Critical care nursing essay

  • October 22, 2020/
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Critical care nursing essay

Completing your nursing studies and moving along your memorable path to become a registered nurse makes many nursing graduates to feel proud of themselves;  although, many nurses experience problems while splitting from student life to career life. According to Evans the changeover period of shifting from student life to career life is accompanied by doubts, anxiety to the newly graduated students. Furthermore, Evans also noted that the newly graduated students also indicated feelings of eagerness, accomplishment, superiority and inspiration for their new duties. However, the first uneasiness and pleasure the two feelings are significant for familiarizing with the new duties and experiencing the reality of career life. The process of changing for newly graduated students always remains difficult, demanding and infuriating. Many of the newly graduated students change process to the surroundings of the hospital always complain of poor performance to their work within the time frame of their change.Critical care nursing essay.

The key factors comprise of nurse patient ratio, awareness of patients, the documentation of papers and compound electronic documentation, and partnership with many disciplinary team. Additionally, the first year of the new graduates is always devastating in terms of the new working environment, prowess, rules, and processes mingling with management and their fellow healthcare workers. It is also noted that regardless of having strong clinical studies and general orientation program, the newly graduated students are not confident with themselves while carrying out their duties in the hospital during their transition period. In case, this is a situation for beginner nurses carrying out their duties in wards, the critical parts are even more extensive and high tech skilled to accommodate them.

Defining Critical care Nursing

This needs licensed experts nurses to enable them offer proficient care with assurance in the vibrant surroundings where ill people changes quickly and erratically. Furthermore, these rapid alterations result to life intimidating situations that have been dealt carefully. In 2002 Freiburg said that assurance in nursing exercise is a crucial concern for the nurses carrying out their duties in critical care sections, since it is directly connected to competency. Critical care nursing is among the most challenging, chaotic, difficult and demanding discipline considered above the level of newly graduated students. Critical care nursing essay,any extensive exercise relies on the two complex achievement of set theoretical understanding into exercise are the one who relies on the given filed of knowledge, prowess and skills to offer optimal care, generate healing and caring surrounding for not only ill people but also the families and the caregivers. CNN carries out clinical practice in a location, where, patients demand extensive assessment, high-intensity therapies, involvements, and constant nursing observations. Additionally, they are supposed to have capability to be independent in making the right decision and clinical conclusions to boost patients and families. Although newly graduated students do have the skills, knowledge and proficiency to make sure patients is safe, control high-tech capability and get along with the work pressure under stressful surroundings. Furthermore, the early and abrupt induction of the graduates into the working life of highly skilled professionals results to a reality shock and always gets overwhelmed. So, in my opinion, I believe that newly graduated students are not supposed to be assigned in critical care sections immediately after the graduation.Critical care nursing essay.


According to study by professionals they say that 30% to 40% of newly graduated student nurses abscond their first jobs after an year because of facing many challenges in critical care sections and one of them is lack of confidence, nervousness, critical thinking, observing hemodynamics and cardiovascular boost and distress of controlling life threatening conditions. This abrasion not only adds the nursing scarcity but also it will be expensive for the hospital and other various healthcare organizations. The graduates are always stressed because they lack experience. They also don’t have organizational proficiency, nursing processes, clinical proficiency. This eventually ends up to stressful conversion or authenticity shock. In 1979 Marlene Kramer was the first person who named this condition a reality shock and said that the newly graduated student’s nurses always go through psychological stress and they are unable to observe the whole condition and get a solution to the issues. As an outcome, the end results of stress will result to high clinical errors that do not encourage safe patient care.

Brewer, Pellico and Kovner researched on the encounters of nurses who are newly licensed nurses’ stress which ensued from contradictor demands of service realities, comprising bad quality of student care, time and job overwhelming, employment shortages, and the morals od patient-focused, evidence based, quality, and safe patient care. Critical care departments’ needs nurses who are experts in a given area. The significance of specialization knowledge service rift and its influence in the early stage of working in the wards or critical care departments always poses as a challenge to the newly working nurses. They feel as if they are not ready to enough to handle patients who need critical care. It is also challenging for them to work with healthcare experts because they don’t have knowledge and skills. In the academia, though student nurses are offered strong education and skill services under housed and safe environment. On the contrary, things are completely different in the actual practice environment to function independently mainly in high-tech experienced clinical surroundings which generates uneasiness and doubt among new nurses.

Duchscher and Cowin boosted the concept that the newly graduated nurses might encounter essential value differences between the academic surroundings in which they have learned and the actual service that they are just joining. However, Whitehead outlined that the cause of uneasiness is a usual part of conversion and it declines with encounters only.Critical care nursing essay.

Learners’ nurses also feel scratchy in passing information with doctors and other healthcare experts at the admission level in the wards or critical parts. A research completed by Hemani in Pakistan highlighted that because of nurses does not have technical and expert knowledge. Doctors treated their patients like their nursemaid rather than as their co-workers. Critical care departments include the multidisciplinary group where powerful and actual communication prowess and partnership are the rudimentary needs in arranging patient care. Lalani and Dias in their research found out the reply of research participants who were new graduates that talking to health practitioners is frightening and scary during the first change stage for them. Additionally, same results have also been stated by Duchscher in her research that the new graduates shared the anxiety of doctors and hence he recommended that nurse-health practitioner communication is supposed to be clear and real as it directly impacts patient’s care. Additionally, Boswell, Lowry and Wilhoit recommended that development of nurse doctor communication is important because it improves the new nurses to serve as an advocate for patient.

Critical Assessment Of Critical Care Nursing

Walking into the hospital at 6:40am you badge in and make your way to the floor, just minutes into your shift you hear the intercom buzz “code blue, 1A, code blue 1A”. Almost immediately you hear the front doors of the floor flying open and staff members rushing in. Those staff members, are ones from the Intensive Care Unit or ICU. Nurses from the ICU are specially trained in the care of critically ill patients with special needs for extensive monitoring. Critically ill patients are defined as those patients who are at high risk for actual or potential life-threatening health problems. The more critically ill the patient is, the more likely he or she is to be highly vulnerable, unstable and complex, thereby requiring intense and vigilant nursing care (AACCN, 2016, para. 2). Critical care nursing is a job that is very well respected, but with that respect comes a lot of responsibility and education as this job will continue to evolve over the years.
In the event that one decides critical care nursing is where their future resides, you must first figure out where to start in your education. Prospective registered nurses must complete a graduate program which should include classes such as Anatomy and Physiology, Microbiology, and other social and behavioral sciences. Students will also be involved in a clinical setting where they will explore core nursing subject such as ethics, mental health, and pharmacology. Nurses who want to work in critical care must obtain a bachelor’s degree of nursing. The path from RN to ICU nurse can vary from state to state. For example, typically in Delaware you work your way up the chain.