Transition To Professional Practice For Nursing Graduates: Analysis And Discussion

As you approach a life-long journey of continuing professional development and professional currency, it is important
for you as transitioning registered nurses and registered midwives to reflect on how far you have come and what
your new graduate year may look like.

Understanding what factors may influence your transition, what strategies you may use to enhance your transition and the types of resources available for you to access to facilitate your individual transition to practice, will help you  evaluate, reflect and set personal goals as you enter your new career.

The aim of this assessment provides students with an opportunity to critically analyse and discuss the relationship between the theoretical construct of ’being a professional nurse or midwife’ and the transition to graduate practice.

Write an essay based on the case study exploring the different elements that inform your preparation for transition to professional practice. Based on current theoretical perspectives, analyse the case study and explain the importance of managing clinical and non-clinical skills essential for new graduate nurses or new graduate midwives to address in readiness for meeting professional responsibilities as capable practitioners in nursing and midwifery. 

In this assignment, the transition period of a nursing student to a professional nurse along with their occupational hazards is discussed in a brief mode. It is observed that passed students become enthusiasm to join in the nursing professionals, but this enjoyment becomes fade just after continuing three months to one year as a nursing professional. As a result, these turnover rates of nursing professionals are very high. Here, in this assignment, the underlying cause is tremendous work pressure along with the absence of organizational co-operation from seniors and colleagues. Being a professional nurse, nursing graduates have to pass a crucial transition period (Carpenter, M. 2018). It creates problems in between emotional, socio-economical development along with lifestyle problems like anxiety, shortcomings, and feelings of insecurity in the professions. All of this creates a great distaste for the businesses of nursing and finally it is treated as a wrong choice of profession b most of the nursing graduates. In this assignment, the transition phase of most of the nurses from their graduate phase towards the professional is discussed along with real-life based experiences. Being a professional nurse, nursing graduate pass out nursing students get the scope for employment along with a lot of work pressure.

In this transition period, most of the crucial thing is the deficiencies of insights among these professionals. As a result, nursing graduates feel a great reality shock due to the transition period due to its failure to have adhered with the real practice where the pressure is overwhelming. As a nursing professional, patient safety maintenance is a crucial thing. In this aspect, a nurse must look after the physical safety and mental condition of the patients. It creates the shock of reality in the nursing graduates. In this transition period, developmental planning and strategy implementation are highly crucial. As a result of this shock, there is an excellent issue always observed that due to lack of practical experiences, there is enormous doubt and confusion related disease diagnosis, lack of practical case handling, bewilderment and many other ethical dilemmas. These are the leading cause of shocks for the nursing graduates. All of these create a significant problem globally due to lack of nursing professionals. 

As among the nursing student cohort, challenges and responsibilities are enhancing day by day. In this aspect, the Midwifery Competency Assessment Tool (MCAT), is adopted by large medical organizations. To remove such kinds of challenges in educational organizations, Competency-Based Education (CBE) is established. It provides a flexible educational environment based on practical learning problems. It is observed from enormous web-based reports, that CBE has produced the best learning outcome from their schedule maintained during the study period. This CBE based learning system has created the best result due to its time-based experiences for the nurses. In this nursing professionals can get the scope to gain practical skills in patient handling, disease diagnosis and get adopted with the schedule and patient safety maintenance of medical organizations. This educational system provides a clear conception about the daily based activities of nursing professionals. When the nursing graduates will get the scope to be habituated with daily based nursing practices. In this aspect, they will get the change to be in touch with senior nurses and juniors can get the time to learn the way of providing emotional safety, patient safeties, and diseases diagnosis and mainly to learn how to make an integrative communication system with the patients. In this way, nursing graduates will be experiences with their daily based activities (Wright et al., 2017).

Clinical activities as a newly registered nurse

In this critical analysis, there is a great thing that, all of these educational systems have some positive along with negative aspects (Carpenter, M. 2018)

All the nursing graduate students get the scope to learn from their real-life experiences through the orientation programming

Through these systems, nursing graduates get the scope to deliver a quality service in both clinical and non-clinical manner, and it helps the medical organizations to achieve customers' satisfaction.

In this aspect, new nursing professionals will get the scope to know their non-clinical administrative activities, and it will help them, to work with full confidence (Carpenter, M. 2018).

During this entire programming, as the medical organizations have to depend on newly registered nurses, so there is the risk of administrative data leakage.

As newly registered nurses are a professional complete all the medical activities, so there are also some risks about patient safety. Otherwise, patient health way disturbed.

There is a lot of non-clinical activities also as the newly registered nurses, and these are samely important to provide patient safety. Non-clinical activities include mostly the administrative activities which make the patients worth for their services. As a newly registered nurse when they have to join in the professional world in this time, they have to be samely cautious about the patient medical [policies, reimbursements of commercial activities, taking ratings from the patients along with many others. Nurses have to take care of clinical excellence through inviting patients in open dialogue related programmes. These programs will be separate from the clinical activities, and the medical organizations will do it only with the aim to improvise patient satisfaction. According to the clinical judgment procedure, most of the patients prefer the oral medication procedures, which is also a responsibility of nursing professionals to look prefer in their patients.

