Successful Advanced Practice Nurse Role Transition: A Structured Process to Developing Professional Identity through Role Transition PDF
Preview Successful Advanced Practice Nurse Role Transition: A Structured Process to Developing Professional Identity through Role Transition
Advanced Practice in Nursing Under the Auspices of the International Council of Nurses (ICN) Series Editor: Christophe Debout Maria Kidner Successful Advanced Practice Nurse Role Transition A Structured Process to Developing Professional Identity through Role Transition Advanced Practice in Nursing Under the Auspices of the International Council of Nurses (ICN) Series Editor Christophe Debout, GIP-IFITS Health Chair Sciences- Po Paris/IDS UMR Inserm 1145 Paris, France This series of concise monographs, endorsed by the International Council of Nurses, explores various aspects of advanced practice nursing at the international level. The ICN International Nurse Practitioner/Advanced Practice Nursing Network definition has been adopted for this series to define advanced practice nursing: “A Nurse Practitioner/Advanced Practice Nurse is a registered nurse who has acquired the expert knowledge base, complex decision-making skills and clinical competencies for expanded practice, the characteristics of which are shaped by the context and/or country in which s/he is credentialed to practice. A master’s degree is recommended for entry level.” At the international level, advanced practice nursing encompasses two professional profiles: Nurse practitioners (NPs) who have mastered advanced practice nursing, and are capable of diagnosing, making prescriptions for and referring patients. Though they mainly work in the community, some also work in hospitals. Clinical nurse specialists (CNSs) are expert nurses who deliver high-quality nursing care to patients and promote quality care and performance in nursing teams. The duties performed by these two categories of advanced practice nurses on an everyday basis can be divided into five interrelated roles: Clinical practice Consultation Education Leadership Research The series addresses four topics directly related to advanced practice nursing: APN in practice (NPs and CNSs) Education and continuous professional development for advanced practice nurses Managerial issues related to advanced practice nursing Policy and regulation of advanced practice nursing The contributing authors are mainly APNs (NPs and CNSs) recruited from the ICN International Nurse Practitioner/Advanced Practice Nursing Network. They include clinicians, educators, researchers, regulators and managers, and are recognized as experts in their respective fields. Each book within the series reflects the fundamentals of nursing / advanced practice nursing and will promote evidence-based nursing. More information about this series at https://link.springer.com/bookseries/13871 Maria Kidner Successful Advanced Practice Nurse Role Transition A Structured Process to Developing Professional Identity through Role Transition Maria Kidner LEAP Leadership Lander, WY, USA ISSN 2511-3917 ISSN 2511-3925 (electronic) Advanced Practice in Nursing ISBN 978-3-030-53001-3 ISBN 978-3-030-53002-0 (eBook) https://doi.org/10.1007/978-3-030-53002-0 © The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2022 This work is subject to copyright. All rights are solely and exclusively licensed by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and trans- mission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publica- tion does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors, and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, expressed or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. This Springer imprint is published by the registered company Springer Nature Switzerland AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland Preface The development of this book came about from an opportunity and honor to work on the preparation for the new Advanced Practice Nurse (APN) role for the Kingdom of Bahrain in 2018. As I pondered the path of becoming an advanced practice nurse and the process of role transition, I recognized that many nurses expanding their education to the APN level are already strong nurses yet are anxious about the new role of APN. This increased APN role transition stress is often related to the increased accountability, responsibility, and authority required upon entering the APN practice. Thus, understanding APN role transition, finding a deeper under- standing of who one is as an APN, becoming attached to the profession of APN, and developing the skills of each aspect of the APN role became the focus of this book. From 2014 to 2019 I developed a process which nurses can gain an understanding about self and working relationships. This process grew from my work in Guyana, South America and Rwanda, Africa. It is called the LEAP Process, which stands for “Leadership, Engagement, Accountability, and Professionalism.” As I wove the top- ics of role transition and leadership together, I recognized there needs to be an enhanced understanding of our self-concept and professional identity as APN to improve successful APN role transition. Topics of self-concept, self-efficacy, per- sonal identity, professional identity, and role transition are often not included in formal APN education. I wanted to write a book that would provide APNs the steps to build the skills needed for a successful APN role transition. It is the concepts and process of becoming our best that I want to share with all APN students, faculty, and nurses. This book was written to guide APN students through their role transition from a generalist nurse to the APN role. To successfully accomplish this APN role transi- tional process, students need to understand first there is an evidence-based process which students experience role transition; and second there are skills and activities that can aid in the development of one’s professional identity, build a positive self- concept, and role transition with less stress. Self-reflection is key to help APN