to the nursing profession in several ways (Tollick 2013; Spetz and Bates 2013). If entry-level nurses
Booth, B. (2011). Alarming Rise of New Graduate Nurse Attrition. Journal of Practical Nursing, 61(1), 3-5.
According to Canadian Nurses Association(2009), human health resources have stated that by the end of 2011 Canada will experience shortage of 78 000 registered Nurses (RN) and shortage of 113 000 nurses by the end of 2016. Globally there will be shortage of 4.3 million health care workers. It was also shown that approximately 38% of new graduate nurses leave their workforce within the first year of employment (Lavoie-Tremblay, Wright, Desforges, Gelinas, Drevniok & Marchionni, 2008). According to registered Nurses Association of Ontario (2011), full time positions of RN dropped to 57.9 % in 2010 from 58.9% in 2009. With the current trend it is expected that the Canadian Nursing shortage will increase significantly. In
There are many major challenges facing the nursing shortage environment today. One of those challenges includes the facility recruitment of registered nurses and then the facility retention of the registered nurses that they have recruited. Factors to consider would be as to why a registered nurse chose to accept a particular job and will they choose to stay at the facility after being given an employment opportunity. A facility’s reputation, union status, autonomy and salary are among some of the factors that influence recruitment. Factors that influence retention includes the inclusion in decision making, practice
For years now it has been well know and documented that there is a brutal disconnect between what school prepares NGRN for and the reality they find once they begin working.(Duchscher, 2009) This stark difference found between school and reality sets new graduates (NG) up for a hard fall and the disillusionment they are under when entering the professional practice can lead them to exit nursing altogether.(Duchscher, 2009) The problem then of course becomes recruitment and retention, and the cost of training new nurses back in 2007 was recorded to be as much as 82,000 to 88,000 each.(Ulrich et al., 2010)
214) “The ACA and the need for APRNs, nurse faculty, and nurse researchers would have increased dramatically under any scenario.” (L R Cronenwett [RWJF Iniative on the Future of Nursing], 2010, table 1). “Not only must schools of nursing build their capacity to prepare more students. Nursing need to focus on fundamental improvements in the delivery of nursing care to improve patient safety and quality is key.” (IOM, 2010, p. 208)
While one of the greatest issues contributing to any labor shortage is a lack of qualified applicants, this is not true for the nursing profession. As aforementioned, 79,659 competent applicants were denied admission into nursing school in 2012. The AACNs (2014) report on
Globally, there is a declared nursing shortage. Countries across the world are scrambling to produce nursing graduates to fill the barren nursing
There is an increasingly high demand for students going into nursing careers in our society, but there are also varying educational pathways for these students to get into these careers. Are the three educational pathways (Diploma, Associate Degree, and Baccalaureate Degree) preparing prospective nurses to be at the same competency level after schooling? Advancement in education has become an increasingly important topic amongst health care organizations. Educational preparation can indeed affect nursing care and the decision making of nurses. In this paper, an analysis of nursing history and the degree programs themselves will provide evidence of an increased level of patient care by BSN nurses vs. ADN nurses.
The proportion of exit choice were determined through the data gathered using ECQ. The various exit choices such as pursuing nursing qualification/ qualification outside nursing discipline, working in another healthcare organisation/ country, engaging job outside nursing discipline in another organisation/ country, and starting own business were dichotomised. Responses of “never” and “sometimes per year” were re-coded as “not exit choice”, while responses of “sometimes per month”, “sometimes per week”, and “almost every day” were re-coded as “exit choice” (Hasselhorn et al., 2003). Frequency and percentage were calculated to determine the proportion of exit choice in terms of organisation, education, country, and entrepreneurship.
Nursing achievements and requirements today vary within education. There are three entry levels in nursing, the Associate Nursing, (ADN), Bachelorette of Nursing, (BSN) and the Diploma in Nursing (DN). On the contrary, other professions have a greater amount of educational requirements such as law, engineering and medicine. When entering into specified careers, it is essential as well as required to further one’s knowledge base to a graduate level. However, in the nursing career there are no specific requirements which create a barrier for the profession by means of fewer achievements towards success in the nursing profession.
Nicholl, H. and Higgins, A. (2004) Reflection in preregistration in nursing curricula. Journal of Advanced Nursing 46(6), 578-585