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On Your Way to Practice
Transcript of On Your Way to Practice
The Question is.....how do you get there SUCCESSFULLY???
New Graduate < 5yrs
Studying New Grad Transition for 5yrs
Networked with hundreds of students and new grads from across Canada and listened to their stories on transition
MN at the U of C
...most importantly...my relationship with Dr. Judy Boychuk Duchscher
WHO are you??
...and what are you thinking??
YOU are the future...
...should you stay or should you go?!
It is MY responsibility to help navigate YOUR way into Professional Practice
Today’s health care environment is
quite daunting for the New Nurse......
technological advancements in
the patient complexities with
multiple chronic and acute
polypharmacy and being expected to
‘recite’ your meds classification, action,
dosing and adverse reactions like
“the back of your hand”
the scope of the nurse ever evolving and
expanding in skills, accountability and responsibility
the movement towards Primary Health Care and collaborating with numerous members of the health care team such as physicians, specialists, NP’s, PT, diabetic educators, wound care nurses, social workers, unit clerks, SWADD
Not to mention trying to navigate the dominant hierarchical and political aspects of the nursing world with unions, licensing bodies, managers and media
Maybe ‘daunting’ is an understatement?!
“It’s strange. I don’t really feel like I am finished school. Like I walked to work one morning and as I was walking, I was thinking, ‘I’m getting paid to do this,’ because it’s like I was still in school. And then, within my orientation week I was told that the staff had just run off this nurse who wasn’t doing very well. They told me that they had made it so miserable for her that she would leave . . . and I think they were proud of it—that they had gotten rid of her. I think it’s maybe to maintain quality control, but it’s definitely one of my fears that I won’t be accepted. That if I am failing, they won’t come alongside me, but will show me the door.”
“I’ve been experiencing numerous or various mixed emotions actually. At first it was nervousness and excitement and now it’s more ‘Wow, this is actually for real and now’ and I’m feeling overwhelmed, stressed, still excited, but also wondering if this is the profession for me?
“Because we’re still focusing on the skill and the assessment.
I don’t think ahead, like I can’t. I can think of certain things, but I don’t think, “oh this person may have this going on inside”. Like it’s hard for me to think that way when I’m concentrating on just getting them set up and oxygen and everything.”
“I think we’re just trying to put everything together of what you learned in school and trying to think back on things and… you go through a lot of, “should I do this, should I not be doing this, should I go back to school”…I found I was very hard on myself. Very critical of what I was doing and wanted to quit a few times. I think it really makes a difference on where you start and how you’re experience is at that time. It changes your opinion of nursing.”
“The reason I’m finding this part of the transition to be the most difficult is because the
excitement about being done and the shock that I was in has worn off. I feel as though I’m on a raft that is drifting farther and farther away from the shore (my safety net of being a student or a new grad). And I’m floating toward an island where the experienced nurses are, but I keep losing sight of them due to all the waves.”
“It still comes and goes too and like I’ve said before, I’ll have a day that’s bad and you feel like ‘Oh, I haven’t even made any progress’. I’m giving report and they’ll ask me a question and it’s, ‘Of course, why didn’t I think of that?’
“Mostly…I feel unprepared. The program should have had
more clinical time. I feel like they expect me to know everything,
but there is no way I can. I blame my educational program for
not preparing me. I’m so frustrated.”
There IS good news :)
“I’d probably say [the biggest change is] the confidence. Just being confident in my knowledge and
what I know, and confident that I know where to get the answers or who exactly to go to instead of going to ten different people. Just being more confident in myself and my knowledge so I know when I need to do something. I’m not always second guessing what I’m doing.”
...and don't forget about the NTF Survival Manual!
OH...and...ONE last thing :)
Kandis Harris RN, BScN, MN(c)
National Leadership Director
Nursing The Future, 2013