Decision Making and Personal

Personal and Professional Accountability Personal Growth and Development The concept of professional nurse accountability has been defined by professional nursing bodies and nurse education credentialing bodies as an essential factor underpinning professional practice. As a nurse, I realize this fact and take accountability and responsibility for whatever behavior and actions exhibited, on my part, at the workplace. Moreover, I have understood the need to appraise myself, strive to improve my practice, and continuously fulfill learning outcomes I determine.

Lastly, I attempt to sustain my physical, emotional and psychological wellbeing for being able to practice effectively (CRNBC, 2017). Ethical Conduct and Practice In this profession, I have acquired skills to operate within the boundaries of my personal competence levels, the legally accepted practice scope, and every applicable law. Acting to support safe, ethical and proper patient care comes under my personal and professional nursing accountability as well (CRNBC, 2017).

Involvement in a Professional Association My profession has taught me to support and facilitate the development of practices and policies that are in line with nursing standards. I realize the need to maintain my registration, and comprehend the regulatory agency's role and its relationship with my practice (CRNBC, 2017). Certification APRNs (advanced practice registered nurses) are, at present, employed in the following distinct spheres: (a) clinical nursing specialists, (b) nurse practitioners, (c) certified RN anesthetists (CRNA) and (d) certified nurse midwives.

CRNA deliver analgesic and anesthetic care to patients in a fairly short yet crucial stage of treatment (Campbell, 2011). Career Planning Knowing One's Role NPs at their best serve as healthcare providers, collaborators, instructors/educators, care managers, care coordinators and mentors/role-models. Further, they function in the roles of referral sources, consultants, counselors, outreach experts/community partners, program facilitators, and advocates. I realize the need for me, as a nursing professional, to be a diligent researcher and record-keeper.

I must progress from the novice stage and become an expert capable of fulfilling management, leadership, social mover and change agent roles (Campbell, 2011). Knowing One's Future As a future APRN, I realize that much remains for me to learn. Learning, in my view, is no temporary skills/knowledge acquisition; rather, learning is only successful if my skills and knowledge become apparent in all practice areas. With my professional growth, I need to become increasingly knowledgeable in the diverse roles of NPs in their personal and professional undertakings (CRNBC, 2017).

Positioning Myself My work in the field allows me to study NP functions in diverse roles and the link between the NP's role and roles of other healthcare practitioners like doctors, physician assistants, specialty providers, laboratory technicians, pharmacists, radiologists and physical, speech, respiratory, occupational, and nutritional therapists. I receive team mentoring and encouragement to cooperate and discuss with coworkers. Currently, my chief emphasis is constant learning and on NPs' clinician, collaborator, and patient educator roles (Campbell, 2011).

Personal Journey Disciplines Council Management or Shared Leadership While I have been able to express a few views of mine with regard to management problems, I am still uncomfortable in leadership roles. But I believe I have the capacity to increase my self-confidence and progressively grow into the leadership role (Savrin, 2009) Action Learning As all learning cannot happen at once, my membership in a healthcare team provides valuable opportunities to constantly collaborate and discuss treatment methods and alternatives.

This, together with routine treatment procedure observation, involvement in clinical decisions, and a chance to recommend patient care plans, helps me apply my knowledge to the practical environment (Savrin, 2009). Reflective Practice Although some roles are relatively easy, a large number of them must be developed. This is a time-consuming process requiring self-reflection, self-assessment and seeking coworkers' feedback. In some instances, role functions of RNs need to be modified to suit the APRN practice setting (Campbell, 2011).

Reflective Practice Reference Behaviors/Tenets Professional learning extends from initial training phases to the termination of one's professional nursing career. Learning represents a part of professional growth and this is associated with successful patient experiences and health outcomes (Bell, 2015). My practical experience has shown me that I need to make patients my chief focus in delivering care in a way that safeguards their dignity. I also need to exhibit integrity and honesty, correctly and explicitly represent my name, role and title, and safeguard patient confidentiality and privacy.

I know, support, and respect patients' right to information and informed decision-making. Further, I support and retain respectful communication within my professional interactions. Lastly, I respectfully treat students, coworkers and superiors, and appreciate team members' contributions (CRNBC, 2017). My professional experience necessitates equitable decision-making with regard to resource allotment, depending on patients' needs. Furthermore, I realize the impact of my personal experiences, values, and beliefs in performing clinical tasks, possible conflicts, and actions for preventing or resolving conflicts. I also initiate, end and sustain nurse-patient relationships appropriately (CRNBC, 2017).

Discuss how you will use your current leadership skill set to advocate for change in your workplace. The capacity of effectively supporting an interest or cause necessitates a skill set which includes communication, cooperation, problem-solving, and influence. Advocacy requires working with impacted stakeholders. Further, in advocacy roles, I need to team up with team members displaying interest in resolving the problem. To this end, I need to possess appropriate expertise. Forging a collaborative bond with support.