Reality Shock

1
Reality Shock

• NURS 2221 Contemporary
• Nursing
• L. D. Andrews

2
Transition

• Reality Shock
• transition from nursing students to registered
  nurse
• Nursing school involves
• frequent positive reinforcement
• frequent attempts to communicate and clarify
• faculty availability

3
Roles

• Ideal role image
• what a nurse should be
• Perceived role image
• individual definition of the role
• graduate with this role
• Performed role image
• what practitioner actually does

4
Reality Shock

• Occurs when the ideal or perceived role comes
  into conflict with the performed role.
• Cognitive dissonance
• know what to do, but circumstances do not allow
  it
• raises anxiety
• may lead to burnout

5
Preceptor Roles

• More common in BSN programs due to increase
  number of nursing credits for degree.
• Most BSN programs contain approximately 60
  credits in the nursing major
• In RSU program, a variation, clinical instructor
  always in the institution, but student assigned
  to a staff nurse.

6
Burnout

• State of emotional exhaustion
• accumulative stress (work, personal, family)
• Common candidates for burnout
• intelligent, hard-working, idealistic,
  perfectionist
• Career categories
• high performance, expectations, control,
  financial rewards

7
Stages of Attitude Change

• work is to be tolerated rather than eagerly
  anticipated
• irritable, impatient, cynical, pessimistic,
  whiny, callus
• sick, late, drink and eat too much, disturb sleep
• careless work performance
• uncooperative, unable to concentrate, apathy
• helplessness, powerlessness, guilt

8
Avoiding Burnout

• Recognize the signs and symptoms
• denial, rationalization
• differentiate between career stressors and coping
  stressors

9
Where Does Your Time Go?

• Doing too much
• prioritization
• Inability to say no
• Procrastination
• identify the reason, give highest priority
• give reward to self, break down task
• Complaining

10
Where time goes?

• Perfectionism
• Interruptions
• Disorganization
• Too much information

11
Time Management Strategies

• Goal setting
• short 6-12 months
• long beyond 12 months
• write goals, with dates

12
Time ManagementIdentifying Problems

• Use problem solving methods to identify the
  problem
• Then, identify methods to solve the problem
  relative to the goals

13
Time ManagementSetting Priorities

• Grid of priorities classification
• Cell A Urgent and Important
• typically major focus
• Cell D Not urgent or important
• Cell C Urgent but not important
• time waster
• Cell B Important but Not Urgent
• Prioritize these items

14
Time Management Skills

• Avoid multitasking too many tasks
• Increase job satisfaction by identifying what
  part of job you like the best
• Delegate
• Overcome procrastination
• Take care of self
• Decompress
• Support Group