NURBN3024 Nursing Practice 5
Question:
Purpose:
Demonstrate critical analysis of factors that influence student transition to beginning level professional nursing practise.
Task:
Please make for 10 minutes of Oral and ppt presentation.
Topic: Independent decision making, contemporary transitional factors that influences newly registered nurses.
Independent decision making,
Students MUST address the following three points related to the contemporary transitional factor in this paper using current literature:
WHAT- Describe the contemporary transitional factor that you believe will impact you in your first year of practice as a new graduate nurse and list with evidence.
WHY – Describe, discuss and analyse why the contemporary transitional factor occurs with evidence.
HOW – Discuss and analyse how the student as a new graduate nurse should address the transitional factor and why. (Quality of nursing and patient care with evidence).
For each oral presentation, students are expected to speak for no more than the allotted time (marks will be deducted if the video is longer than 10 minutes). Students are to be professional in their own presentation (clothing), language and demeanor. Be mindful of background distractions and what your presentation and your background is telling your audience as you produce the video.
Answer:
Title: Independent Decision Making, Contemporary Transitional Factors That Influences Newly Registered Nurses.
Independant decision making
It is an applications for recompense, make decisions in addition conduct reviews. Yost et al., 2015 explained that independent Decision Makers are extremely qualified individuals from a varied array of educations .
Independant decision making: Nursing
Gallagher et al., 2015 said that as care establishment is becoming progressively complex, nurses need to depend on comprehensive decision-making skills to conserve latest care in addition positive outcomes
Steps to approach independent decision nursing
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Probabilities determination |
.This depends on the patient’s history and symptoms |
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Collection of data by evaluating patient further |
.Riahi et al., 2016 said the it requires extra vital signs along with physical examination . |
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Update possibilities depending on information |
.Pre-test probability of test that is gathered |
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Intervention to check if it crosses threshold |
.Greater therapeutic benefit |
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Contemporary transitional factor
Transition is demarcated as the procedure of moving from a stage to another that is typically linked with momentous changes in roles, responsibility and goal by Johansen & O’Brien, 2015
Impact on a new graduate nurse
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Role |
Challenges |
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Work load |
The average of nurse to patient ratio becomes 1:12 to 1:21. |
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Lot of paper work |
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Multiple task management |
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Provide necessary treatment after doctor finishes ward round |
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Answer queries of the patient |
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Lack of Knowledge |
Handling emergency situation |
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Handing over of the cases |
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Communication |
Difficulty in communication with various parties |
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Bredimus, 2019 explained that medical terms translation in layman language |
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Difficulty to understand doctor handwriting |
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Expectation |
Proper time management issue |
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Perform similar to other older colleagues |
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Change of role |
RN heavier role than student |
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| Working atmosphere | Sometimes work environment are not healthy In serious situation no one cares if the nurse is a fresh graduate If not performed well the fresh graduate nurse is penalised |
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Why the contemporary transitional factor occurs
1. Increase in responsibilities
2. Change of duties
3. Difficulty in effective communication
4. Insecurities among nurse for doing mistakes
5. Management of time (House & Havens, 2017)
6. Administration of medicine
7. Documentation skill
The responsibility as a student was less, they had to deal less patients and duties and they have no overnight shifts.
New graduate nurse need to address the transitional factor
- The students should take the change positively and would make it as a learning.
- The students must not feel insecure as it will cause problem in their work life (Johansen & O’Brien, 2015)
- The new nursing graduates must not feel confused about their jobs and performance, as it will make them difficult to communicate with the colleagues, patient as well as with doctors
References
Bredimus, B . (2019) . Changing Culture to Drive Nurse Engagement and Superior Patient Experience . Nurse Leader , 17 (5), 395 – 398 . https://doi.org/10.1016/j.mnl.2019.08.003
Dillworth, J., Dickson, V., Mueller, A., Shuluk, J., Yoon, H., & Capezuti, E. (2015). Nurses’ perspectives: hospitalized older patients and end-of-life decision-making. Nursing In Critical Care, 21(2), e1-e11. https://doi.org/10.1111/nicc.12125
Gallagher, A., Bousso, R., McCarthy, J., Kohlen, H., Andrews, T., & Paganini, M. et al. (2015). Negotiated reorienting: A grounded theory of nurses’ end-of-life decision-making in the intensive care unit. International Journal Of Nursing Studies, 52(4), 794-803. https://doi.org/10.1016/j.ijnurstu.2014.12.003
House, S., & Havens, D. (2017). Nurses’ and Physicians’ Perceptions of Nurse-Physician Collaboration. JONA: The Journal Of Nursing Administration, 47(3), 165-171. https://doi.org/10.1097/nna.0000000000000460
Johansen, M., & O’Brien, J. (2015). Decision Making in Nursing Practice: A Concept Analysis. Nursing Forum, 51(1), 40-48. https://doi.org/10.1111/nuf.12119 Riahi, S., Thomson, G., & Duxbury, J. (2016). An integrative review exploring decision-making factors influencing mental health nurses in the use of restraint.
Journal Of Psychiatric And Mental Health Nursing, 23(2), 116-128. https://doi.org/10.1111/jpm.12285
Shaban, R. (2015). Theories of clinical judgment and decision-making: A review of the theoretical literature. Australasian Journal Of Paramedicine, 3(1). https://doi.org/10.33151/ajp.3.1.308
Sommer, S. (2020). Relationships Between Decision-Making Processes in Developing Clinical Judgment Skills. Nurse Educator, 1. https://doi.org/10.1097/nne.0000000000000776
Yost, J., Ganann, R., Thompson, D., Aloweni, F., Newman, K., & Hazzan, A. et al. (2015). The effectiveness of knowledge translation interventions for promoting evidence-informed decision-making among nurses in tertiary care: a systematic review and meta-analysis. Implementation Science, 10(1). https://doi.org/10.1186/s13012-015-0286-1
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