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NRSG367: Transition to Professional Nursing

Answer:

TRANSITION TO PROFESSIONAL NURSING

INTRODUCTION

Answer:

TRANSITION TO PROFESSIONAL NURSING

INTRODUCTION

Answer:

TRANSITION TO PROFESSIONAL NURSING

INTRODUCTION

Transition refers to the process from one phase to another phase that involves lots of changes including emotions, goals, roles, and responsibilities. It has been seen that transition from student to graduate Registered Nurse (RN) involves various ranges of experiences such as excitement and happiness. Additionally, the transition phase of nursing also involves anxiety, fear, uncertainties, and confusion in one’s abilities (Melo et al.,2018). Subsequently, a case study of Toby as a novice graduate RN has been studied to determine the challenges associated with being a nurse. According to (Gagalang, & Schultz, 2017) one of the major challenges for a nurse is to cope with the brain while working on various shifts. Some could be seen in the case study where the sudden change in the shift, Toby had been faced various difficulties in maintaining the work-life balance, an unprecedented task, patient allocation as well as in time management. Toby was not able to manage his personal life due to the disbalance between professional and personal work. This assignment involves answering three questions based on Toby’s case study. Based on NMBA standards for Registered Nurse, the roles and responsibilities of Toby have been analyzed to see whether they meet the standards or not. Subsequently, recommendations have been suggested involving technological knowledge, time management, and communication and teamwork skills. In addition to this, strategies have been suggested to maintain the work-life balance.

                  The transition period is very difficult, especially from the student phase to professional practice. It is very crucial to maintain a work-life balance while working. It has been found that in the profession of a Registered Nurse (RN), the transition phase has been very critical. It is because managing professional roles, team dynamics, and technologies can be very challenging.

Transition refers to the process from one phase to another phase that involves lots of changes including emotions, goals, roles, and responsibilities. It has been seen that transition from student to graduate Registered Nurse (RN) involves various ranges of experiences such as excitement and happiness. Additionally, the transition phase of nursing also involves anxiety, fear, uncertainties, and confusion in one’s abilities (Melo et al.,2018). Subsequently, a case study of Toby as a novice graduate RN has been studied to determine the challenges associated with being a nurse. According to (Gagalang, & Schultz, 2017) one of the major challenges for a nurse is to cope with the brain while working on various shifts. Some could be seen in the case study where the sudden change in the shift, Toby had been faced various difficulties in maintaining the work-life balance, an unprecedented task, patient allocation as well as in time management. Toby was not able to manage his personal life due to the disbalance between professional and personal work. This assignment involves answering three questions based on Toby’s case study. Based on NMBA standards for Registered Nurse, the roles and responsibilities of Toby have been analyzed to see whether they meet the standards or not. Subsequently, recommendations have been suggested involving technological knowledge, time management, and communication and teamwork skills. In addition to this, strategies have been suggested to maintain the work-life balance.

                  The transition period is very difficult, especially from the student phase to professional practice. It is very crucial to maintain a work-life balance while working. It has been found that in the profession of a Registered Nurse (RN), the transition phase has been very critical. It is because managing professional roles, team dynamics, and technologies can be very challenging.

Transition refers to the process from one phase to another phase that involves lots of changes including emotions, goals, roles, and responsibilities. It has been seen that transition from student to graduate Registered Nurse (RN) involves various ranges of experiences such as excitement and happiness. Additionally, the transition phase of nursing also involves anxiety, fear, uncertainties, and confusion in one’s abilities (Melo et al.,2018). Subsequently, a case study of Toby as a novice graduate RN has been studied to determine the challenges associated with being a nurse. According to (Gagalang, & Schultz, 2017) one of the major challenges for a nurse is to cope with the brain while working on various shifts. Some could be seen in the case study where the sudden change in the shift, Toby had been faced various difficulties in maintaining the work-life balance, an unprecedented task, patient allocation as well as in time management. Toby was not able to manage his personal life due to the disbalance between professional and personal work. This assignment involves answering three questions based on Toby’s case study. Based on NMBA standards for Registered Nurse, the roles and responsibilities of Toby have been analyzed to see whether they meet the standards or not. Subsequently, recommendations have been suggested involving technological knowledge, time management, and communication and teamwork skills. In addition to this, strategies have been suggested to maintain the work-life balance.

