ATI: Becoming a Professional Nurse: Socialization into Professional Nursing

Recovery phase

Successful novice nurse - better way of understandinf of your new professional culture You begin to experience less anxiety, reduced tension, and healthy amount of humor.

Interprofessional collaboration

Teamwork results in high quality and safe client care Recognize nursing unique contributions Abide by nursing scope of practice Respect contributions of other disciplines Define shared goals and establish open communication patterns

Competent nurse

You approach situations using abstract and analytical thinking This level, you provide efficient and organized care

Resolution phase

You continue to grow as an individual and a professional Work expectations no longer seem so daunting You learn to lead others toward change

Expert nurse

You demonstrate flexibility and a comprehensive repertoire of experiences You no longer rely on principles of general rules to determine actions Instead, experience allows for an intuitive grasp of clinical situations You provide care with a high level of proficiency

Mentor = coach/adviser

Share ideas and provides feedback Share unwritten rules for success

4 phases of reality shock that new nurses experience (Marlene Kramer)

Honeymoon phase Shock phase Recovery phase Resulotion phase

Essential on interprofessional team

1. Communication 2. Collaboration 3. Coordination

Strategies of effective participation

1. Discuss plan of care with other health care professionals and the client, family, and caregivers when appropriate. 2. When you perceive something about a client's care to be ineffectice or unsafe, interact with other health care professionals to challenge the status quo. - Address or report unprofessional and unethical behaviors following the chain of command 3. Demonstrate confidence and recognize limits 4. Use tactful language and model empathy. 5. Respect client input 6. Provide effective documentation 7. Incorporate evidence from all health care professions

Strategies to cope with stress

1. Think before answering 2. Take vacations 3. Get rid of small things 4. Support your co-workers 5. Wear comfortable uniform 6. Take your self well 7. Avoid people who annoy, harass, or irritate you 8. Check in with yourself. Manage your responsibilities well and don't take on everyone else 9. Say no without guilt 10. Recognize your value

Preceptor

Experience, knowledge, emotional support, and role classification to new graduate nurse. Orients new graduates to specific work area and assisting you in meeting the expectations of your employers and peers Active and purposeful role Enters into relationship willingly Knowledge of an adult learning

Shock

Fear Orientation is over and you'r responsible for the total care of your assigned clients Recognize that everyone seems to have different approaches to client care and their own methods of performing nursing skills

Mentor = Champion

Advocate

Mentor

Attitudes, values necessary for role Freely chooses protege Attain expert status and develop career Long-term, interactive, personal experience Recognize strengths and weaknesses Attain realiztic goals for professional development Opens professional doors

Novice

Beginner with no experience You might apply general rules learned in school to all situations A lack of experience prevents you from relating these general rules to specific situations or clients from the past. Might exhibit inflexible behavior and prefer being told what to do.

Residency program

Classroom activities One-on-one orientation Increased enployee satisfaction and retention Better client outcomes

Advance beginner nurse

Demonstrates acceptable performance General rules evolve into principles based on actual experiences, and these principles guide your behavior

Communication

Demonstrating assertiveness - standing up of what you believe in but not controlling or pushing others Listening to others - helps identify problems and solutions and gives you insight into the feelings of others

Mentor = Resource

Enhance personal and professional growth Expand network

Honeymoon phase

Excitement Sense of accomplishment Beginning of a new job as a professional nurse

Collaboration

Listen to team members Make decisions together Share goal of client-centered care Involve others in developing plan of care Partners with other health care professionals Have a possitive attitude Demonstrate competence Keep an open mind

Mentor = encouragement/support

Listenst to concern Provide insight into opportunities Personal support

NURSES

N - Never fail to ask for help U - Use availability facility resources R - Re-energize with professional associations S - Stay in contact with friends E - Evaluate your growth realistically S - Stay focused on your goals

Reactions to the shock phase

Novice nurses often adopt the habits and attitudes of the more experienced nurses Some take shortcuts and reject values they learned in school. Other seek escape into another occupation or return to graduate school Some become complacent, burned out, or change jobs frequently Some work within the system as change agents, suggesting a better way of doing things ang guiding others to current practice standards that serve to enhance client care

Biculturalism

Personal values vs institutional values Integrating vs choosing Spend sometime evaluating your personal values and the value system of your workplace

Coordination

Planning and implementing client activities Involving all disciplines ensures that no aspect of the client's care is overlooked Unity Good documentaion Clinical protocol/Clinicl pathway - Evidence-based plan of care - Prevents fragmented care

Proficient nurse

Uses past experience to anticipate the outcome of certain situations You modify the plan of care when appropriate and have improved decision making because of an ability to see the big picture