Assignment: Being a Professional Nurse or Midwife

Assignment: Being a Professional Nurse or Midwife

Assignment: Being a Professional Nurse or Midwife


Discuss about the case study of 401021 Being a Professional Nurse or Midwife.


Sample Draft Solution:


The healthcare environment is an ever changing field due to the dynamic nature of the society (Parker, Giles, Lantry & McMillan, 2014). However, one thing that seems to remain constant is the need for ‘work ready’ nurses (Hofler & Thomas, 2016).At the beginning of Bachelor of nursing course, students are filled with excitement and also anticipation for the course. The course equips them with practical skills and theoretical knowledge in preparation for professional practice. The transition to professional practice can be a ‘stressful and difficult shift’ for a graduate nurse(Hofler & Thomas, 2016).Half the number of new nurses in their first year of practice become emotionally exhausted and majority of them experience ‘incivility’ at work(Laschinger et al., 2016). There is a gap between what the students are taught to expect and what they actually experience once they commence their practice. Chang and Daly (2015) describe this gap as a ‘reality shock’.

Critical analysis

The experiences of nurses during the very first years of professional practice have great influence on their future career path (Parker et al., 2014).These first years of practice can be termed as a ‘vulnerable time’ because it is during this period that nurses make decisions that portray the intent to commit to the profession (Parker et al., 2014).The nurses might also decide to leave their profession during this time. There are some factors which influence the transition from a graduate nurse to a professional practice. First, the great difference between the graduate’s expectations and the actuality(Christensen, et al. 2016). The experiences that these nurses go through are different from what they perceived initially.

Many nurses experience performance anxiety (Hofler & Thomas, 2016).The nurses feel that their knowledge is not adequate. During the very first days of practice, they look at other staff who know exactly who they should talk to, what they ought to do and when to do it and this makes them feel incapable and self doubts starts. The nurses end up wishing that they could go back to college and learn more. Performance anxiety influences how well a nurse demonstrates mastery.

The personal qualities of a nurse like maturity, age and motivation can also influence the transition. A nurse who is known exactly what he or she wants to achieve in the career will put a lot of effort to grow in the profession. A nurse’s personality will affect his or her approach during difficult or even stressful experiences.

The new practicing nurses experience a challenge when they have to manage the responsibilities for a number of patients simultaneously (Chang & Daly, 2015). There are many patients in the hospital and at the end of the day, the nurses are emotionally and physically exhausted. At times, the nurses have to work overtime and they were unprepared for this (Laschinger & Boamar, 2016).The burn out affects their work negatively. The nurses may disconnect from their work and colleagues (Hofler & Thomas, 2016). Burn out is a key factor that pushes a nurse to make the decision of leaving the job or even the nursing career (Laschinger & Boamar, 2016).

The new graduate nurses will need guidance during the beginning of their practice. He or she will ‘not work in isolation but within an organizational environment’(Mellor & Gregoric, 2016).

Maslach and Leiter’s areas of work life model and Greenhaus et al’s theory of work life balance can be adopted to ensure that graduate nurses will work effectively once they start professional practice(Laschinger & Boamar, 2016). Six areas of work life are considered. First, manageable work leads. This considers a nurse’s physical and emotional capabilities this reducing burn out. Secondly, controlling overwork. This is the ability of the new nurses to make important decisions. Thirdly, rewards for contribution. Nurses feel fulfilled once they achieve their expectations. Fourth, fair treatment in the working environment. Decisions made should be impartial. Fifth, sense of community. Nurses have to learn to work with other medical professionals to ensure better patient outcomes. Finally, congruence between organisational and personal values. The nurses must follow the values of their profession. Once these areas are looked into, the new nurses will be able to work effectively (Laschinger & Boamar, 2016).

In order to ensure a smooth transition from graduate nurses to professional practice, orientation is carried out. This is meant to prepare the nurses for their new roles (Liaw et al.,2014; Pasila, Elo & Kääriäinen, 2017).

Assignment: Being a Professional Nurse or Midwife


There is a theory-practise gap in the nursing profession which can be as a result of challenges of the clinical learning environment (Salifu, Gross, Salifu & Ninnoni, 2018). First, the clinical activities are a routine and due to this, they become monotonous (Salifu, et al. 2018).The students eventually lose interest in what they are studying and this will influence their professional practice. The students end up not taking their career seriously and as  a result,  they end up feeling inadequate during their practice and might even wish to go back to study the course. The lecturers who teach these student nurses have a high expectation on the students regarding their competence (Salifu, et al. 2018). These lecturers assume that the students are simply prepared enough for practice. Another challenge with the clinical environment is that the learning outcomes during clinical placement are ‘vague’. Salifu et al argue that these outcomes lack full details thus whatever the students are left to expect is different from the reality.

New graduate students experience feelings of self doubt which can be referred to as transitional shock (Christensen, et al. 2016).This can be closely related to Imposter Phenomenon (IP) syndrome according to Christensen et al. (2018). Transitioning nurses have high personal expectations of what it means for them to be a registered nurse. In the working environment, the registered nurses are presumed to be capable of their new role (Christensen, et al., 2016). These puts pressure on the graduate nurses. They feel that they ought to know everything.

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