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Nurse Competency Paper

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Introduction skills and clinical competence. Clinical performance and critical thinking skills are “…negatively impacted by stress and anxiety” (Kim, Oliveri, Riingen, Taylor, & Rankin, 2013, p. e43 The transition from being a nursing student to a novice nurse is a challenge that can be overwhelmingly filled with stress and anxiety. Providing a structured orientation program is helpful in easing this stress and anxiety for a short period of time. After orientation, novice nurses are faced with challenges that require critical thinking and clinical skills beyond what he/she has developed causing a spike in stress and anxiety. Continuing education will help in the progression of a novice nurse to that of an expert nurse, however not exclusively. …show more content…
As stated by Roussel, change not only aids in organizational achievement of goals but of individual achievements as well (Roussel, 2013). The goals in implementing a residency program is to decrease the stress and anxiety of novice nurses by providing a mentor for the first year of practice, to ensure novice nurses are enabled to learn how to provide safe, competent care through critical thinking and clinical skills and to decrease nurse turnover rate to benefit the organizational financial bottom line. Lewin’s theory utilizes three stages to achieve a change such as implementation of a nurse residency program, the unfreezing stage, the moving stage and the refreezing stage (Roussel, 2013). The unfreezing stage within this concept is the recognition of ineffective or absent mentoring opportunities provided to novice nurses and the change agent introducing the need for a change to benefit the entire system. Resources are gathered and a plan for change is created within the moving stage. For example, models of residency programs currently in use can help to identify successful methods to aide in implementation within the organization, based on this information a plan can be put in place. Third is the refreezing stage in which the plan is “integrated and stabilized” within the area and the change agent monitors and addresses driving and restraining forces to ensure a successful implementation …show more content…
Without the expert nurses, or mentors, in agreement with the plan, there is high chance of program failure. Complex adaptive systems (CAS), such as acute care settings, often have barriers to implementing new programs. One trait that will impede the process of implementation of a residency program is being chaotic and not moving predictably to the goal (Roussel, 2013). Lewin’s change theory can break down the chaos to find the issues that are underlying, identify solutions and creating an environment conducive to

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