...Professor Course Introduction Transition into professional nursing role We have five stages of the socialization model; novice, advanced beginner, competent, proficient, and expert .The new graduate RN enters at novice or advanced beginner depending on clinical exposure during entry level preparation (Orsini et al, 2005). The uneven transition for new graduates for professional RNs includes novice and advanced beginners with their clinical decision-making. Nurses should provide a comfortable space and a non-threatening environment. Asking questions acknowledges the gap from nursing theory in academia to practice as the professional nurse at the bedside making the transition stressful and difficult (Casey et al, 2004).Nursing retention is a challenge for the nursing profession as a result the new graduates stay jobless .New graduates might change their job within their first year of work due to lack of senior or expert nurses make it challenging to support the transition for the new graduate RN. New graduate RNs who leave their job within a year, highlights the issue of ineffective transition. describe new graduate RN’s who experience a lack of supportive culture and horizontal violence, this may result to shortage of full-time nurses New graduate RN’s need knowledge concerning issues that affect transition to be able to speak to them in upcoming interviews and job opportunities. Criteria for on obtaining RN license Workplacefor the new graduate, where they are involved in...
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...New Graduate Nurses, Transition Shock Rachel Gable Grand Canyon University NUR 433V November 25, 2012 New Graduate Nurses, Transition Shock Nursing is by nature a stressful occupation. Making that even more stressful, newly licensed nurses are being thrown into the profession more and more without the proper orientation and training. Although newly licensed nurses have achieved the legal and professional requirements of minimal competence to enter practice, studies indicate that many new nurses lack the clinical skills and judgment needed to provide safe, competent practice (Dyess & Sherman, 2009). The rapid deployment of new graduates into clinical settings where they assume professional responsibilities on the same level as a seasoned nurse and is becoming more of a serious issue today. The purpose of this study is to determine the learning and transition needs and recommendations of the new graduate nurse. In a recent survey done by Berkow, Virkstis, Stewart and Conway in 2009, only ten percent of the health system executive nurses believed that newly graduated nurses were ready to deliver safe patient care. Typically new graduate nurses receive up to six months or less of orientation and training in hospitals. This is not sufficient time for the new graduate nurse to feel comfortable with critical thinking skills, communication and time management. This is especially important because of the high acuity of today’s patients and can lead to medication...
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...Nurse Practitioner Post Graduation Fellowships University of Maryland, Baltimore Ariel Gibson Introduction Traditionally nurse practitioners (NPs) have entered directly into practice after completing an advanced nursing degree. In 2010 the Institute of Medicine released a report on the future of nursing which recommended that “state boards of nursing, accrediting bodies, the federal government, and health care organizations should support nurses’ completion of a transition-to-practice program after they have completed a prelicensure or advanced practice degree program or when they are transitioning into new clinical practice areas” (Institute of Medicine, p.7, 2010). Background Many novice NPs feel unprepared, uncertain, and isolated during their first years of practice. According to a study by Hart and Macnee (2007), only ten percent of NPs felt they were well prepared for practice after completing their NP program while fifty one percent felt that they were only somewhat or minimally prepared. Study participants felt least prepared in the areas of “coding and billing, casting, complementary and alternative medicine, electrocardiogram interpretation, microscopy, simple office procedures, splinting, suturing, X-ray interpretation, and clinical management of mental health diseases”. In the study it was felt that basic NP education lacked clinical rigor and could benefit from more clinical hours. Eighty seven percent of the NPs studied stated they would...
