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Nursing reality shock

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
Paul Broad, Jennifer Walker, Rebecca Boden, Abbie Barnes
It has long been recognized (Kramer, 1974) that the transition from student to qualified nurse or midwife is a steep learning curve which Kramer famously described as a 'reality shock'. The University Hospital of North Staffordshire (UHNS) NHS Trust has recently taken its established preceptorship programme a step further by integrating 'key' components into the final module (module 9) of nurse/midwifery training, now referred to as the 'transition' module. The development of this new and exciting 'shared learning' approach has been the result of collaborative working with the tutors at Keele University and the clinical education team at the UHNS Trust...
November 10, 2011: British Journal of Nursing: BJN
Marlene Kramer, Brewer B Brewer, Patricia Maguire
Do healthy work environments (HWEs) facilitate new graduate transition into professional practice in hospitals? Are such environments related to a decrease in Environmental Reality Shock? Experienced nurses in 17 Magnet hospitals completed the Essentials of Magnetism II(©) (EOMII(©)) instrument that measures health of unit work environments. New graduates (N = 468) were then tracked with modified versions of the EOMII(©) from immediate post hire to 4, 8, and 12 months post hire to ascertain degree of Environmental Reality Shock...
March 2013: Western Journal of Nursing Research
M M Jose
AIM: The overall goal of this study was to elicit and describe the lived experiences of internationally educated nurses (IENs) who work in a multi-hospital medical centre in the urban USA. BACKGROUND: Since World War Two, US health care agencies have addressed the nursing shortage by hiring IENs. While other countries have produced substantial research findings about their IENs, much less research has been done about IENs in the USA. Findings from the limited US studies suggest that more research is needed and first-hand reports of lived experiences must be added...
March 2011: International Nursing Review
Ewa-Lena Bratt, Ingegerd Ostman-Smith, Carina Sparud-Lundin, B Åsa Axelsson
BACKGROUND: Hypertrophic cardiomyopathy is hereditary and the commonest medical cause of sudden death in childhood and adolescence, which is the reason for recommending screening in children with an affected parent. A diagnosis of hypertrophic cardiomyopathy implies lifestyle modifications, restrictions that may bring profound changes to the affected individual and impacts on the whole family. OBJECTIVE: To describe parents' experiences of how the diagnosis of hypertrophic cardiomyopathy in their child affects daily life...
February 2011: Cardiology in the Young
Gemma Stacey, Pip Hardy
The transition from student to qualified nurse is widely acknowledged to entail a difficult period of adjustment, involving significant personal and professional challenges. Kramer [1974. Reality Shock--Why Nurses Leave Nursing. Mosby, St. Louis] originally described this as a "reality shock" due to the dissonance experienced between the expectations of the newly qualified nurse and the actuality of clinical practice. This experience continues to be echoed throughout the literature exploring factors influencing the quality of compassionate care, post-qualification support strategies, and attrition rates...
March 2011: Nurse Education in Practice
Wen-Ling Hsiao
This case report describes a nurse's experience applying William Worden's Grief Counseling on a young woman whose mother had passed away after a brief period in a coma. The report describes how the nurse facilitated this case and assisted the woman though the grief process, during which the woman completed the four tasks of mourning. Seven behavioral process records were analyzed base on Worden's grief responses. Emotional reactions included shock, denial, guilt and fear. Insomnia was the sole physical reaction indicated...
April 2010: Hu Li za Zhi the Journal of Nursing
Susan M Dyess, Rose O Sherman
Although the phenomenon of reality shock has been acknowledged as part of the new graduate nurse transition for decades, there is evidence to suggest that the problems with the transition into practice are more serious today. This article presents findings about the new graduate nurse transition and learning needs from qualitative research conducted in a community-based novice nurse transition program. The new graduate nurse transition and learning needs are examined through the eyes of new graduates and the nursing leaders and preceptors who work with them...
September 2009: Journal of Continuing Education in Nursing
Loris Bonetti, Anne Destrebecq, Marta Nucchi
GOAL: this article is aimed at examining the relationship and experience between expert and novice nurses in intensive care unit; it also assesses the implementation of mentorship functions by expert nurses. DESIGN: phenomenological. SETTING: three university hospitals, in Milan. SAMPLE: 11 expert nurses, 11 novice nurses. OUTCOME MEASUREMENT: the expert and novice nurses of our sample have been interviewed in a semi-structured context; the interviews have been audio taped and transcribed...
July 2008: Professioni Infermieristiche
Felicity Astin, S José Closs, Jim McLenachan, Stacey Hunter, Claire Priestley
AIM: This paper is a report of a study to explore patients' experiences of primary angioplasty and assess their illness perceptions during early recovery. BACKGROUND: Primary angioplasty is recognized as the gold standard treatment for patients with ST elevation myocardial infarction, yet little is known about patients' experiences of this treatment. Recent policy change has emphasized the need for clinical practice to be more patient-centred. One way to achieve this is to understand patients' experiences of treatment better...
January 2009: Journal of Advanced Nursing
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