Registered Nurse Transition Challenges in Clinical Practice Report

This report delves into the professional nursing issues that significantly impact the transition process for Registered Nurses (RNs) entering clinical practice. It begins by addressing an ethical scenario involving a graduate RN's social media post about a patient, emphasizing the ethical principles of confidentiality and professional responsibility. The report then reviews the critical aspects of clinical practice, highlighting issues like the theory-to-practice gap, time management challenges, decision-making difficulties, and the importance of mentorship. It evaluates the impact of these issues on RNs and proposes potential strategies to overcome them, such as time management techniques, strict adherence to ethical policies, and seeking guidance from experienced mentors. The significance of these strategies is discussed, along with their implications for enhancing clinical procedures and improving patient outcomes. The report concludes by summarizing the key findings and emphasizing the need for effective strategies to support RNs and ensure optimal patient care.

Professional Nursing Issues That Has The Impact
On The Transition Process Into The Role Of A
Registered Nurse In Clinical Practice

Table of Contents
INTRODUCTION...........................................................................................................................3
TASK...............................................................................................................................................3
Review....................................................................................................................................3
Critical evaluation..................................................................................................................4
Potential strategies to overcome the issues faced by nurses...................................................5
Significance of strategies........................................................................................................6
Findings and implications.......................................................................................................7
CONCLUSION................................................................................................................................7
REFERENCES................................................................................................................................8

INTRODUCTION
Professional nursing issues refers to problematic aspects occurs in care units for nursing
staff that impact on their performance. It includes different types of problems such as lack of
sufficient staff, limited technological support, insufficient instruments and uncomfortable
working atmosphere may responsible for creating difficulties to nurses for completing their work
daily (Mollica and Hyman, 2016). However, it is necessary to analyse factors affecting clinical
practices while providing care to people to make them healthy. The present report will focus on
professionals issues faced by nursing staff that impact on clinical practices. It will includes
several potential strategies and their significance along with implications of the same.
TASK
As a graduate RN:
1. An RN you work with shares with you that a peer graduate RN has posted on Instagram
comments relating to a difficult patient being cared for on the unit you both work. She
knows you are friends with this person and asks you to discuss their professional

responsibility with them. Share the ethical principles that are present in this situation and
how you would professionally address these with your peer graduate RN?
Review
Nursing is an essential aspect of comprehensive healthcare. Suitable staffing influences
the ability of a nurse to provide safe, quality care at every practice level and in all practice
settings. In the context of clinical practices and health care organisations, registered nurses plays
vital role in rendering suitable care facilities to the individuals, family and communities for
overcome with the issue or illness they have face (Arrowsmith and et. al., 2016). At the
professional level nurses has facing multiple issues like theory to practice gap, time
management, decision making, shift work, Lack of access to experienced mentors etc. that
has direct influence over the transition process into the role of a registered nurse with an actual
clinical practice. Ethics can be describe as moral values and norms which make an individual
understand about right and wrong to attempt appropriate activities. It includes number of health
care principles that are required to followed such as informed consent, confidentiality,
trustfulness, beneficence, non maleficence, justice and autonomy. However, as a registered
nurse, it is wrong to post information on social media about specific patient to whom they are
currently dealing with. It can be known as a misconduct by ignoring ethical factor of
confidentiality which is not appropriate. It is necessary to make RN understand about this wrong
attempt and encourage to avoid this mistake in future.
Critical evaluation
As per the views expressed by Linda Hofler, 2019, In the rapid changing healthcare
environment, there is a thing which is remain unchanged is the need and demand of nurses.
Clinical practices are requires to be authentic and reliable for the purpose of providing effectual
facilities to the individuals in the manner of making their condition good or effective. Clinical
practices are recognised as the aspects that works under the pressure to operate in an efficient
manner due to shrinking reimbursements, developed regulatory oversight and enhanced practical
practices.
As per the opinion stated by Edtrina Moss, Patricia C. Seifert and Ann O'Sullivan, 2016,
Registered nurses proponent as they are putting their significant efforts to care of families,
individuals, communities, and populations. Care is the most appropriate practice executed by the
healthcare organisations, thus professional nurses are mainly providing contributing in

