2Managing Transitional ChallengesOrganisational culture is vital in establishing an effective and competent work teamand retaining top talent. Institutions with organisational culture often tend to be moresuccessful and productive than the ones with less structured systems of management (Machenet al., 2019). The success and failure of organisational culture often depend on the conflictand change management strategies that an organisation uses.Organisational culture can also be influential in dealing with transitional employeechanges and coping strategies in organisations. For instance, nurses may face transitionalchallenges when entering a new workforce. Within a health institution setting, the kind ofconflict and change management strategies that the institution uses may affect nursing and themultidisciplinary team members in diverse ways, such as in Susan's case.Transitional Challenges That Susan Is Facing When Entering the WorkforceNew graduate nurses periodically encounter myriad challenges in their successfultransitioning to practice. As one of the nurses, Susan faces several challenges entering herworkforce in a busy medical ward. For instance, Susan is under stress where it seems theother nurses are making progress, whereas she is still stuck. According to Hofler and Thomas(2016), graduate nurses often experience stress and fatigue during their transitioning process.The stress and fatigue result from the numerous overwhelming tasks they have tocarry out within the healthcare setting. Nurses have to manage different aspects within thehealthcare setting, such as patients, leading inter-professional teams and managing familiesand provider relationships, including attending to complex needs. It is inevitable to acceptthat current hospitals deal with numerous patients with complex needs and chronicconditions. This situation explains why Susan works in a busy medical ward.Susan faces reality shocks as a transitional challenge when entering her newworkforce. Furthermore, she worked in an encouraging environment when first entering the
3workforce since they were all laughing and happy.However, as days went by, she noticedthat the ward had a toxic culture, with some nurses failing to heed essential policies. Realityshock refers to the reaction of new graduate nurses when they realise that the work settingthey had initially prepared for does not meet their anticipation.In a reality shock, graduate nurses will often find that their work settings do notoperate according to the ideals and values they expected. The term reality shock came intoexistence in 1974, and its theory still applies in the current transitional setting (Kim 2020).