This book is designed to help APN students and new APNs understand the process of role transition through the exploration of the Concept Analyses for APN Role Transition and Professional Identity. APN role transition from a generalist nurse to a graduate prepared Advanced Practice Nurse (APN) can be a challenging and emotional as the APN student progresses through graduate education, clinical experiences and during the first year of APN clinical practice. Precise steps that individuals can take to gain an in-depth understanding of the development of APN professional Identity through the personal process of role transition are provided.
Role transition is complex, this book provides knowledge and skills on four levels of role transition based on the facilitators and barriers of macro, meso, micro, and personal levels. A critical aspect of role transition is gaining a personal insight of one’s identity as person and as professional nurse. Professional identity changes significantly through the graduate education process and first year of clinical practice. This book emphasizes personal introspection and forethought to augment successful APN role transition and personal growth through a series of questions to guide personal thoughts while setting plans for the future as an APN.
This unique book allows readers to gain the skills to help them progress through role transition to APN practice through the development of their professional identity by providing activities with journal space within the book. In addition, precise steps for developing a personal role transition plan include a framework to identify personal values, visions, mission, and goal statements. As the reader completes the activities provided throughout the book, they will have a valuable personal resource as they understand their role transition from generalist nurse to the APN role. An enhanced understanding of this role transition will result in a higher of degree of success in defining their personal and professional identity. This volume is intended for students in APN programs, new graduates, nurses changing roles where there is role transition confusion, and APNs seeking to understand their professional identity and /or gain insights into the multiple facets of the APN role.
Author(s): Maria Kidner
Series: Advanced Practice in Nursing
Publisher: Springer
Year: 2022
Language: English
Pages: 249
City: Cham
Preface
Acknowledgments
About This Book
Message to Readers
References
Contents
1: APN Role Transition Introduction
1.1 Definitions
1.2 What Is Role Transition?
1.3 What Is Professional Identity?
1.4 What Is the APN Role All About?
1.4.1 Nursing and APN Role Definitions
International Council of Nursing (ICN) (2020)
World Health Organization
Florence Nightingale
China (2004)
Royal College of Nursing, England (2002)
United States of America (2010)
1.4.2 APN’s Providing Healthcare
1.4.3 Why Should I Become an APN?
1.5 How Will Gaining a Professional Identity Impact My Role Transition?
1.6 How Does This Book Work?
1.7 Expected Outcomes from This APN Role Transition Book
1.8 Summary
Appendix: References Concerning APN Quality of Care
References
2: Gaining Insight into Who You Will Become
2.1 Introduction
2.2 Definitions
2.3 A Day in Clinical Practice
2.4 The APN Role
2.4.1 Assumptions About APN
2.4.2 Characteristics of APN
2.4.3 Scope of Practice of the APN
2.4.4 Developing an APN Scope of Practice
2.4.5 APN as Nurse Anesthetist (NA)
2.5 What Should Be the APN Professional Protected Title?
2.5.1 Title Confusion and Consensus
2.6 APN Core Functions
2.7 Influences on the Development of the APN Role
2.8 Stakeholders
2.9 APNs Impacting Health Worldwide
2.10 Local Culture and Impact
2.11 Summary
Appendix: Stakeholders
References
3: Factors Influencing Perceptions
3.1 Introduction
3.2 Definitions
3.3 Curiosity and Courage to Change
3.4 Looking at History
3.4.1 The Courage and Vision of Role Developers
3.4.2 Self as a Factor of Perception: Finding Strength Within
3.4.3 Your Experiences and Personal factors
3.4.4 Personal-Insight Learning Activity
3.5 Role as a Factor of Perception
3.6 Concept Analysis of Professional Identity
3.6.1 What Is a Concept Analysis?
3.6.2 Professional Identity Concept Analysis Attributes
3.6.3 Concept Antecedents
3.6.4 Concept Consequences
Conclusion of Professional Identity Concept Analysis
3.7 Anticipate and Plan Role Impact on Personal Decisions
3.7.1 Self-Reflection
3.8 Understand Context as Barrier or as Potential to Improve Relationships
3.9 Self as Clinical Leader Perspective
3.10 Summary
References
4: APN Role Transition: Starting the Process
4.1 Introduction
4.2 Definitions
4.3 Role Transition
4.3.1 Role Transition Concept Analysis
4.3.2 Defining Attributes of the Barnes (2015) Role Transition Concept Analysis
4.3.3 Questions on APN Role Transition Attributes to Guide Your Personal Journey
4.3.4 Antecedents of the APN Role Transition Concept Analysis
4.3.5 Role Transition Personal Antecedents
4.3.6 Questions to Review Personal Antecedents
4.3.7 Role Transition Environmental Antecedents
Questions to Consider Your Environmental Antecedents
4.3.8 Consequences of Barnes (2015) Role Transition Concept Analysis
4.4 Role and Role Transition Stress
4.5 Mentors
4.5.1 The Difference Between a Mentor and an Instructor/Preceptor
4.5.2 The 5.5 Types of Mentors
4.5.3 Finding a Mentor
4.5.4 Other Supports
4.6 Summary
References
5: Finding Paths to Successful Transitions
5.1 Introduction
5.2 Definitions
5.3 Understanding Professional Identity Formation
5.4 Understanding Yourself Now
5.4.1 Personal Factors of Your Role Transition That Guide Your Professional Identity
5.4.2 Graduate Education
5.4.3 Clinical Experience as an Autonomous Healthcare Provider
5.4.4 Focus on the Future: Active Disengagement from Your Previous Nursing Role
5.4.5 Focus on the Future: Engagement in the New APN Role, the Identity as an APN, and the Possibilities the Future Holds as an APN
