Contemporary Nursing Practice: Navigating the Transition from Student to Registered nurse transition

Question

Task: How can newly Registered nurse transition transition effectively navigate the transition from student to professional, considering organizational culture, health informatics proficiency, and stress management?

Answer

Part 1: Organisational structure and culture

Reflection

I have recently started working as a Registered nurse transition. I have attended several training sessions before starting my work as a professional. I have felt safe in my workplace and members within the workplace are friendly. However, a recent event has violence in the workplace have made me nervous and anxious. I have encountered a conflict among family members of patients, nurses, and other healthcare professionals. The family member was expressing their anger and concerns about perceives inefficiencies in the healthcare facilities. It led to several heated conversations. However, the situation got controlled by the manager of our hospital. He took the family members of the patient in his cabin and promised them better facilities. During the chaos of Registered nurse transitions many were worried and was unable to collaborate with each other. Such nervousness and unexpected situation prevented us to make better and informed decisions.

Analyse

The family members of the patient was verbally abusing the Registered nurse transitions and doctors because they were unaware of the patient’s condition. In my opinion, lack of effective communication among healthcare professionals and the family members have led to such conflict. It has been reported that poor communication from healthcare professionals is a common complaint. Registered nurse transition and doctors often prevent themselves from informing the condition of the patients on daily basis. The progress of the treatment is often not properly communicated to them. Such actions of the healthcare professionals often increase grievances among the family members of the patient. In such situation, open and transparent communication is important because it help the patient to enjoy long-term well-being (Anderson, et.al., 2019). There are various measures that the administration team of the organisation can take to solve this concern and avoid future conflicts. However, in the following part of the report, I have proposed one action that can contribute to such conflict resolution in my workplace.

The organisational leaders must change the workplace culture by making it more decentralised. One of the major objective of decentralised organisational culture is to promote learning and sharing of information. This can further help the members of the firm to handle tacit knowledge and transfer it in to an explicit one (Memon, et.al., 2020). In a decentralised structure, newly appointed Registered nurse transitions and doctors can easily share information related to the patient conditions to their family members. Moreover, a decentralised organisational structure also fosters collaboration. A collaborative approach enhances participation of family members of the patient in the core process of treatment. Registered nurse transitions and doctors can actively listen to them before making any decisions in a decentralised organisational culture. Finally, such problems and conflicts can be solved with the help of family-centred care. The major goals of this care approach are respecting the role of family members as caregivers and maintaining the integrity of the family (Hart, et.al., 2020). In my opinion, the proposed solution can prevent occurrence of similar situation in my workplace.

Action

Ensuring engagement of patient and their family members

Workplace violence can be reduced by engaging family members and the patient in the care process. A caregiver must undertake collaborative approach in order to ensure patient safety (Tan, et.al., 2019). Thus, as a newly appointed graduate nurse, I must focus on developing my communication skills. Clear communication with the patient and their family members can help me to provide insightful information about the care approach to them. As a graduate nurse, I need to also inform each details of a patient to my supervisor and the doctors. Constant communication can help me to gather insightful information about patient-centric care from my seniors.

Competency development

There are various workshops that are often organised by healthcare professionals. These workshops aim at training employees about managing quality in clinical services and ensure patient safety (Tan, et.al., 2019). As a graduate nurse, I need to constantly focus on continuous learning and training. This can help me to handle conflicting or vulnerable situations with ease and efficiency.

Part 2: Health Informatics and contemporary nursing practice

Reflection

I have joined as graduate nurse and have limited knowledge in this field. I am working in an environment where people believe in adaptability. The senior members within the workplace have adapted to the technological change and are leveraging healthcare informatics system. Despite, having theoretical knowledge, I often find it difficult to use healthcare informatics system like Electronic Medical Records (EMR), Patient flow systems and many more. Thus, I am observing my seniors who are using this software for managing records of patients. My seniors are cooperative and they are helping me to learn the usage of such tools. I receive requests from my team leaders to input patients’ data in the database. However, I feel that I need to attend a proper training session. Such sessions can enhance my competencies and help me to use these tools more effectively.

Analyse

In my opinion lack of proficiency due to inadequate training is a significant barrier that can reduce the effective usage health informatics. When a person is not proficient enough, they might fail to understand the capabilities of the informatics system. For example, Electronic Health Records (EHR) can be leveraged for developing tools that can support and manage the records of patients (Reeves, et.al., 2020). I might not be aware of such functionalities of this system and can misuse the system. Such lack of proficiencies among healthcare professionals can reduce the productivity and growth of the firm.