In this essay, the transition period of midwife or nursing graduates is discussed from a different perspective. According to the web report based case study of New Zealand, nursing professionals are here provided with a transition period based on transitional guidance and pieces of training (Gorman & McDowell, 2018). According to the Banner's five states of training, nursing professionals have to follow the stages of the novice, to the expert stages through other stages of advanced beginners, competent, provinces. In these stages, nursing students will get the scope to enhance their expertise along with time and to perform as a successful nursing professional finally. In this aspect, another highly needed theory is Dreyfus’ model of skill acquisition where it is stated that learning along with instruction of seniors and taking experiences from the real-life activities will help the nursing professionals to provide high-quality services to their patients. All of these stages are Novice, Competence, Proficiency, Expertise, and Mastery. Through all of these stages, instructions along with experiences will help the nursing students to avoid such transition shock. This programming is called the Nursing Entry to Practice (NETP) programming (Pasila, Elo, & Kääriäinen, 2017). It will help the nursing professionals to cope up with this transitional phase and to be transformed into a professional nurse. In Newzealand, all the nursing graduate students are now completing their final year of nursing practices Master degree in the orientation programming where they are learned that how to handle the workload, and their patients sincerely. In this case study, it is also observed that in this country, the nursing training program is comprised of self-directed study where nursing graduates have learned the conservative Nursing philosophies along with Profession based practice models. It provides excellent support to the nursing graduates to handle the workload along with their patients carefully (Carpenter, 2018).

Positive aspect

During the preparation of an assignment, I have made a comparative study with my life experiences also. In my skills, before the NMBA codes, this transitional shock was very fierce one which sometimes leads nursing professionals towards the self-sabotaging activities also. In this aspect, I think that newly registered nurses should be treated with a medication program. In this way, nurses will get lifestyle programming, peaceful and healthy lifestyle with sufficient sleeping time, food habits and many other rules. In this professional life, I had suffered from a long-term transformational shift after completion of my Nursing graduate course. It is very problematic where nursing students have to transform from an academic theory world to a highly pressurized professional world. I think, according to the case study if all of the nursing professionals are trained with proper developmental planning, orientation programming, and their lifestyle related studies, it will help them to achieve their goal with successful career life. In this way, medical organizations will also cope up with the highly problematic turnover rate in the nursing society. In the orientation program and developmental planning, nursing students will get the scope to learn the programming of birth delivery, operative activities, and telecommunication based medical service providing procedures and many others. In this way, the medical organization will get the benefits of adequately trained nurses. It will help the nurses to avoid their dilemmas while providing medical services. It will result in a quality medical service providing activities towards the patients. After the orientation program, in later life, I have observed a great changed within me. After this programming, I have learned that how to make communication with my patients, verbal and non-verbal expression related communications.

After joining in the NMBA, codes I had gone through active orientation programs and others. In the first year, here the study procedure is a theoretical one. This time I had learned that what are ethical management principles, what kinds of legal or another dilemma can be handled and sometimes, it is also asked here during the courses to provide reflective assignments. By such assignments, there are also the shadowing experiments mainly in the second year of the courses. In the third year, I had gone through the administrative procedure related learnings. The fourth year was magical with its experiences of real-life patient handling, operations, and others along with oral medication or lifestyle based orientation programming. In the final year, I had felt the overloaded pressure as a nursing professional. As a whole, these NMBA codes are highly crucial for all new nursing students, and it helps me in my entire life serve and gain customer satisfaction.

Conclusion:

It can be concluded from the entire discussion that, the nursing profession is nowadays highly overburdened one. Sometimes, these new professional nurses cannot bear out their extreme work pressure and attempt suicide otherwise leave this professional world. As a result, globally all the medical organizations have been facing a significant problem to keep pace with this transitional phase. Maintenance of all of the orientation programming, developmental planning and others will help these newly registered nursing graduates to learn all the ways of providing quality services to their patients.

An enhanced amount of study, real-life experiences of patient handling, helps newly registered nursing professionals to get instructions and gather experiences and it is the best way for learning and skill acquisition procedures of nurses.

References:

Carpenter, M. (2018). The new managerialism and professionalism in nursing. In Health and the Division of Labour (pp. 165-195). Routledge.

Gorman, L. L., & McDowell, J. R. (2018). Identifying the needs of critical and acute cardiac care nurses within the first two years of practice in Egypt using a nominal group technique. Nurse education in training, 28, 127-134.

Hussein, R., Everett, B., Ramjan, L. M., Hu, W., & Salamonson, Y. (2017). New graduate nurses' experiences in a clinical specialty: a follow-up study of newcomer perceptions of transitional support. BMC Nursing, 16(1), 42.

Pasila, K., Elo, S., & Kääriäinen, M. (2017). Newly graduated nurses’ orientation experiences: A systematic review of qualitative studies. International journal of nursing studies, 71, 17-27.

Wright, A., Moss, P., Dennis, D. M., Harrold, M., Levy, S., Furness, A. L., & Reubenson, A. (2018). The influence of a full-time, immersive simulation-based clinical placement on physiotherapy student confidence during the transition to clinical practice. Advances in Simulation, 3(1), 3.