Promoting Transition to Professional Practice of Senior Nursing Students through the Use of Pagers in the Clinical Setting

Promoting Transition to Professional Practice of Senior Nursing Students through the Use of Pagers in the Clinical Setting

Academic Year:
2012 - 2013 (June 1, 2012 through May 31, 2013)
Funding Requested:
$500.00
Project Dates:
-
Applicant(s):
Overview of the Project:
The preparation of baccalaureate graduate nurses in becoming confident, competent practitioners as they enter professional practice is challenged by increasingly complex health care delivery systems that consist of high patient acuity and increased nursing workload. One aspect of professional role development includes efficient and effective patient and interdisciplinary communication. Nurses use pagers in the University of Michigan Health Care System to communicate with patients and other health care team members. The student is left out of the loop of communication when they do not have the ability to receive pages from the patient, or other disciplines. They also do not experience prioritization of immediate demands communicated through the pager system, respond promptly to patient care needs or experience typical competing demands placed on the nurse. In short, they are not being socialized to the entire role of the professional nurse, which may contribute to decreased confidence and/or ‘readiness to practice' upon graduation. Senior nursing students experience clinical immersion in N457/459 which is an apprenticeship-type course designed to promote transition of the student to professional nursing practice. It is proposed that students placed on UMHS moderate or general care units be provided with pagers during this clinical immersion course. Positive student outcomes should include increased communication, autonomy, prioritization, delegation and confidence in their nursing role. Implementation of this innovation will occur in the winter, 2013 semester, and again in the fall 2013 semester. Evaluation will occur through survey feedback from nurse mentors and students following implementation.
Final Report Fields
Project Objectives:

1. Determine if pager usage by nursing students facilitates patient, nurse and interdisciplinary communication 2. Determine if student pager usage simulates competing demands placed on the nurse, requiring critical thinking and prioritization. 3. Determine if student pager usage increases autonomy and professional socialization.

Project Achievements:

Pager usage was received very positively by students and nurses. Ninty-two percent of students (N=12) reported that they felt like pager usage improved their patient, RN, interdisciplinary communciation and understanding of the compteing demands of a professional nurse. The nurses (N=7)believed that pager usage contributed positively to the students accountability, professionalism, communication, efficiency in patient care, ability to prioritize and development of autonomy (m = 3.43). All nurses recommended that all students use pagers during their clinical hours. Both students and nurses identified that some technical difficulties occurred with the student pager usage, including time delay of pages, or difficulty programming the pager into the system.

Continuation:
We plan to continue this project with the remaining funds during the fall 2013 semester with students in N457/459 who are placed on moderate/general care units at UMHS. We will continue to study the effect of pager usage, and assess nurse mentor and student satisfaction with the pager. If positive results continue, we plan to incorporate this as the standard practice for all students in the course.
Dissemination:
Dissemination will occur through publication and poster presentations.
Advice to your Colleagues:
It is important to set clear guidelines for pager usage for students, with the nurse mentors also informed of these guidelines. Faculty follow-up with each student is important to address technical difficulties that may be occurring for students, which would lead to non-usage of the pager.

Source URL: https://crlt.umich.edu/node/85884