Introduction According to the American Nurse Association, nursing has the second greatest job growth in all US professions. However, the number of nursing shortage is only increasing as the years go by. During the hard times that many Americans have been facing in this economy, there have been lots of nurses whom have been let go from their work field, have re-entered their field just so they can provide for their families, or even nursing students whom have felt discouraged from entering their field professionally because of the nursing shortage situations. To specify in a field, the reason for nursing shortage in the OR can be because of lack of peroperative education or experience, nurses wanting to work in other areas, or the trouble of drawing nurses into this field. Models of Transition When nurses chose to transition from their customary role to emerging roles in health care or maybe even away from nursing to another career, they might encounter challenges that may perhaps affect the way they feel about change. Bridges and Spencer and Adams summarize the models of transition and describe the challenges and difficulties that one may encounter when going through transition. According to Blais and Hayes, Bridges explains a model of general transition that all people go through when encountering change, whether it is obtaining a leadership role, transitioning from a school environment to an actual practice, or choosing to go back to school to further your education. It is broken down into three stages: the ending, the neutral zone, and the new beginnings. In the ending phase, an individual faces the beginning of change and might be resistant, but must learn to “let go” (Blais & Hayes, 2011, p. 5). This phase is then broke... ... middle of paper ... ...xpand. Before choosing a program though to further your education, one must know exactly what goal they would like to achieve. Ones leadership roles, research ability, health care education, and overall general knowledge must advance in order to further their career. (Cunningham, 2012) Conclusion As I reflect on this paper, I realize that it is okay to feel a certain way when going through change. As a matter of fact, I have spoken to one of my peers who will also be applying to the nursing program this upcoming Fall and it turns out that she has also been feeling this way. I am not alone in this like I thought I was. I have realized that whatever is worth it, will not come easy. It is going to be an emotional roller coaster filled with doubts, excitement, success, let downs, but in the end it will definitely be worth it. I will be the nurse that I aspire to be.
Changes in the current health care system can help prevent unsuccessful transitions of care. In order to move away from the “silos” of care, many institutions are starting to trend towards primary patient centered and interdisciplinary care. Having a team in charge of the care for a patient will allow more effective treatments and more communication between the different providers. While this is only within an inpatient setting and not necessarily transitions of care, the variety of clinicians involved in the care of a patient allows more information to be transmitted across different setting. The Society of Hospital Medicine developed Project BOOST to address issues with care transitions and to standardize a method for transition of care. Project
♦ Each stage will always have an ending point to start a new; these Transitional Periods can be either steady or complicated. Commitments made at the beginning of a stage may change throughout the course of said stage.
Bridges’ model describes three stages that people are likely to experience within a transition that I have personally gone through
There are many times in life when a person has to adapt. At the beginning it’s the playground jungle and finding friends who like reading. Then it becomes high school with social rules and changing as a person grows. College is a significant part for a young adult but to challenge that growth is nursing school. Nursing school becomes a boot camp where tears are everywhere and everybody just wants to go home and take a bath. It takes a culture shock – a reality shock – and a strong will to adapt to this new environment. Author Joann Zerwekh talks about this reality shock in her book Nursing Today. It covers the three different phases experienced by graduate
6. Rogers described this stage as being very distinctive and often dramatic. It is characterised by feelings, previously suppressed, becoming fully experienced in the present moment. This awareness is acute, clear and full of meaning. The self which hitherto has been experienced as somewhat fragmented is now experienced as an integrated whole - mind, body, emotion and intellect, and clients experience moments of full congruence.
...es and relationships that can have a deleterious affect on one’s self image and self esteem. The second stage is the transition rites category. In this stage individuals are feeling left in limbo, having have moved on from their previous role but have not yet been incorporated into their new one. Individuals in this state often experience anger, depression and denial. Individuals who are unable to accept their new status can languish in a period of liminality. The final subcategory of status passage is the rite of incorporation. At this stage the individual has accepted the new status and is reasonably comfortable with the new lifestyle. This final subcategory can be hard to reach for some, but essential for all to reach in order to achieve acceptance of their inevitable situation, and to obtain a degree of personal comfort in their new role.
