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Nursing Role and Scope

DQ 1:

· Select one question as your DQ 1

· Follow the discussion questions participation and submission guidelines.

· Minimum three paragraphs per DQ

· All answers or discussions comments submitted must be in APA format according to Publication Manual American Psychological Association (APA) (6th ed.) 2009 ISBN: 978-1-4338-0561-5

· Minimum of two references, not older than 2015.

Note: All DQ submissions will be monitored for plagiarism.



Masters, K. (2020). Role development in professional nursing practice. Burlington, Massachusetts: Jones & Bartlett Learning.



Chapter 6: Advancing and Managing Your Professional Nursing Career

1. Do you view nursing as a career or as a job? What are your professional goals related to nursing?

2. What kind of first impression do you make when searching for a new position?

3. Do you plan to be a part of a professional organization after graduation? Why or why not? What do you anticipate will be your level of involvement?

4. Do you have the courage to ask for honest feedback? Do you have the courage to give honest feedback to a friend or colleague? How do you respond to negative feedback?

Chapter 6
Advancing and
Managing Your
Professional Nursing
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
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
Trends to Consider in Nursing
Career Decisions
• Where health care is delivered
• The types of practitioners needed
• The nursing educational preparation
required to provide this care
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
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
Build an infrastructure for the collection and analysis of
interprofessional healthcare workforce data.
The Future of Nursing:
Campaign for Action Video

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?
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
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
scholarships and traineeships, and/or
public and private foundations?
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?
Showcasing Your Professional Self
• Professional portfolio
• Resume
• The interview
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.
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
• Create collaborative relationships among
members of the healthcare team.
• Utilize technological advances in clinical care
and information systems.
Mentoring: The Benefits
• Increased self-confidence
• Enhanced leadership skills
• Accelerated acclimation to the culture of a
• Advancement opportunities
• Enhanced communication skills
• Reduced stress
• Improved networking ability
• Political savvy
• Legal and ethical insight
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
• Every state board of nursing should
require mandatory continuing education
for all practicing RNs, but they do not.
Nursing Career Paths Supported by
Graduate-Level Academic Programs
Expert clinician (APRN)
Clinical nurse leader (CNL)
Nurse executive
Nurse educator
Nurse researcher
Professional Engagement
• Engagement in your healthcare
• Engagement in professional nursing
Expectations of Your Performance
• Self-appraisal
• Work performance evaluations conducted
by nurse managers on behalf of
healthcare organizations
• Collegial evaluations
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 both
enhance your strengths and narrow your
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.
Care of Self
Eating a balanced diet
Getting enough sleep
Avoiding addictive substances
Exercising on a regular basis
Paying attention to mental and spiritual
• 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.

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