This paper will explore and discuss the challenges faced by an LPN transitioning to the new RN role. This paper discerns the obstacles of the transition phase in where an LPN is not yet an RN, but is held to such a standard. This paper deliberates the practice of being an assertive communicator; of being able to express emotions and confidence to have positive outcomes. In addition, the LPN will become actively involved in fostering interaction with co-workers, administrators and physicians to have a voice that is valued.
Problems With Co-Workers in the Transition to an RN Role Becoming a nurse was a dream that became reality for me in October 2012. I had passed the LPN-NCLEX. I was eager and full of hope, looking toward the beginning of a new career for which I had been preparing. The challenge, which alarms me, is the transition phase where I am not yet an RN, but I am held to that standard.
My aim is to practice being an assertive communicator as well as foster interaction with co-workers, administrators and physicians. I feel if I overcome these challenges, any future obstacles will be simple and less worrisome. Assertiveness is defined as “learned behavior that includes standing up for one’s rights without violating the rights of others”. Often times, I am not as assertive as I will like to be. I feel since I am new to the nursing field I lack confidence and tend to be rather quiet. I do communicate the needs of my patient to physicians, but I lack the confidence to suggest an intervention that might be beneficial to the patient.
Usually, I convey my intervention to the RN and then in turn she talks to the physician about it. In the end, my intervention is implemented in the interest of the patient. I see that being assertive in nursing is a win/win situation in where all parties negotiate for a positive outcome. As I become familiar with different procedures and my skills grow I know that I can become an assertive communicator that is confident, open, and candid with the healthcare team. I work in a great unit where everyone is part of the team. I feel at ease that I can approach any RN or specialist and ask questions without feeling incompetent. My proctor has introduced me to the entire team and views me as part of the team. I still fell hesitant when it comes to physicians because I feel inadequate with my skill level. I do converse with physicians but it is usually short and to the point. Our team is pretty open to suggestions and has a patient and health care team discussion every week. Usually this team includes the unit manager, physical therapist, speech therapist, occupational therapist, psychiatrist, family and patient. The purpose is to review the patient’s progress and goals and how they feel they are truly doing. The patient establishes goals along with the team.
Everyone can give solutions to problems and have a plan of action for the patient. I have a vision: that by fostering relationships with co-workers, administrators, and physicians, I will become empowered and self-confident to connect. In conclusion, I am enthusiastic to start my new role. I understand the many challenges I face in the future. I am confident that with a positive attitude and hard work I can become assertive, which in turn will help me to connect with the entire healthcare team.
Harrington, N. & Terry, C. (2009). LPN to RN Transitions: Achieving success in your new role; 3rd. ed.; Philadelphia; Lippincott, Williams and Wilkins.
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