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Transition Theory

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In a 1968 study Kramer investigated the dimensions of role socialization in novice nurses and reasons for the early abandonment of the profession by nearly 30% of new nurses. Kramer (1968) concluded that one of the principal causes of this high dropout rate was conflict between the idealized training in caring which was provided by nursing schools and the task-centered approach of hierarchically organized workplaces. Since that time, the transition from nursing student to staff nurse has been studied extensively in terms of "role conflict . . . between the professional values taught in nursing school and the bureaucratic values supported by the employing organization" and increased clinical training of various types has been seen as the principal means of alleviating transition difficulties (Itano, Warren & Ishida, 1987, p. 69).

Transition theory offers a framework in which the transition process can be studied. Meleis (1986) defines transitions as periods in which change takes place in an individual or an environment and which possess certain commonalities. The traits that all transitions have in common are: 1) disconnection from previous social connections and supports, 2) absence of familiar reference points (objects or persons), 3) the appearance of new needs and/or the inability to meet old needs in accustomed ways, and 4) incongruence between former sets of expectations and those that prevail in the new situation. This broad transition concept has several importa

. . .
nt implications for the student transition period was that of Boyar, Senturia and Palisin (1989) who found that LPN candidates on an accelerated course did not suffer in terms of role socialization in comparison with student nurses on a standard course, when the two groups entered practice. These findings imply that clinical learning modules in undergraduate nursing programs may have only limited impact on the later role socialization of novice nurses. The most significant study of transitions and socialization was conducted by Clayton et al. (1989) who studied groups of student nurses for six months prior to and six months following the beginning of their first jobs. One group of students had participated in a preceptorship program in a clinical setting during schooling, the control group had no previous clinical experience. In their findings Clayton et al. (1989) reported that, after starting their first jobs, the preceptor group had significantly higher scores on subscales for leadership, planning and evaluation, interpersonal skills, and collaboration. In the area of clinical skills acquisition there is considerable debate over the value of clinical learning experiences in the context of the educational process. Noy
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Some common words found in the essay are:
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Approximate Word count = 3189
Approximate Pages = 13 (250 words per page)

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