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 practi.

1. 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

2. 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

3. 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

4. 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

5. 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

6. 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)

7. 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

8. 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)

9. 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