protecting, promoting, and optimizing health and prevent unwellness and injury by the diagnosis
and treatment of human response. RN practice are refers as a bound which is based over rules
and regulations that are basically called as nurse practice acts, which defines practice within the
compass of the community. These practice acts needs licensed professional nurses to analyse a
minimum requisite education and training and competence to analyse facility within the scope of
practice.
In the clinical practices, nurses are facing various issues which affects the transition
process into the role of a registered nurse, thus the responsibility of nurses within healthcare
sector are high, as they are liable for the well-being and good health condition of people with
their health conditions. However, ethical issues become major when confidentiality of patient
data did not maintained because a minor health problem may create a major social issues for an
individual. The ethical issues are required to be solved by establishing organisational policies for
professionals by considering ethical principles. It is helpful to encourage nursing staff to follow
ethics like autonomy, informed consent, maintain confidentiality, justice and beneficence. The
major issue faces by the nurses are the implementation of theoretical practices into actual action,
thus professionals are mainly facing this issue due to the reason of lack of expertise guidance
(Murray Sundin and Cope, 2018). Time management is also an another issue faces by the
registered nurses, thus the registered nurses are the key aspect of a healthcare organisation and
are liable in rendering healthcare facilities to the patients. Therefore, Time management includes
the issue of work schedule, regular change in shift etc. These issues hampers the role of nurses
and affects their tasks or job role. Along with this nurses are also facing the issue of lack of
experienced mentors, thus in the field of clinical practices it is important for the nurses to get
practical knowledge in the guidance of an experienced mentor, thus this affects the working of
nurses.
Potential strategies to overcome the issues faced by nurses
There are different issues which are faced by a nurse while performing work at actual
clinical practices. Some of these issues are lack of training from experienced mentors,
mismanagement of time, ineffective decision-making etc. Due to these issues, concerned nurses
are not able to give proper attention towards the needs and requirements of their customers
(Walton and et. al., 2018). To overcome the problem of time mismanagement, nurses can
prepare a time schedule according to their work priority. By this, they will be able to manage

their time for different tasks in accordance to their importance. This will benefits them in giving
right amount of time to each work. The ethical issues can be solved by making strict policies in
hospitals to strictly obey ethical principles for maintaining confidentiality of patient. It is helpful
for nurses to understand about its important and motivate to avoid attempt of posting patient
information on social media.
To overcome the problem of ineffective decision-making, nurses working at clinics can
read books and magazines which are linked with care and safety of patients. This will allow
them to take and implement only those decisions which favours the health of their patients. Also,
main problem faced by nurses at registered clinics is lack of training and guidance from
experienced mentors. This is because mentors and doctors present at clinics are less in number
and their main aim is to check patients (Chargualaf, 2016). They do not prefer to train and guide
nurses. This denotes unethical working standards at workplace. To overcome this issue, nurses at
clinics can observe senior doctors while they treat patients and ask queries if they find any
confusion. By this, nurses will not require any formal training and their working skills will
improve considerably.
Significance of strategies
Nursing professionals issues are required to be identified for establishing effective
strategies to solve in proper manner. It is necessary to prepare and apply efficient clinical
practices or policies which provide support to to nursing staff for avoiding professional problem
that impact positively on their performance. However, working of nurses must be appropriate
because they provide care to patients in regards to make them disease free. Considering above
described strategies, it has been analysed that they are significant to sort out professional issues
of nurses which facilitate enhance effectiveness of clinical procedures along with increasing
patient outcomes respectively (Tinkler and et. al., 2018). Initially, the strategy of making time
schedule with proper planning is much effective as well as efficient in terms of solving the issues
of mismanagement that has severe effects on respective clinical outcomes which is not
favourable for sick individuals in care organisation. It is also significant to conduct various
procedures and tasks properly by managing work load that is beneficial to attend every
individuals in appropriate manner. The strategy of making ethical policies is significant to
motivate nursing staff for maintain privacy of patient. It will also provide support to patient for

