Blais ch01 lecture.pdf

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.

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


• 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


• 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 factors
– Nurses specialize in specific areas of practice
– Increased demand for specialty certification


Professional Role Transitions

• Changes in nursing roles represent a shift
in the view of nursing
– Occupation to profession
• Transition from novice to expert


Bridges’ Model of Transition

• Three Phases
– Ending Phase
– Neutral Zone
– New Beginnings
• Individuals move through all three phases
as they experience change



• Ending Phase
– Initial stage
– Must “let go”
• Within the ending phase are four
components:
– Disengagement
– Disidentification
– Disenchantment
– Disorientation


• Neutral Zone
– Individual has moved from the old to the new
– Change is accepted
• New role not yet internalized in
relationships and behaviors



• New Beginnings
– Final phase
– Acceptance of new knowledge, values,
attitudes, behaviors
• Challenged to keep moving forward and
not revert back to old ways


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


Challenges for the RN Returning
to School
• Managing family and work
• Expense
• Opinions from peers
• Inner feelings of anger versus excitement


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


Overcoming Barriers

• Time management
– Organizing
– Planning
– Setting priorities
 Balancing school, family, work, meals, sleep,
exercise, spirituality, and personal time


Overcoming Barriers

• Money
– Tuition reimbursement
– Loans, grants, scholarships


Overcoming Barriers

• Social supports
– Family, friends, classmates, faculty
– Networking with colleagues


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


Blais ch01 lecture.pdf

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