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Copyright ©2011 by Pearson Education, Inc.All rights reserved.
Professional Nursing Practice: Concepts and Perspectives, Sixth EditionBlais • Hayes
CHAPTERCHAPTER
Professional Nursing PracticeConcepts and Perspectives
Sixth Edition
Beginning the Journey
1
Copyright ©2011 by Pearson Education, Inc.All rights reserved.
Professional Nursing Practice: Concepts and Perspectives, Sixth EditionBlais • Hayes
Factors in Society That Promote the Nurse’s Return to School
• Societal changes– Aging population– Reimbursement practices– More care delivered in community and
outpatient settings
• Diverse population• New technology and scientific discoveries
Copyright ©2011 by Pearson Education, Inc.All rights reserved.
Professional Nursing Practice: Concepts and Perspectives, Sixth EditionBlais • Hayes
Factors in Society That Promote the Nurse’s Return to School
• New diseases and environmental problems
• Changes in perception of nursing as a profession– Men’s and women’s roles– Increase in accountability and responsibility
• Average age of an RN increased– 45.2–44.3 years
Copyright ©2011 by Pearson Education, Inc.All rights reserved.
Professional Nursing Practice: Concepts and Perspectives, Sixth EditionBlais • Hayes
Factors in Society That Promote the Nurse’s Return to School
• Changes in perception of nursing as a profession – Entry into practice– Shift from acute care
• Baccalaureate requirement for certification• AACN 1996 position statement on
professional nursing
Copyright ©2011 by Pearson Education, Inc.All rights reserved.
Professional Nursing Practice: Concepts and Perspectives, Sixth EditionBlais • Hayes
Factors in Society That Promote the Nurse’s Return to School
• Professional factors– Nurses specialize in specific areas of practice– Increased demand for specialty certification
Copyright ©2011 by Pearson Education, Inc.All rights reserved.
Professional Nursing Practice: Concepts and Perspectives, Sixth EditionBlais • Hayes
Professional Role Transitions
• Changes in nursing roles represent a shift in the view of nursing– Occupation to profession
• Transition from novice to expert
Copyright ©2011 by Pearson Education, Inc.All rights reserved.
Professional Nursing Practice: Concepts and Perspectives, Sixth EditionBlais • Hayes
Bridges’ Model of Transition
• Three Phases– Ending Phase– Neutral Zone– New Beginnings
• Individuals move through all three phases as they experience change
Copyright ©2011 by Pearson Education, Inc.All rights reserved.
Professional Nursing Practice: Concepts and Perspectives, Sixth EditionBlais • Hayes
Bridges’ Model of Transition
• Ending Phase– Initial stage– Must “let go”
• Within the ending phase are four components:– Disengagement– Disidentification– Disenchantment– Disorientation
Copyright ©2011 by Pearson Education, Inc.All rights reserved.
Professional Nursing Practice: Concepts and Perspectives, Sixth EditionBlais • Hayes
Bridges’ Model of Transition
• Neutral Zone– Individual has moved from the old to the new– Change is accepted
• New role not yet internalized in relationships and behaviors
Copyright ©2011 by Pearson Education, Inc.All rights reserved.
Professional Nursing Practice: Concepts and Perspectives, Sixth EditionBlais • Hayes
Bridges’ Model of Transition
• New Beginnings– Final phase– Acceptance of new knowledge, values,
attitudes, behaviors
• Challenged to keep moving forward and not revert back to old ways
Copyright ©2011 by Pearson Education, Inc.All rights reserved.
Professional Nursing Practice: Concepts and Perspectives, Sixth EditionBlais • Hayes
Spencer and Adams’ Model of Transition
• Seven Stages– Losing focus– Minimizing the impact– The pit– Letting go of the past– Testing the limits– Searching for meaning– Integration
Copyright ©2011 by Pearson Education, Inc.All rights reserved.
Professional Nursing Practice: Concepts and Perspectives, Sixth EditionBlais • Hayes
Challenges for the RN Returning to School
• Managing family and work• Expense• Opinions from peers• Inner feelings of anger versus excitement
Copyright ©2011 by Pearson Education, Inc.All rights reserved.
Professional Nursing Practice: Concepts and Perspectives, Sixth EditionBlais • Hayes
Factors to Support Successful Transition
• Choosing a mentor– Sounding board– Support and encouragement
• Support from family and friends– Emotional support when there is self-doubt
Copyright ©2011 by Pearson Education, Inc.All rights reserved.
Professional Nursing Practice: Concepts and Perspectives, Sixth EditionBlais • Hayes
Overcoming Barriers
• Time management– Organizing– Planning– Setting priorities
Balancing school, family, work, meals, sleep, exercise, spirituality, and personal time
Copyright ©2011 by Pearson Education, Inc.All rights reserved.
Professional Nursing Practice: Concepts and Perspectives, Sixth EditionBlais • Hayes
Overcoming Barriers
• Money– Tuition reimbursement– Loans, grants, scholarships
Copyright ©2011 by Pearson Education, Inc.All rights reserved.
Professional Nursing Practice: Concepts and Perspectives, Sixth EditionBlais • Hayes
Overcoming Barriers
• Social supports– Family, friends, classmates, faculty– Networking with colleagues
Copyright ©2011 by Pearson Education, Inc.All rights reserved.
Professional Nursing Practice: Concepts and Perspectives, Sixth EditionBlais • Hayes
Overcoming Barriers
• Working with faculty– Treat faculty with respect– Remember your instructors have good days
and bad days– Respect your instructor’s privacy– Instructors have many different personalities