Since the 1990’s, the interest in nursing and the profession as a whole has decreased dramatically and is still expected to do so over the next 10-15 years according to some researchers. With this nursing shortage, many factors are affected. Organizations have to face challenges of low staffing, higher costs for resources, recruiting and reserving of registered nurses, among liability issues as well. Some of the main issues arising from this nurse shortage are the impact of quality and continuity of care, organizational costs, the effect it has on nursing staff, and etc. However, this not only affects an organization and community, but affects the nurses the same. Nurses are becoming overwhelmed and are questioning the quality of care that each patient deserves. This shortage is not an issue that is to be taken lightly. The repercussions that are faced by both nurses and the organization are critical. Therefore, state funding should be implemented to private hospitals in order to resolve the shortage of nurses. State funds will therefore, relieve the overwhelming burdens on the staff, provide a safe and stress free environment for the patient, and allow appropriate funds needed to keep the facility and organization operational.
Change is an essential characteristic that enables individuals to build their distinctiveness in themselves and to the society around them. Change enlists in three types and each has a unique principle within them. These asp...
Grasping on to the way of how nurses think and how I see nursing has changed quite a bit since starting the program back in August, 2015. It really is a lot harder than what some people who work in the field make it seem. There are so many different things to learn and do. For example, when it comes to thinking, the formation of it has changed it. It is not your everyday normal thinking anymore (Alfaro-Lefevre, 2013).
that every person must undergo over their entire life. All stages are present at birth but only begin to unfold according to both a natural scheme and one's ecological and cultural upbringing. In each stage, the person faces, new challenges. Each stage builds upon the successful completion of the previous stages. The challenges of stages which are not successfully completed may be expected to reappear as problems in the future. The eight stages include, trust vs. mistrust, autonomy vs. shame/doubt, initiative vs. guilt, industry vs. inferiority, identity vs. role confusion, intimacy vs. isolation, generativity vs. stagnation, and integrity vs. despair.
The prolonged shortage of skilled nursing personnel has been a serious concern to the healthcare industry, and this shortage has impacted the quality of care delivery. In addition, nursing turnover has also exacerbated the problem of nursing shortage. Nursing shortage has been blamed on many nurses retiring and less younger nurses joining the occupation. There is also an increase in life expectancy (baby boomers) leading an increase in both physical and mental ailment with subsequent demand in nursing care. Nurses are also leaving nursing profession because of inadequate staffing, tense work environment, negative press about the profession, and inflexible work schedules. Even though nursing is a promising career and offers job security, the
Although the nursing profession has never been known to be static, even greater evolution within the next five, ten and twenty years can surely be anticipated. The inevitable changes can partially be attributed to the significant size of the aging population, which includes both patients and nurses alike; recent and forthcoming advancements in technology; modifications in health insurance policies; well as the essential new wave of nurse leaders.
I call these “waves” or “stages” of change and point them out here because they are applicable to any situation where trauma, loss, or unwanted Change is occurring.
The concept of change is as timeless as history itself. Change is inevitable, whether it be changes in your statues from a student to an adult, changes in your path in life or simply changes in your appearance as you approach old age. While change can, at times, appear menacing, it ...
For example, within my current personal leadership position I had to adapt the idea of change since the start of the school year. Beforehand, this time my freshman year I was giving this opportunity to run my club and the former president had mentioned to self that all of next year she was going to help me get organized before the school year end. Needless to say, she and I never met to cover my transformation of becoming the president for my upcoming junior school year. By this never happening, it had gave me major anxiety for the upcoming school year without having any idea what to do. When we had set our first official meeting in fall, I actually use the step 3 of Kotter’s Model of Organizational Change (without even realizing). The stage I felt that we had used was stage 3, the use of developing a vision and a strategy because I mentioned to both new and old members that even though we are lost as a group right now, we are turning the club around and change it to what we think how it should be run by working together...through the good and the