NRSG377: Assessment 1 Unit Outline

Assignment Task

 Overview

Transitioning to professional practice is a critical phase for the novice registered nurse. The transition period from student to registered nurse can be filled with many challenges. During this time registered nurses are expected to demonstrate the knowledge, skills, and attitudes associated with the profession, while adjusting to the “real world” of nursing. There is also an expectation that graduate registered nurses will begin to demonstrate clinical leadership capabilities when working in the Australian healthcare environment. Critically analyse the following case study when answering the essay questions.

Case Study

Xander is a graduate registered nurse (GRN) who is 8 weeks (about 2 months) into his first graduate rotation at a large regional hospital. He is currently working on a Surgical Ward. For the first four weeks, Xander worked alongside his nurse preceptor/buddy nurse, Francisco. Xander felt comfortable working with Francisco, and felt well supported, but Francisco is now on annual leave. Xander told his partner this week that he doesn’t really feel comfortable asking the interprofessional team for help because “they are all so busy” and that he is questioning himself and thinking that maybe he is “not doing a good job”.

Xander has a supportive male partner, Hamish, and they have a 2-year-old daughter. Xander is trying to keep up with his other commitments, including basketball training and games, and spending time with his young family. Xander just completed his first four (4) night shifts and will be back on the ward for an afternoon shift today (Saturday). He is feeling tired and frustrated because he slept through his alarm, missed his basketball game, and didn’t get a chance to do the food shopping for the week. He is also disappointed that he can’t go with his family to his mother-in-law's birthday celebration that afternoon.

Critically analyse the case study to answer the following three (3) questions within an essay format:

1. The transition from student nurse to graduate registered nurse is a complex process. Recommend and justify one (1) personal, resilience-focused, strategy and one (1) organisational/workplace strategy that could be implemented to support Xander in his transition period. Use current nursing related literature to support your discussion. 

2. This shift required Xander to demonstrate nursing knowledge, skills, and attitudes. Identify two (2) areas for improvement related to Xander’s planning and implementation of care this shift and discuss an evidence-based recommendation for each that promotes more efficient and effective patient care. 

3. In Xander’s role as a graduate registered nurse he is expected to begin developing clinical leadership skills. Identify and analyse two (2) opportunities where a more senior RN could have demonstrated clinical leadership while working on this shift with Xander. Use current nursing related literature to support your discussion. 

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