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Nursing reality shock

Jiyeon Kang, Yeon Jin Jeong, Kyoung Ran Kong
PURPOSE: This qualitative study aimed to explore the experience of incivility among nursing students. METHODS: Sixteen nursing students who had experienced incivility during their clinical placement were invited for one-on-one interviews until the point of theoretical saturation. The grounded theory approach of Corbin and Strauss was adopted to analyze transcribed interview contents. RESULTS: Incivility occurred in the context of a hierarchical organizational culture, due to nursing students' position as outsiders, non-systematic clinical education, and poor nursing work environment...
February 2018: Journal of Korean Academy of Nursing
R F AbuAlRub, M G Abu Alhaija'a
AIMS: To explore the challenges that face Jordanian nurses in the first year of employment; and understand the benefits and barriers of implementing a Nursing Residency Program from the perspectives of nurses and key informants. BACKGROUND: Many researchers reported that novice nurses do not have an adequate level of competence needed in the real clinical practice to meet the increasing demands of healthcare systems. METHODS: A descriptive qualitative approach using individual interviews and focus group discussions was utilized...
March 2, 2018: International Nursing Review
Harrison Ng Chok, Judy Mannix, Cathy Dickson, Lesley Wilkes
AIMS AND OBJECTIVES: This scoping review presents an exploration of international literature on the factors that impact refugees' personal and professional experiences during their journey to being registered nurses in a new host country. BACKGROUND: Governments of host countries receiving refugees seek to develop strategies that facilitate the successful resettlement, employment and enculturation of refugees that arrive as skilled professionals. There is a scarcity of studies focussing on issues faced by refugees that are RNs or those pursuing nursing registration and employment in a new host country...
January 4, 2018: Journal of Clinical Nursing
Eun-Young Kim, Jung Hee Yeo, Hyunjeong Park, Kyung Mi Sin, Cheryl B Jones
BACKGROUND: Reality shock is a critical representation of the gap between nursing education and clinical practice and it is important to explore the level of reality shock among nurses. However, there is no relevant instrument to assess the level of reality shock in South Korea. OBJECTIVES: The purpose of this is to determine the validity and reliability of the Korean version of the Environmental Reality Shock-Related Issues and Concerns instrument. DESIGN: A cross-sectional study design was used in this study...
February 2018: Nurse Education Today
Jinhyang Yang
Patients with kidney failure undergoing hemodialysis rely on a hemodialysis machine for survival. Experiences of patients going through this situation were described using a phenomenological approach. These patients experienced early and late transitions within a dual structure of despair and hope, dependence and independence, and activity and passivity. Early transitions included experiencing shock and a struggle for survival. Late transitions included facing up to the reality and maintaining a hemodialysis-life balance...
May 2017: Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association
Karen S Hammad, Paul Arbon, Kristine Gebbie, Alison Hutton
BACKGROUND: The emergency department (ED) is a familiar place for the emergency nurse who spends their working days inside it. A disaster threatens that familiarity and creates changes that make working in the ED during a disaster response different from the everyday experience of working in the ED. METHODS: This research reports on an aspect of the findings from a larger study about the experience of working as a nurse in the ED during a disaster response. Thirteen nurses from 8 different countries were interviewed about their experience...
November 15, 2017: Australasian Emergency Nursing Journal: AENJ
Teresa M Stephens, Pamela Smith, Caitlin Cherry
New nursing graduates experience many challenges when transitioning from the academic environment to the practice setting. For many, the period of transition from student to employee is less than optimal, with many still experiencing reality shock, cognitive dissonance, and theory-practice gaps. The Stephens Model of Nursing Student Resilience addresses the unique issues faced by new graduate nurses to assist them in developing healthy coping strategies and to promote resilience. This model forms the basis of the RN Personal Resilience Enhancement Plan, a supplemental onboarding program created to assist new nurses in confidently facing challenges encountered during orientation and successfully moving forward as nursing professionals...
March 2017: AORN Journal
Johannie Roy, Fanny Robichaud
The shock of reality expresses a dissonance between reality what was imagined about the labor world. It is part of the integration process of new nurses that join a health care setting for the first time. This major step, related to the first work experience, places recruits in a state of vulnerability in their new profession. While several retirements are expected among baby boomers, finding solutions to ease the transition to the professional role among younger nurses is crucial. This narrative literature review attempts to answer the following questions : What characterizes the reality shock among new nurses in a context of role transition from student to professional ? CINAHL and MEDLINE databases were consulted in addition to reports issued by the OIIQ...
2016: Recherche en Soins Infirmiers
Dukyoo Jung, Soon Hee Lee, Sook Jung Kang, Jung-Hee Kim
BACKGROUND: New nursing graduates have revealed that they perceive a gap between theory and practice with reference to their education and the real workplace setting. Additionally, many nurses experience a reality shock when they participate in clinical practice. PURPOSE: The purpose of this study was to develop and test the effects of a scenario-based simulation training program on new graduate nurses' competency, critical thinking dispositions, and interpersonal communication skills...
February 2017: Nurse Education Today
Isabelle Gardiner, Jade Sheen
UNLABELLED: The first year of practice as a nurse is recognized as stressful. Graduate nurses (GNs) report gaps in their education, reality shock, burnout and other negative experiences that influence their intentions to remain in nursing. OBJECTIVES: The aim of this literature review was to gain a greater understanding of the experiences of GNs. REVIEW METHODS: It included thirty-six articles that focused on GNs and their transition to nursing, as part of a graduate nurse program (GNP), from 2005 to present...
