Registered Graduated Nurse Discussion 2022

Running head: REGISTERED GRADUATED NURSE
REGISTERED GRADUATE NURSE
Name of the student:
Name of the university:
Author note

REGISTERED GRADUATED NURSE
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Introduction:
The role of registered nurse in healthcare setting is to deliver safe and proper care to the
client suffering from any physical and mental complications (Parry, Barriball & While, 2015,
page-403-420). However, during the transition phase, the nurse usually experience difficulty to
cope up with their clinical practice in delivering appropriate care to patient (Smolowitz et al.,
2015, page-130-136). This discussion involves the professional practice issue which is working
within the scope of practice, that tends to hinder effective patient care in the healthcare care
sector. The analysis includes the severity of the problem and its effect on patient care and
complications it might create for the graduated registered nurse. The short term and long term
implication of working outside the scope of practice and its negative impact on patient-centered
care are also discussed in detail.
Chosen issue:
From the interview of the newly graduated nurse, it is observed that during their
transition to the registered nurse, they often experience specific difficulty which hinders their
clinical practice. One professional issue among those barrier which hinders their clinical practice
is working outside the scope of practice. Each professional has their scope of practice and is
expected to work within their scope of practice to avoid any further conflict, both in terms of
ethical and legal (Heale & Rieck Buckley, 2015, page-421-429). Scope of practice in case of
registered nurse is referred to as the activities which the registered nurses are authorized to
perform and are educated about in their universities (Levett-Jones et al., 2015, page-304-309).
According to Birks et al. (2016, page-578-591), the registered nurses are allowed to provide
adequate healthcare for the maintenance, restoration and promotion of health. They also work to

REGISTERED GRADUATED NURSE
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prevent the occurrence of any illness or injury and to provide palliation and treatment to the
patient by adequately assessing the health condition of the patient (Weis et al., 2018, page-1-46).
However, it is observed that in certain conditions they have to work outside their scope of
practice to provide safe care and to avoid any future harm to the patient. Instead of having
adequate knowledge about the scope of practice they have to indulge in performing work, which
is not into their scope of practice (Birks et al., 2018, page-522-543).
Impact on graduate registered nurse:
In the critical aspect of discussion, the complications faced by the nurses in the
beginning of their career are very difficult for them to resolve. In this profession they face such
dilemmas were they do not know how to act as they are dealing with humans with critical
conditions and not objects. The transition of practice becomes difficult if they are working out of
their scope of practice, especially for nurses who have just ended with their course and are new
to the practical world (Regan et al., 2017, page-246-255). As they care for sicker patients with
extremely complex health settings, sometimes they are not able to handle the medical apparatus
during emergencies. To give a situation, a patient’s nasogastric tube was faulty and it was
damaged late at night, the nurse allotted was new to clinical practice and she got confused about
the whole action she needs to take. Such situations can be detrimental to the health of patient as
well as the career of the nurse. However, the transition of practice can be critically effective to
nurses if they face any intense or severe situation arises and are clueless about the role (NCSBN,
2019). According to Laschinger et al. (2016, page-82-95), the newly graduated nurse does not
have enough confidence which is required deliver appropriate, safe and quality care to the patient
at the beginning of their clinical practice. In university the nurses are educated that every
healthcare professionals should work within their scope of practice (Kelly et al., 2016, page-312-