Exploring the experiences of beginning registered nurses entering the acute care setting
Rachel Hinds
Intensive Care Unit, Royal Brisbane Hospital, QLD
Jill Harley
Clinician Lecturer, Clinical Services Surgery, School of Nursing, University of Tasmania, TAS
PP: 110 - 116
Abstract
This study begins to explore some of the social and political issues surrounding the practices of the graduate nurse. Utilising an ethnographic methodology with a critical intent, 4 graduate nurses describe their experiences of clinical practice.
The major themes raised or issues that were embedded within the nurses' stories revolved around power and control enmeshed within nursing practice. The themes discussed relate to the graduates' perception of their own competence, and the concepts of the ideal nurse, the socialisation of graduates into the ward culture, being an insider or outsider and a good or bad nurse.
The resulting discussion utilises the theoretical framework of Foucault's governmentality to suggest ways in which nurses and graduates might make sense of these issues.
Keywords
graduate nurse; governmentality; enculturation; socialisation; transition; social order
References
Adamson BJ, Kenny DT & Wilson-Barnett J (1995) The impact of perceived medical dominance on the workplace satisfaction of Australian and British nurses. Journal of Advanced Nursing 21: 172-181.
Beck D & Srivastava R (1991) Perceived level and sources of stress in baccalaureate nursing students. Journal of Nursing Education 30(3): 127-132.
Borovies DL & Newman NA (1981) New graduate nurse transition program. American Journal of Nursing (Oct): 1832-1835.
Boyle DK & Taunton RL (1996) Socialisation of new graduate nurses in critical care. Heart & Lung: The Journal of Acute and Critical Care 25(2): 141-153.
Crowe M (1994) Problem-based learning: a model for graduates transition in nursing. Contemporary Nurse 3(3): 105-109. http://www.contemporarynurse.com/archives/vol/3/issue/3/article/837/problembased-learning
Foucault M (1978) Discipline and Punish: The Birth of the Prison. Pantheon Books, New York.
Foucault M (1980) Power/Knowledge. The Harvester Press, Brighton.
Gerrish C (1990) Fumbling along. Nursing Times 86(30): 35-37.
Haub M (1985)The socialisation of a nurse. The New Zealand Nursing Journal (April): 14-15.
Hazelton MJ (1997) Mental Health, De-Institutionalisation and Citizenship: A study of Mental Health Policy and Practice in Tasmania. Unpublished PhD thesis, Macquarie University, Victoria.
Hindess B (1996) Discourses of Power: From Hobbes to Foucault. Blackwell Publishers, Oxford.
Hinds R: Personal/Professional Journal. Unpublished paper.
Jordan G & Weedon C (1995) Cultural Politics: Class, Gender, Race and the Postmodern World. Blackwell Publishers, Massachusetts.
Maben J & Clark M (1996) Making the transition from student to staff nurse. Nursing Times 20(44): 28-31.
McHaul A & Grace W (1993) A Foucault Primer: Discourse, Power & the Subject. Melbourne University Press, Melbourne.
Moorhouse C (1992) Registered Nurse: The First Year of Professional Practice. La Trobe University Press, Victoria.
Oermann MH & Moffitt-Wolf A (1997) New graduates' perceptions of clinical practice. The Journal of Continuing Education in Nursing 28(1): 20-25, 44-45.
Petersen AR (1994) In a Critical Condition: Health and Power Relations in Australia. Allen & Unwin, St Leonards, Australia.
Short SD, Sharman E & Speedy S (1993) Sociology for Nurses: An Australian Introduction. Macmillan Education Australia, South Melbourne.
Tradewell G (1996) Rites of passage: Adaptation of nursing graduates to a hospital setting. Journal of Nursing Staff Development 12(4): 183-188.
Wicks D (1995) Nurses and doctors and discourses of healing. ANZJS 31(2): 122-139.

eContent Home




