Nursing 108

N108: Transition to the Registered Professional Nurse Role Study Guide self-evident as the nurse learns, gains experience, and grows in the profession. Professional identity is evident in the live experience of the nurse, in his or her ways of “being,” “knowing,” and “doing.” The nurse embraces these fundamental values in every aspect of practice while working to improve patient outcomes and promote the ideals of the profession. There are a number of different avenues of education to prepare graduates for RN licensure including: o Associate degree/diploma nurse: Implement one’s role as a nurse in ways that reflect integrity, responsibility, and an evolving identity as a nurse committed to evidenced-based practice, caring, advocacy, and safe, quality care for diverse patients within a family and community context. o Baccalaureate prepared nurse: Express one’s identity as a nurse through actions that reflect integrity, a commitment to evidence-based practice, caring, advocacy, and safe, quality care for diverse patients, families, and communities, and a willingness to provide leadership in improving care. o Masters prepared nurse: Implement one’s advanced practice role in ways that foster best practices, promote personal and professional growth of oneself and others, demonstrate leadership, promote positive change,, and advance the profession. o Practice doctorate nurse: As a nurse scholar, the nurse seeks ways to translate research findings into practice and help design and implement changes in nursing practice and health policy that will best serve a diverse population and a diverse nursing workforce. o Research doctorate nurse: Implement one’s role as a research scholar committed to a spirit of inquiry, the systematic investigation of nursing related problems, and the dissemination of research findings, in a manner informed by a sense of responsibility to shape a preferred future for our profession. • Spirit of inquiry: A spirit of inquiry is a persistent sense of curiosity that informs both learning and practice. A nurse infused by a spirit of inquiry will raise questions, challenge traditional and existing practices, and seek creative approaches to problems. The spirit of inquiry suggests, to some degree, a childlike sense of wonder. A spirit of inquiry in nursing engenders innovative thinking, and extends possibilities for discovering novel solutions in ambiguous, uncertain, and unpredictable situations. Institute of Medicine’s (IOM) Core Competencies Concerns about the quality and safety of patient care in the United States continues to be an issue. In the late 1990s and early 2000s, the IOM published several reports which focused on the problems and limitations of the U.S. health care system. In 2003, the IOM issued a report on the education of health professionals which called for these five competencies to be addressed: • Provide patient-centered care: Identify, respect, and care about patients’ differences, values, preferences, and expressed needs; relieve pain and suffering; coordinate continuous care; listen to, clearly inform, communicate with, and educate patients; share decision making and management; continuously advocate disease prevention, wellness, and promotion of healthy lifestyles, including a focus on population health • Work in an interdisciplinary team: Cooperate, collaborate, communicate, and integrate care in teams to ensure that care is continuous and reliable

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