A Student Nurse A Nurse Takes

A Student Nurse A Nurse Takes

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doi: 10.1097/01.NME.0000514216.15640.86

Nursing made Incredibly Easy15(3):6-8, May/June 2017.

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Puskar, Kathryn DrPH, MPH, MSN, RN, FAAN; Berju, Danielle BSN; Shi, Xiaojun; McFadden, Tricia MA, BS
At the University of Pittsburgh (Pa.) School of Nursing, Kathryn Puskar is a Professor and the Associate Dean of Undergraduate Education; Danielle Berju was a BSN student; and Xiaojun Shi is a BSN student. Tricia McFadden is an Assistant Professor at St. Francis University in Loretto, Pa.
The authors have disclosed no financial relationships related to this article.
According to the U.S Bureau of Labor Statistics, over 1 million individuals are employed as patient care assistants (PCAs). The role of the PCA is to assist the RN in keeping the healthcare unit safe and delivering care to patients by performing tasks, such as maintaining a hygienic environment, transferring patients to other departments, documenting vital signs, and satisfying patients' needs. PCAs may possess different competencies based on their various work experience, and many PCAs don't have previous professional healthcare training. Although healthcare facilities provide training programs for PCAs during their orientation, additional clinical and critical-thinking skills can be acquired through interaction with other healthcare team members.
Nursing students often interact with PCAs during their clinical experience, so learning to collaborate will foster successful patient outcomes. In addition, nursing students need to acquire the competency to delegate appropriate tasks to PCAs over the course of their training. In this article, we discuss strategies to boost nursing students' delegation skills.
Challenges that interfere with students practicing delegation include fear of causing tension or being viewed negatively and lack of preparation. Students may worry about burdening already busy PCAs. They may be uncomfortable delegating a task to a PCA because they feel that they don't have the authority. Students may be more comfortable delegating to PCAs when the clinical nurses on the unit specifically ask them to.
When nursing students do delegate assignments to PCAs, they may face the following challenges:
Seventy-eight percent of nursing students in a U.K. study didn't believe that their training prepared them to work with PCAs. Although all nursing students surveyed reported that they were taught the difference between various healthcare providers, they indicated that necessary information on the supervisory and accountability issues regarding delegation to PCAs was lacking. Most nursing students surveyed noted that nursing schools should provide education about how to work with PCAs before they go into clinical practice areas.
Not only do nursing students sometimes struggle with delegating, but new RNs can also find it difficult. In one study, researchers observed and interviewed new RNs, PCAs, and managers from three hospitals to examine new nurses' abilities to manage time, delegate, and cooperate with PCAs. Factors that continued to limit effective delegation included role confusion, inadequate communication, different working styles, and inadequate delegation skills.
To increase nursing students' delegation abilities, researchers developed a learning program that included simulation, case study analysis, and a debriefing session, which was offered to 97 participants. During the simulation and case study analysis, students were asked to listen to an audiotaped report about the simulated patient and then provide care using their own knowledge about delegation. During the group debriefing, teachers and RNs instructed students on delegation. After the program, 52 students believed that they were more confident with delegation skills and 67 students reported that their understanding of delegation was improved.
To prepare nursing students for delegation, another research team established a course with three approaches: didactic learning, case studies, and clinical placements. The didactic content focused on basic theories and principles of delegation, and included weekly exams to check students' understanding of these theories. Students were also required to complete five delegation case studies and practice delegation skills during their clinical rotation under the direction and supervision of their preceptors.
As a clinical nurse, you can help nursing students on your unit delegate effectively. Steps include:
Nursing students must learn how to effectively delegate to maintain patient safety. Ineffective delegation can lead to missed care and negative patient outcomes. In addition to delegation being incorporated into both didactic and clinical components of nursing education, you can serve as a role model for nursing students on your unit. Because delegation of tasks to PCAs must be communicated to the primary nurse assigned to the patient, the nursing student can gain a wealth of clinical, critical thinking, and decision-making insight when he or she discusses with you what tasks can be safely delegated.
Junior nursing student Samantha is assigned to the pediatric oncology unit for her pediatric rotation. During one shift, her patient needs a blood transfusion due to severe anemia. The blood is ordered to be transfused over 4 hours. The protocol for giving blood products is to take vital signs before the transfusion, 15 minutes after the transfusion begins, every hour, and after the transfusion is complete. The clinical nurse delegates this task to Samantha and tells her to work with the PCA. Samantha can only be present for the first four checks due to other obligations. Samantha discusses her availability with the PCA and delegates the final two checks to her.
Natalie is a sophomore nursing student on a medical-surgical unit. Her patient has limited mobility and requires assistance with her activities of daily living. Natalie's patient alerts her that she needs assistance using the bathroom. When Natalie's instructor calls her to another room for a learning experience, Natalie asks the PCA to help her patient use the bathroom so that she doesn't miss the educational opportunity.
Nursing student Adam is taking care of a 70-year-old patient with incontinence. When the patient leaks urine onto the bed, Adam first delegates the task of gathering the bed linens to the PCA while he gets the bath materials. While assisting the patient, he also asks the PCA to help turn the patient and roll the sheets on the opposite side.
Source: American Nurses Association, National Council of State Boards of Nursing. Joint statement on delegation. https://www.ncsbn.org/Delegation_joint_statement_NCSBN-ANA.pdf .