students to review their self-concept while gaining an understanding about their potential influences on being an advanced practice nurse, leading teams, and making changes. Understanding oneself helps a person to embrace their chosen professional role to be strong during times of push- back, confusion, and poor support. I have drawn on my personal nursing experi- ences including labor and delivery, medical-surgical hospital nursing, and as an v vi Preface APN in emergency, primary care, and cardiology. My international work in Guyana, South America, Rwanda, Africa, and Vietnam has greatly enriched my nursing and ability to develop this book. My experiences within many healthcare professional organizations widened my understanding of APN influence and impact. My mem- berships involvement in nursing and social organizations increased my understand- ing of the importance of professional and community involvement. My experiences as an educator, clinical instructor, autonomous healthcare provider, and as an entre- preneur have provided me opportunities to build, present, and evaluate educational material along with partnering with students on their professional identity journeys. Lander, WY, USA Maria Kidner Acknowledgments The construction of this book, from the mist of my thoughts to written words on a page, has been a multifaceted effort over many years as I explored the adventures life placed before me. I will start my list of indebted gratitude with my father who many decades ago inspired me to look at leadership as guiding others to become their best. Next would be my mentor, Dr. Michael Zychowicz, who mentored me through a clinical strategic plan project through the American Association of Nurse Practitioners in 2009. He taught me the importance of understanding myself and recognizing my impact on others. This book commenced after a discussion with Dr. Madrean Schober who sug- gested to solidify my ideas of role transition and professional identity as integral parts of pre-leadership needs. Thus, this book was born. I am deeply humbled and indebted to those who spent many hours reading and sharing their ideas, concerns, and suggestions on this book. I especially want to mention Dr. Madrean Schober, Dr. Mary Beth Stepans, and Kathy Pappas who read every word and discussed every chapter to provide mentorship and lively conversations. This book could not have come together without the innumerable hours other nurse educators, practicing clinicians, and nurse leaders provided to me in reading, correcting, and sharing insights throughout the entire process. These include: edu- cators Dr. Mary Burman, Dr. Kathy Wheeler, Dr. Deb Gray, Dr. Kristina Davis, Dr. Savitri Singh-Carlson, Dr. Barb Turner, and Dr. Judith Berg; nurse practitioners Mary Behrens, Alicia LePard, and Lukia DeWitt Beverly; international consultant Dr. Madrean Schober; my international colleagues Mr. Hai Ngo Thanh (Vietnam), Heather McGrath (Jamaica), Martin Nsengimana (Rwanda), Christian Ntakirutimana (Rwanda), and Bonisile Nsibandze (Eswati); and DNP students Adrienne Reddick, Kenita Murray, and Jessica Wallace. A special thanks to Dr. Hillary Barnes and the many emails we shared. I would also like to point out the graphic artwork in this book is by graphic artist, Derek Rake, who devoted hours translating my ideas to graphic models. My deepest thanks and admiration of his work. Lastly, yet profoundly important, is my thanks and appreciation to my husband who patiently supported me through the numerous hours I spent on the computer, reading literature, and taking notes as we travelled and at home. I often had my computer and headset on while in the car, in hotels, at family events, and at home. Martin knew when to let me type and when to pull me a way for a needed break or vii viii Acknowledgments when to lift my head to witness a grand sunset, or majestic scenery as we travelled. Thank you, everyone for guiding and supporting me through the wonderful and detailed experience of writing a book for APNs. I am honored. About This Book Message to Readers It is my intent to find ways to inspire you to be curious about the topics presented in this book. I want to provide you with ideas about forming your opinions and thoughts with subsequent paths for you to follow to develop your personal strengths, values, vision, and mission. Building upon your personal ideas, you will then expand how you encounter others as an APN clinical leader (both formal and infor- mal) with your social influences building on the enhanced responsibility, account- ability, and authority of an APN. I have read many books on leadership and a common process is to tell the reader “what” they should obtain or do (“you should have your own values” or “you should build capacity of others”). Yet many books do not tell you how to gain the skill! I have designed this book to help you find the skills needed for your successful APN role transition. To accomplish this, I have provided you many activities and ample space to write your thoughts, plans, and ideas. In the simple act of writing, you will greatly increase your chance of success. I recognize the amount of time it will take to answer every question. By writing your thoughts you will increase your ability to become a stronger, wiser clinician and leader. Please write, doodle, draw pictures, make comments, and use this book as much as your creative heart inspires you to do as you become who you are meant to be. Then keep this book in your bookcase and every year open it and review your words to keep your plans active along with gaining knowledge of your growth from novice to expert. Should you want to share your journey of role transitions with me, please feel free to contact me. Dr. Maria Kidner [email protected] This book provides you with insights concerning: • The APN role and scope of practice. • The importance of understanding your country’s laws and regulations concern- ing the APN role. • The common processes of APN role transition through a concept analysis. ix
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