This document discusses role transition and reality shock experienced by new nurses. It defines key terms like role, transition, and reality shock. It describes Afaf Meleis' transitions theory and Kramer's model of reality shock. Kramer's model outlines the phases of reality shock - honeymoon, shock, recovery, and resolution. The document also discusses challenges faced during the transition from student nurse to professional nurse and provides strategies to prevent reality shock such as developing relationships, finding a mentor, and using self-awareness.

1. wi
9/30/2017 REALITY SHOCK & ROLE TRANSITION 1

2. REALITY SHOCK & ROLE
TRANSITION
N/C Sana Sultan
N/C Saira Riaz

3. OBJECTIVES
At the end of this presentation the learner will
be able to:
 Define transition & role
 Elaborate the role components
 Define role conflict & its types
 Describe the types of role transition
 Explain Transitions theory of Afaf Meleis
9/30/2017 REALITY SHOCK & ROLE TRANSITION 3

4. OBJECTIVES Contd…
 Define reality shock
 Discuss Kramer's model for reality shock
 Describe practical steps to ease the
transition from learners to professional
nurses
9/30/2017 REALITY SHOCK & ROLE TRANSITION 4

5. Role
“A role is a set of expectations society assumes a
person in a certain position or occupation will
perform”
9/30/2017 REALITY SHOCK & ROLE TRANSITION 5

6. Transition
“A movement, development, or evolution from one
form, stage, or style to another”
(From
Dictionary)
9/30/2017 REALITY SHOCK & ROLE TRANSITION 6

7. Role Transition
“The psychological (and, where relevant, physical)
movement between roles, including disengagement
from one role (role exit) and engagement in another”
(Ashforth Kreiner and Fugate,2000)
9/30/2017 REALITY SHOCK & ROLE TRANSITION 7

8. Role Components
Advocate
Counselor
Educator
Change
Agent
Role Model
Leader Researcher
Communicat
or
Mentor
9/30/2017 REALITY SHOCK & ROLE TRANSITION 8

9. Role Conflict
“Role conflict occurs when a person’s role has two
or more conflicting or incompatible expectations”
Types:
 Intrapersonal Conflict
 Interpersonal Conflict
9/30/2017 REALITY SHOCK & ROLE TRANSITION 9

10. Types Contd…
Intrapersonal Conflict:
A student who struggles to meet school
responsibilities & other social obligations.
Interpersonal Conflict:
A doctor’s requesting a nurse to perform a
procedure in a manner contrary to a
facility’s policy.
9/30/2017 REALITY SHOCK & ROLE TRANSITION 10

11. Types of Transitions
Developmental
Health &
Illness
Situational
Organizational
9/30/2017 REALITY SHOCK & ROLE TRANSITION
11

12. Types of Transitions Contd…
Developmental Transition:
Includes birth, adolescence, menopause, aging, and
death
Health And Illness Transitions:
Include recovery process, hospital discharge, and
diagnosis of chronic illness
9/30/2017 REALITY SHOCK & ROLE TRANSITION 12

13. Types
Contd…
Situational Transitions:
Involve the addition or subtractions of persons in a
preexisting constellations of role and complements.
(e.g loss of family member through death)
9/30/2017 REALITY SHOCK & ROLE TRANSITION 13

14. Types
Contd…
4.Organizational Transitions
Changing environmental
conditions that affect the
lives of clients, as well
as workers within them
9/30/2017 REALITY SHOCK & ROLE TRANSITION 14

15. 9/30/2017 REALITY SHOCK & ROLE TRANSITION 15

16. 9/30/2017 REALITY SHOCK & ROLE TRANSITION 16

17. 9/30/2017 REALITY SHOCK & ROLE TRANSITION 17

18. Reality Shock
‘‘The reactions of new workers when they find
themselves in a work situation for which they have
spent several years preparing, for which they thought
they were going to be prepared, and then suddenly
find they are not”
(By Kramer,1974)
9/30/2017 REALITY SHOCK & ROLE TRANSITION 18

19. Causes of Reality Shock
Unrealistic expectations
Feel unsure without the security of the
instructor
Education program did not adequately
prepare
Do not have time & adequate knowledge
9/30/2017 REALITY SHOCK & ROLE TRANSITION 19

20. Phases of Reality Shock
 Honeymoon phase
 Shock phase
 Recovery phase
 Resolution phase
9/30/2017 REALITY SHOCK & ROLE TRANSITION 20

21. Phases of Reality Shock Contd…
Honeymoon phase:
Period of excitement and seeing the world
through ‘rose colored glasses’
Tips:
 Develop initial bonds of trust and respect
9/30/2017 REALITY SHOCK & ROLE TRANSITION 21

22. Phases of Reality Shock Contd…
Shock phase:
Negative feelings towards their new profession
surfaces
Tips:
 Finding a mentor for guidance
 Taking care of yourself physically and
emotionally
Developing a support network
9/30/2017 REALITY SHOCK & ROLE TRANSITION 22

23. Phases of Reality Shock
Contd…
Recovery Phase:
Able to look at all sides and see the realities
with a more open perspective
Tips:
 Receive constructive criticism
9/30/2017 REALITY SHOCK & ROLE TRANSITION 23

24. Phases of Reality Shock Contd…
Resolution phase:
Usually take around a year. Person can see
the role in perspective and fully contributes
to the profession
Tips:
 Continually help them retain the positive
aspects of their job
9/30/2017 REALITY SHOCK & ROLE TRANSITION 24

25. Transitioning From Student Nurse to
Professional Nurse
 Lack of confidence to perform skills
 Difficulty with critical thinking and gaining
knowledge
 Developing relationships with peers and
preceptors
 Struggling with wanting to be independent right
out of the gate
9/30/2017 REALITY SHOCK & ROLE TRANSITION 25

26. Transitioning From Student
Nurse to Professional Nurse
 Frustrations with the work environment
 Organization and priority setting
 Communication with Physicians
9/30/2017 REALITY SHOCK & ROLE TRANSITION 26

27. Strategies to Prevent reality
shock
Develop relationships with
your co-workers
Find someone who knows
what you are going through
Share your experiences
9/30/2017 REALITY SHOCK & ROLE TRANSITION 27

28. Solution for reality shock
Theoretic
knowledge
Self-
awareness
Delegation
Documentati
on
Communicatio
n skill
Use nursing
process
9/30/2017 REALITY SHOCK & ROLE TRANSITION 28

29. 9/30/2017 REALITY SHOCK & ROLE TRANSITION 29

30. References
 Retrieved from
https://workfamily.sas.upenn.edu/glossary/r/r
ole-transitions-definitions on 14th Sep, 2017
 Retrieved from
https://www.researchgate.net/publication/23
0638439_Final-
year_student_nurses'_perceptions_of_role_tr
ansition on 15th Sep, 2017
9/30/2017 REALITY SHOCK & ROLE TRANSITION 30

31. References Contd…
 Retrieved from
https://uiowa.edu/ionrp/article/reality-shock-
new-graduate-nurses-part-1on 19th Sep, 2017
9/30/2017 REALITY SHOCK & ROLE TRANSITION 31

32. 9/30/2017 REALITY SHOCK & ROLE TRANSITION 32

33. 9/30/2017 REALITY SHOCK & ROLE TRANSITION 33

34. 9/30/2017 REALITY SHOCK & ROLE TRANSITION 34