Choosing a nursing career is very challenging; because we take the responsibility of ones life. A nurse should be proficient enough and hard employee, but the critical attention nurse should be more skillful and critical thinker, because they directly provide health care to critically sick patients. Critical attention areas have high tech monitoring, patient status changes regularly. Therefore staff needs to be experienced but also for the amateur nurse the surroundings is very new plus they don't acquire enough skills. In critical good care areas personnel should stop wasting time responder because patient's condition deteriorates within minutes. Staff needs to respond quickly normally the individual may put up with. (Morrison et al. 2001). Critical good care areas are designed to give attention to especially critically sick patients. Critical health care nurses are people who provide health care to the people patients who are with life threatening problems and at high risk. The new graduate nurses are not able to provide their superiority of service because they may have insufficient experience, lack of communication skills, and chances of mistake increase.
Firstly, these are fresh graduates and have lack of experience. They immediately came from university; soon after graduation so they have got deficit in medical knowledge and they also don't know the policies. Their skills aren't well developed due to which they are at high risk to make errors. They aren't practical because they have got not came across critical patients in reality. So if patient have any internal deterioration in condition they cannot understand or realize it. Corresponding to Ihlenfeld (2005) "When approaching directly from nursing university and starting their employment opportunities in the critical health care area, new nurses can to start out without preconceived ideas about nursing treatment. However, they bring with them inexperience, lack of personal assurance in their own abilities, and the necessity for professional reassurance. " I wish to share an event that in device I got team innovator and anticipated to lack of experienced personnel I designated a newbie nurse in special attention area. I was too busy so, after three time I got the opportunity to evaluate her practice. I moved into in the room and I witnessed the particular one patient's heartrate was high. WHILE I asked her about the patient's condition that personnel said that screen leads aren't well secured, but I put some hesitation. I visited the patient and checked manual pulse that was too high. Suddenly, patient developed arrhythmias then I called doctor and we supervised the patient. After that event, I became aware that newbie cannot work in critical good care areas. Corresponding to Morrison et al. (2001) Seven hundred and 35 information covering 1, 472 happenings were determined as relating to nurse personnel inexperience. "Nurse Staff inexperience can have a negative impact on the quality of care sent to critically ill patients, as shown by the event and results of situations related to such inexperience Errors are more likely to arise when inexperienced personnel is combined with staff shortage, limited guidance and high device activity".
Secondly, beginner nurses don't possess effective communication skills. They did not have worked independently in hospital set up, so their Social skills aren't well toned. They face many problems while conversing with other health care staff, patients and their own families properly. Based on the critical good care nurse "Physicians demand information, co-workers are stressed, family members are frightened, and patients feel helpless. Therefore, it is vital for the nurse to practice strong interpersonal dynamics both verbally and nonverbally and to stimulate optimistic health team communications" this lack of impersonal skill decrease nurse's participation in patient's good care. Moreover, they are very new so, they make an effort to discuss patients more for their learning purpose and this will break patient's confidentiality and privacy.
Thirdly, critical treatment nurses should be proficient and manage their work on time. Alternatively newbie nurse need enough time for a simple task, because of that they get overcome even with hardly any tasks. Due to workload they get lost, and become troubled, and get frustrated easily and unable to manage their focus on time which boosts chances of problem. Sometime these problems may become sentinel and can place the patient's life in peril. Furthermore, they may have lack of self-confidence scheduled to new working environment. It's better to first assign them in ward setup to bring competence and build assurance in them. Regarding to Proulx & Bourcier (2008) "Graduate nurses are often confused with the multiple roles and jobs required in looking after critical attention patients. The preceptors at Catholic INFIRMARY, Manchester, New Hampshire, identified a major concern with graduate nurses: too much time was necessary for the new nurses to become proficient at concluding basic critical health care tasks. " I've observed that due to some reasons like increasing medical workload, and high nursing turnover, absenteeism rates and personnel shortages or devoid of senior staff we assign newbie nurses in critical area. Moreover, due to insufficient experience and skills routines they cannot make proper decisions, and cannot deal with patients which improve the patient stay static in hospital.
According to Morrison et al. (2001) "Nurses in intensive care are regularly challenged with monitoring patients, making decisions and responding in a timely manner to make changes in patient condition. The nurse's capacity to make exact clinical judgments is essential". However, inexperienced nurses may be unprepared for the demands of intensive care nursing, requiring extra support and supervision. "
We may take the example of our hospital; our management has taken the decision they don't really hire the novice nurses in critical treatment area.
Yes, this is very right that novice has insufficient experience, not experienced, and do not have communication skills, however they can work in critical treatment area, for the reason that they are fresh graduates, consequently can bring new changes with their new knowledge because they are up to date with new information and ways of management patient. Work in critical good care area is vital for their progress, professional development, and their learning. Furthermore, Skills and knowledge come with experience, and experience also make person competent and confidence. They must be allowed to work in critical attention areas. Furthermore, hospital should arrange the lessons and learning programs for them to make sure they are more competent. Device management needs to assign novice nurse in critical area with an experienced staff for training and make that personnel more skilled and aware about environment. Matching to Ihlenfeld (2005) "To supply new graduates with the education and experience that they have to individually practice in critical care, mentors are suggested to be assigned to new nurses. These role models help the graduate nurse to expand into the critical health care role. " WHENEVER I was working as a staff, in our unit we used to assign amateur nurse with mature expert personnel for 6 to 8 weeks to teach them, before assigning them forever and separately.
This holds true that knowledge competency and assurance come with experience. It's important for amateur professional development, but we cannot let to put the patient's life in peril for one person's learning. We are able to teach them in the beginning on the whole wards. They can first get experience in ward installation and then can be transferred to critical good care areas. Given that they have lack of communication abilities as a result, they cannot connect effectively with patient, and which hinders repo building between nurses and patient hence cannot help patients. Experienced staff is capable of doing these jobs very effectively.
All in all Novice nurse shouldn't be permitted to work in critical good care area, because they have lack of experience, don't have communication skills, aren't capable to work in critical health care area and help patients to cope with this uncertain situation. Last but not least, I would recommend that they must be first assign in general wards for their professional progress, skill practices, and to increase the knowledge.
Proulx, D. M. , & Bourcier, B. J. (2013). GraduateNurses in the Intensive Care Unit: An Orientation Model.
