Nursing is a field that has grown tremendously in recent years and will only continue to grow as time goes on. Currently, nurses are being asked to care for more patients at a time that are high acuity and think more critically in providing care. In order for nurses to be able to perform his/her job safely and efficiently he/she must be confident, knowledgeable and typically have some experience with their skills. “New graduates are now the largest source of registered nurses available for recruitment in the nation, facing difficult psychological and intellectual challenges as they adapt to their new careers” (Welding, 2011). The problems that organizations and facilities are facing is that new graduate nurses are in a transition phase …show more content…
They are easily constructed due to the vast array of facilities that have already implemented nurse residency programs (NRP) and are easy to implement once a plan has been established and set in place. The research that has already been conducted has also aided many facilities in constructing and implementing programs. The two challenges or hurdles that were originally of greatest concern with nurse residency programs were time and money. Money was of the biggest concern: how much will it cost to construct such a program, how much money will the organization lose to implementing the program or will it lose money at all? As far as time is concerned, there is concern that it will take time to properly train preceptors/mentors for the role of the preceptor in nurse residency programs; it is also a concern that nurses will be on “orientation” longer therefore they will not be able to be considered as another nurse when morning and night assignments are being made. There were many questions that surrounded the idea of nurse residency programs. However, these have proved to no longer be a concern with nurse residency programs. In fact, such programs have proved to increase confidence, knowledge, experience and skills all the while increasing retention and job satisfaction and decreasing turnover …show more content…
Not many NRPs have failed; however, when they do, it is often because it was not well planned out and was not ready to be implemented at the time it was initiated. When developing a program it is important to do extensive research and develop a program that is reliable, realistic and valid to the specific organization. The content of the program must be specific to the organization and even the unit or specialty of the unit or organization. Once the content has been decided on, the length of the program should be determined. Research shows that most successful programs are twelve months in length; this is the standard length of most nurse residency programs. According to Varner and Leeds there are three phases involved in nurse residency programs: phase 1, orientation; phase 2, transition; phase 3, transformation; and phase 4, exploration (2012). The first phase, orientation, consists of online courses including content on: med-surg, critical care, emergency, maternity, behavioral health, and peri-op. The second phase, transition, focuses on transitional topics and support from the preceptor. The third phase, transformation, focuses on leadership topics and continued support from the preceptor. The fourth phase, exploration, is voluntary and is completed in the second year; it includes
Newly graduated nurses lack clinical skills necessary to evolve professionally and carefully from academics to bedside practice (Kim, Lee, Eudey, Lounsbury & Wede, 2015). How scary is that not only for the patient but also for the new nurse himself or herself? While being faced with new challenges, an increasing amount of newly graduated RNs felt overcome and unqualified. Twibell and Pierre explain how new nurses express “disillusionment” about practice, scheduling, and being rewarded. Frustration and anger between employees play a huge part in NGNs resigning because of the lack of experience and knowledge of what to do in high stress situations (2012). Nursing residency programs have proven to directly improve patient care, develop critical
Nursing, as a crucial part of the health care system, keeps evolving while dealing with an increasingly complex clinical situation that involves quality of patient care. Therefore, to successfully handle these scenarios, nursing needs to become more advanced, clinically and academically. A DNP degree is needed in this situation because according to Dunbar- Jacob, Navito & Khalil (2013), a DNP degree is considered to have more impact on nursing than a Master’s or Bachelor’s degree due to the advanced clinical education a DNP provides (p. 425). Hence, the DNP degree has an enormous impact in nursing practice especially in terms of improving clinical care, promoting leadership roles, and improving educational status.
Transitioning from academic nursing student to Registered Nurse/New Graduate Nurse (NGN) within the healthcare environment is a challenging task for many NGNs. They may encounter a number of challenges, such as the following: transition shock, professional isolation, lack of clinical experience, stress, lack of a support network and cultural incompetence. At the end, this essay will discuss the rationale for developing my two most important goals for the next twelve months. I presume the transition from academic nursing student to Graduate Nurse will be challenging and rewarding. In their findings, the researchers Doody, Tuohy & Deasy (2012) stated that for a successful transition NGNs need to be competent in a range of domains: interpersonal skills, managing workloads, providing health information, communication, and prioritising care delivery.
The skills acquisition concept poses a backwards movement in progress. The competent nurse in this case steps backward down the ladder to the novice level as an NP. Moreover, learning new skills, knowledge, and methods of treatment may technically be a step forward in a person’s career, but it is a step backwards in confidence and experience. The transition theory suggests transition as a never-ending process. The success of this course depends on a person’s support system and methods for coping. The transition theory has three stages: moving in, moving through and moving out. The moving in stage would be entering graduate education. Moving through is the process of completing classes and clinical time. The final stage, moving out, is beginning the first position as an NP. Successfully transitioning through these stages is heavily reliant on support, self-awareness and coping mechanisms. For instance, failure to begin the transition phase in graduate school is a prediction of the inability to properly shift into the role of NP (Poronsky,
Nurse Residency Programs are one way to make nursing practice safer for the patient and to keep nurses from leaving the practice. The Affordable Care Act will increase the number of patients receiving medical care over the next several years. We, as a nation, will need adequate numbers of nurses to fill the void. Many hospitals and universities are constructing nurse residency programs to meet that need. The designation of these programs is to increase knowledge, confidence and job satisfaction of new graduate nurses in their first year of practice. The AACN and University HealthSystem Consortium support the concept of nursing residencies. In 2004, an outline for nurse residency programs became available through their joint effort. Currently, 30 states are currently using the model successfully. The funding for nursing residencies is an area that needs addressing, federal funding for nursing education should include nursing residencies ("Nurse Residency Program," 2012). The purpose of this paper is to describe how this issue can move into a “policy window” using John Kingdon’s Policy Stream Model.
