The Nurse's Reality Gap by Leslie Neal-Boylan

By Leslie Neal-Boylan

Many school participants fight as they watch scholars who have been profitable in class turn into discouraged upon getting into medical perform. The questions turn into, "Who is failing?" and "What may be performed to higher arrange novoice nurses for the truth of ultra-modern nursing field?"

writer and educator Leslie Neal-Boylan asks difficult questions on why scholars who prevail academically could fail in nursing jobs. either school contributors and scholars will locate perception and options for bridging the distance among nursing university and the realities of perform and the career.

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The Nurse's Reality Gap

Many school contributors fight as they watch scholars who have been profitable in class develop into discouraged upon coming into scientific perform. The questions turn into, "Who is failing? " and "What should be performed to raised arrange novoice nurses for the truth of present day nursing box? " writer and educator Leslie Neal-Boylan asks not easy questions on why scholars who be successful academically may perhaps fail in nursing jobs.

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One nurse explained, “Learning to manage a team of patients on my own [was hard]. ” One nurse cited the lack of clinical experience as a barrier to transition. ” Another nurse stated emphatically, “In clinical, we only had one patient at a time! ” Learning to adapt to 12-hour shifts, not to mention “learning everything about a new hospital including the computer system, the people, the night shift, and then having to take care of patients at the same time,” can be overwhelming for new nurses. Time Management Just learning to manage one’s time was a major challenge for new nurses.

It is important that new nurses be able to move from the very concrete adjustments of learning paperwork and policies to being able to integrate the meaning of nursing into how they see themselves. This is key to seeing oneself as a nurse rather than as a person performing the role of a nurse. Lack of Professional Status One nurse lamented, “Nursing does not feel nearly as fair [as my previous profession] and the individuals are less mature and professional. ” Another nurse discussed “the isolation that exists in the acute care setting.

As one nurse put it, there is “lots of paperwork for discharge and placing orders [from] the doctor. ” Simply learning to deal with the stress of short staffing and inadequate resources is also difficult, as is mastering specific skills such as intravenous line skills and performing various procedures. Of course, on top of all that, the new nurse must also learn to manage an entire assignment of patients. This becomes even more difficult for the nurse who is required to float to another unit or setting.

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