Unit 1 Professional Identity Copyright © 2017, Elsevier Inc. All rights reserved. Concept Definition “A sense of oneself that is influenced by characteristics, norms, and values of the nursing discipline, resulting in an individual thinking, acting and feeling like a nurse.” Professional identity is part of the larger notion of identity. Within the concept of identity, one would find personal identity, with professional identity as a subset of personal identity. Copyright © 2017, Elsevier Inc. All rights reserved. 2 Definition of Nursing Nightingale: “to put the patient in the best condition for nature to act upon him.” (1860) Copyright © 2020 by Elsevier Inc. All rights reserved. 3 Definition of Nursing American Nurses Association Nursing is the protection, promotion, and optimization of health and abilities; prevention of illness and injury; alleviation of suffering through the diagnosis and treatment of human response; and advocacy in the care of individuals, families, communities, and populations. 4 Copyright © 2020 by Elsevier Inc. All rights reserved. Copyright © 2017, Elsevier Inc. All rights reserved. 5 Attributes of Professional Identity Doing Being Acting Ethically Flourishing Changing Identities Copyright © 2017, Elsevier Inc. All rights reserved. 6 Professional Identity Formation Institutional Roles Behavioral Competencies Emerging Identities Adapted from Jarvis-Selinger S, Pratt DD, Regehr G: Competency is not enough: integrating identity formation into the medical education discourse, Acad Med 9:1185-1190, 2012. Copyright © 2017, Elsevier Inc. All rights reserved. 7 Stairstep Model of Professional Transformation From Crigger N, Godfrey N: The making of nurse professionals: A transformational, ethical approach, Sudbury, MA, 2011, Jones & Bartlett. Copyright © 2017, Elsevier Inc. All rights reserved. 8 Interventions for Building a Professional Identity Hearing expectations clearly Value debriefing and feedback from role models Engage in reflection Actively adopt a professional identity Understand your own responsibilities for learning and be accountable for them Build relationships with those around you Develop personal self care habits Embrace any opportunity or experiences with patients Copyright © 2017, Elsevier Inc. All rights reserved. 9 Interrelated Concepts Clinical Judgment Communication Professional Identity Leadership Ethics Copyright © 2017, Elsevier Inc. All rights reserved. 10 Common Exemplars: Integrity Integrity Follow through with pain medication Calling the physician when the patient asks you to Checking the Code Cart by the prescribed time Giving medications within the 30-minute window Copyright © 2017, Elsevier Inc. All rights reserved. 11 Common Exemplars: Compassion Compassion Taking time to talk with a troubled family member Responding to a patient’s call light with genuine interest Comforting a colleague who has just had a death in her family Using eye contact to apologize for a misstep with a colleague Copyright © 2017, Elsevier Inc. All rights reserved. 12 Common Exemplars: Courage Courage Speaking up when a colleague didn’t wash his hands before entering a patient room Conveying the details of the conversation a dying patient had with you to other members of the health care team Taking practice issues to the practice council to positively change practice on your nursing unit Speaking out about bullying occurring on the nursing unit Copyright © 2017, Elsevier Inc. All rights reserved. 13 Common Exemplars: Humility Humility Realistically viewing family members’ ability to cope with a crisis Being nonjudgmental as staff deal with a unit-based crisis Clearly identifying your part in an error and not accepting more blame than is yours Seeing the larger picture when issues arise with patients, families, and co-workers Copyright © 2017, Elsevier Inc. All rights reserved. 14 Common Exemplars: Advocacy Advocacy Sharing with family members the details of a conversation you had with their loved one this a.m. Listening carefully to help family members carry out their wishes, and working with the hospital to do what you can to help that happen Communicating with the family about their loved one’s surgery schedule, course of events, and expected finish time Copyright © 2017, Elsevier Inc. All rights reserved. 15 Common Exemplars: Human Flourishing Human Flourishing Encouraging patients in their difficult times Seeking additional resources for patients with limited discharge planning issues Encouraging co-workers to seek employee assistance options for difficulties they are having Create a positive, encouraging environment for patients and families Copyright © 2017, Elsevier Inc. All rights reserved. 16 Nursing as a Profession Patient-centered care Professionalism Administer quality care Be responsible and accountable Health care advocacy groups Robert Wood Johnson Foundation (RWJF) Future of Nursing: Campaign for Action Institute of Medicine (IOM) publication on The Future of Nursing Copyright © 2017, Elsevier Inc. All Rights Reserved. 17 Professional Roles & Functions Care Provider Educator Advocate Leader Change Agent Manager Researcher Collaborator Delegator Copyright © 2017, Elsevier Inc. All rights reserved. 18 Criteria for a Profession Altruism Body of Knowledge and Research Accountability Higher Education Autonomy Code of Ethics Professional Organization Licensure Diversity 19 Practice Guidelines The profession of nursing is guided by standards of practice and nurse practice acts. Standards of Professional Nursing Practice • Responsibilities • Professional performance Nurse Practice Acts • Scope of practice Ethical behaviors 20 Standards of Professional Performance Ethics Quality of Practice Professional Practice Evaluation Education Communication Resources Collaboration Leadership Environmental Health Evidence-Based Practice and Research 21 Career Development Nursing provides an opportunity for you to commit to lifelong learning and career development. 22 Career Development (Cont.) Provider of care Advanced practice registered nurses Clinical nurse specialist Certified nurse practitioner Certified nurse midwife Certified registered nurse anesthetist Nurse educator Nurse administrator Nurse researcher 23 Contemporary Influences Importance of nurses’ self-care Changes in society lead to changes in nursing: Affordable Care Act (ACA) Rising health care costs Demographic changes Medically underserved 24 Future Directions Nursing shortage Quality and Safety Education for Nurses Independent nursing practice Copyright © 2020 by Elsevier Inc. All rights reserved. 25 Future Directions Institute of Medicine Report 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 health care professionals in redesigning health care in the United States. Effective workforce planning and policy making require better data collection and an improved information infrastructure. 26 Copyright © 2020 by Elsevier Inc. All rights reserved. Future Directions National Patient Safety Goals Improve the accuracy of patient identification. Improve the effectiveness of communication among caregivers. Improve the safety of using medications. Reduce the harm associated with clinical alarm systems. Reduce the risk of health care-associated infections. The organization identifies safety risks inherent in its patient population. 27 Copyright © 2020 by Elsevier Inc. All rights reserved. Professional Registered Nurse Education Registered nurse education Graduate education 2-year associate’s degree 4-year baccalaureate degree Master’s degree, advanced practice RN Doctoral degrees Continuing and in-service education 28 Professional Nursing Organizations Address member concerns Present educational programs Publish journals Student organizations National Student Nurses Association (NSNA) Canadian Student Nurses Association (CSNA) 29
