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AN ACCOUNT OF GRAD YEAR EXPERIENCE
IN AUSTRALIAN PUBLIC HOSPITAL
By:MRS BOSEDE ADETIFA
Bsc Nursing, Post Grad Dip. (Mental Health Nursing), Community Clinician and Acredited
Clinical supervisor
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Introduction
• Transition from student to registered nurse• Specializing in mental health nursing with Nigerian background• Forming a working team with associated
challenges to overcome are the highlights of this presentation
• Product of Monash University Gippsland and employed by Latrobe Regional Hospital (LRH), Traralgon, Vic. Australia
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Aims Of This Paper
• Paper will highlight what the presenter liked most about Mental health grad year in Australian public hospital
• Explore challenges faced as a Nigerian • Discuss what could be improved• Discuss how what has been learnt could
impact future/current practice in a positive way
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Latrobe Regional Hospital
• LRH is an integrated hospital offering in-patient and community services
• It is a sole provider of Gippsland mental health services
• It is also a teaching hospital affiliated to Monash University School of rural health
• It employs staff from diverse culture
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Latrobe Regional Hospital Mental Health
Services
Latrobe Valley Sector
East Sector
South West Sector
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Nigeria Facts And Figures
• Official Name: Federal Republic of Nigeria• Capital City: Abuja• Language: English (Official), Local dialects• Official Currency: Naira• Religions: Christianity, Islamic and traditional
beliefs• Population: 131.859,731• Land Area: 910,770 Sq Km (351,648 Sq Miles)
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The Call To Be A Nurse At LRH
• The offer to train as a psychiatric grad nurse
• The transition into new roles• The expectations• The frustrations• The motivations
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Motivating Factors
• Clinical support for graduates• Career development opportunities with
several incentive packages• Job opportunity at the end of program• Peer support – knowing that you are not
alone
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The Excitements
• Free education• Great support• Flexibility• Exposure to clinical skills• Organizational and communication skill
development • Fixed employment with reasonable
income
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Course Structure
Academic components includes:• Mental health nursing concepts and
practice• Integrated mental health care• Cognitive behavior therapy• Three weeks informative and relevant
orientation in preparation for the above.
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Expected Tasks For Grad Dip.
• Mandatory study day attendance• Mandatory completion of three subjects• 18 months lock in contract with LRH• Mandatory online entries• Reasonable assessment over the course
period• Major examination over 18 months• Mandatory development of professional
portfolio
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Available Supports
• LRH has a reputation for providing high standard support to its staff
• Flynn ward staff were very supportive especially the Clinical Nurse Educators (CNEs)
• Preceptors facilitated quick adjustment into clinical roles
• CNEs model and influenced professional behavior
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Clinical Rotations
Clinical rotations provide:• Expansion of knowledge in mental
health • Avenue for socializing/networking• Better understanding of mental health
systems• Exposure to clinical skills• Communication and organizational skill
development
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Challenges Encountered
• Multicultural issues• Language intolerance• Communication barrier• Religious beliefs• Food culture• Team working• Workplace culture
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What Could Be Improved
• 3 weeks orientation was long but eye opening
• Occasional limited skill mix• Orientation package does not reflect
multiculturalism (giving time to assimilate info)
• Availability of Clinical educators• Preceptors not on same shift with grads
(Safety measures (supernumerary))
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What Could Be Improved
• Educate new graduates on how to manage complex issues on orientation to ward
• Improve the feedback system to grads• Need to outline team objectives to
promote rational culture• There is need for consistent policies and
culture that emphasise continuous learning
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How Acquired Knowledge And Experience Could Impact Future
Practice• Reflects on strategies to resolve conflict• Utilize humor therapy to cope with
stress• Confidence acquired will help to justify
future action• Utilize CBT as a working tool for
assessment• Will be able to listen and hear clients
better in the future
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How Knowledge Can Impact Future Practice
• Knowledge will be shared with students and others by taking up a preceptorship role
• Improved communication skills will help in providing holistic care in the future
• Curiosity will drive future career development to keep abreast of practice
• Awareness of legal right will aid future accountability
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Conclusion
• Being a Nigerian with rich cultural values has helped in becoming a better nurse
• I have learnt to listen and hear my clients and this has translated well into current practice
• My cultural acceptance and education played a great role in assessing clients to identify immediate needs for interventions
• The knowledge, skills and strategies used during my grad year has also translated well into current practice