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Exploring How New Registered Nurses Construct Professional Identity in Hospital Settings

Exploring How New Registered Nurses Construct Professional Identity in Hospital Settings

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Published by: malyn1218 on Apr 13, 2009
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Discovering the Experiences of New Registered Nurses inestablishing their Professional Identity in Hospital SettingsI. Introduction
The nation faces increase graduates of nursing. Many of whichhas the ambition to work abroad and serve our own country for quitesometime. Most of them also did local working as training groundthen after 1 or 2 years will opted to try their opportunities in differentpart of the world. Before having their training, there’s alwaysmemorable start, from the time they entered a certain facility to applyfor the position then to stage of working with colleagues. Manyattitudes had been observed such as trembling, frightened, high levelof anxiety and many others. The question is how an individual at onetime is the same individual at another time in a hospital setting. In theevent of the increase number of graduates there’s also a potentiallydangerous nursing shortage. According to Groom (2003), registerednurse’s average age is 47 years. This, coupled with the number of nurses leaving the profession because they are dissatisfied, iscreating a crisis. Although staff shortages have occurred in healthcare throughout history, experts believe the developing nursingshortage is uniquely serious due to a supply shortage and a demandincrease. Issues involved include steep population growth in severalstates, a diminished pipeline of new nursing students, an aging workforce, a Baby Boomer bubble that require intense health careservices just as the majority of nurses retire, and broadening healthcare job opportunities. (Sigma Theta Tau International, 2001)
Current nursing research supports a disparity between theidealism and professionalism of the educational process andprofessionalism and the actualization of the practice environment,which leads to nurses leaving the profession. Saarman, Freitas,Rapps, and Riegel (2008) concluded that the further research isneeded to determine whether nursing eduacational programs havesignificant influence on professional socialization when comparedwith the workplace. Additional knowledge could help in understandingthis gap and contribute increased retention in nursing. Saarman et.al.concluded that quantitative research would be useful to examineprofessional nurse characteristics. Such an approach would allowdata to define the entity rather than to test a preconceived definition.The development of professional of professional identity is animportatnt process in nursing profession (Secrest, Norwood &Keatley, 2003). Historically nurses have found difficulty in definingnursing and distinguishing it from other health care disciplines.According to Secrest et. al., no literature has been found describingwhat being a nurse means to an individual.According from Patricia Benner, Novice to Expert’s theory, inthe acquisition and development of a skill, a student passes throughfive levels of proficiency: novice, advanced beginner, competent,proficient, and expert. These different levels reflect changes in threegeneral aspects of skilled performance: (1) One is a movement fromreliance on abstract principles to the use of past concrete experienceas paradigms. (2) The second is a change in the learner's perceptionof the demand situation, in which the situation is seen less and lessas a compilation of equally relevant bits, and more and more as a
complete whole in which only certain parts are relevant. (3) The thirdis a passage from detached observation to involved performer. Theperformer no longer stands outside the situation but is now engagedin the situation.Nursing is a kind of occupation delivering services toindividuals, families, and societies of all conditions. High level jobsatisfaction is important for nurses in order to their services deliveryquality be high as well. In the literature, it is declared that in caseindividuals have high work satisfaction, behaviors such as beingactive at work, pursuing new goals and establishing goodrelationships are observed. On the other hand, in case of beingunsatisfied , problems may arise such as slowing down the workpace, being late for work or not attending at work, resigning of work,starting to complain, being critical (Asti and Pektekin, 1194; Kacel et.al., 2005; Rambuer et. al.,2005; Fako-Thabo, 2000)
II. Analysis and Discussion of Concept in Relation to Nursing
Several critical points emerged from the data in joining theprofession of nursing. Various passage points were experienced bynew nurses as they negotiated joining the nursing profession. Withinall of these passages, relationships were identified as paramount to asuccessful transition. Themes of responsibility, continued learning,and perfection were pervasive during all passages and were noted bynewly graduate nurses as being integral components of professionalidentity.In this study, I have been through this experience like most of our newly nurse did. Finding a niche, a place where individuals’

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