Preparation for Licensure and Transition to Professional Practice

As a final post, reflect on this semester’s preparation for licensure and future professional practice. Write a thoughtful post (categorized as “Reflection”, “Licensure”, “Goal-Setting”, and “Self-Care”) guided by the following prompts:

A. How did you use your Individual Performance Profiles for each ATI Assessment to improve your outcomes (slower testing/more thorough reading of questions & answers, changed testing environment, etc.)? Include any differences you noticed as the semester progressed.

Throughout the semester, my individual performance profile for each ATI assessment varied a bit. My biggest area to work on is to go slower on my testing. I have really tried this semester to work on that and although I have made some improvement, there is still more to make. I found that taking my time has certainly improved my grades, but even when I am aware of this I still rush on certain questions individually. This is definitely an area that I am continuing to identify and improve but it is getting better. I will catch myself going a little too quick, take a deep breath, and reassure myself of how much time I have. Every exam I always have so much extra time and telling myself this information repeatedly has been helping. Another area that I have certainly improved upon is my thorough reading skills. When taking an ATI practice quiz it can “help” you and highlight or underline important terms/words of the question and this helps me understand what to focus on more. I have now taken that skill into my own hands and during exams I too highlight focus words and key information to pay attention to.

B. How did you use content gaps identified through the various ATI assessments to gain content mastery and prepare for safe practice (use of ATI remediation/content resources, review of nursing course resources, meeting with faculty/instructors, etc.)? Include any differences you noticed as the semester progressed.

I continue to be confused by the ATI remediation/content areas of review. I understand that the areas of review are from the questions that you got wrong, but when using the website when you click on the topic you got wrong, the website brings you to an area of the book that does not correlate with what the question topic is. With that being said, I utilize the search bar and find the correct information in the book myself. I often found that the ATI remediation tool in the website never really helped my understanding and I found myself looking online for the information on the given topic. I am not sure if this is considered a glitch on the website or this is how they “teach.” My favorite form of identifying content gaps is taking the quizzes that tell you immediately what you got wrong or right and the explanations they write in there are extremely beneficial. This is also the case with adaptive exams too, making the adaptive exams very beneficial too.

C. What self-care strategies did you adopt or adapt to better prepare yourself for licensure and practice (better time management, mindfulness practices, better work/life balance, etc.)? Include any differences you noticed as the semester progressed.

I certainly could continue to work on balancing life and work but I feel that this semester I really grasped a good hold on it. This semester I actually got a gym membership and scheduled in when to go and stuck to it. I found that without scheduling in my calendar “me time” I would never actually have “me time.” Putting it in there allows me to work around the “me time” and work to get things done before or plan to do things after that time. I have wonderful time management and organizational skills so that was never an issue! During my work life I hope to continue this “me time” scheduling and even try and schedule more “me time” since I will not have the burden of school work.

D. How will you use what you’ve learned and skills you’ve gained this semester to continue your preparation for licensure and transition to professional practice following graduation?

To continue my preparation for licensure and transition to the professional practice I want to always be focusing on myself and my mental health. The amount of stress and anxiety I have had throughout my nursing school career has been tremendous but I continue to find new ways to cope with it daily. The nursing profession is a high energy, high stress, profession so maintaining the focus of myself on and off the job is most important. I want to continue my education but as of right now I plan to be out of school for a few years before I go back. I am overwhelmed with joy and happiness to know that in a few months I officially will be done schooling! I have so many plans to read books, get outdoors, and join social groups without the pressure of school.

ATI Comprehensive Predictor Practice B

Even in the second time completing this, the 150 questions shocked me! I am just a bad test taker so 150 questions is weight on my brain. One thing I found when taking this exam was that I was always distracted at looking at how many questions I had left and it made me feel like I was taking forever… which took away from my mindset of the exam. I think that in the setting of my home when taking this exam there are a lot more distractions and I am able to get up, pause it, and do other things. But, in-person it is a lot different cause I cannot do any of that. I find that when I take these exams in-person I get very antsy halfway through and then feel exhausted and just start clicking away.

ATI Maternal Adaptive Exam

Overall I was impressed with my results! I scored in the 80s which is just about where I also score in class so it was nice to see I am testing on ATI as where I am in class. I thought the questions were fairly easy which showed me that I know this material. There were some areas that I had never heard of those topics but after reviewing the ATI material I understand what they were. I felt that this prepares me for the proctored ATI exam I have in maternity and will likely use this as a practice method to review for the exam as well. I got some pharmacology questions wrong but I am again not surprised by that because my area of most struggle of pharmacology.

ATI Pharmacology Practice B

I was very impressed this time around. I learned from my previous mistakes and there was improvement! I can notice myself getting better and better at pharmacology questions and it is making me more excited to sit for my NCLEX because I feel more and more prepared. This time I really look my time… I have been noticing that spending more time on exams/ATI exams I always have an improved grade. I was always rushing due to my high anxiety and this was causing me to misread questions and/or answers. I found that taking my time has seriously helped improve my grade but also my anxiety during the exams as well. When I sit for upcoming exams and my NCLEX I will absolutely take all the time I am given!

