This is as important as learning to start an IV or transfuse a unit of blood. Once you start your new job as a nurse, having straight A’s… Nursing is a team sport. It is not unique to nursing, though it can certainly happen in the nursing field. Develop interpersonal competency for maximum effectiveness. In fact, it can be downright shocking and scary. Know more about your patients and learn the best ways to approach your doctors. Conflict is healthy, if it is dealt with directly and creatively. With this, it’s important to be prepared for the worst-case scenarios. This can help you keep your values, beliefs, and principles as a nurse in check. As a preceptor, understanding and recognizing the phases of reality shock will assist you in helping your preceptee to successfully work through these phases. Failure to accept all these things can easily make you feel unsatisfied with your job. The concept of ‘reality shock’ has more recently been concep-tualised as transition shock. Whether you are a new nurse or a veteran nurse trying out a new specialty, expect to experience reality shock. Learn everything you need to learn and show interest in learning them. This model considers reality shock, transition theory, role adaptation, and growth in the development of new graduate nurses (Duchscher, 2009). See Also: 12 Things You’ll Never Learn in Nursing School. This is the phase where you realize the nurse you want to be. You’re getting good grades and you’re acing your clinicals. It has been said that “in theory, there is no difference between practice and theory. See Also: Mind Healing: DIY Gratitude Journal Ideas. HWE is the most-significant variable in Environmental Reality Shock, number of related Issues and Concerns, and perceptions of quality of patient care. Recognize that outside support is sometimes necessary and more than okay. See Also: The Yuck Factor – 9 Gross Things Nurses Have to Deal with On the Job. Try your best to solve them as soon as you realize them. Helpful Attitudes for Preceptors, Preceptees. When you’re reading case studies and studying different medical conditions, it’s easy to get comfortable with what you know. Here are the best ways to deal with reality shock when you’re a nurse. You have to be careful during this stage as it is the point where you consider adopting values and principles just to fit your working environment. Now, before we get to the best tips in handling reality shock in nursing, let’s talk about its stages first. In fact, the NCSBN study results showed that new grad participants had the highest reported stress during months 6-9 after starting as a new nurse. But, in practice, there is.” This quote may best explain the reality shock phenomena found in nursing. So, instead of fighting reality, embrace it. What you do everyday is important. This theory still holds true for those transitioning to practice today, 42 years later. Reality shock is described as a condition in which a person enters a profession, but finds him or herself unprepared. Write down your feelings and acknowledge them. Be humble and reach out to people. Once you get the job, you’ll go through the initial stage called the honeymoon phase. Reality Shock by General Characteristics of New Nurse & Work Characteristics (N=216) It can make things a lot lighter and less stressful for you. Different things can come up within a single shift and you might even encounter cases you’ve never seen before. Now let's get you through this reality shock! What To Do When Reality Shock In Nursing Sets In, The Yuck Factor – 9 Gross Things Nurses Have to Deal with On the Job, Mind Healing: DIY Gratitude Journal Ideas, 12 Things You’ll Never Learn in Nursing School, 20 Tips for Nurses in Their First Year of Nursing, Eight Tips on How to Study for the HESI Exam, Essential Guide to Medications for Nurses, 8 Tips to Decontaminate After a Long Nursing Shift, Top 5 Nursing Shoes for Flat-Footed Nurses, Top Tips For A Most Efficient Nursing Handover. It’s when you feel all positive, enthusiastic, and outgoing. If you are unsure, ask for help. Here are its 4 phases to help you prepare yourself. You’ll realize that your books and grades shouldn’t limit your practice as long as you are caring for your patients properly. Reality Shock. Talk to your patients, too. If at first you don’t succeed, try, try again. Here are its 4 phases to help you prepare yourself. The initial and most dramatic stage in this theory of role adaption occurs over the first four months of professional practice. Don’t forget to find your sense of humor. Reality shock is the reaction of new graduate nurses when they discover that the work situation that they have prepared for does not exactly operate within the values and ideals they had anticipated. The work by Kramer established that an issue existed with transition that unfortunately remains true in the modern transition of nurses to practice (Boychuk-Duchscher, 2012). Develop a tolerance for your own uncertainty and conflicts. 2. The purpose of this study was to identify factors that affect reality shock in new nurses. Write CSS OR LESS and hit save. During this phase, you’ll begin to learn your unit’s routine. You’ll get exposed to urine, vomit, and even poop. Reality shock is the reaction of new graduate nurses when they discover that the work situation that they have prepared for does not exactly operate within the values and ideals they had anticipated. Become a Nurse Mentor or Mentee with The Mentoring Project! New graduate registered nurses’ transition is accompanied by a degree of shock which may be in tune with the described theory–practice gap. If you don’t change your attitude and you continue to maintain high and unrealistic expectations, things can get more complicated. Introduce yourself and keep asking questions. Here are three coping strategies that you can effectively utilize in your practice to help you better handle reality shock and move towards becoming a confident and satisfied member of the nursing profession: Focus on mastering your skills One of the first coping strategies new grad RNs should utilize as a preventative measure is simply making sure […] You can seek support from trusted professionals, like a senior nurse or a nurse manager, if you are having a hard time coping. The Four Phases of Reality Shock In Nursing. This is totally different from what you’ll encounter at work. ‘Implicit Bias Series: Overview’ Now Available, Resident Physicians Commit to Serving Michigan’s Most Underserved Communities, Introducing ACEMAPP’s All-New Lineup of Products, Michigan Health Council Provides Free Educational Series to Address Health Equity and Implicit Bias, fascinated by the newness of the experience, focused on skill mastery and fitting into new role, harness energy and enthusiasm for learning, be realistic, but do not put out their fire, assist in socialization and integration into their new culture, experience frustration with conflicting values/practice, offer support — be a good, nonjudgmental listener, offer objective points of view by acknowledging negative and highlighting the positives, differentiates between effective/ineffective behavior, support participation in improving the work environment, understands/accepts role in work environment/culture, conflicts resolved between school/work cultures. 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