Theoretical Framework Benner’s From Novice To Expert in Clinical Nursing Practice Advanced Novice Competent Proficient Expert BeginnerBrykczynski, K. A. (2006). From novice to expert: Excellence and power in clinical nursing practice. A. M. Tomey &M.A. Alligood (Eds.), Nursing Theorists and Their Work. St. Louis, MO: Mosby Elsevier.
Accreditation: Commission onCollegiate Nursing Education (CCNE)Standard III – Curriculum• III-C.4. Stress Management “The nurse must recognize and deal with personal stress levels in order to effectively manage situational stress. The program is designed to help the resident develop strategies to manage stress that results from a new job, role, or work environment. The resident must also learn to anticipate, assess, and intervene when situational stress occurs in a variety of interactions with different people.”
Stress Management• Transition into practice is stressful to graduate nurses• Turnover rates in the first year of nursing are high, ranging from 20% – 40% (Fink, Krugman, Casey, & Goode, 2008)• Increased stress levels can lead to: • Lack of sleep • Weight fluctuations • Increased absenteeism • Increase in errors • Burnout
Hunter’s Seven Steps for Lesson PlansDr. Madeline Hunter, UCLA • Anticipatory Set - focus • Statement of Objectives – goal of lesson • Instructional Input – the lesson • Modeling - demonstration • Check for Understanding- questions and discussion • Guided Practice– assist in practice of new skills • Independent Practice – autonomous practice
Lesson Plan: Stress ManagementAnticipatory Set• Room: Low lighting, soft music, herbal teas• Focus Question: RELAX: How do you do it?• Stress/Release Exercise
Lesson Plan: Stress ManagementObjectivesUpon completion of this lesson, the resident will be able to: Identify personal stressors Assess self for signs of increasing strain Describe consequences of stress Demonstrate methods for relaxation
Lesson Plan: Stress ManagementInstructional Input – the lesson• Causes – What causes stress for you? • At home • Leisure • Work• Self Recognition – How do you know? * * DISCUSSION * *
Lesson Plan: Stress ManagementInstructional Input – the lesson Impact: What can happen?
Lesson Plan: Stress ManagementInstructional Input – the lesson• Positive Coping Techniques: What can you do?• Demonstration – Let’s try it!
Lesson Plan: Stress Management• Independent Practice • Stress Diary/Coping • Meal plan