NRS-490 Individual Success Plan Paper

NRS-490 Individual Success Plan Paper

The Bachelor of Science in the nursing program involves both the university-based courses and practicum immersion courses. In university-based courses, teacher- candidate critically analyzes and engage in imparting skills and knowledge in different diverse ways. Practicum courses provide an opportunity for teacher-learner to deepen their understanding of the subject topic and also provide a conducive environment for learning NRS-490 Individual Success Plan Paper.

Provision of effective learning environment is an important factor in facilitating learning. However, this requires well formulated and programmed individual success plan. Individual success plan is important because they enable mental and physical transformation needed in achieving a given objective. Individual success plan outlines objectives and the actions to be taken. Besides, it helps the learners in eliminating obstacles and creates clear academic paths leading to a positive impact on the learners. Practicum immersion courses are organized to build and integrate knowledge for bachelors’ level programs (Kumm et al, 2016). These are obtained through community practical courses based on the working course objectives.


Objectives of the individual success plan

  1. Set informed goals on the field or area of interest, for example, pursuing a bachelors course in nursing
  2. Have a reasonable action plan which enables the achievement of the goals
  • Solve misguided ideas
  1. Find a working formula for the attainment of the specific goals.

For an individual to accomplish a bachelor of science in a nursing course he/ she have to meet a given number of hours in the respective areas. The students need to go through the theory work before being sent to a practicum session. There are many units covered in the bachelors of nursing courses. Some of the units include pediatrics, medical-surgical nursing, psychiatric nursing, obstetrics and midwifery. The student is first required to do the theory work before embarking on the practical attachment in the respective clinical areas (Kumm et al, 2016).

Medical wards will be allocated 10 hours of clinical practicum and attachment. The student will be expected to manage different medical conditions like diabetes, malaria and HIV and AIDS. The learner will also be expected to understand the pathophysiology of different medical conditions in the wards. The student will also be expected to rotate in the surgical wards which are allocated 5 hours of practical and clinical attachment.  In the surgical wards, the learner is expected to manage different surgical conditions within the ward. The different conditions found in the surgical wards include hernias, colostomy, abdominal surgical wounds and burns. The student is expected to learn and understand the management of surgical conditions NRS-490 Individual Success Plan Paper

Other units which the learner is required to learn to include pediatric nursing, geriatric nursing, oncology nursing, obstetrics and gynecological nursing among other units. Each unit is allocated 10 hours each of practicum hours. Pediatric nursing involves the management of childhood diseases and pathophysiology of the diseases. It includes management of childhood genetic diseases, childhood diabetes, major milestones and developmental stages, and different challenges facing children.

Oncology nursing involves study cancerous diseases in the community. It involves the study of how cancers spread to different organs of the body and there general effect on the body. Likewise, obstetrics and gynecological nursing involve the study of different obstetric problems the process of delivery and complications of delivery. Gynecological problems include factors that interfere with reproductive problems among women. It encompasses factors like urinary tract infections, cancers of the reproductive system, obstructed labor among other factors. More of psychiatric nursing involves the study of mentally ill patients and their management.

During the clinical placement, there are a lot of challenges faced by the nurses. One of them is limited placement opportunities, RNs have limited areas to work at, mostly in nursing homes and residential settings.  The role of RNs lacks responsibility and mostly requires semi skills to perform there they never work in specialized areas like critical care unit or renal unit. Mostly the work is boring because you are under a supervisor or a manager hence putting a lot of pressure at work. Secondly, there are delegation problems when it comes to patient’s assessment, evaluation or diagnosis. The registered nurses are therefore forced to delegate since the objectives are beyond their scope. With a bachelor’s degree in nursing, the scope is widened and gives the holders ability to be autonomous in all the decisions they make (Paplham & Austin-Ketch, 2015).

Low education level among the RNs who wants to upgrade to be bachelors holder is also a major problem. The new and younger BSN person takes the management and administrative positions. This means you will be managed by young and fresh graduates from universities which is often frustrating. Additionally, there are long working hours for the students which is a major challenge during the one hundred hours of practicum. Nurses are often forced to work for long hours leading to compassion fatigue which leads to compromised quality of service (Paplham & Austin-Ketch, 2015). Lastly one experiences physical problems like a backache when you work for long hours. This is because one spends most of the time standing, walking in the corridors of the hospital and because of the constant bending NRS-490 Individual Success Plan Paper.

To resolve these problems, having a preceptorship and mentoring program has been proven to effective in solving the challenges the RN- bachelors nurses are facing. This helps the nurses on the practicum to adapt to the working surrounding. Moreover, it helps them in achieving the required competencies require in the nursing profession. The hospital must, therefore, provide a conducive environment for the nurses on practicum to help them achieve their objectives. A mentoring program which is led by the most experienced and knowledgeable nurses must use mentor-mentee model Paplham & Austin-Ketch, 2015).

Also one can use a transition practice program which aims to ensure that the education of the nurses is put in place. This will help in strengthening the confidence and competencies of the nurses immediately they reach the clinical areas. Nurses should be encouraged to pursue advanced degrees to enhance job enrichment and job efficiency. At the same time, the turnover rate of the nurses is also an issue to be considered when needing to solve the problems facing the upgrading nurses. Proper implementation of different programs which promotes the retention of nursing staff is appropriate (Paplham & Austin-Ketch, 2015). Policies should be in place to check on the turnover rate which may leave the nurses in practicum alone without a mentor.

In conclusion, nursing as a profession has different cadres. It is important for each nurse to strive and reach the highest cadre which is the doctorate level. However, this comes with a lot of challenges which when mot looked upon may bring different challenges when striving to upgrade.


Kumm, S., Godfrey, N., Richards, V., Hulen, J., & Ray, K. (2016). Senior student nurse   proficiency: A comparative study of two clinical immersion models. Nurse education       today, 44, 146-150.

Paplham, P., & Austin-Ketch, T. (2015, November). Doctor of nursing practice education:           impact on advanced nursing practice. In Seminars in oncology nursing (Vol. 31, No. 4,          pp. 273-281). WB Saunders NRS-490 Individual Success Plan Paper.









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