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TitleTHE LIVED EXPERIENCE OF TRANSITION TO PRACTICE FOR THE NEW GRADUATE ...
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LanguageEnglish
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Total Pages159
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NGLPN’s transition experience negatively. New graduate LPNs need supportive environments

to learn and grow.

Impact, emotions, and perspective. Elizabeth reflected on the fact that the nurse would

report her, instead of talking to her directly. Elizabeth reflected on a situation where the night

nurse that followed her was constantly reporting her to her supervisor for not doing tasks. She

described the nurse was “hateful” and “not a likeable person.” She said that it was “very

challenging.” She said, “It made me a better nurse.” She said that she worked diligently not to

make the same mistake again. She said that the nurse finally left the unit, stating, “I don’t have to

cross paths with her anymore.” Elizabeth said that her CNAs told her, “She treats every new

nurse that comes on like that.” She said, “Everything is good now.” She also reflected on how

she handles situations when nurses forget to do tasks. She said, “I don’t try to get her in trouble.”

She said that she will just call the nurse “if something looks fishy,” and she will handle it herself.

Elizabeth did not want the newer nurse to have the same negative experience that she had with

the nurse that followed her.

Subtheme: Self-determination. Elizabeth shared the following about the situation:

Like the girl I had to count with, she was just negative, but I got over that. She didn’t

make me cry (laughed). I know a lot of CNAs would tell me, every nurse that came

through, she would make them cry. I’m like no (laugh), but that’s the only negative thing.



These comments reflected Elizabeth’s self-determination. Despite the way that she was treated,

she was able to work through the situation. She even laughed about the situation. She reflected

on the fact that she was proud that she did not cry. Elizabeth also said the following regarding

the situation:

It just at first it was like, “oh I do not want to go to work” or at first it was like, “oh she is

off today, everything should be fine.” I hate for anybody to feel like that, but it is like, if I

see something that somebody else didn’t do, I don’t make it a big deal, if I can fix it. I

don’t make it a big deal.

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Elizabeth stated that she had feelings of not wanting to go to work, but if the nurse were off, the

day would go fine. The intimidating treatment by the nurse was a stressor that she had to deal

with on a daily basis. Reflecting on how she coped, she said, “You do have to be strong, you do!

She was (pause) not nice!” She was able to work through the situation and continued to go to

work in the same area of the LTC setting. When asked if she ever thought about quitting her job

because of this negative issue, she stated adamantly, “No.” Elizabeth had self-determination that

facilitated her transition to the setting.

Subthemes: Integrity and human dignity. Elizabeth said that she would not want anyone

to feel the way that the nurse made her feel. Her comments reflected the fact that she “recognized

with humility the human dignity of fellow nurses” reflecting the NLN (2010) ECM’s definition

of integrity. She recognized that nurses deserve respect, even when they are learning.

Participant experience. Elizabeth shared other negative experiences in the LTC setting:

Nothing negative other than women gossiping and talking about other women. Stuff like

that, that’s the only, but I guess you can’t dodge that (laughed). There is no way you can

dodge that, but I just kind of separate myself. I’ll get up and kind of walk away, because

you can’t tell them. Some of them you can’t tell, because you will start a whole other

thing. So I just kind of separate myself, if I hear something that I don’t want to hear.



This is an example of intimidating and disruptive experiences that Elizabeth encountered during

her transition to practice. These passive activities negatively impacted the NGLPN’s transition to

practice in the LTC setting. Elizabeth distanced herself from these behaviors.

Impact, emotions, and perspective. Elizabeth shared that gossiping was a negative issue

that she encountered as an NGLPN in the LTC setting. She said that she handled the situation by

separating herself from the individuals who were engaging in gossip. She said that if she were to

address the issue, it would start other issues. She recognized that the gossiping was not a

behavior that she wanted to be involved with in the LTC setting.

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