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...and other institutions. It appears as if there is serious downfall in the practicum of nurse-executive. Consequently, the concerned authority seems to portray weakness strategies in conducting this nursing practicum that has led to shortages of faculty. The big inquiry is whether these training facilities offer standardized training that would present the needed feedback facilitating nursing transition and retaining nursing staff. The central focus would then be whether this strategy would pose positive impacts in nursing training. This capstone project will explore these nursing concepts with a primary intention of presenting the root cause of nursing crisis in health facility. Annotated Bibliography Seago, A. J., Alvarado, A., Keane, D., Grumbach, K., & Spetz, J. (2006). The nursing shortage: is it really about image? Journal of Health Management, 51(2), 96-10. A research conducted in tertiary institutions Central Valley by Seago and the rest confirmed that nursing occupation lagged behind other occupations. This perspective is attributed by work independence perception and the perception that nursing is women’s work. Consequently, Seago concluded that nursing career remains unattractive to many learners thus appealing for the need to expand nursing training. Oulton, J. A. (2006). The Global Nursing Shortage: An Overview of Issues and Actions. Policy, Politics, & Nursing Practice, 7(3), 34S-39S. doi:10.1177/1527154406293968...
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...beneficial to new graduate registered nurses? Nursing residency program is a program designed to increase retention and provide essential tools to promote graduate nurse success and productivity. (Welding, 2011). Nurse Residency program gives the nurse who is a novice the learning base and expertise set required to move to clinical nursing practice competence while giving the skills required to meet the mission and objectives of the organization, the program gives nurses the administration abilities to work cooperatively within a multidisciplinary team. The nurse residency program bridges the gap between...
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...The Future of Nursing through Education, Practice and Leadership Grand Canyon University Nursing 430 Professor Jude Belmonte Raeanne Shope December 15, 2013 The Future of Nursing through Education, Practice and Leadership In the 21st century the focus of healthcare and the way it is disbursed needs to change to fit the needs of an aging population. As the face of healthcare changes, nurses must change and become more involved in all aspects of patient care. Nurses must step out of the shadows and assume a leadership role and shape policies that affect patient care. The Institute of Medicine report” The Future of Nursing” researched nursing education, practice and leadership and made recommendations on how to elevate nurses to their full potential. Changes need to occur throughout the profession with emphasis on education, practice changes and leadership. There are numerous barriers that prevent nurses from responding to the rapidly evolving heath care setting. These barriers will need to be removed so nurses can lead changes and drive advances in health care (The future of, 2011). Nursing is one profession with multiple entry level positions, LPN, ADN, and BSN. With so many levels of education and no seamless transition of education from one level to another, nurses struggle to achieve higher education. Improving the education system and achieving a more educated workforce, specifically increasing the number of nurses with baccalaureate degrees, will change...
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...Professional Development Plan Professional Nursing Practice November 28th, 2009 Nursing philosophy is a theoretical foundation that serves as a frame of reference to provide guidance and direction for the clinician. Many nursing scholars including Patricia Benner have contributed to the nursing philosophical base. My personal nursing philosophy is shaped by the early pioneers in nursing to promote health and achieve optimal state of wellness for the patients. An individual value and beliefs system plays an integral role in delivering nursing care. My personal values and beliefs have guided me throughout my nursing profession. During my nursing career, I have carefully examined different pathways to achieve higher education to maximize my potential as a health care provider. This paper will discuss my personal philosophy of nursing including values and beliefs; roles of a baccalaureate prepared nurse including role transition with new opportunities available; two professional short term and long term goals including barriers and challenges; develop a strategic plan to accomplish these goals within five years. In my daily practice as a registered nurse, my focus is directed by my philosophical beliefs to promote wellness for each individual. As a clinician, I respect the values of the early philosophers who have outlined the responsibilities of the nursing profession. Based on the guidelines of the philosophers, a clear understanding of each patient’s physiological...
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...Nursing Practice (DNP) more of a reality. I believe that having support through co-workers, classmates, and evidence based practice will make the transition from registered nurse (RN) to DNP easier. Leadership has always been a fairly grand idea to me. Mostly due to the fact that I am a brand new nurse. Each job I have had so far in life whether it was a nurse aide or RN, it has been a new role for me. So, this idea of leadership especially in the doctorate role will be quite a change. RISE made me think differently of how I conduct my daily routine as a RN. I want to be prepared to act a leader. Therefore, as a RN I am trying to adapt to that role right now. This idea was also taken from an article we discussed during RISE. The research article by Montgomery and Porter-O’Grady (2010) discussed students that are actively practicing face many opportunities, frustrations, and challenges that aide learning (Montgomery & Porter O’Grady, 2010). Continuing to work as an RN while doing the DNP program part-time is how I believe I will achieve the leadership role. Another relevant resource we discussed during RISE was from Doody and Doody (2012) referencing the challenges nurses take on every day, balancing unstable environments while trying to produce a healthy outcome (Doody & Doody, 2012). I think this article gave light to the challenges nurses face that eventually lead to strong, well-versed outcomes for patients. Leadership is a part of my role as a nurse and will...
