The transition from student to qualified nurse is widely acknowledged to entail a difficult period of
adjustment, involving significant personal and professional challenges. Kramer [1974. Reality Shock e
Why Nurses Leave Nursing. Mosby, St. Louis] originally described this as a “reality shock” due to the
dissonance experienced between the expectations of the newly qualified nurse and the actuality of
clinical practice. This experience continues to be echoed throughout the literature exploring factors
influencing the quality of compassionate care, post-qualification support strategies, and attrition rates.
Despite this, the phenomenon of a reality shock appears to have been accepted as an inevitable aspect of
professional socialisation.
This paper aims to report on an educational development which attempted to challenge these negative
experiences and outcomes. The Division of Nursing at the University of Nottingham worked alongside
the Patient Voices Programme (www.patientvoices.org.uk) to create reflective digital stories of newly
qualified nurses. In their own words and using personal photos, the newly qualified nurses relate stories
about an event that they have found particularly challenging during the transition from student to nurse.
The stories were intended to provide opportunities for future students to learn and educationalists to
reconsider the curriculum to facilitate preparation for the world of clinical practice.
A learning environment was developed and piloted that utilises the digital stories to encourage
student nurses to reflect upon the challenges of this transition by engaging with the storytellers,
empathising with their experience and considering ways they might respond in similar situations.
Evaluation of this educational forum suggests that the digital stories offer the audience a unique
opportunity to walk in the shoes of the storyteller. As a consequence, an altered story might be told
through encouraging newly qualified nurses to develop their core strengths and, in doing so, maintain
their capacity to care.