avoiding social problem which facilitate them to spend their life easily in society. Moreover, it is
favourable for enhancing goodwill of organisation because it will gain trust of clients.
Secondly, the strategy of gathering extra knowledge by reading books is helpful for
nursing staff to become capable for making correct decision along with appropriate
implementation of the same. It is beneficial in terms of become perfect to make correct decisions
that facilitate to reduce the chance occurring patient complications. Thirdly, the strategy of
observing senior practitioners thoroughly is helpful to overcome with the issue of lack of training
and guidance. It is significant to gain more knowledge and understand the effective way of
conducting clinical procedures to deal with different patients in terms of making them disease
free. Considering the significances of these strategies, it is necessary for nursing staff to focus on
them in order to avoid professional issues along with making their performance more effective
respectively. Moreover, other professionals are required to be solved by establishing effective
strategies by management authorities to make nurse capable for enhancing their working
outcomes that impact positively on condition of sick people in hospitals.
Findings and implications
Considering the above data, it has been analysed that there are number of issues which
were faced by nursing staff while performing at work place. It includes different problem like
mismanagement of time, lack of training & guidance, ineffective decision making and many
more which can be solved by making effective strategies to overcome with them. Meanwhile, it
is founded that implications of effective training programmes, observation of senior nurses,
gathering knowledge and preparation of time schedule initially etc. Are helpful to nursing staff
for avoiding professional issues. Ethical principles are required to be followed because it helps to
avoid wrong attempts in hospital which is suitable to make an individual well-being. However, it
is essential to make appropriate strategies to overcome with professionals problem in regards to
enhance effectiveness of own regular performance along with increasing patient outcomes. It is
identified that overcoming with professionals issues are favourable to avoid complicated
condition of people.
CONCLUSION
From the above essay, it had been concluded that professional nursing issues can be
described as problematic conditions occurs in care units for nursing staff. It includes various

kinds of problems like improper decision making, incorrect time management and lack of
knowledge and many more. However, these problems are required to be overcome because it
impact negatively on performance and patient situations in negative manner. Meanwhile, it
consist several strategies to solve such professionals problems like preparing time schedule,
observing senior care practitioners and enhance knowledge level for boosting up their working
outcomes along with avoiding patient complications.

REFERENCES
Books and journals
Arrowsmith, V. & et. al., (2016). Nurses' perceptions and experiences of work role transitions: a
mixed methods systematic review of the literature. Journal of advanced nursing, 72(8),
1735-1750.
Chargualaf, K. A. (2016, April). Situational transitions and military nurses: A concept analysis
using the evolutionary method. In Nursing forum (Vol. 51, No. 2, pp. 125-135).
Mollica, M., & Hyman, Z. (2016). Professional development utilizing an oncology summer
nursing internship. Nurse education in practice, 16(1), 188-192.
Murray, M., Sundin, D., & Cope, V. (2018). New graduate registered nurses’ knowledge of
patient safety and practice: A literature review. Journal of clinical nursing, 27(1-2), 31-
47.
Tinkler, L. & et. al., (2018). Professional identity and the Clinical Research Nurse: A qualitative
study exploring issues having an impact on participant recruitment in research. Journal
of advanced nursing, 74(2), 318-328.
Walton, J. A. & et. al., (2018). Glimpses into the transition world: New graduate nurses' written
reflections. Nurse education today, 60, 62-66.
Online
Hofler L., (2019). Challenges and Solutions in the Changing Health Care Environment.
[Online]. Available through:<http://www.ncmedicaljournal.com/content/77/2/133.full>
Moss E. Seifert P. C. and O'Sullivan A., (2016). Registered Nurses as Interprofessional
Collaborative Partners: Creating Value-Based Outcomes. [Online]. Available
through:<http://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/
ANAPeriodicals/OJIN/TableofContents/Vol-21-2016/No3-Sept-2016/Registered-
Nurses-as-Interprofessional-Collaborative-Partners.html>