Imprint The Professional Magazine for Student Nurses
JANUARY 2014 • VOL. 61, NO. 1
®
National Student Nurses’ Association®
Departments & Columns
Editorial………………………………………………………… 4 Membership Benefits & Highlights………………………………… 6 News: National………………………………………………… 10 Nominating and Elections Committee…………………………… 12
Meeting Preview
62nd Annual Convention Preview ………………………………… 15
Career Planning Guide & Features
Career Planning Guide…………………………………………… 21 Career Center Announcement………………………………………23 Résumé or Curriculum Vitae? Why You Need Both……………………24 By Diane J. Mancino The Art and Science of the Interview……………………………………28 By Lois S. Marshall The Nurse Licensure Compact: What New Grads Need to Know………30 By Jim Puente and Haley Streibich Finding a Nurse Pracitioner Preceptor………………………………32 By Joan Masters The Joy in Caring for “Grand Patients”…………………………… 34 By Melissa Palka How Can You Bear NOT Working Here?…………………………… 36 By Sherrie Dornberger Students Reflection on Undertaking Nursing Research………………38 By Thelesha Gray, Jesica Leandre, Kripa Patel and Katie Sanchez Become a Nurse Scientist, Help Chart the Future of Health Care………40 By the National Institute of Nursing Research Nursing Specialties……………………………………………… 44 80 Career Center List - Nursing Positions Available……………………… Nursing Organizations…………………………………………… 81
Multimedia
Nursing – The Career of a Lifetime……………………………… 22
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2013-2014 Board of Directors Jesse Kennedy
President
Kelsea Bice
Vice President Secretary/Treasurer
Christine Shuffield
Imprint ® Editor
Carson Applewhite TJ Tekesky
Breakthrough to Nursing® Director
Jamie Allen Matthew Oppert Katerina Raiser Katrina Stell
Directors
Forrest Pogue
Ex-Officio, Chair COSP Planning Committee
Rebecca M. Patton, MSN, RN, CNOR, FAAN Appointed by the American Nurses Association
Consultants
Cheryl Taylor, PhD, RN, FAAN Appointed by the National League for Nursing
Staff Diane Mancino, EdD, RN, CAE, FAAN
Director Membership Development Director
Susan Wong, BS, CAE
FNSNA Scholarship and Grants Administrator
Jasmine Melendez, MA Dev Persaud, MA
Director of Finance and Administration
Imprint Staff ®
Managing Editor Editorial Consultant Editorial Assistant Design Firm
Editorial Office
National Advertising Representative
Conference and Program Planning Consultant
Jonathan Buttrick, MPW Thelma Schorr, BSN, FAAN Maisha Hollis Anderson Design of Ozark, Inc. 2909 West Trevor Trail Ozark, Missouri 65721-8438 (417) 581-2961 Fax (417) 485-2987 www.toddanderson.info National Student Nurses’ Association, Inc.® 45 Main Street, Suite 606 Brooklyn, New York 11201 (718) 210-0705 Fax (718) 797-1186 www.nsna.org Anthony J. Jannetti, Inc. East Holly Avenue, Box 56 Pitman, NJ 08071-0056 (856) 236-2300 Fax (856) 589-7463 www.ajj.com Judith Tyler, MA, RN
Published by the National Student Nurses’ Association, Inc.®
NSNA is a membership organization representing students in associate degree, diploma, baccalaureate, generic masters and generic doctorate programs preparing students for Registered Nurse licensure, as well as RNs in BSN completion programs. ®
Logo Policy The name National Student Nurses’ Association, Inc. (NSNA)® may be used only by official NSNA school and state constituents with the following wording: (Insert name of school or state association) is an official constituent of the National Student Nurses’ Association, Inc. No other wording is acceptable without NSNA’s® permission. The NSNA logo may not be used by anyone, including members of school or state chapters.
