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Vulnerability article summaries

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Nursing 4420W/X
Terry Biggs

Article Summaries: Vulnerability, Disenfranchisement and Marginalization (Group 7) Boychuk Duchscher, J. E., & Cowin, L. S. (2004). The experience of marginalization in new nursing graduates. Nursing Outlook, 52(6), 289-296. doi:10.1016/j.outlook.2004.06.007 This article outlines the history of marginalization as a concept and discusses its role in attrition of new nursing graduates from professional nursing. The journey from student nurse to professional practioner is filled with mixed emotions of excitement and nervousness. However, this initially exhilarating transition may quickly become distressing and traumatic once new nurses become aware of the contrasting differences between what they learned and were lead to believe in their undergraduate education and the reality of their experience in health care delivery. This tension between two polarized ideals may contribute to feelings of stress, isolation, vulnerability and uncertainty. This article suggests that student nurses entering the workforce are both inadequately prepared by their undergraduate education on the full scope and realities of hospital nursing, as well as incompetently oriented into an oppressive workplace environment that they are expected to maintain. The problem of marginalization has become a significant workforce issue and strategies for management should focus on the issues of sustainable workforce, quality health care, improved interpersonal relationships and best practices. Strategies which address marginalization of the new nursing graduate include: 1. Promote tolerance, acceptance and mutual respect 2. End oppressive nursing actions by utilizing liberating practices 3. Consistently present nursing as a “sea of possibilities” rather than mutually exclusive specialized nursing 4. Encourage greater collaboration between nursing academia and the clinical workplace 5. Develop an understanding of generational issues in the workplace (specifically in nursing), and develop flexible work practices that complement the multi-generational workforce 6. Explore work-based rituals and routines with all nursing staff by encouraging discussion and debate on best practices Decreasing the effects of marginalization lessen the potential trauma of transition and foster independent critical thinking which leads to higher retention by the workplace. Zerwkh, V, J. (2000). Caring on the ragged edge: Nursing persons who are disenfranchised. Advances in Nursing Science, 22 (4), 47-61. Retrieved from What is it like to care for the people when often mainstream society does not care? These ind
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