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Advancing and Managing Your Professional Nursing Career

Chapter 7

1

Nursing: A Job or a Career? (1 of 2)

View of nursing as a job:

Obtains least amount of education needed for nursing licensure 

Obtains the minimum continuing education units required for licensure and/or the job

Continues with job as long as it meets personal needs of nurse; expects reasonable work for reasonable pay; responsibility ends with shift

2

Nursing: A Job or a Career? (2 of 2)

View of nursing as a career:

Obtains a BSN and often pursues an advanced nursing degree

Engages in formal and informal lifelong learning experiences across the career

Actively and joyfully engages in practicing the art and science of professional nursing as a member and possibly leader in professional nursing initiatives within the nurse’s healthcare agency and in professional nursing

3

Trends to Consider in Nursing Career Decisions

Where health care is delivered

The type of practitioners needed

The nursing educational preparation required to provide this care

4

Key Messages from The Future of Nursing

Nurses should practice to the full extent of their education and training

Nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression

Nurses should be full partners, with physicians and other healthcare professionals, in redesigning health care in the U.S.

Effective workforce planning and policy making require better data collection and an improved information infrastructure

5

Recommendations from The Future of Nursing

Remove scope-of-practice barriers

Expand opportunities for nurses to lead and diffuse collaborative improvement efforts

Implement nurse residency programs

Increase the percentage of nurses with a baccalaureate degree to 80% by 2020

Double the number of nurses with a doctorate by 2020

Ensure that nurses engage in lifelong learning

Prepare and enable nurses to lead change to advance health

Build an infrastructure for the collection and analysis of interprofessional healthcare workforce data

6

The Future of Nursing: Campaign for Action Video

https://youtu.be/V_PnaXjVn2c

Questions to Ask Yourself (1 of 4)

What is the future of nursing for me?

Am I currently practicing to the fullest extent of my nursing education and training?

What changes need to occur in my current practice in order to actualize this personal vision of my career?

What are the projected employment trends and opportunities for nursing in my area?

8

Questions to Ask Yourself (2 of 4)

Have I achieved the highest level of education and training to support my desired career goals?

What career path am I best equipped for and motivated to pursue to lead change and advance health and what specialization should I consider?

Have I sought out and had a dialogue with seasoned colleagues who have demonstrated success in advancing their nursing careers and elicited their input on trends in nursing practice and nursing education options?

9

Questions to Ask Yourself (3 of 4)

Have I explored nursing education program options at accredited academic institutions that will support my career advancement interest?

Have I pursued ways to pay for advancing my nursing education through reimbursement at work, state and federal scholarship and traineeships, and/or public and private foundations?

10

Questions to Ask Yourself (4 of 4)

How will I balance work-family-study demands and remain physically, psychologically, and financially healthy? 

Lastly and perhaps, most importantly, am I ready to take action in advancing my professional nursing career?

11

Showcasing Your Professional Self

Professional portfolio

Resume

The interview

12

Characteristics of the Organization That You Should Assess (1 of 2)

Manifest a philosophy of clinical care emphasizing quality, safety, interdisciplinary collaboration, continuity of care, and professional accountability

Recognize the value of nurses’ expertise on clinical care quality and patient outcomes

Promote executive level nursing leadership

Empower nurses’ participation in clinical decision making and organization of clinical care systems

13

Characteristics of the Organization That You Should Assess (2 of 2)

Demonstrate professional development support for nurses

Maintain clinical advancement programs based on education, certification, and advanced preparation

Create collaborative relationships among members of the healthcare team

Utilize technological advances in clinical care and information systems

14

Mentoring: The Benefits

Increased self-confidence

Enhanced leadership skills

Accelerated acclimation to the culture of a unit/facility

Advancement opportunities

Enhanced communication skills

Reduced stress

Improved networking ability

Political savvy

Legal and ethical insight

15

Education and Lifelong Learning

ANA’s standards of professional performance, standard number 8, indicates that it is the responsibility of every nurse to seek “knowledge and competence that reflects current nursing practice”

Every state board of nursing should require mandatory continuing education for all practicing RNs, but they do not

16

Nursing Career Paths Supported by Graduate-Level Academic Programs

Expert clinician (APRN)

Clinical nurse leader (CNL)

Nurse executive

Nurse educator

Nurse researcher

17

Professional Engagement

Engagement in your healthcare organization

Engagement in professional nursing organizations

18

Expectations of Your Performance

Self-appraisal

Work performance evaluations conducted by nurse managers on behalf of healthcare organizations

Collegial evaluations

19

Suggestions for the Evaluation of Your Professional Performance (1 of 2)

Conduct your own self-appraisal first in order to have a more informed dialogue with your nurse manager

Identify your areas of strength and areas in need of growth

Pursue continuing education to enhance both your strengths and narrow your limitations

20

Suggestions for the Evaluation of Your Professional Performance (2 of 2)

Accept constructive feedback with respect, gratitude, and civility

If feedback does not make sense to you, clarify what is being said

Develop an ongoing plan of quality improvement for yourself

21

Care of Self

Eating a balanced diet

Getting enough sleep

Avoiding addictive substances

Exercising on a regular basis

Paying attention to mental and spiritual health

Being vigilant in coping with stress triggers at work and at home

Tips for Time Management (1 of 2)

Be organized

Make a list of the tasks you will need to do and post it in a place that you can easily see

Before making your rounds, make a checklist of the things you need to do for each patient

When doing rounds, always see your most critical patient first

Do not do other tasks when giving medications

Tips for Time Management (2 of 2)

Pay attention to time

Learn how to write quickly

Always bring easy-to-eat snacks

Be keen on details

Learn how to communicate

Learn to multitask

Be realistic

Managing Stress

Prevent burnout

Prevent compassion fatigue

Maintain a civil work environment

Sustain a resilient self