                  The transition period is very difficult, especially from the student phase to professional practice. It is very crucial to maintain a work-life balance while working. It has been found that in the profession of a Registered Nurse (RN), the transition phase has been very critical. It is because managing professional roles, team dynamics, and technologies can be very challenging. Additionally, working on different shifts often leads to creating more challenges for the nurse (Moore et al. 2020). It has been observed from the case studies that Toby as a Graduate Registered Nurse (RN) has not met their role and responsibilities properly during his shift. Toby had not been attentive during his shift. Additionally, Toby also had not provided IVAB to a patient (Mrs Jones). This indicates that Toby had not been working with full concentration as he forgot to check the machine that had been set up for patients for automatic observations. Furthermore, Toby also skipped the documentation for the admission of the patients. In addition to this, Toby had not updated notes of the allocated patients on the Computer On Wheels (COWS) machines. Hence to complete the allocated work, Toby had to stay 30 minutes more after his shift. Due to this, the personal life of Toby has also been affected.

The Nursing and Midwifery Board Australia (NMBA) states the Standards Practices for Registered Nurse and additionally defines the Registered Nurse, Guidelines (Takashima et al. 2019). Registered Nurse (RN) work is defined as professional as well as a therapeutic relationship with individuals along with communities as well as with groups and families (Widarsson et al., 2020). The NMBA has developed the seven standards for the Registered Nurse. It has been found that Toby has not met the following standards of NMBA are:

“Standard 3: Maintain the capability for practice” It states that maintaining the time for the wellbeing of others’ health as well as for self. Additionally, RNs should provide required information and education to people to control their health. They should be engaged with the Nurse profession actively (Nursing and Midwifery Board Apr 2017).

“Standard 4: Comprehensively conducts assessments“- RNs should appropriately conduct assessments. Before planning, they should assess all the necessary information (Edmonds et al., 2016).

“Standard 6: Provides safe, appropriate and responsive quality nursing practice”– RNs should provide ethical goal-directed and quality actions. The practice should be correct and safe. In addition, the timely direction is to be given (Duchscher, & Windey, 2018).

Additionally, working on different shifts often leads to creating more challenges for the nurse (Moore et al. 2020). It has been observed from the case studies that Toby as a Graduate Registered Nurse (RN) has not met their role and responsibilities properly during his shift. Toby had not been attentive during his shift. Additionally, Toby also had not provided IVAB to a patient (Mrs Jones). This indicates that Toby had not been working with full concentration as he forgot to check the machine that had been set up for patients for automatic observations. Furthermore, Toby also skipped the documentation for the admission of the patients. In addition to this, Toby had not updated notes of the allocated patients on the Computer On Wheels (COWS) machines. Hence to complete the allocated work, Toby had to stay 30 minutes more after his shift. Due to this, the personal life of Toby has also been affected.

The Nursing and Midwifery Board Australia (NMBA) states the Standards Practices for Registered Nurse and additionally defines the Registered Nurse, Guidelines (Takashima et al. 2019). Registered Nurse (RN) work is defined as professional as well as a therapeutic relationship with individuals along with communities as well as with groups and families (Widarsson et al., 2020). The NMBA has developed the seven standards for the Registered Nurse. It has been found that Toby has not met the following standards of NMBA are:

“Standard 3: Maintain the capability for practice” It states that maintaining the time for the wellbeing of others’ health as well as for self. Additionally, RNs should provide required information and education to people to control their health. They should be engaged with the Nurse profession actively (Nursing and Midwifery Board Apr 2017).

“Standard 4: Comprehensively conducts assessments“- RNs should appropriately conduct assessments. Before planning, they should assess all the necessary information (Edmonds et al., 2016).

“Standard 6: Provides safe, appropriate and responsive quality nursing practice”– RNs should provide ethical goal-directed and quality actions. The practice should be correct and safe. In addition, the timely direction is to be given (Duchscher, & Windey, 2018).

The recommendation suggested to the graduate Registered Nurse to work effectively to overcome the shift challenges are:

Technological knowledge: It refers to the knowledge and abilities required to perform specific technological tasks. It has been seen that every field has now adopted advanced technologies which help them to work more efficiently. The medical field also used the technologies to identify the diseases, risks, and other related problems. However, improper handling of technologies can cause harm as well as injuries (Baker, 2020). Concerning Toby’s case. He needs to have adequate technical knowledge as it helps in miniating patient records which could be useful in future to track patients’ medical history.   

Time management: It can be defined as the process of planning and organizing the activities by dividing the adequate time so that the work can be accomplished effectively and efficiently (Sainz et al. 2019). It helps to increase the productivity as well as efficiency of the individual. It is a very important skill in the field of nursing as it facilitates organizing and prioritizing tasks (Kim et al., 2017). Toby needs to understand techniques that are used in the management of time. As it helps in managing all the related work that is to be performed on time to reduce the chances of mistakes related to the work of nursing. As there are different time shifts of RN, it is essential to use the techniques to manage the time (Öksüz et al. 2018).

