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Transitions, reality shock, and burnout.
Jodi Budwiton 23 January 2013
Transcript of Transitions, reality shock, and burnout.
NUR 403 *Discuss the concept of transitions
*Describe the concept of reality shock
*Define burnout and be able to identify warning signs
*Identify coping measures and strategies to effectively deal with reality shock and burnout *Articulate the importance
of understanding reality, shock,
and burnout *Describe methods to
promote a successful
Organizational Transitions One of the biggest situational change you will encounter
Stressors you may face
Lacking confidence and competence
Mistakes from increased demands
New situations, surroundings, procedures
New staff to meet
Unhappy and selfish nurses and other personnel Student nurse to professional nurse You will cry but also laugh
You share peoples darkest hour and sorrow but also share hope, healing, and recovery
You are there for the beginning and end
Great challenges that will lead to success
Failure and disappointment
But you never cease to be amazed at the resilience of the human body and spirit SO……….. Ask questions
Continue to seek knowledge
Tell me what are some of your greatest concerns about your transformation from student to professional nurse? How can knowledge help? Assisting a new RN to gain experience Ask employer about opportunities they offer for knowledge development Novice: student nurse
Advanced Beginner: graduate nurse, RN working 1 year or less
Competent: 2-3 years of experience
Proficient: Nurse faculty and nurse clinicians
Expert: APRN faculty and clinicians. Brenner’s Stages From Novice to Expert Preceptor:
Short term relationship (12 weeks or less)
Paid for their time
Training you to the unit
Longer term relationship (longer than 12 weeks)
Typically not paid
Not training but guiding new nurses Preceptor vs. Mentor Modified independent learning
Increasing patient responsibility
Clinical hours like work hours
Performing nursing procedures
Seek out opportunities
Ask how you can improve prior to the eval Other Helpful Factors Be flexible
Find other new grads
Be prepared Other Helpful Factors Feelings felt when moving from the educational setting to the work setting.
“Nurses eat their young.”
Expected to know it all
More demands placed on the new nurse Reality Shock In a group discuss the three categories of Reality Shock * How are they different?
* How are they similar?
* Provide examples of each Honeymoon Recovery Shock and
rejection Tell me when you think your transition to graduate nurse will/or has begun? Prevent burnout
Peer Support What if I am getting stuck in Shock and Rejection? What is it?
Stressors in the work environment caused by short staffing, increased patient acuity, accelerated rate of change in the health care setting. Burnout Irritability
Self-criticism Symptoms of Burnout Manage your time
Learn how to balance
Which brain are you? How do we Cope with Burnout? SCORES
-15 to -13 = left-brain dominant (very strong)
-12 to -9 = left-brain dominant
-8 to -5 = moderate preference for the left
-4 to -1 = slight preference toward the left
0 = whole-brain dominance (bilateral)
+1 to +4 = slight preference toward the right dominance (bilateral)
+5 to +8 = moderate preference for the right
+9 to +12 = right-brain dominant
+13 to +15 = right-brain dominant (very strong) Listen to biological rhythms
C-Can wait until later
D-Don’t worry about it Self-Care Paperwork
File in easy to retrieve location
Complete charting as soon as possible
Positive at beginning and end of conversation
Focus the conversation
Set a time for answering the e-mail
Don’t be afraid to ignore the message when immediately received. Managing Demands Will eliminate last minute rushes
Allows for extra time if a project runs long
Break projects up into small pieces so it does not seen like such a big task.
It doesn’t need to be perfect Prevent Procrastination You do not to do everything for your patients
Delegate tasks out to others that are qualified to perform them Don’t be afraid to delegate Express your emotions
Take time to be with friends
Take care of your physical self
Know your spiritual side Other self-care strategies Summary Discussed the concepts of transitions
Described reality shock
Understand burnout and the warning signs
Identified coping measures and strategies to deal with reality shock and burnout
Understand and explain the importance of understanding reality shock and burnout
Can describe the methods to promote a successful transition What are some clinical issues you have encountered in practice?