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Blais ch01 lecture.pdf

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  • 1. Professional Nursing Practice Concepts and Perspectives Sixth Edition CHAPTER 1 Beginning the Journey Professional Nursing Practice: Concepts and Perspectives, Sixth Edition Copyright ©2011 by Pearson Education, Inc. Blais • Hayes All rights reserved.
  • 2. 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 Professional Nursing Practice: Concepts and Perspectives, Sixth Edition Copyright ©2011 by Pearson Education, Inc. Blais • Hayes All rights reserved.
  • 3. 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 Professional Nursing Practice: Concepts and Perspectives, Sixth Edition Copyright ©2011 by Pearson Education, Inc. Blais • Hayes All rights reserved.
  • 4. 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 Professional Nursing Practice: Concepts and Perspectives, Sixth Edition Copyright ©2011 by Pearson Education, Inc. Blais • Hayes All rights reserved.
  • 5. 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 Professional Nursing Practice: Concepts and Perspectives, Sixth Edition Copyright ©2011 by Pearson Education, Inc. Blais • Hayes All rights reserved.
  • 6. Professional Role Transitions• Changes in nursing roles represent a shift in the view of nursing – Occupation to profession• Transition from novice to expert Professional Nursing Practice: Concepts and Perspectives, Sixth Edition Copyright ©2011 by Pearson Education, Inc. Blais • Hayes All rights reserved.
  • 7. Bridges’ Model of Transition• Three Phases – Ending Phase – Neutral Zone – New Beginnings• Individuals move through all three phases as they experience change Professional Nursing Practice: Concepts and Perspectives, Sixth Edition Copyright ©2011 by Pearson Education, Inc. Blais • Hayes All rights reserved.
  • 8. Bridges’ Model of Transition• Ending Phase – Initial stage – Must “let go”• Within the ending phase are four components: – Disengagement – Disidentification – Disenchantment – Disorientation Professional Nursing Practice: Concepts and Perspectives, Sixth Edition Copyright ©2011 by Pearson Education, Inc. Blais • Hayes All rights reserved.
  • 9. 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 Professional Nursing Practice: Concepts and Perspectives, Sixth Edition Copyright ©2011 by Pearson Education, Inc. Blais • Hayes All rights reserved.
  • 10. 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 Professional Nursing Practice: Concepts and Perspectives, Sixth Edition Copyright ©2011 by Pearson Education, Inc. Blais • Hayes All rights reserved.
  • 11. 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 Professional Nursing Practice: Concepts and Perspectives, Sixth Edition Copyright ©2011 by Pearson Education, Inc. Blais • Hayes All rights reserved.
  • 12. Challenges for the RN Returning to School • Managing family and work • Expense • Opinions from peers • Inner feelings of anger versus excitement Professional Nursing Practice: Concepts and Perspectives, Sixth Edition Copyright ©2011 by Pearson Education, Inc. Blais • Hayes All rights reserved.
  • 13. 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 Professional Nursing Practice: Concepts and Perspectives, Sixth Edition Copyright ©2011 by Pearson Education, Inc. Blais • Hayes All rights reserved.
  • 14. Overcoming Barriers• Time management – Organizing – Planning – Setting priorities  Balancing school, family, work, meals, sleep, exercise, spirituality, and personal time Professional Nursing Practice: Concepts and Perspectives, Sixth Edition Copyright ©2011 by Pearson Education, Inc. Blais • Hayes All rights reserved.
  • 15. Overcoming Barriers• Money – Tuition reimbursement – Loans, grants, scholarships Professional Nursing Practice: Concepts and Perspectives, Sixth Edition Copyright ©2011 by Pearson Education, Inc. Blais • Hayes All rights reserved.
  • 16. Overcoming Barriers• Social supports – Family, friends, classmates, faculty – Networking with colleagues Professional Nursing Practice: Concepts and Perspectives, Sixth Edition Copyright ©2011 by Pearson Education, Inc. Blais • Hayes All rights reserved.
  • 17. 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 Professional Nursing Practice: Concepts and Perspectives, Sixth Edition Copyright ©2011 by Pearson Education, Inc. Blais • Hayes All rights reserved.