Role Transitions of Registered Nurses: a Literature Review

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Role Transitions of Registered Nurses: A Literature Review Joshua ÓFloinn RN, CCRN Fort Hays State University

A literature search for articles that specifically address the transition between nursing practice with the associate degree to practice with the bachelor degree did not produce many results. I did find one interesting article, titled “There really is a difference: Nurses’ experiences transitioning from RNs to BSNs.” The authors utilized descriptive phenomenology to “explore and describe nurses’ experiences with their transition as RNs to BSN’s from the participants’ perspectives” (Delaney & Piscopo, 2007, p.169). This was accomplished by interviewing 12 nurses who had completed RN to BSN programs 4 months to 5 years prior to the study. The transcripts of the interviews were reviewed for significant statements, which were “transposed into formulated meanings and later collapsed into theme clusters” (Delaney & Piscopo, 2007, p.169). The role transition experiences of the nurses were distilled into eight major themes: love of learning as a primary motivator for pursuing the BSN, a tentative beginning to the RN to BSN coursework, knowledge growth fueled particularly by research and leadership coursework, empowerment resulting from a shift in perspective prompted by knowledge growth, leadership and advocacy skills manifesting from empowerment, realization of the ability to confront and conquer challenges despite adversity, consciousness of the larger context surrounding their nursing practice, and an awareness of a difference in the way they approach patient care (Delaney & Piscopo, 2007).
I found myself in the first class, and we were told that a BSN nurse was at a different level than an associate or diploma nurse. I found myself, as did other students, feeling a little defensive. We felt as though we were already fine nurses, we had been
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