ATI Pharmacology Practice A

For this assignment I felt way less stressed than the adaptive quizzes. To state the obvious, I knew that I would be done at 60 questions. I also felt like mentally I knew it was simply just a practice quiz where I could mess up, but as for the adaptive exams I feel more under pressure on those to get the most right because I will likely have to do far more than 75 questions in order to finish.

Specifically for this quiz I thought I did very well! I was impressed by how much knowledge I have on pharmacology and was surprised at times that I knew and could remember what medication did what. The medications I got wrong I knew I got wrong because I did not even recognize the name of them. I felt like this was easier than the pharmacology adaptive exam but I am not quite sure it was even meant to be easier. I know I want to do the practice B pharmacology exam because I want to see after review and completing the three critical points if I can improve my grade.

ATI Adaptive Care of Children

Overall for this exam I was pretty impressed. I felt like I knew most of the information because it had just been taught to me and it was fresh in my mind. I thought I did well and laughed that it had be do question 76! I felt prepared for this adaptive exam because I have just finished the class. One area that I know I need to work on and study more is the infant developmental milestones. I think that every single question that had to do with a well-child check up, I got wrong. I find it pretty hard to get these really in my head and memorized.

I am happy to have completed another section of nursing school and am excited to move on to maternity. I am hoping just as for this adaptive exam I will be as prepared for the maternity one and do just as well!

ATI Adaptive Med-Surg

In completing this ATI Adaptive exam, I was happy to finish at 75 questions. I thought that this exam was far easier than the pharmacology exam we previously took. There were some questions where I failed to read the full question and jumped to an answer that ended up being wrong. Overall, I was impressed with myself given my struggles in our Med-Surg classes. I felt from these courses I had been more prepared for this exam rather than the pharmacology one. There were topics that I felt I definitely knew but others where I should brush the cobwebs off.

Completing this exam early feels really good and is another thing to cross off my list until graduation! The only issue with these exams is that they take an enormous amount of time which limits my studying time for other courses. It is pretty tedious to have to retype the questions and I wish that we no longer had to do that…

ATI Adaptive Pharmacology

In taking this quiz I realized that I need to brush up on my medication knowledge. A lot of this exam was drugs and their adverse affects which is where I got most wrong. I felt like a lot of these drugs I had not even heard of before through UNE nursing which seemed concerning for me. Drugs are all memorization so I was able to see which drugs I need to make flashcards for. I found that the questions asking which side effect were the most relevant vs. the other possible side effects given were not beneficial to my learning. I eventually was getting frustrated but continued to pursue. I wanted to treat this as if it were the NCLEX so I knew what it would feel like to sit through possibly 265 questions. After clicking past question 75 I felt discouraged in myself and took a little breather but it was good to realize my grade does not reflect the number of questions I have to take!

Prepare for Transition

As I look forward to graduation, licensure, and my first job, I am most excited to be out of schooling and start an “adult” lifestyle. It will feel so good to finish my schooling at twenty-two and be able to begin my dream profession. I will be able to get my own apartment and truly be on my own…without an educational schedule! I have to say, it is a relieving thought to know there is an end coming near and exams will be a part of the past (my worst nightmares!) To celebrate I will have my family around me at a party commemorating my achievements. It is typical in my family to have cook-out parties with everyone included and to just enjoy our time spent together and recognize the purpose of that day. One thing I am most anxious about is getting my dream position. Right now, I aspire to be a pediatric nurse in oncology but I know it is going to be a hard road to get there. The process of getting that first job is nerve racking and I know, just as college applications went, that there will be declinations.

To prepare and plan my weekly studies to stay focused and on track I plan to complete schooling five days a week. That allows me to have two days to work and focus on myself and my mental health. One thing I really want to incorporate into this semester is going to the gym with my friend at least three times a week. With all this studying comes a lot of sitting and I prefer to be more active. I have started to read textbooks more but also doing “quick-reads” where I am just reading on the information I do not understand and what is recommended by the professor.

The ATI Nurse Logic 2.0 Modules have taught me how to study for the exams (ATI assessments and NCLEX-RN) and what the test taking situation will look like. I need more help on the clinical judgement factor of exams and I found that these really help better my understanding on what the questions will look like. Most importantly it is preparing me for the NCLEX and I feel that it does a great job in doing so!

Transition to Practice

COURSE DESCRIPTION:

This course provides the student with the opportunity to engage in learning activities designed to facilitate the transition from student nurse to that of a professional registered nurse. Emphasis is placed on furthering each student’s knowledge and skills for licensing preparation, career development, and lifelong learning.

COURSE OBJECTIVES:

Upon successful completion of this course, the student will be able to:

  1. Generate evidence that supports the transition to professional registered nurse.
  2. Demonstrate the ability to translate theoretically guided evidence into practice.
  3. Investigate legal and ethical parameters of nursing practice.
  4. Examine data from a variety of sources to promote safe nursing practice.
  5. Address the impact of organizations and work environments on the nurse entering practice.
  6. Demonstrate personal and professional responsibility for continued growth and development.
  7. Analyze contemporary health care trends and issues and the impact on professional nursing.
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