In addition to this, the chosen barrier also has a negative impact on the safer deliver of care. Advanced healthcare informatics system is responsible for recording the condition, treatment, and progress of a patient. It can further help healthcare professionals to make major clinical decisions (Ahmed, et.al., 2020). However, if healthcare professionals fail to understand the functionalities of the system, they will fail to improve the healthcare quality of the patients. Such lack of improvement in the patients’ condition can enhance grievances among the patient and their family members. This can further ruin the reputation and goodwill of the firm.

In the current healthcare system, engagement of patient is identified to be the cornerstone. Moreover, in various researchers it has been found that lack of engagement of patient and their family members have increased the mortality rate. Thus, IT platforms and health informatics system are embraced because it enhances engagement of patients. Short-message services, online communication tools are several informatics tools that help healthcare professionals to inform patients and engage them in the care delivery process (Sawesi, et.al., 2016). Thus, when an individual is proficient enough to use these informatic tools, they can inform patients and their family members about the treatment procedures. A constant engagement of patients can further help the Registered nurse transition to provide patient-centred care. Effective communication with the help of informatics tool can also help healthcare professionals understand the need of the patient. Such needs and feedback can be further leveraged to enhance dignity and respect for the patient. It can also help healthcare professionals to provide coordinated and personalised care.

Actions

Registered nurse transition must be aware of updated rules and regulations that are related to healthcare and data integrity (Bani Issa, et.al., 2020). I must focus on revising the code of ethics before starting my career. In the following part of the report, I have focused on discussing two roles and responsibilities of mine while using healthcare informatics.

Protecting the confidentiality of health information

The Australian government has emphasised on medical confidentiality. A set of rules that provide limitation in the access of personal information of patients that are shared to healthcare practitioners are known as medical confidentiality (Better Health, 2023). Thus, as a Registered nurse transition, I must focus on the authentically procedures while storing patients’ data. Moreover, I should also avoid discussing the medical history of any patient to any third party.

Informed consent

The purpose of collecting and storing medical records of patients must be communicated to them. These records must not be shared to anyone without the consent of the patient.

Part 3: Transition to practice

Reflection

I have enrolled myself in a nursing course and have experienced highs and lows during my undergraduate nursing journey. Before starting my job as a Registered nurse transition, I have done few internships in hospitals during my academic journey. Therefore, balancing my academics along with professional commitment was challenging for me. I was always focused on my academic performances and desired to excel in my academics. However, to become a Registered nurse transition and develop my career I need to gather firm-specific skills. Therefore, I joined various internship programs. Such involvements increased my stress. Students often self-report about their ongoing stress (Pascoe, et.al., 2020). Thus, to reduce such stress, I used to focus on physical and mental health.

Analyse

During my internship period, I used to work under supervisions of experienced nurses. I used to get directed by these nurses. However, after joining as a Registered nurse transition, I was expected to take decisions and provide patient-centred care. This is the transition that I have experienced. However, according to self-determination theory, there are two different types of work motivation. One is controlled motivation and the other one is autonomous motivation. In a workplace setting, autonomous motivation ensures well-being of the nurses because they can make independent decisions (Ahlstedt, et.al., 2019). Initially, I was afraid of taking decisions. However, gradually, I have started feeling empowered. This is further motivating me to stay at work and develop my career.

On the contrary, there are various social and contextual factors that can have an impact on independent decision making of Registered nurse transitions. In the current healthcare setting, collaboration and patient engagement has become important concerns. Healthcare leaders are focused on maintaining the dignity of the patients. Thus, in order to promote dignified care to the patients, healthcare professionals must communicate with them and undertake a collaborative approach (Fuseini, et.al., 2022). In such situation, a Registered nurse transition might fail to make autonomous decisions. Furthermore, work environment also plays a significant role in autonomous decision making. A decentralised organisation and a collaborative work culture often prevent an individual in taking decisions autonomously. This is how the scope of practice of a newly appointed Registered nurse transition is getting navigated.

Action

Nursing students or professionals must develop professional resilience skills because clinical experiences are highly stressful. Such stress can increase anxiety and depression among patients. Professional resilience can reduce such anxiety and stress (Amsrud, et.al., 2019). There are different pillars of professional resilience. These pillars must be strengthened in order to overcome challenging experiences. In the following part of the report, two self-care strategies are demonstrated that can help me to become more resilient and confident in the clinical settings.

Self-awareness

In my opinion, constant reflection of my nursing journey can help me to become self-aware. When a person is highly self-aware, they can make informed and better decisions within the workplace (Carden, et.al., 2022). I should have a clear perception about myself and my career. This clear perception can help me to make decisions that further leads to my career development.

