NUR 102 NURSING TRANSITION LVN(LPN)/RN

SUMMER 2009

BY

MS. Y. HULUM, MSN

ROLE TRANSITION SCENARIO:

Jefferson is entering the transitions class for licensed practical nurses (LPNs) in an associate degree in nursing (ASN) program at a Coahoma Community College. He feels the transitions class is not really necessary because he has been dealing with transitions his entire life. His nursing career began in high school when he worked as a nursing assistant (CNA) in a nursing home. After high school he became a qualified medical assistant and, eventually, an LPN. So, here he is today working on his associate degree…what is one more step up to nursing ladder? Jefferson feels that making a bed is making bed…passing medication is passing medication… nursing is nursing! He says, “What’s the big deal? I’m ready doing everything the RNs are doing?

SCENARIO (CONT’D) Think about it 1. How did Jefferson’s responsibilities change for

each of his roles, from CNA to LPN and, finally, RN? Do you think his employer or other members of the health care team had higher expectations as he climbed the nursing ladder?

2. Do changes in roles, such as moving from LPN to RN, affect the attitudes of co-workers toward you and what you are doing?

3. As you move toward you RN role, how do you feel about the other nursing positions?

Types of Role DEFINITION:

A Role is a set of expectations society assumes a person in a certain position or occupation will perform.

ROLE COMPONENTS The nurse’s roles include advocate, counselor,

researcher, mentor, collaborator, change agent, educator, entrepreneur, role model, leader and communicator.

Society may place on a nurses are competent worker, organized care provider, knowledgeable caregiver, caring person, and hard worker.

ROLE COMPONENTS Advocate: speaks for or acts on behalf of

another person.

Counselor: when he listens to a client & uses therapeutic communication to assist the client in making a choice that determines his health outcome.

ROLE COMPONENTS Researcher: A nurse is faced with many

scientific problems to solve or questions to answer each day.

Mentor: A wise, loyal adviser.

ROLE COMPONENTS Collaborator: interacts with the personnel of

several departments to coordinate the client’s care.

Change Agent: the nurse needs to be familiar with the change process and to become a vital part of change.

ROLE COMPONENTS Educator: is perform on a daily basis with

clients interventions.

Role Model: a professional example of student nursing with clients, health care team members, & coworkers.

ROLE COMPONENTS Leader: Able to manage client care, hospital

units, and clinics.

Communicator: Able to uses therapeutic communication to relate information & to explore clients’ feeling and thoughts.

ROLE SOCIALIZATION Developing an internal attitude toward a

profession

As you move through the educational process, your clinical nursing skills will expand, you will acquire new critical thinking abilities, and you will internalize a new person identity.

ROLE SOCIALIZATION During the process of becoming an RN, it is

important for the LPN to value past education and, at the same time, meet the challenge of accepting new ideas, improving critical thinking skills, and learning new nursing techniques.

ROLE TRANSITION Definition:

Implies a change in one’s role requirements, expectations, and work responsibilities. It also requires an internal change in the way one thinks about or views the new role

ROLE TRANSITION As you move through the process of

becoming a registered nurse, your job requirements, expectations, & work responsibilities will change.

This is a process, it will not change overnight. Viewing the transition as a challenging

opportunity will help prepare you emotionally & mentally for the growth process.

ROLE CONFLICT Role conflict occurs when a person’s role has two or

more conflicting or incompatible expectations. Role conflicts can be intrapersonal or interpersonal. Intrapersonal Conflict: a student who struggles to

meet school responsibilities & other social obligations.

Interpersonal Conflict: a doctor’s requesting a nurse to perform a procedure in a manner contrary to a facility’s policy.

LPN & RN KNOWLEDGE AND ROLE

In 1989 and 1990, The National League for Nursing (NLN) established role & responsibilities for practical and associate degree nursing programs.

LPN-RN Knowledge & Roles

LPN & RN ROLES AND RESPONSIBILITIES

LPN & RN ROLES AND RESPONSIBILITIES

Characteristics of a Profession Requires an extended education of its

members Has a theoretical body of knowledge leading

to defined skills, abilities, and norms Provides a specific service Maintains autonomy in decision making and

practice Has a code of ethics for practice

Professional Roles Caregiver

Assess the client, analyze collected information to determine the client’s need, developing nursing plan of care

Advocate Assist the client & family on interpreting information

from other health care team members Educator

Work with clients, family members & caregivers regarding health promotion, disease & treatment

Professional Roles Communicator

Change Agent

Manager

Professional Nursing Organizations American Nurses Association (ANA) National League for Nursing (NLN) International Council of Nursing (ICN) National Student Nurses Association (NSNA) Mississippi Organization Student Association

(MOSA) Mississippi State Nursing Association (MSN)

Future Trends in Nursing Expansion of employment opportunities Public perception of nursing Nursing’s impact on politics and health policy

Levels of Health Care Preventive

Illness Prevention Related to health protection & maintenance Prevention is essential for decreasing the occurrence

of illness Preventive Health Behavior

Is a voluntary action taken by a person or group to decrease the potential or actual threat of illness & its harmful consequences

Three levels of Prevention

Levels of Health Care Primary

Used to avoid or delay the actual occurrence of a specific disease. Examples: wearing seat belts, smoking cessation, being immunized

Secondary Early detention of a disease or condition, sometimes before signs &

symptoms are evident. Examples: Pap smear tests, breast or testis exam, glaucoma test

Tertiary Involves rehabilitation & begins when the disease or condition has

stabilized & no further healing is expected. Cardiac rehabilitation program, rehabilitation program for stroke

head injury, hip surgery and etc.

Levels of Health Care Restorative

Restoring to the optimal level of function

Continuing Continue to provide optimal level of care

Preventive and Primary Care Settings School health services Occupational health services Physicians’ offices Clinics Nursing centers Block and parish nursing

Secondary and Tertiary Care Settings Hospitals/medical centers

Emergency departments Medical units Intensive care

Psychiatric facilities Rural hospitals

Restorative Care Settings Home health care Rehabilitation centers Extended care facilities

SUMMARY Types of Role Role Components Role Socialization LPN & RN Knowledge & Role Characteristics of a Profession Professional Roles Professional Nursing Organizations

SUMMARY Future Trends in Nursing Levels of Health Care Preventive and Primary Care Settings Secondary and Tertiary Care Settings Restorative Care Settings