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...As a nurse, I have the responsibility to show up at work and care for the patients that are dependent on my help. In order to do that successfully, I have to be fully committed to not only my patient but profession as well. Arriving to work on time, advocating for my patients, and making the correct choices when faced with ethical dilemmas are a few ways I can display commitment. The second is initiative. Florence is a prime example of why this is so important. When she knew conditions weren’t safe for soldiers during the Crimean War, Florence took the initiative to change the situation. Despite the much negativity against her, she continued her work until conditions were changed. As a nurse, I will voice my opinion when things need change, I will participate in nursing associations to further the profession, and I will always speak up when ethical situations are at hand. It may mean taking actions that may go against the status quo, but they are necessary to do what is right. My ethics professor always quoted Martin Luther King, “Our lives begin to end the day we become silent about things that matter.” I think this “rule” he lived by goes hand-in-hand with my responsibility to take initiative as a nurse. To have this sense of ownership, you have to feel connected and actively participating. It may be hard at times, but knowing that the patient is depending on me to care for them will give me the incentive to always be engaged in my work. I will be supportive and communicate...
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...Orienting to the role of an academic nurse educator is a dynamic and challenging process. While engaging in this role with a preceptor, this novice nurse educator was guided by the core competencies developed by the National League for Nursing to teach Bachelor’s of Science in Nursing (BSN) degree students. Utilizing teaching, assessment, and evaluation strategies learned throughout the Master’s in Nursing Science program, this educator developed a didactic presentation on building cultural competence for Health Assessment nursing students, demonstrated and assisted in the development of essential skills to conduct an adult physical examination, and coordinated a perioperative clinical rotation for senior level nursing students. This practicum experience has played a pivotal role in strengthening this novice educator’s ability to assist students in identifying their learning needs, strengths, and limitations, while providing opportunity to experience the teaching-learning environment of the academic arena. Keywords: nursing students, learning, practicum learning, nurse educator PRACTICUM EXPERIENCE Nursing 740 Practicum Experience New nurse educators transforming into their new role often discover they are not as prepared as they would hope to be (Poindexter, 2008). Being an experienced or expert nurse is not sufficient to assume their new role as a nurse educator (Poindexter, 2008). To better transition into the nurse educator role, nurses with experience need to be prepared...
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... Nurse residency programs are important in the desire for nursing recruitment and retention. New graduate hires face many stressful challenges transitioning from student to professional RN in the workforce. Loss of a new graduate nurse leads to a great financial loss and ultimately increase in the shortage that in turn can lead to patient safety issues. The leaders of the nurse residency programs need to be vested and continue to follow and mentor these new professionals well into their second or third year of hire. The purpose if this paper is to critique the research article “Are rural and urban newly licensed nurses different? A longitudinal study of a nurse residency programme” by Marilyn Meyer Bratt, Marianne Baernholdt, and Jessica Pruszynski. My examination focuses on specific aspects of the article in terms of process and validity of research methods and results. According to Burns and Grove (2012) the purpose of reviewing literature provides us with evidence in theory and science about a specific problem, alloying is to decipher information about what is known to us and not. The key concept covered in Bratt, Baernholdt and Pruszynski’s article is to determine if there is a difference among rural and urban nurse residency programs that lead to a higher retention rate? The key points of this review is to assess the two different populations of nurse residency programs using sampling data and dissect the strategies used to foster a positive transition of practice...
