The New Nurse: Strategies for Transition into Practice

Running head: NURSING PROFESSIONAL TRANSITION
NURSING PROFESSIONAL TRANSITION
Name of the Student:
Name of the University:
Author’s Note:

NURSING PROFESSIONAL TRANSITION1
According to Haddad and Geiger (2018), ethical values are critical that include
universal rules and standard for conducting in a practical basis for identification of the
actions, motives and intentions to be valued in the healthcare setting. Ethics are moral duties
that help in leading a person or a group to behave and decide between right and wrong
aspects in decision making. As presented in the give case study, Jessica works as an Assistant
in Nursing (AIN) in the Geriatric Assessment and Rehabilitation Unit at the time of the
nursing degree program. Initially, she was enthusiastic about working in the unit and believed
that she has the knowledge, professionalism and power to operate. After working for a
month, she felt that she was not able to delivery ethically because the buzzers were not
answered on a timely manner, the patient’s privacy was not protected during shower and
medicines were left on the table. The most concerning issue was that the staffs ordered
patient rather than respecting and working with care and empathy. The essay aims to discuss
the issue of the clinical transition process and develop strategies for addressing it in an
effective manner.
As per the opinion of Azimian, Negarandeh and Fakhr-Movahedi (2014), the
transition process from a student to a registered nurse is stated to be fraught with a number of
emotions such as excitement, happiness, uncertainty, anxiety and fear. This is the time when
the newly graduated nurse questions the abilities and is confused about whether they have
made the right career choice. The nurses feel insecure in nature and unsure of the capability
of becoming a registered nurse as they face multivariate issues arising when they start to deal
with patients in real-time. It can be noted that due to shortage of staff, it becomes difficult for
the nurses to cope up with the transitional phase effectively. As argued by Laschinger et al.,
(2016), the change in the position of nurses from being newly graduate to a registered nurse
is found to be associated with varying degree of shift. In various countries, the shortage of
nursing staffs is stated to be a major issue in the healthcare sector (Chhugani & James, 2017).

NURSING PROFESSIONAL TRANSITION2
Even though infrastructural development in the hospitals supported in accommodating more
patients; however, the crisis of staffs affects the operation to a large extent. Read and
Laschinger (2017) states that transition is referred to as a process of moving from a state to
another and includes the change in various aspects such as roles, duties and responsibilities.
There is an ethical and legal implication of the issue that may affect the system to a great
deal. As the nurses are new and inexperienced, they are unable to deliver appropriate care,
which affects the well-being of the patient. This causes an ethical issue that is related to
inadequate preparation during the transition phase. It is important to provide adequate
training and time for learning and adapting to the environment. However, it critically affects
the level of support and professional accountability demonstrated by the nurses.
As stated by Davidson et al., (2018), the contemporary professional practice exhibits
certain issues affecting the transition process of the registered nurses during the clinical
practice. Thus, it is important to investigate as well as assemble information related to the
issue in order to improve the health and well-being of the patient. The problems identified in
the case were confidentiality and privacy, medication errors, accountability and non-
maleficence. In a study by Zintchouk et al., (2019), geriatric care helps in reducing the
hyperpolypharmacy and improving the medication profile of older adults. Since the care
process involves a vulnerable group, thus, the ethical issue is more than any other care unit.
As per the study of Rogers et al., (2017), approximately 1% of the population in Australia
that suffer from the adverse event due to medication error. It is important to understand that
respecting patient’s privacy and confidentiality is one of the fundamental rights of the patient.
The medical detail of patients are private, and it is inappropriate to disclose as it may have an
impact on their reputation, human dignity and opportunities. The Health Insurance Portability
and Accountability Act (HIPAA) of 1996 offer the rights to patients as well as protect the
staffs. It mainly focuses on maintaining the privacy and confidentiality of patients