Stress Reduction

Nursing is a highly stressful job. In the current healthcare settings, collaboration with patients and their family members to provide patient-centric care is important. Moreover, lack of communication can increase the level of conflicts with the family member of patients. Thus, to overcome workplace stress, I must focus on attending workshops that aims at reducing workplace stress. Meditation sessions and yoga can also help me to become more mentally stable. In my opinion, a mentally stable professional can become more productive in the workplace. Finally, in a collaborative work environment, I must keep patience and acknowledge thoughts of patients, their family members and senior healthcare practitioners. This is how, I can become more professionally resilient.

References

Ahlstedt, C., Lindvall, C. E., Holmström, I. K., & Athlin, Å. M. (2019). What makes Registered nurse transitions remain in work? An ethnographic study. International journal of nursing studies, 89, 32-38. https://doi.org/10.1016/j.ijnurstu.2018.09.008

Ahmed, Z., Mohamed, K., Zeeshan, S., & Dong, X. (2020). Artificial intelligence with multi-functional machine learning platform development for better healthcare and precision medicine. Database, 2020, baaa010. https://doi.org/10.1093/database/baaa010

Amsrud, K. E., Lyberg, A., & Severinsson, E. (2019). Development of resilience in nursing students: A systematic qualitative review and thematic synthesis. Nurse education in practice, 41, 102621. https://doi.org/10.1016/j.nepr.2019.102621

Anderson, R. J., Bloch, S., Armstrong, M., Stone, P. C., & Low, J. T. (2019). Communication between healthcare professionals and relatives of patients approaching the end-of-life: A systematic review of qualitative evidence. Palliative medicine, 33(8), 926-941. https://doi.org/10.1177/0269216319852007

Bani Issa, W., Al Akour, I., Ibrahim, A., Almarzouqi, A., Abbas, S., Hisham, F., & Griffiths, J. (2020). Privacy, confidentiality, security and patient safety concerns about electronic health records. International nursing review, 67(2), 218-230. https://doi.org/10.1111/inr.12585

Better Health, (2023). Confidentiality and privacy in healthcare. https://www.betterhealth.vic.gov.au/health/servicesandsupport/confidentiality-and-privacy-in-healthcare

Carden, J., Jones, R. J., & Passmore, J. (2022). Defining self-awareness in the context of adult development: A systematic literature review. Journal of Management Education, 46(1), 140-177. https://doi.org/10.1177/1052562921990065

Fuseini, A. G., Ley, L., Rawson, H., Redley, B., & Kerr, D. (2022). A systematic review of patient?reported dignity and dignified care during acute hospital admission. Journal of Advanced Nursing, 78(11), 3540-3558. https://10.1111/jan.15370

Hart, J. L., Turnbull, A. E., Oppenheim, I. M., & Courtright, K. R. (2020). Family-centered care during the COVID-19 era. Journal of pain and symptom management, 60(2), e93-e97. https://doi.org/10.1016/j.jpainsymman.2020.04.017

Memon, S. B., Qureshi, J. A., & Jokhio, I. A. (2020). The role of organizational culture in knowledge sharing and transfer in Pakistani banks: A qualitative study. Global Business and Organizational Excellence, 39(3), 45-54. https://10.1002/joe.21997

Pascoe, M. C., Hetrick, S. E., & Parker, A. G. (2020). The impact of stress on students in secondary school and higher education. International journal of adolescence and youth, 25(1), 104-112. https://doi.org/10.1080/02673843.2019.1596823

Reeves, J. J., Hollandsworth, H. M., Torriani, F. J., Taplitz, R., Abeles, S., Tai-Seale, M., ... & Longhurst, C. A. (2020). Rapid response to COVID-19: health informatics support for outbreak management in an academic health system. Journal of the American Medical Informatics Association, 27(6), 853-859. https://doi.org/10.1093%2Fjamia%2Focaa037

Sawesi, S., Rashrash, M., Phalakornkule, K., Carpenter, J. S., & Jones, J. F. (2016). The impact of information technology on patient engagement and health behavior change: a systematic review of the literature. JMIR medical informatics, 4(1), e4514. https://doi.org/10.2196/medinform.4514

Tan, K. H., Pang, N. L., Siau, C., Foo, Z., & Fong, K. Y. (2019). Building an organizational culture of patient safety. Journal of Patient Safety and Risk Management, 24(6), 253-261. https://doi.org/10.1177/2516043519878979