Life as student nurse

Chapter 7: The Journey from Student Nurse to Graduate Nurse

Key Terms
  • Canadian Council of Registered Nurse Regulations - Representatives from Canada’s 12 provinces and territories that form the organization regulating Registered Nurses (RNs).

  • Canadian Nursing Association - The national voice for nursing students in Canada.

  • Computerized Adaptive Testing - A form of computer testing utilized for the National Council Licensure Examination (NCLEX) to assess nursing candidates.

  • Jurisprudence Exam - Exam designed to assess knowledge and comprehension of laws, regulations, bylaws, and guidelines relevant to nursing practice.

  • Objective Structured Clinical Examination (OSCE) - A testing method used in nursing schools to evaluate the active learning of health assessment skills among students.

  • Preceptor - A one-on-one mentorship relationship between a nursing student and a Registered Nurse (RN) during clinical placements.

Thompson Survival Tips
  • Date: September 4th

  • Plan: Create a structured approach to your studies and responsibilities.

  • Anticipate: Prepare for various scenarios that may arise in your studies or clinical placements.

  • Delegate: Understand tasks that must be done, should be done, and could be done, allowing for efficient management of workload.

  • Balance:

    • Maintain a certain amount of personal time and protect it.

    • Engage in social activities, such as team sports and outings with friends.

    • The Canadian Nursing Students’ Association (CNSA) emphasizes that nursing students have a responsibility to protect their own health as well as the health of others:

    • Prioritize self-care: sleep, eat, and maintain physical activity.

Lectures and Course Management
  • Time Management:

    • Allocate specific weekly time slots for theory study.

    • Consult course outlines and syllabi regularly as they are vital tools for effective time management.

Papers
  • Writing Strategies:

    • Develop a structured approach to the chosen topic.

    • Organize time and materials effectively.

    • Produce multiple drafts to refine the final output.

Resources for Academic Success
  • Academic Calendar:

    • A comprehensive guide to courses, programs, and administrative requirements.

  • Academic Advising Services:

    • Assistance with course selection and program planning.

  • Career Services:

    • Supports transitions from an academic setting to the workforce.

  • Accessibility Services:

    • Collaborates with students and faculty to provide accommodations and support (e.g., extended time on exams).

  • Student Learning Services:

    • Focuses on skills development through peer tutoring, workshops, and writing labs.

  • Orientation Programs:

    • Help newcomers adjust to the academic environment.

  • Student Counseling Services:

    • Provides crisis intervention involving psychologists and therapists (including amenities such as puppy rooms).

  • Student Registration Records:

    • Manage documentation related to fees, scholarships, and registration information.

Exam Preparation Tips
  • Study Strategies:

    • Avoid late-night study sessions that undermine balance and well-being.

    • Retaining information is significantly more effective when content is reviewed multiple times.

    • If feeling too fatigued, prioritize rest to maintain calm and clarity.

    • Ensure all required readings, notes, and learning objectives are thoroughly reviewed before exams.

Clinical Experience
  • Clinical Instructors:

    • Traditionally, a clinical instructor is assigned to supervise a cohort of students throughout their clinical semester.

    • Earlier experiences often included close supervision for effective learning.

  • Benefits of Clinical Placements:

    • Foster social interactions among peers.

    • Enhance learning through direct experience.

    • Promote critical thinking in real-world scenarios.

Client Safety
  • Creating a Safe Environment:

    • Achieved through thorough preparation, organization, competent performance, and accountability in nursing practices.

    • Importance of understanding hospital policies, including assisted lifts and transfer techniques.

    • Critical to know personal limits and to communicate discomfort or uncertainty to supervisors or colleagues.

NCLEX Preparation
  • Exam Format: Computerized Adaptive Testing (CAT) tailors questions based on performance, aiming for a 95\% confidence interval for passing.

  • Content Areas: Questions are based on four major Client Needs categories:

    • Safe and Effective Care Environment

    • Health Promotion and Maintenance

    • Psychosocial Integrity

    • Physiological Integrity

  • Study Resources: Utilize various study materials such as Kaplan, UWorld, or HESI review courses, practice questions, and comprehensive textbooks.

  • Test-Taking Strategies: Practice critical thinking, prioritization (e.g., ABCs - Airway, Breathing, Circulation, Maslow's Hierarchy), and therapeutic communication.

Professional Ethics in Nursing
  • Ethical Principles:

    • Autonomy: Respecting a client's right to make their own decisions.

    • Beneficence: Acting in the best interest of the client.

    • Non-maleficence: Do no harm.

    • Justice: Fair and equitable treatment.

    • Fidelity: Keeping promises and commitments.

    • Veracity: Telling the truth.

  • Ethical Decision-Making Frameworks: Apply systematic approaches to resolve ethical dilemmas, considering relevant principles, stakeholders, and potential outcomes.

  • Professional Boundaries: Maintaining appropriate limits in the nurse-client relationship to ensure therapeutic effectiveness and prevent exploitation.