Transition to Practice: Graduate Nurse Program Presentation

This presentation addresses key scenarios encountered in a nursing context, reflecting a student's preparation for the Graduate Nurse Program at Charles Darwin University Hospital. The student discusses their responses to adverse patient changes, emphasizing the importance of documentation and communication with supervisors. The presentation also covers work health and safety, providing an example of how the student supported a colleague experiencing distress due to long working hours. Furthermore, it explores cultural sensitivity by addressing the management of a Muslim patient's religious beliefs during a medical procedure. Emergency management scenarios, such as a potential appendicitis case involving an Aboriginal girl, are discussed, highlighting the need for informed consent and appropriate patient care. Finally, the presentation addresses the care of an alcohol-intoxicated patient, emphasizing empathy, assessment of blood alcohol concentration, and appropriate interventions, including support for breastfeeding mothers. References to relevant literature are included, demonstrating evidence-based practice in various clinical settings. The scenarios presented encompass a wide range of practical nursing challenges, demonstrating the student's readiness for the transition to practice.

Running head: TRANSITION TO PRACTICE
TRANSITION TO PRACTICE
Name of the student
Name of the university
Author note

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Question1:
In the clinical setting, for the past decade, the health care professionals have been
increased their focus on recognizing and responding to deteriorating patients who are
hospitalized. Due to the chronic health conditions and circumstances, the deterioration of the
health condition of hospitalized patients frequently observed in the clinical setting, especially
critical care setting (Massey, Chaboyer & Anderson, 2016). In this case, recognition of
physiological abnormalities and responding to patients is primarily a nursing role (Twigg et
al., 2016). Considering my practice area, in the clinical setting, when I recognized adverse
changes in patients which can further lead to sudden death, initially I was psychological
distress such as anxiety and seek help from supervisors. However, gathering in-depth
knowledge from practical experiences and evidence-based practice, I altered my thought
process. Now when I recognized adverse changes in patient, I focused on the recording and
documentation of the vital signs of the patients. After reviewing the psychological
parameters, I contacted my supervisor and clinicians regarding these adverse changes in the
patient. After discussion, I effectively communicated with the family member of a patient
regarding the situation of the patient and ensured to promote in specialized care clinical
setting.
Question 2:
With the global burden of disease, Workplace safety is very imperative for every
employee and employer in the industry as all the workers in the workplace desire to work in
a safe as well as protected atmosphere. Considering the nursing practice, nurses experience
severe psychological as well as physical distress due to the high workload in the clinical
setting (Terry et al., 2016). Long shift hours care for critically ill patients, over time are
usually the stressors that impacted the health and wellbeing of the patients (Fang &
McDonald, 2018). Hence, in this current context, nurses are required to work in an

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environment which ensures their health and safety. In the clinical setting, while working for
long shifts, I observed that one of the co-workers was experiencing psychological distress due
to the long shift hours and handling critically ill patients. Consequently, the job absentees and
job burn out was evident in her face which affected her nursing practice. She was agitated,
stressed which affected her nursing practice. In this case, I communicated with my
supervisors regarding her job role and requested my supervisors to distribute her workload
with others which will ensure her health and safety in the clinical setting. I and my peers
supported her by distributing her excessive work which affected her clinical practice.
Question 3:
In the clinical setting, the delivery of quality care to Muslim faith patients needs an a
wareness of cultural as well as spiritual values of the Muslim religion.
Islamic beliefs will assist professionals in delivering appropriate safe and responsive care
health to the patients in a culturally sensitive manner (Fang & McDonald, 2018).
The knowledge of religious implications, perspectives on family, health, illness, diet i
nfluence of traditional medicine, and privacy concerns assist professionals to provide care. In
Muslim religion, hijab reflects the religious belief of Muslim women and hence, it provides
them a sense of privacy (Garneau & Pepi, 2015). In this current context, when the Muslim
woman going to the theatre for a D&C post-mid-trimester delivery, I will first communicate
with her regarding the importance of the removal of the hijab in the clinical setting and I will
request same-sex professionals to present in the theatre to respect her religious beliefs and
privacy. I will obtain informed consent from the patient regarding the removal of hijab and I
will ensure that the hijab to be removed for as little time as possible for respecting her dignity
and trust. Consequently, she will feel empowered and comfortable.
Question 4:

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Emergency management of patients in the clinical setting is a crucial factor of
primary care. General practitioners may experience any sort of emergency when they are first
contact care providers (Porter et al., 2017). While some of the emergencies can be managed
completely at a general practice, in the critical conditions the patients are required to refer to
the critical care setting. In each case, informed consent of the patient and family member of
the patient is extremely crucial for ensuring the safety of the patients of avoiding any ethical
issues (Parker & Hill, 2017). In this current context, since the appendix of the patient’s
appendix has ruptured and that she will need to go to the theatre immediately, it is crucial to
operate her. Before operating her, I will check her vital signs such as pulse rate, heart rate,
blood pressure, respiratory rate, blood glucose level and oxygen saturation. After a thorough
physical assessment, I will provide her intravenous fluid and pain killer injection to reduce
the severe pain that she was experiencing. I will contact her mother in order to provide status
assistance and request for the assistance. If I failed to communicate with her mother, I will
contact other family members for informed consent for proceeding with operation
immediately.
Question 5:
In the health care sector, Emergency physicians as well nurses are frequently
disappointed professionally while treating patients who are alcohol-intoxicated which usually
reflects through their negative attitudes towards patient population and their family members
(Marshall, Schultz & de Crespigny, 2019). However, in this case, it is crucial to provide
sensitive care as these patients are vulnerable and require safe and responsive care (Woods,
Jones & Usher, 2019). The role of the nurse, in this case, to provide empathy and
compassion to the patient in order to promote faster recovery (Woods, Jones & Usher, 2019).
In this current context, blood alcohol concentration is required to assess and compare with the
severity of the intoxication. Her mental state is required to assess in order to provide her

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proper intervention. I will contact my supervisor and physicians regarding this and let her
feed her son if she is stable enough to breastfeed her son. I will check her vital status and
status of the pneumonia infection in order to ensure she is safe. The sandwich will be
provided to her only if she is stable otherwise sandwich can lead to choking. I will provide
something liquid and easily digestible food to her.

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References:
Fang, Y., & McDonald, T. (2018). Management capacity to promote nurse workplace health
and safety. Journal of nursing management, 26(3), 288-294.
Garneau, A. B., & Pepin, J. (2015). Cultural competence: A constructivist
definition. Journal of Transcultural Nursing, 26(1), 9-15.
Marshall, A., Schultz, T., & de Crespigny, C. (2019). Perceived changes and perceived
transferability for treating intoxicated women victims of violence among emergency
clinicians after an alcohol and other drugs training program. Drug and Alcohol
Review.
Massey, D., Chaboyer, W., & Anderson, V. (2016). What factors influence ward nurses'
recognition of and response to patient deterioration? An integrative review of the
literature. Nursing open, 4(1), 6–23.
Parker, J. M., & Hill, M. N. (2017). A review of advanced practice nursing in the united
states, canada, australia and hong kong special administrative region (SAR),
china. International Journal of Nursing Sciences, 4(2), 196-204.
Porter, J. E., Miller, N., Giannis, A., & Coombs, N. (2017). Family Presence During
Resuscitation (FPDR): observational case studies of emergency personnel in Victoria,
Australia. International emergency nursing, 33, 37-42.
Terry, D., Lê, Q., Nguyen, U., & Hoang, H. (2015). Workplace health and safety issues
among community nurses: a study regarding the impact on providing care to rural
consumers. BMJ open, 5(8), e008306.
Twigg, D. E., Myers, H., Duffield, C., Pugh, J. D., Gelder, L., & Roche, M. (2016). The
impact of adding assistants in nursing to acute care hospital ward nurse staffing on

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adverse patient outcomes: An analysis of administrative health data. International
journal of nursing studies, 63, 189-200.
Woods, C., Jones, R., & Usher, K. (2019). The impact of unintentional alcohol-related falls
on emergency departments. Australasian emergency care, 22(1), 22-27.