Module 11 - Transition from Nursing Student to Professional Nurse_S_4e33d001ee16446070193b3d5d18a585.pdf

At the end of the discussion, the participants shall be able to; Define Transition. Understand the reality shock & Phases of it. Discuss the causes of reality shock. Recognise the strategies to ease Transition.  Transition is a movement or development from one stage or style to another....

At the end of the discussion, the participants shall be able to; Define Transition. Understand the reality shock & Phases of it. Discuss the causes of reality shock. Recognise the strategies to ease Transition.  Transition is a movement or development from one stage or style to another. As nurses prepare to enter the profession from student to registered nurse (RN). They move not only from one role to another, but also from the school or university setting to the workplace. Transition is a complicated process during which many changes may happening at once. There are five stages which novice nurse proceed to be more clinically competent: Stage 1: The nurse has few experience with clinical expectation and skills are learned by rote. This stage usually occur while completing the nursing educational requirement. Stage2: Exemplifies advanced beginners who are able to perform adequately and make some judgment calls based on experience. Most novice nurse enter the work force during this stage.  Stage3: This stage includes competent nurse who are able to foresee long range goal and are mastering skills. Stage4: It includes proficient nurse who view whole situation rather than part and are able to develop solution. Stage5: This stage includes expert nurse with whom intuition and decision making are instantaneous. Benner Stages of Learning  Reality shock occur in novice nurses when they become aware of inconsistency between the actual world of nursing and that of nursing school. As the novice nurse enter the new profession, reality shock begins. THERE ARE FOUR PHASES OF REALITY SHOCK : 1. Honeymoon Phase During the honeymoon phase, everything is just as the new graduate imagined. The new nurse is in orientation with former school friends or other new graduates who often share similarities. 2. Shock (Rejection) Phase During this phase the nurse receives daily assignments and begins the tasks. The novice nurse may be frightened or react by forming a hard cold shell around himself or herself. The nurse comes into contact with conflicting viewpoints and different ways of performing skills, and lacks the security of having an expert available to explain uncertain or grey areas. Vague feelings of discomfort are experienced. The novice nurse may reject the new environment and have a preoccupation with the past when he or she was in school. But others may reject their school values and adopt the values of the organization. 3. Recovery Phase The novice nurse begins to understand the new culture to a certain degree. There is less tension and anxiety, and healing begins. 4. Resolution Phase The resolution phase is the result of the shock phase and the novice nurse's ability to adjust to the new environment. If the nurse is able to positively work through the rejection phase, he or she grows more fully as a person and a professional nurse phase.  Fear, lack of confidence, total responsibility Unrealistic expectations of self and co-workers. Fatigue. Role conflict and undefined expectations. Lack of resources and lack of support. Dealing with physicians and other health care workers. Lack of organizational skills/new situation. Heavy workload, frequent interruptions. FOUR REASONS LEAD TO STRESS 1 Realty of practice. 2 Unfamiliar with the structure of the organization. 3Lack of professional relationships. 4- Lack of clinical judgment. INTERPERSONAL SKILLS The health care team expect the novice nurse to immediately develop interpersonal skills. They need to get to know the members of the health care team. They are often uncomfortable making rounds, clarifying orders and participating in trans-disciplinary team conferences. However effective communication is critical. Novice nurse must listen. Ask the appropriate person and avoid distraction when communicating. CLINICALSKILLS The novice nurse should posses basic knowledge of how to perform nursing skills. Graduate nurse must allow to develop clinical skills based on experiences (Banners model). practice increases effectiveness, efficiency and correctness of performing skills. ROLE PREPAREDNESS Novice nurse should posses the ability to Plan Prepare Perform ORGANIZATIONAL SKILLS The novice nurse may lack organizational skills. Someone is usually with student to offer suggestions on how to organize their time. PRIORITY SETTING It is the skill that all nursing students must demonstrate. The difference between nursing school and the real world is that serious consequence occur, if prioritizing is not done effectively. 1-BICULTURALISM Biculturalism is the joining of two contradictory value system. The work environments and school values are all intended to improve positive self- image and give new nurses the opportunity to integrate concepts and values they learned in nursing school. 2-ROLE MODELAND MENTORS A staff nurse can be a role model for a novice nurse but have no interaction with the novice. Mentors are experienced nurse who must be willing to commit to a 6 month relationship with novice nurse. By encouraging and suggesting, mentors assist new nurses in setting and achieving realistic goals. 3-PRECEPTORSHIPS preceptors program have gained popularity as a means to socialize the novice nurse into the profession and to ease tension of transition from student to nurse. preceptor program often are incorporated during the senior nursing student final practicum. 4-SELF MENTORING Novice nurse can also help by using self mentoring when preceptor or mentors are not available. Novice nurse must be willing to learn appropriate reference. Develop problem solving skills and ask question. 5-SELF-CONFEDENCE & SELF ESTEEM. Self esteem or belief in oneself comes as the novice nurse passes through the stages of reality shock and into career in nursing Self esteem= self confidence + self respect. Individuals with high self esteem can critically solve problems & tackle obstacles Take sensible risk, believe in themselves and take care of themselves. Nurse with self esteem are effective and respond to themselves in a healthy way. They can accomplish more because they feel comfortable with themselves. 6. ORGANIZATIONAL SKILLS The use of a report sheet can enable the novice nurse to note important information received during the shift report. note information from other members of the trans-disciplinary health care team as the day progresses. Another suggestion for the novice nurse is to contact a former nursing instructor 7. CLINICAL SKILLS Suggestions for developing skills needed for special practice will be addressed. The novice also can provide the nurse manager and mentor with a list of skills that need further practice. During orientation phase, the novice nurse should ask to observe or assist an experienced nurse with procedures for which there is a lower comfort level or lesser degree of experience. 8. INTERPERSONAL SKILLS Developing interpersonal skills through attending unit meetings, volunteering for committees on the unit or within the agency. Taking an active interest in the nursing unit which aid in socialization into the unit and profession. It is important for all nurses regardless of their experience to take part in professional organizations at various levels. 9. DELEGATION SKILLS Body language is important when delegating. Be willing to change the assignment if there are changes in a patients condition. If time allows it is always good to help those to whom you have delegated tasks.  Think before answering, take a few minutes before you answer and decide what is best for you. Take breaks; otherwise, what can feel like a problem before the break could turn into mange. Get rid of minor things that drain your energy , bring your lunch and eat in a quite space rather than spending most of your break waiting in line , only to swallow your lunch whole or even worse , eat on the unit. support your co-workers , be a good listener.  Wear comfortable uniforms and shoes, you cant think if your feet hurt and your pants are too tight. Treat yourself , do something nice every week. Avoid people who irritate or hassle you, pessimistic people can bring you down. Keep in to touch with yourself , don’t take on everyone else’s responsibilities. Say no when you feel right and don’t feel guilty. Remember nursing is a noble profession.  Orientation program for new nurses. Orientation about the hospital as general How to calculate drug doses. Cardiac life support program for all new nurses Refreshment course for the old one. Hospital and unit policies and procedure. In-service education programs. Follow job description.