Communication and Teamwork skills: Communication and teamwork skills both are correlated as effective communication skills bring the foundation for teamwork (Turkelson et al. 2018). Team collaboration helps to solve any challenges in a most effective manner. It has been seen that teamwork in nursing has a significant role as it helps in the better health of a patient (Forbes & Finch, 2020). In addition to this, Toby has to enhance his communication skills as well as teamwork skills as the communication skills help the nurses to have proper communication with the patients thus helping in analyzing their problems. Teamwork is essential as this helps manage work.

       When a fresher or a graduate student joins a hospital or a clinic, he /she becomes ready to take up this responsibility. They become responsible towards the patient and handle them indecently (Ankers, Barton, & Parry, 2018). In addition to this, the transition can help the nursing students to tackle emotions ranging from excitement and happiness to uncertainty, anxiety, and fear (Assumed, 2021). Various challenges are faced by student nurses to become registered nurses are theory-to-practice gaps, time management, medicines administration, documentation skills, limited knowledge and performance anxiety.

These are some common issues that are faced by the student nurses in this phase; however, they can be resolved through teamwork, and from time and communication management. Nursing is considered a responsible job in which hard work and dedication are essential elements. In this profession, every day has a new challenge and no day goes similar to the previous one. These challenges help the registered nurses (RN) to learn different strategies and techniques to tackle these problems. Some strategies suggested by (Burning, 2019) must be used by RNs to manage their work smoothly. Self-reflection and self-care, be positive and patient in the training period, encourage and connect and supportive social work.

Among the above strategies, self-reflection and self-care are considered as the best strategy as through this the analysis and evaluation of nursing practices can be made which helps in understanding the weakness and strengths of an individual and also it helps in improving the weaknesses thus helping in maximizing the outcome (Welch, & Carter, 2018). The second strategy considered to be useful is supportive social work. It helps in balancing the work-life and builds resilience. It has been analyzed that nursing is a job that involves caring for the patient which must be performed carefully for the better health and the safety of patients. Additionally, it can be said that graduate registered nurses can bring various types of benefits in the terms of workforce, patient safety, and so on (Start et al. 2020). The studies show that the nursing graduates are considered to strengthen the following section: Skills of communication with patients, skills of psychological assessment and accountability for their practices.

CONCLUSION

The case study discusses the professional transition which a graduate registered nurse undergoes. Here Toby’s case helps us understand the situation of a graduate registered nurse (RN). It has been observed that though Tody has been practising as a nurse for a few weeks not but the job has turned out to be very challenging. Tody couldn’t manage his professional and personal life which also resulted in many mistakes. Hence it could be concluded that to overcome these challenges it is essential to manage professional roles, team dynamics, and technology handling. Additionally, time management is also essential for a nursing graduate and the adjustments to any shift need time management. Though the work is being already allocated to Toby due to a lack of management skills, he is unable to prioritize the work as per the job importance and necessity. As per the problems identified from Toby’s case certain recommendations are suggested that may help in enhancing the skills related to registered nursing (RN). It was observed that Tody must work on enhancing communication skills, time management and technical skills which is mainly required in his profession. This case study helps graduate Registered Nurse understand the challenges that are faced by the nurses every day. These challenges help in learning various strategies and techniques to handle these situations. In the given scenario the preferred strategy is self-reflection and self-care. Overall, it could be said that the work of nursing is challenging but it increases communication skills and caring strategies.

References

  1. Ankers, M. D., Barton, C. A., & Parry, Y. K. (2018). A phenomenological exploration of graduate nurse transition to professional practice within a transition to practice program. Collegian25(3), 319-325. https://www.researchgate.net/profile/Yvonne-Parry/publication/320094976_A_phenomenological_exploration_of_graduate_nurse_transition_to_professional_practice_within_a_transition_to_practice_program/links/59cdd77da6fdcce3b346434c/A-phenomenological-exploration-of-graduate-nurse-transition-to-professional-practice-within-a-transition-to-practice-program.pdf
  2. Assumed, 2021.  The transition from student to registered nurse. Assumed. https://www.ausmed.com/cpd/articles/transitioning-from-student-nurse
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  4. Duchscher, J. B., & Windey, M. (2018). Stages of transition and transition shock. Journal for Nurses in Professional Development34(4), 228-232. https://www.researchgate.net/profile/Judy-Duchscher/publication/326164243_Stages_of_Transition_and_Transition_Shock/links/5cd19f5292851c4eab896d81/Stages-of-Transition-and-Transition-Shock.pdf
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