5.4.6 Desire for Feedback to Help Personal Understanding of Current Development and Creation of Curiosity for the Future
5.5 Environmental Factors to Role Transition and Professional Identity Formation
5.5.1 Key Points for Each Environmental Factor
5.6 Self-Concept
5.6.1 Steps and Activities to Enhance Your Positive Professional Self-Concept
5.7 Changes in the APN Profession Impacts Professional Identity
5.7.1 Example of How Increased Knowledge Changed Nursing
5.8 Impact of Professional Identity Via Role and Role Transition Stress
5.9 Barriers
5.9.1 Role Ambiguity
5.9.2 Failure to Complete Introspective Self-Exploration
5.9.3 Vertical Discounting
5.9.4 Lateral Othering
5.9.5 Work-Family Imbalance
5.9.6 Shortage of Resources
5.9.7 Physical Assault
5.9.8 Coping Mechanisms
5.10 Facilitators
5.10.1 Personal Factors
5.11 Summary
References
6: Understanding Self: A Personal Guide for Successful Role Transition
6.1 Introduction
6.2 Definitions
6.3 What Is a Personal Transition Plan (PTP)?
6.3.1 Personal Transition Plans (PTP) Background
6.3.2 Barriers to Building a Personal Transition Plan
6.3.3 Overcoming Yourself as a Barrier
6.4 Preparation for Developing Your Personal Transition Plan (PTP): Introspection
6.4.1 Steps for Preparation: Passions, Gifts, and Aspirations
Step 1: Discover Your gifts
Step 2: Determine Your Passion
Step 3: Determine Your “What I Want to Do/Accomplish”
STEP 4: Complete a SWOT Analysis
6.4.2 Personal SWOT
6.4.3 Personal SWOT Analysis
6.4.4 A 360 SWOT
6.5 Step 1: Building Your PTP—Values
6.5.1 Background on Personal and Professional Values
6.5.2 What Are Values? Why Are Values Important?
6.5.3 Nursing Values and APN Nursing
6.5.4 Nursing Values from a Graduate Student’s Perspective
6.5.5 Values from a Student’s Perspective and Actions That Promote the Value
6.5.6 Paying Attention to Values
6.5.7 Steps for Determining Values
Step 1: Review Values
Step 2: Start Your Personal Value List
Step 3: Reveal and Reflect on Values
Step 4: Write Your Final Personal Values List
6.5.8 Values and Looking at Your Graduate Program or Workplace
6.6 Step 2 Building Your PTP: A Vision Statement
6.6.1 Background
6.6.2 Step for Creating a Vision Statement
6.6.3 Vision Build Example for Actions
Example 1: Olivier’s Personal Role Transition Plan
Example 2
Example 3
6.6.4 My Personal Transition Plan Vision Statement
6.7 Step 3: Building Your PTP—Developing a Mission Statement
6.7.1 Your Mission Statement Build Guide
Personal Stakeholders
Example of Stakeholders and Impact
6.8 Step 4 Building Your PTP: Goals
6.8.1 Goals Examples
Example 1: Olivier’s PTP
Example 2: Judy’s PTP
Example 3: William’s PTP
Example 4: Lori’s PTP
6.9 Step 5: Building Your PTP—Action Plans
6.9.1 Action Plans Background
6.9.2 Action Plans Need To Be “SMART”
6.9.3 Fausta’s Big Step #2
6.9.4 Your SMART Action Plan Build Guide
6.9.5 Common Barriers to Action Plans
6.10 Summary
References
7: Integrate Your Growing Professional Identity Within Your Role Transition
7.1 Introduction
7.2 Definitions
7.3 Recognize There Is a Process
7.4 Gain Self-Understanding Through Introspection
7.5 The Four APN Competency Domains
7.5.1 Relationships Domain
7.5.1.1 Personal Level of the Relationship Domain
Intrapersonal Habit Formation
7.5.1.2 The Professional Relationship Aspect of the Relationship Domain
Intraprofessional Relationships
Interprofessional Relationships
7.5.2 Knowledge and Skills Domain
7.5.2.1 Knowledge
7.5.2.2 Skills
7.5.3 Creative and Critical Thinking Domain
7.5.3.1 Thinking Is a Learned Skill!
7.5.3.2 Critical Thinking
7.5.3.3 Creative Thinking
7.5.4 Clinical Expertise Domain
7.5.4.1 Professional Identity and Professionalism
7.5.4.2 Self-Assessment on Your Professional Identity Development Level
7.5.4.3 Other Supports
7.6 A Second Role Transition: Going from APN Student to APN in the Workplace
7.6.1 A Process of Self-Awareness: Limbo to Legitimacy Theory
7.6.2 The Use of an Estimated Time Frame of Transition
7.6.3 Be Proactive
7.6.4 Addition to Your Personal Transition Plan
7.6.5 Tracking Your Transition into the Workplace
7.6.6 Laying the Foundation
7.7 Summary
References
