Presentation Outline On Stages Of Clinical Competence

When most experienced registered nurses hear the word shock, they begin to use their critical thinking skills to determine the patient’s immediate need. However, new graduate nurses in the career field are faced with a different type of shock; they are faced with transitional shock. Transitional shock is a theory created by Judy Duchscher. Her theory is based on reality shock which is a term coined by Marlene Kramer. Reality shock is when new nurses recognize clinical practice and the classroom setting are two different worlds (Hentz and Gilmore, 2011, p.134). When new graduates transition to a registered nurse position, it does not happen with ease. Over the years, there has been a rise in concern with this transition. As new graduates move in the career field, they may feel anxious and uncertain about their new responsibilities. Unfortunately, when there is a high demand of nurses, new graduate nurses are expected to begin a new job at full speed, but they are not able to handle the fast pace position they are placed in. When new graduates are expected to accomplish task they are unprepared for, it sets them up for transitional shock. To minimize transition shock for new graduates, finding a mentor, preceptor, seeking an internship or residency program may help ease the transition.

A Registered Nurse is a person who enjoys helping other people. They practically have the responsibility for many peoples lives. What’s interesting about a Registered Nurse is that they get to learn about all the parts of the human body. A Registered Nurse works in the medical field and needs to be ready with anything that comes their way. There could be a sudden death, some kind of medical issue that pops up, and even a patient just falls over and hurt themselves. As a Registered Nurse they need to be able to deal with blood, snot, vomit etc. The main thing a Registered Nurse has to be good at is being able, and wanting to help people in need.

The new graduate nurses (NGN) are faced with various issues and challenges especially in their first year of nursing practice. The period of transition from a student to a graduate nurse is a demanding period that is filled with new experiences and there are several concerns and factors that can affect the transition process. The research into the issues has recommended some strategies that can be utilised to ease the transition process from being a student to a professional practicing nurse. Exhaustion, reality shock and time management are some of the factors and issues that the new graduate might encounter during their first year in their career.

There will be a few challenges ahead for our healthcare system and the nursing profession: 1. The Aging Population- (baby boomers will be hitting retirement age). 2. Poverty-“the increasing numbers of disenfranchised people and pressure to limit health care expenditures will collide to create an intense values conflict for nurses of the future”. (Chitty & Black p.382) 3. Unhealthy Lifestyles- (obesity, tobacco use, lack of exercise, stress, HIV/AIDS and drug abuse). 4. Faculty and Student shortages- making nursing shortage worse. Nurses as

Communication includes verbal and written, as well as the ability to document data. One of the most difficult transitions, and a main stress factor, is the new graduates’ ability to communicate with the physicians. Having the ability to be a leader is a key to success. “To be an effective leader, a nurse must show collaborative teamwork, which is consistent with AACN core competencies. To fulfill this competency, new graduates must be able to delegate to others to promote patient safety and health” (Theisen & Sandau, 2013). Conflict resolution with team members and patients was a noted as a skill that new graduates lacked. “Several new graduates expressed concern that they were unprepared to deal with conflict appropriately and professionally” (Theisen & Sandau, 2013). Due to the lack of experience, new graduates are unfamiliar with the proper ways to deal with conflict successfully. Mentorship has been an effective way in improving new graduates confidence in dealing with conflict, because they were guided through real situations. Organization, prioritization, and time management was another identified problem. The ability to prioritize patient care, which has a direct effect on patient safety, is a critical component of nursing. “Both new graduates and employers have

Successful teamwork and collaboration directly affects the efficacy of interdisciplinary communication. When effective communication is achieved within the healthcare team, this increases the amount of positive patient outcomes. Nurses and physicians must cooperate in order to attain a synergetic relationship. Their roles are integral to creating a safe environment for their patients. When all of these elements combine, the quality of care improves and collegial relationships are strengthened.

A few of my foundational clinical skills strengths would encompass possessing a non judgmental demeanor, empathy, and genuineness. I have always had a nonjudgemental view going as far back as I could remember. Perhaps the reason stems from listening to extensive hours of gossip as a child during family events. I learned to despise conversations that focused on judging peoples reactions or behaviors. I believe this may be the leading reasons I can express empathy to others. In Fellers & R’s (2003) article, The importance of Empathy in the therapeutic alliance explains that empathy guides the therapist to evaluate the clients behavior and therefore be less judgmental. Empathy also leads to possessing a raw genuineness about one’s self

Being a nurse means that I am responsible for assessing my own competencies. When situations are beyond my qualifications, I must be able to seek advice for other qualified professionals. In an interdisciplinary team meeting, other health care professionals are there to offer advice and further make an appropriate care of plan for my patient.

My practice in nursing has been influenced by various elements within my career. I have come to embrace that nursing is a learning process and one should expect constructive criticism. When I began as a “novice,” I found myself nervous in some clinical situations but I managed to remain focused on

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 social system becomes more and more demanding, needing us to deal with social and government resources, once we learn the newest of trends. We need to be emotionally supportive when these occur and often hold patients while they die and cry along with their families and loved ones. Budgets are becoming tighter, requiring us to work with less and less resources to function effectively in our jobs. There is an increase in demand for professors in the nursing schools, requiring nurses to achieve higher nursing degrees to qualify them to teach. Nursing schools today have long waiting lists due to the fact that there are inadequate instructors to have adequate teacher-student ratios in the classroom.

“Extensive research has shown that no matter how knowledgeable a clinician might be, if he or she is not able to open good communication with the patient, he or she may be of no help” (Asnani, MR. 2009). Effective communication plays a big role in healthcare and contributes to the quality of patient care and teamwork.

the trying times within this field. Through my experience as a nurse tech at the

Summary: Succeeding in nursing school is not only based on being book smart but also on your integrity, wisdom, confidence, your emotional intelligence and your ability to face and conquer challenges After comprehensive research, and personal experience below are the most challenging moments in nursing school. Fear of failing and finding it had to maintain your peace of mind. Feeling overwhelmed. too much to do, too little time: Joggling school with personal life.

I believe we will all become anxious during this new process. I have never dealt with real anxiety personally until I started the program and I now have to practice calming techniques with myself. I'm usually the calm person when a patient begins to deteriorate or when something is going on with a family member or friend. Coworkers make fun of me sometimes because how calm I remain and still get the job done. I'm glad that you mentioned having the confidence to ask questions. Thats one of the biggest fears in new nurses that I experience while orientating them, so I make it a point in the training process on how to ask an appropriate question.