Blais ch01 lecture.pdf

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Professional Nursing Practice: Concepts and Perspectives, Sixth EditionBlais • Hayes

CHAPTERCHAPTER

Professional Nursing PracticeConcepts and Perspectives

Sixth Edition

Beginning the Journey

1



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

Health & Medicine

Blais ch01 lecture.pdf