New Nurses Are Not All Alike

45 Pages·2009·0.75 MB·English

by  Valued Sony Customer

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Dianne M. Marshburn, RN, PhD, NE-BC
Elaine S. Scott, RN, PhD, NEA-BC
March 10, 2009
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At the end of this workshop you will be able to:
Discuss transition to practice considerations
(cid:121)
for select groups of new nurses.
Identify effective preceptor interventions to
(cid:121)
facilitate transition to practice for these new
nurses.
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New Graduate Nurse Transition into the Workplace
Anticipatory Organizational Socialization
Socialization Socialization Outcomes
Organizational Tactics
Education •Orientation Job Satisfaction
•ADN •Preceptor Relationship
•BSN •Internship
Career Satisfaction
•Diploma Personal Realities
•Alternate Entry •Personality/Hardiness
•Meanings/Purposes
Organizational
Personal
•Knowledge/Skills
Commitment
Characteristics &
•Personal Life Demands
Experiences
Environmental Realities
•Age Intent to Leave/Stay
•Work Stress/Job Demands
•Gender •Unit
•Staffing Levels
•Race/Ethnicity •Organization
•Opportunity to Leave
•Previous Work
•Workplace Relationships
•Life Events
•Organizational/Unit
•Family Leave/Stay
Culture
Expectations •Autonomy/Rewards/Equity
•Realistic •Supervisor Style
Intent to Leave/Stay
•Unrealistic Person-Environment Fit
•Nursing
•Race/Gender/Generation
•Culture/Ethnicity
Student Novice Competent
Practitioner
First Two Years of Nursing Practice
Scott, Engelke, & Swanson, 2007
What Influences New Graduate Nurses Prior to Work?
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Personal Educational & Experiential
Characteristics Differences
(cid:121) Generational Differences
(cid:121) Associate Degree RNs
o Generation X (born 1965-1980)
o Generation Y (born since 1981) (cid:121) Baccalaureate Degree RNs
(cid:121) Learning Style Differences
(cid:121) Alternate Entry RNs
(cid:121) Personality Differences
(cid:121) RNs with previous
◦ Extroverted versus Introverted
◦ Intuitive versus Sensing experiences in health services

(cid:121) Racial and Ethnic Differences (CNAs, EMTs, etc)

◦ 25% of the American population is an
ethnic minority while only 9% of RNs
reflect this racial representation

(cid:121) Gender Differences
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Generation X Generation Y
(cid:121) (cid:121)
◦ Children of divorce ◦ Born 1979 – 1994
◦ Born 1965 – 1978 ◦ 78 million

◦ 44 million ◦ Stay at home w/family

◦ Latchkey kid ◦ Technology savvy

◦ Cable TV ◦ Most racially diverse

◦ Take care of themselves ◦ Taken care of by parents
Generation X – Major Events That
Shaped the Generation
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“What’s in it for me?” “I’m easily bored.”
(cid:121) Highly individualistic! (cid:121) Adaptable to change
(cid:121) Loyal to self, not organizations – (cid:121) Comfortable with technology
(cid:121) They want travel and leisure, good
(cid:121) Independent
family life, and helping others.
(cid:121) Multi-Task
◦ Gen X’ers display family values
much like those in the 1950’s (cid:121) Crave and require constant

exposure to information
◦ 87% of Gen X’ers say they will
only marry once and want to (cid:121) Want to know what is expected

spend a lot of time with their
of them and what benefits they
.
families will receive in return
(cid:121) Have little acceptance of the
philosophy of the greater good for
the whole over the individual
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Remember, they want a life and for their
(cid:121)
involvements to be fun and relaxed; so
informality appeals to them
They love technology and “hands off
(cid:121)
supervision”-- elbow room; they are self-reliant
They are pragmatic and like to figure things out
(cid:121)
They can be very cynical; hate politics and
(cid:121)
boomer’s belief systems – so sometimes
organizational and social mores irritate them
They want development -- but they read less
(cid:121)
and need it brief and bulleted
They like to juggle and roam
(cid:121)