There is a shortage of all health care professions throughout the United States. One shortage in particular that society should be very concerned about is the shortage of Registered Nurses. Registered Nurses make up the single largest healthcare profession in the United States. A registered nurse is a vital healthcare professional that has earned a two or four year degree and has the upper-most responsibility in providing direct patient care and staff management in a hospital or other treatment facilities (Registered Nurse (RN) Degree and Career Overview., 2009). This shortage issue is imperative because RN's affect everyone sometime in their lifetime. Nurses serve groups, families and individuals to foster health and prevent disease.
Our course, Transition to Professional Nursing, is barely two weeks old and already I am being enlightened and challenged to expand my experience of nursing. I will attempt to explain my personal journey and experience thus far including how and why I got here, my beliefs about nursing and related values, and my visions for the future.
There is only so much an individual can learn from a textbook or classroom setting when it comes to nursing. Although clinical practicums are mandatory with any nursing program one can only retain so much in such a short timeframe. Student nurses mostly focus on completing their care plans and any other mandatory assignment related to their clinical experience. With that being said new graduates become novice nurses on the level of clinical practice. Patricia Benner discussed the education and experience levels of nurses by utilizing five significant stages. These stages include novice, advance beginner, competent, proficient, and expert. The ultimate goal for all nurses should
Nursing research is a systematic enquiry that seeks to add new nursing knowledge to benefit patients, families and communities. It encompasses all aspects of health that are of interest to nursing, including promotion of health, prevention of illness, care of people of all ages during illness and recovery (or) towards a peaceful and dignified death (ICN 2009)
Nurses have always been an undervalued asset to the health care industry; however, there is always a great need for them. With more uninsured Americans requiring safe, affordable medical care, the pressing issue of nursing education is not a priority (Aiken, 2011). Recently, there have been modifications taken place toward the current nursing shortage, the decrease of nursing graduates, a workforce that is becoming older, and other factors that influence nurse educator shortage (Baker, Fitzpatrick, & Griffin, 2011). Nurse educators are required to advise students, complete research, and perform committee work all while teaching (Baker, Fitzpatrick, & Griffin, 2011). They also have multiple jobs outside of practicing nursing and teaching. Nurse educators have stressful roles that hold many expectations, yet there is no independence in making their own decisions concerning things. Aiken (2011) suggests that the best way to begin combatting this shortage should include increasing the number of nurses who hold a bachelor’s degree in nursing from 50% to 80% by 2020 (p. 196). Forty-eight percent of nurse instructors are expected to be aged 55 and older and are predicted to retire by this time. (Baker, Fitzpatrick, & Griffin, 2011).
The College of Nurses of Ontario (CNO) is the governing body of all registered nurses in Ontario and is regulated. The CNO provides expectations and guidelines to follow, which need to be met by each Registered Practical Nurse (RPN) individually. As a nursing student, I am taught about the CNO and the importance of referring back to the guidelines while caring for patients. While gaining experiencing in the nursing field through my clinical settings, I have realized as a nursing student there are areas I need further development in. In this paper, I will address two of my learning needs and my goal for each. I will also discuss the plan I created in order to successfully meet my learning needs prior to becoming an RPN, and
The program director, the associate director, the administration, the head of nutrition and metabolism research as well as the nursing staff. All these personnel are charged with different responsibilities when combined helps in realization of an effective outcome that improves the nursing practice.
As new nursing graduates begin the process of transitioning into the nursing practice. There are many challenges and issues associated throughout the transition. New graduates may embark on their journey through a graduate program or seek employment solo. The transition period may consist of challenges, that students will encounter during their journey. This essay will identify, discuss, and critically reflect on key nursing challenges that student nurses may face, throughout the process of the transition phase.
The profession of nursing has both positive and negative effects on the well-being of nurses, which can lead to learning opportunities for those that are new to the profession. To receive an accurate depiction of the nursing profession, an interview with a currently practicing nurse is conducted and the challenges that they face will be analyzed with the intent of exploring different strategies that can be used when coping with these issues. The nurse that was interviewed stated that she has been in the nursing field for the past seventeen years; with the past ten being in the role of a nurse practitioner (Personal Communication, October 26, 2016). The nurse has experience in a variety of settings, as well as holding several degrees and certificates
From the literature I learned about the importance of driving the nursing profession towards the community health-care system. There is currently a need for revitalization of the primary health care system as stated in this document. There is a need to change some of the focus of education and training in new nurses in an effort to respond to the health care demands of today and the future, since many students are not going into this field. In addition, nurses already working in community health should begin focusing on current prevention and promotion aspects of health. I plan to apply these ideas in my own nursing practice to this rotation.