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Great points in the comments. Many hospitals are now utilizing Nurse residency programs for new graduates to bridge nurses into their professional roles. Research shows that the nurse residency approach not only develops professionalism but helps in developing the critical thinking and self-reflection practices vital to nursing.
4/4/2023 7:08:04 PM

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This is a wonderful plan if only it could be accomplished. I became a registered nurse at the age of 56. A second career for me, I had received an outstanding education at Delaware Technical and Community College, however, I was still an inexperienced nurse, dependent upon and expecting, a preceptor to be provided during my first hospital working experience. I WAS given a preceptor...who was too busy with too many patients to be able to properly precept. My experience was accomplished by baptism by fire. Everywhere I went everyone was too busy to teach. I am now retired and never received proper "experience" with any mentor on starting IVs or drawing blood. I was promised, by several different hospitals I worked, that I would be assigned to rotate with their IV teams, which we had back then, to gain "experience." That never ever happened. I learned on my own..was a pest asking questions as I went along. Years later, after I became what I believe was an "experienced" nurse, I witnessed new nurses struggling with the same issues, particularly after I had graduated to travel and agency nursing . I changed my work situation often, trying to get my career to some point where I felt I was truly doing nursing that was meaningful and wthout having to deal with hospital "politics." I did get there, but only after many frustrating years practicing as an oncology nurse in the hospital, then traveling and working in every department in the hospital EXCEPT pediatrics. Finally near the end of my career, I hit upon pediatric homecare (remember peds was the ONLY hospital specialty I hadn't worked). I was experienced enough by then to know my little people were just that...and I could care for them. I LOVED it. I dealth with my little folks one on one...patients who really needed me...who couldn't live at home without a nurse...and hospital "politics" and broken promises were not there to interfere. I can't tell you how many nurses I witnessed in the hospital...brand new nurses...who had spent all those years studying to be nurses, had gone through the hospital orientation, hit the floor for their first day...went out for lunch...and NEVER RETURNED. I will be 80 years old this summer. I nursed until cancer struck me at age 74. It was almost 30 years ago that I got my nursing experience under "baptism by fire". I suspect it had been happening long before I got mine..and has continued in just that vein. Nothing will ever change until there are ENOUGH people to do ALL the jobs...nursing and ancillary positions in the hospitals. How and when will that happen?
4/2/2023 6:24:42 PM

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Your blog post makes multiple valid points. You cite research and quotes from nurse researchers and educators. I would pose an additional view that remains unaddressed. I have been in contact with new graduates who don't truly understand the basic level of what nursing is. Too many are focused on technology, or getting to a more exciting area of nursing before getting their feet wet and mastering the basics! Additionally, I find that the empathy level for the patient isn't there because their experience level is at or below the beginner level. I believe that early exposure at the basic level providing care as an aide, CNA etc. reaps awesome effects in focusing on learning the art of nursing. I have grown weary of the lack of basic empathy when it comes to providing care. I feel the tenets of the Diploma nursing programs provided skilled nurses far sooner than the average BSN programs. Perhaps the academicians should consider marrying the tenets of the two programs to give that new nurse graduate a better grasp of what nursing involves. In my view, nursing is the art of providing the best empathic care to the patient and their families at their times of need.
4/1/2023 9:33:49 PM

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My name is Eleanor and I've been nurse forever 41 yrs. I
recently retired but will return as I miss nursing tremendously. What hasnt been tried is somehow utilizing senior nurse as preceptors or bridges for the newer RN. Unfortunately all the wisdom and experience is lost when an RN retires. There are many of us who would love to help shape nursing"s future.
4/1/2023 6:36:38 PM