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READ- I was a new graduate my first job in a hospital after nursing school.  I was transferred to work a day at the Psych unit I was nervous and scared.  I was there for thirty minutes, and I had a patient walk up to me and tell me, “I want to die, I killed my mother, and I am going to kill myself.”   I was speechless, I didn’t know what to say.  I felt unprepared, under preprepared and uncomfortable.  So, I walked away.  Ignoring him and not acknowledging him.  My supervisor witnesses the situation and pulls me into the conference room.  She told me, she had witnessed my reaction, and asked how I was feeling.  I expressed to her that I was not prepared for that situation.  I didn’t know what to say to him.  I felt if I said the wrong thing, I would trigger him to really hurt himself.  She realized I was new and apologized.  She sends me back to my unit, medical floor and took over herself.  The next day she ordered for new graduate nurses to take competency pshych classes. 

According to (Kelly & Ahern, 2009).  It is believed that training and clinical practice are separate experiences.

Unpreparedness of nurses during the process of transition to there professional role leads to consequences.  Leads to reduction of quality of patient care. (Hezaveh, M.S. & Rafii, 2013). 

I have learned that having good communication is essential to collaborating with my team and patients.  To achieve this, nurses must understand and help their patients, demonstrating courtesy, kindness, and sincerity.  Good communication also is not only based on the physical abilities, but also on education and experience (Kourkout, l., & Papathanasiou, 2014).  

Carper:  I believe I can reference this situation with Personal Knowing.  According to Carper 1978, she suggests that it promotes wholeness and integrity in different ways.  Since one does not know about the self-one strikes simply to know the self.

According to (Carper, 1998) personal knowing is the most difficult to master and teach and the most essential to understand the essence of patient care.  Knowledge needs to engage in authentic in their personal relationships. 

Chinn & Kramer 1999, suggest that through knowing the self-one can truly know another person’s needs.

After 25 years of Nursing, I feel prepared. 

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