Successful Advanced Practice Nurse Role Transition: A Structured Process to Developing Professional Identity through Role Transition

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