May 2016: Nurse Education Today
Jane E Lacovara
When nurse researcher Marlene Kramer published Reality Shock: Why Nurses Leave Nursing in 1974, her seminal work launched a national discussion related to the distress felt by many baccalaureate-prepared novice nurses about leaving the academic setting and transitioning to the clinical setting. In particular, Kramer (1974) highlighted conflict between the values these new nurses had been taught in school and the reality of practicing as a professional nurse in a clinical setting. For example, in an educational setting, nursing students may focus on one or two patients at a time, whereas in the clinical setting, nurses must practice simultaneously with multiple patients with varied and numerous health deficits...
September 2015: Oncology Nursing Forum
Kirsty Walsh
No abstract text is available yet for this article.
August 19, 2015: Nursing Standard
Huda Al Awaisi, Hannah Cooke, Steven Pryjmachuk
BACKGROUND: Studies have demonstrated that the transition experience of new graduate nurses is complex and frequently negative, leading to dissatisfaction with nursing and increased attrition. Existing studies of new graduate nurses' transition experiences tend to be concerned with the experiences of new graduate nurses in the West. To date, no study has been conducted examining the transition experience in any Middle Eastern country where the cultural context surrounding nursing education and practice is different...
November 2015: International Journal of Nursing Studies
Ya-Ting Ke, Min-Tao Hsu
BACKGROUND: Culture has a great impact on human behavior; this is the key for organizational cultures in the Chinese society where relationships and hierarchy are emphasized and is especially exerted to the utmost by relationalism in Taiwan's collective society. PURPOSE: The purpose of this study was to explore the differences in the nature of preceptorship and functions between Eastern and Western cultures. METHODS: An exploratory research design was used...
April 2015: Nurse Education Today
Angela Darvill, Debbie Fallon, Joan Livesley
The concept of transition is of fundamental concern to those seeking to prepare, recruit, and retain newly qualified staff. The pioneering work of researchers such as Kramer (1974) who explored the transition experiences of nurses has transcended international boundaries (Whitehead & Holmes, 2011) to influence the educational preparation of nurses worldwide. However, much of what we know about the transition experiences of newly qualified nurses is based on research with adult nurses and in the acute care settings...
March 2014: Issues in Comprehensive Pediatric Nursing
Reinette L Roziers, Una Kyriacos, Elelwani L Ramugondo
BACKGROUND: This study attempted to fill a gap in the published South African literature regarding newly qualified nurses' preparedness for and experience of role transition to a 1-year compulsory commitment of community service nurse. METHODS: Husserlian descriptive phenomenology, characterized by inductive extraction of units of meaning from transcribed audiotaped recordings, was used to establish the "essence" of the lived experience of role transition. Data were collected from eight participants through two semistructured individual interviews: in July 2011, 2 weeks before the start of community service, and in September 2011, 6 weeks after community service placement...
February 2014: Journal of Continuing Education in Nursing
Michelle Cleary, Jan Horsfall, Paulpandi Muthulakshmi, Debra Jackson
This paper arises from the analysis of data from a large Singapore-based survey and a complementary qualitative series of 17 individual interviews. Some results from both arms of the research have been previously analysed and are reported elsewhere. Answers to a series of questions within the questionnaire and the structured interviews have been drawn together under the umbrella of investigating of recent Singaporean graduates' views about the characteristics of a good nurse, a good day at work, and how they uphold ethical standards...
August 2013: Contemporary Nurse
Catherine E Houghton, Dympna Casey, David Shaw, Kathy Murphy
AIMS AND OBJECTIVES: To examine the factors that impact on students' implementation of clinical skills in the practice setting. This was a part of a larger exploration into the role of the Clinical Skills Laboratory in preparing student nurses for clinical practice. BACKGROUND: It is already known that students can experience reality shock on clinical placement and that staff support is crucial for their adaptation to the environment. This process is similar to socialisation theory whereby the newcomer adapts to the workplace...
July 2013: Journal of Clinical Nursing
Marlene Kramer, Pat Maguire, Diana Halfer, Wendy C Budin, Debra S Hall, Lauren Goodloe, Jessica Klaristenfeld, Susan Teasley, Lynn Forsey, Johanna Lemke
Residency programs for newly licensed registered nurses (NLRNs) have been strongly advocated by the Institute of Medicine, American Organization of Nurse Executives, and other professional organizations. Their cost-effectiveness as well as their impact on NLRN retention, job and practice satisfaction, improved performance, and reduction in environmental reality shock has been demonstrated. This qualitative study sought answers to the question: what people, components, processes and activities of Nurse Residency Programs (NRPs), and the work environment are instrumental in the transition and integration of NLRNs into the professional practice role and into professional communities? In the course of interviewing 907 nurses-NLRNs, experienced nurses, managers, and educators-practicing on clinical units with confirmed "very healthy work environments" in 20 Magnet hospitals, it became evident that not only did NRPs positively impact the professional socialization of NLRNs, they led to transformative changes in the organization and in the practice of other health care professionals...
April 2012: Nursing Administration Quarterly
Catherine E O'Kane
AIM: The aim of this research was to investigate newly qualified nurses (NQN) experiences of starting their career in the intensive care unit (ICU). The author also investigated the opinions of senior nurses from ICU in relation to NQN in ICU. BACKGROUND: Although not a new concept, NQN in ICU has little substantive research to support recruitment. There is a current demand to investigate this topic, because of retention of staff and a shortage of qualified nurses...
January 2012: Nursing in Critical Care
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