Nurses Perceptions Of Acute Care Placements

The rising rates of seasoned nurses have resulted in replacing the more experienced and skilled professionals by infusing fresh graduates who lack the required skill and experience needed to effectively adapt to a clinical environment. This is coupled by the booming level of workload witnessed by these graduates who many are unable to cope with. Adding fuel to fire the initial work experience is discouraging for many graduates who hence are exhausted .This results in numerous fresh graduates completely burning out in just 18 months of their introduction to professional medical environment (World Health Organization, 2006).

Transitioning from nursing school to working in a hospital setting can be a challenging time for a new graduate. Due to the nursing shortage, new graduate nurses are being hired with little to no experience. This is overwhelming for new nurses, especially when they are not getting adequate support or training from the hospital. The amount of stress, pressure, and lack of training is leading to a high turnover rate for new graduate nurses. With patient acuity on the rise, new graduate nurses that are filling these vacancies in the hospitals, need to be competent nurses to provide proper and safe care to the patients.

The paper will begin with a Review of the Research. This section will summarize all the information gathered for this paper. Here the background will be given and the foundation laid for the rest of the report. Next will be the Application of the Research. This is

In the traditional health care model, formal learning is not complete when a physician receives their medical degree and white coat at the end of their academic program. Medical school graduates are required to complete an accredited hospital residency program to become licensed to practice medicine, (Jolly, Erikson, & Garrison, 2013). However, acute care nurse practitioners (ACNPs) are not afforded, nor expected to complete, the same educational requirements. The current expectation that a new graduate ACNP learn their advanced nursing role “on-the-job” is unacceptable and leads to decreased job satisfaction and preparedness. In the every-changing climate of health care, the development of required residency programs for ACNPs should be maintained as a priority.

Time spent at my mother’s bedside in the intensive care unit changed my perception of the nursing profession. I realized what unique value was integrated in comprehensive nursing care, which was built on excellence, compassion, and respect. I knew right then and there that nursing was a professional path which I would like to take. Changing my college major to nursing was not a difficult decision – I wanted to repay for all that courteous care my family received in the most vulnerable time of our lives.

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)

The expectations for any nursing student, dedicated and compassionate, is not easily found. A hard worker is made through the experience of rigorous academic courses, balanced with character building

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)

Many nurses who completed the program reported higher satisfaction with their orientation compared to those who had a more generalized orientation. The authors stated that this study weighed heavily on new specialty nurses who had very little to no exposure to the field while in nursing school (p. 142). Authors Adams, Alexander, Chisari, Banister, and McAuley (2015) also mention the dire need for specialized nurse residency programs. In their article, the authors state the need for competent and experienced critical care nurses but most hospitals have difficulty filling positions in ICU level jobs due to lack of experience. The program that was implemented at Massachusetts General Hospital (MGH) for critical care nurses was designed to last six months, but could extend up to twelve months if additional precepting was necessary. On the contrary, nurses within MGH’s residency program voiced concerns regarding patient assignments once they completed the program. Most reported they had doubts of being able to care for high acuity patients immediately after completing the program (Adams, Alexander, Chisari, Banister ,and McAuley, 2015,

Adult nursing is a lifelong learning career which I have been drawn to since I was young. My mum is a registered nurse and I’ve always admired what she’s done. I would like to apply for this course as I want to help, not only emotionally but medically. I think that these two approaches have to go hand in hand when dealing with patients in care. It is an extremely challenging and demanding career that can be rewarding and satisfying. I am very attracted to the profession as I’ve always had an interest in caring for people and be keen on the thought of working in a large hospital environment where I can be involved in the hands on medical treatment of patients. Working in a large hospital promises a stimulating work environment and there are

Many people believe mandatory residency programs for newly licensed nurses are long overdue. The knowledge needed to practice nursing has grown to include health policy, ethics, public health, research, healthcare delivery improvements, as well as leadership skills. Nurses are part of the multi-disciplinary team and must work together with healthcare providers who possess masters or doctoral degrees. Nursing school prepares nurses with the basic information they need to know in order to practice safe nursing. However, modern nurses are faced with ever increasing demands. New nurses must know how to collaborate with the healthcare team, manage their priorities, stay organized and recognize life-threatening situations. Many new grads are overwhelmed with the demands of nursing, which can lead to compromised patient care and safety. Formalized, supervised guidance will improve patient care and retain nurses. The study also recommended doubling the amount of nurses with a masters or doctoral degree by 2020 in order to provide an adequate supply of nurses who are able to assume nurse faculty, primary care providers, and researcher positions.

As a second year nursing student I felt mixed emotions of excitement and anxiety when I was thinking about my upcoming clinical placement because even though I have been working as a patient care assistant at Royal Darwin Hospital for a year and had already undergone clinical teaching block for one week . The responsibility of being a nurse is big and much complex than my current job [1.2 Fulfils the duty of care] especially when handling assigned patients. Thus, need to have a good supervision from my clinical preceptor to meet the best possible nursing care to my patient with in my scope of practice [2.5 Understands and practices within own scope of practice]. My four weeks of clinical placement was taken place in

Based on the research design and challenges for this dissertation, the scope of the literature review includes three key areas that will be discussed hereafter:

This document provides my understanding and ability to summarize the research paper. The work has been accordingly paraphrased and prepared into different sections as mentioned in task description.

A review of the literature provides more detailed information on the chosen topic. Its purpose is to give the researcher knowledge that will form the foundation for his or her study and therefore, the information must be related to the topic. Not only does it provide basic information on the variables in the topic but also covers various relatable studies conducted in the past; how, where they were conducted, and the conclusions that the researcher(s) came to. Literature can be obtained from a wide variety of sources; newspapers, journals, databases, books, encyclopedias, digital sources, and much more. Information obtained in this section helps the researcher understand the magnitude of the problem defined in the first stage, recognize any consequences and gaps that other researchers may have not filled, and identify potential strategies to combat the problem. It serves as a secondary source of information. Based on