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...unprecedented partnership to explore challenges central to the future of the nursing profession. The IOM and RWJF stated that accessible, high quality care cannot be achieved without exceptional nursing care and leadership (IOM, 2011, p. 2). This paper will discuss and explore how the IOM report impacts nursing education, nursing practice, and the nurse’s leadership role. The IOM recommends entering the field of Nursing prepared with a baccalaureate degree can provide a consistent foundation. Due to the complexities of managing patient care with chronic illnesses qualified nurses will need to possess the knowledge and training of a higher level of education. The IOM recommends that hospitals have a workforce of at least 80 percent of registered nurses with a minimum of a BSN degree by the year 2020 (IOM, 2011, p. 173). Although, there still exists various modalities to entering the nursing profession without having a BSN. The goal for nurses with a diploma and associate degree are encouraged to further their education by entering a baccalaureate nursing program. The future of nursing depends on promoting the importance of higher education. The U.S. Army, Navy, and Air Force have made it a requirement that all practicing nurses have a baccalaureate degree (IOM, 2011, p. 171). The IOM reports that bachelor prepared nurses are more inclined to advance their career (IOM, 2011, p. 184). Nursing students as well as seasoned nurses without their...
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...Before RN-BSN Program When I came to United States thirteen years ago, I never thought I was going to do so much and get so far. My initial dream was to become a nurse with the vocation of serving others and to become a part of the team that would save lives. The transition of this dream has been made in several steps beginning by graduating as a LVN, obtaining an associate degree and currently to finish my Bachelor’s Degree. Many aspects of my life have been influenced including my self-image, short and long terms goals, philosophies, attitudes, actions, experiences, interests, and more importantly my professional role in nursing and in society. As a new graduate with my Associate Degree in Nursing, the first feeling I experienced was fear and uncertainty about my future as a nurse. This feeling was due to my observing of how demanding this profession was during my clinical rotations. I had this strong sensation that nursing was my niche but I was afraid of failure. My perception was limited with what was expected in this profession that I considered as being primarily to care for the sick and to provide for them by learning about the diagnosis and medications. I visualized myself only passing my internship and being a “safe nurse” on the hall. At the time, I just had a subtle idea, only in theory, that nursing was a dimensional profession. My goals working in the hospital were very elementary goals. First, I needed to pass the Performance Test (PBDS) given by the hospital...
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...The Impact of the 2010 IOM Report on The Future of Nursing Robert Loperfido Felician Health Policy and Politics NURS 385 Helena Correia RNC, MSN August 18, 2014 The Impact of the 2010 IOM Report on The Future of Nursing The United States is at a significant junction. Health care reforms are being carried out and the system is beginning to change. The largest component of the health care workforce is nurses and the needs to strengthen this group will only improve the delivery of care and the health care system. The IOM and the Robert Wood Johnson Foundation established that accessible, high quality care cannot be achieved without extraordinary nursing care and leadership (American Nurses Association, 2014, p. 1). The report calls on nurses individually and as a profession to embrace changes needed to promote health, prevent illness and care for people across the lifespan. The report also calls for support from interprofessional collaborations from physicians, dieticians, physical therapist and other multisector professions to work with nurses to make the changes necessary for a more accessible, cost efficient and high quality health care system. This report expands on the theme that high quality, safe, evidence based patient centered care is a critical role of nursing and that to have a successful health care system rests on the future of nursing (Institute of Medicine, 2010). In 2010 the President signed into law and Congress approved health care legislation...
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...effective production and use of the nursing workforce (Rother & Lavizzo-Mourey, 2009). In an effort to guide the impending increase of Americans expected to seek healthcare, the Institute of Medicine (IOM) along with the Committee on the Robert Wood Foundation (RWJF) formed an initiative on the future of nursing. The 2-year initiative served as an action-based model for the restructuring of the nursing profession (IOM, 2011). The committee identified four key messages that guided the IOM discussion including the future of nursing education, nursing practice and the nurse’s role as a leader. The key messages and recommendations of the initiative on nursing provided nurses with the unique opportunity to further define its role in the healthcare field. Impact on Nursing Education To ensure the delivery of safe and effective patient care, the committee recognized the need for an improved education system for nurses. The committee stated, “Nurses should achieve higher levels of education and training through an improved education...
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