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Home » NurseLife » 7 Challenges of Nursing School that Student Nurses Will Face!

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An ideal nurse does not look at a predicament as if it is a heavy burden; he will instead see it as a challenge and an opportunity to grow personally and professionally.
From lectures to clinicals, student nurses are bound to encounter complexities of varying degrees and it is highly essential that they should be informed of those. The intention is neither to discourage nor intimidate them from pursuing the program but the aim is to prepare them well so that they will be more effective in their chosen trade. Also, keep in mind that these ordeals come with a great prize — that is the privilege to touch lives and broaden one’s own perspective about health and wellness in general. For me, nothing can be as rewarding in the same manner as that.
Hence this list was conceived — to develop an awareness of the struggles (or challenges for that matter) aspiring nurses are about to experience. Take note, that this list only covers the general challenges for studying a bachelor of science in nursing, because there are various nursing programs out there, and nursing itself can be challenging in so many different ways.
Mind-draining lectures are just one thing that sets nursing apart from the other college programs. Lectures in nursing involve complicated concepts and theories that require strong background knowledge in pre-nursing subjects such as Anatomy & Physiology, Chemistry, and Biology.
It’s not enough that you go to class regularly and listen attentively to the long lectures, you also have to retain what you’ve learned from previous lessons to continue surviving. On top of that, nursing textbooks (especially the ones for medical & surgical nursing and psychiatric nursing) are not as simple as what other college students use, for they typically come in two volumes which are equally thick like a brick and are not very easy to grasp in one reading.
The shifts during nursing clinicals also vary from time to time, and the patient assignment can change without a definite length of time. If that’s not unpredictable, I don’t know what is. That’s why student nurses are ought to be quick learners and adaptive to change.
Considering the hard work it takes for the lectures and the clinicals; it’s like adding salt to the wound to even have homework and projects that are really time-consuming and arduous. They could come in the form of a case study, a set of nursing care plans , a report or thesis so brace yourself for some intensive researching and long hours reading reference books. This factor trains students in time management and perseverance.
The test and exams you are to take as a student nurse are the ultimate challenges after every series of lectures and clinicals. Consider yourself very lucky if you find some lenient clinical instructors who give “basic” kinds of tests and exams but for the most part, clinical instructors are motivated to prepare challenging drills to really test your knowledge and understanding .
You can’t blame them, though, because they are training students whose future professions are concerned with health and life. It’s an advantage if you do well with tests in the form of identification and enumeration. But be informed that majority of your exams will consist of situational questions in which the choices are so tricky because each of them would seem as if they are all correct answers.
This one is self-explanatory. With all the things explained above, it wouldn’t take a registered nurse to figure that you’d be dealing with stressful college life and very limited free time as you study nursing. I even distinctly remember some colleagues of mine who used to gain scholarship by sidelining as an assistant in our library but were not able to continue it as we progress through the second year of nursing because of conflicting schedules with our clinicals.
For most college students, the struggles from studying end as graduation day come but in the case of nursing students, it’s an entirely different story. Graduating from nursing school only leads you to more doors of mandatory training and certifications so you could increase your chances of securing a nursing job . For starters, it is mandatory in most countries that you pass the nursing licensure examination to be recognized as a registered nurse, and that would entail some months of review. After becoming a registered nurse, some hospitals would then require that you undergo certain training such as basic life support (BLS), advanced cardiac life support (ACLS) and intravenous therapy training before you could get hired as a staff nurse. Worse, the competition could be so tough that you might want to consider taking a master’s degree to stand out in the pool of applicants.
For others, this is an honor but for some of us, this is also one of the pains. People will expect you to know what to do during an emergency situation or when someone is ill. You get it, these requests are uncalled-for. Many people have unreasonable demands and expectations from student nurses.
So there goes your list. You may weigh each of them and assess yourself if you’re still undecided about taking up nursing. But if you’re so sure about the career, fret not because nursing is a genuinely promising profession once you get the hang of it. Nursing is one of the noblest and hardest of all human endeavors — for we cannot imagine the world without nurses as we cannot imagine a life without caring and comfort. Besides, if nursing is what you truly love to do, you will excel at it no matter how trying it might seem for others. To help you prepare better for the nursing program, you may read our “ 10 Nursing School Tips for Starters “.
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Transitioning from the nursing student role to the new nurse role can be overwhelming and frustrating at times. I remember thinking to myself, “Am I ever going to get the hang of this….it is different than being a student….so much to learn…so much more responsibility!” Does this sound like you too? If so, I promise it is so normal and almost every new nurse feels like this.
In this article, I want to give you 5 tips on how you can easily transition from being the student to the nurse. These tips are based on my own experience and are tips that I wished someone would have given me before I became a new nurse. So, let’s get started!
Here is a video of me talking about this subject! Don’t forget to subscribe to my YouTube channel for more videos!
Facilitate a good rapport with your co-workers!
When you are a nursing student you are at various clinical settings and
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A Student Nurse A Nurse Takes

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