Socialization Into the Profession Independent Activity # 2 Socialization

Socialization into the Profession of Nursing

Feng, R. & . (2012). Socialization of New Graduate Nurses to Practicing Nurses. Journal of Clinical Nursing, 13(14), 2064-2071.

The purpose of this study was to discover the socialization involvements of new graduate baccalaureate nurses to practicing nurses. According to the article, "Socialization of New Graduate Nurses to Practicing Nurses" by R Feng, the way that nurses struggle with the stress of their specialized role has been of interest to both researchers and healthcare administrators over the past 30 years. Work stress of clinical nurses comes mainly from organizational and professional factors. However, few studies have explored the professional and organizational socialization experiences of new graduate nurses. After considering the difficulties in my socialization and into my new role as a RN holding a new BSN, it is apparent that the transition needs to be stress free. As stated by a lot of models of socialization into the profession of nursing, some discomfort will be experienced. With that said, this essay will show what is planned to do in order to increase my comfort and facilitate my own socialization into practice?

Being a new graduate nurse, the first two years of employment is looked at as being a crucial era that will significantly influence whether they will successfully changeover from being a novice to a knowledgeable staff nurse. As a new nurse, and in order to facilitate my own socialization into practice, preferring to work with one preceptor initially would be good. However, as my confidence starts to grows, I would really enjoy having experience and understandings of other nursing preceptors. According to Pei Kuan Lai (2012), some units could possibly have multiple RN interns at one time, creating an intensified preceptor assignment. To stop preceptor fatigue, a phased preceptor model was familiarized. This model would be helpful for a new RN just starting off because they are at first grouped with the clinical educator who accommodates the whole intern group to unit events, documentation and equipment. This would be great on the first day because then the RN's are put together with a preceptor who may be less skilled but can tutor the intern on offering care that is safe. Once the RN intern has effectively met the basic capabilities, I would then work with an experienced preceptor who would be able teach the beginner how to improve clinical judgment skills while caring for difficult patients (Twibell, 2012).

Some challenges as a RN would be having fears and difficulties which are normally experienced by new graduates in adapting to the work setting supplemented with feelings of hopelessness and incompetence. The demands of the profession such as making sure that patients are treated right can be a challenge, especially for those nurses that will be paired up with patients that can be difficult. When it comes new skill and workforce, Nursing students, through professional socialization, are able to obtain the essential commitment in the occupation with problem solving and critical thinking practices like a "nurse." Nursing socialization is described as themes of belonging, knowing and affirmation.[1] However, little attention is paid to the acquisition of values, behaviors and attitudes necessary to attain the professional role.

New nurses find themselves being criticized by their colleague and conflicting with them in the form of bullying. Common bullying behaviors utilized by nurses consist of insinuation, verbal insult, discouragement, withholding information, sabotage, backbiting, singling out, backstabbing, failing to respect privacy, and breaking self-assurances. Such behaviors as conversing, barring, eye-rolling, silence, and humiliation also may qualify as bullying. Whatever people call it, the ideas and behaviors are parallel.

This would be very beneficial because the area-based nursing clinical educators then would match the RN with a preceptor, observe the RN intern's capability expansion, and serve as resources for both the intern and the preceptor. Verbal and Written feedback from both parties are given to the clinical educator concerning the orientation experience (Zarshenas, 2014). If a novice-preceptor counterpart is ineffective, the clinical educator will interfere and dispense a new preceptor. The research shows that the nurse interns every so often start their precepted orientation all through the night shift; this makes available the benefit of authorizing interns to get adapted to a shift that is part of a rotation schedule and permits for a less frantic learning atmosphere.

In order to increase my comfort and facilitate my own socialization into practice having code debriefing would be nice. Critical events, for...

According to Halfer (2007) when the event is over, a nurse may go through strong emotional or physical responses, either directly or at one time later. Halfer makes the point that these stress reactions can happen at home or at work, particularly if the nurse is placed in a similar circumstance as that of the critical occurrence. To bring support to nurses with these experiences a code-debriefing team was put together and is led by the revival nursing education manager whose team consist of clinical educators who encounter with those concerned in a code.
This would be very beneficial because the clinical educators are the ones that aid RN interns to talk about their experiences, put them in viewpoint, and understand personal stress-management methods. This beneficial code-debriefing program is based on Everly's and Mitchell (2001) critical incident stress management model. On account of the infrequency of codes, a lot of new nurses do not experience a code condition all through their internship. At the 1-year class and graduation celebration, re-education happens on the code-debriefing program which is now accessible to everyone of the medical center nurses (Halfer, 2007)

Using the Collegial Clinical Model for Orientation would also be beneficial to increase my comfort and facilitate my own socialization into practice. The reason why is because the collegial clinical model is the same orientation strategy used by most nursing schools wherein there is one clinical trainer for numerous students in a clinical location (Goodare, 2014). This model was planned and utilized at the Women and Infants' Sanatorium in Providence, Rhode Island to assist the new nurses and make sure that they are feeling more comfortable for the reason that this was a familiar arrangement for them, while permitting the hospital to save currency (Pei Kuan Lai, 2012). This program would be excellent because as the new nurse going through the first to the second phase of ZPD, the coach's support decreases and ultimately concludes while the learner assumes more responsibility; as a result, learning turn out to be self-focused (Salera-Vieira, 2009).

Mentoring programs that can aid and helping new RN's can be a fruitful strategy to improve nursing leadership skills and socialization. A lot of nurse leaders credit their own professional development and growth to their experiences partaking in mentor programs. One of the names of these programs is called Nurses nurturing Nurses. The mentoring program accompaniments clinical orientation by offering a mechanism to succor the new employee as they regulate and changeover from the graduate nurse to the RN part. A clinical preceptor is allocated by the Clinical Educator for 1:1 orientation on the worker's home unit but a Nurse Mentor might or might not work inside the same clinical part. The new employee contributes with the range of their Nursing Mentor. Contribution in the Mentoring program is a compulsory for all GN's and GVN's or accredited workforce employed who have less than one year of involvement and working in full-time situations. This program is looked at as being "optional" for the nurse that is experienced. The recently employed graduate nurse will have the chance to pick their nursing "mentor" all through Nursing Coordination week. As soon as the mentor "match" has been finished, the Nurse Mentor will encounter with the new employee once-a-month all through the first 6-8 months of UMC occupation.

Also, short staffing, lack of support, which makes socialization difficult for new graduates. Also, when this occurs, nurses do not stick around long. New nurses have been reporting that low job satisfaction is primarily related to the lack of socialization and heavy workloads and an inability to make certain patient safety. Furthermore, new nurses express disappointment about scheduling, lack of autonomous practice, and the lack of basic and extrinsic place of work rewards. Last of all, new nurses report disgruntling relations with peers, managers, and inter-professional generations and inadequate time with patients. Dissatisfaction peaks among 4 and 6 months and again near the end of the second year.

In conclusion, it is clear that in order to increase my comfort and facilitate my own socialization into practice, I would need to follow these strategies. I feel life as a RN would be so much harder without them. Getting help from programs like Collegial Clinical Model for Orientation and being coupled up with the more expert nurses would help make a smoother transition.