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EDITORIAL
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By Carson Applewhite Imprint® Editor
A Solid Foundation Welcome to the 2014 Career Planning Guide! Have you always known you were interested in nursing, or is this a second career? Did you start nursing school knowing which path you wanted to take your career? Have you changed your mind or been open to a variety of settings? What brought you to this point? Part of our journey—aside from classes, exams, clinicals and constant studying—is planning for our future by building a solid foundation in the present. The wonderful thing about a career in nursing is that it can take you anywhere. Perhaps you are certain that you are heading down Path A. Before you know it, there might be a fork in the road and you could find yourself bearing off into a direction you never thought you would head (or you never even thought of as a possibility). As students, it may seem that our most obvious goal is to graduate and, of course, pass the NCLEX exam. Ultimately, our goal should be to build off of a solid foundation that begins construction during nursing school and continues into the first years of experience as a registered nurse. Part of that foundation is not just the requirements and experience needed to plan for a particular path, but also the knowledge we gain about our future career options. This issue of the Career Planning Guide offers advice and guidance to assist us in building up that foundation, including the development of a résumé and curriculum vitae, learning the art of interviewing, finding a preceptor, and understanding the Nurse Licensure Compact, which enables multistate licensure nurses. In addition to a peek inside the worlds of geriatric nursing, long-term care and nursing research, the Nursing Specialties section offers an overview of various specialties you might consider either now or in the future. Nursing school is no easy walk in the park and the journey to our future careers is certainly challenging. Take a moment to be proud of yourself. I applaud you for your hard work and commitment. G
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One of the many rewards of active participation in NSNA is the annual awards and honors program. The NSNA Awards are announced and presented during the Annual Convention. Some award are open to individuals (see February 12 deadline awards below). Some program activity award categories bestow prizes to the best state and best school projects; others award a prize to the best state or school project (see March 14 deadline awards below). For judging criteria, eligibility, and prize information visit www. nsna.me/awardsapp. Applications to be received by February 12, 2014: Project InTouch (NSNA members); Leader of Leaders Award (nominate faculty/deans); Isabel Hampton Robb Leadership Award (nominate a state president); Stellar School Chapter (constituent school chapters)
Apply online at www.nsna.me/awardsapp
Applications to be received by March 14, 2014: Breakthrough to Nursing®; Bylaws and Policies; Community Health; Disaster Preparedness; Legislation/ Education; Image of Nursing; Global Initiatives in Nursing; Global Initiatives International Photo Contest; Newsletter; Robert V. Piemonte Financial Excellence; Website
NSNA Essay Contest Sponsored by
Nurse.com
Deadline: March 7, 2014 Entrants are asked to submit a 1,000-word essay answering the following question: “What does being an effective nurse leader mean to you?” Grand Prize Winner: $500, plus complimentary registration to the 62nd Annual Convention in Nashville, TN, April 9-13, 2014; First Place: $125; Second Place: $100 For judging criteria, tips, and application, visit www.nsna.me/awardsapp
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MEMBERSHIP Project InTouch Competition Heats Up! by Kelsea Bice, Vice President and Chair, Membership Committee vicepresident@nsna.org Thank you to all newly joined members, renewed members, and all of the hard working recruiters. Your commitment and dedication have been a valuable key in keeping our incredible membership development going strong. Continue encouraging your classmates to join or renew, and always share your NSNA experiences with potential new members - even prenursing students! The Competition Carries On! A BIG thank you goes out to our 47 Project Project InTouch (PIT) recruiters! Your diligent work has resulted in 1,316 new members (as of press time). There’s still time to sign up! Membership forms for the 2013-2014 contest must be received at NSNA by February 12, 2014. Our recruiters are still knee-deep in competition, earning prizes with each member they bring in, hoping to take the coveted Grand Prize, an expense-paid trip to the 62nd Annual Convention in Nashville, TN, sponsored by the American Journal of Nursing! This is our reward to you for all of your hard work! For more details, visit Recruitment Tools at www.nsna.org. Deadlines Please be sure to check out the Convention Alert page frequently for updated information. All school and state chapters must apply for official constituency status each year. The deadline for having ten members in a school is eight weeks prior to convention (February 12, 2014). Schools must have a minimum of ten or more members on the NSNA roster by the cut-off date and states must have at least two constituent schools to qualify for constituency. Find the Official Constituency Application for Constituency Status in Getting the Pieces to Fit. Also check out the Awards & Honors Booklet, which contains important criteria and upcoming deadlines for all of the awards we give out at convention! The Leader of Leaders nominations are due on February 12, 2014. The Award, sponsored by Elsevier, is presented to an outstanding dean, faculty advisor, or state consultant who demonstrates distinguished support and service to nursing students. March 14, 2014 is the deadline for the following program awards: Community Health, Legislation/Education, Empowering Resolutions, Breakthrough to Nursing®, Image of Nursing, Disaster Preparedness, Global Initiatives in Nursing, International Photo Contest, Bylaws & Policies, and Robert V. Piemonte Financial Excellence. There are so many great opportunities at convention to get involved and get prepared. I look forward to seeing y’all G
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BENEFITS & HIGHLIGHTS NCLEX Preparation with Computerized Adaptive Testing (CAT Logic) and Review Tools 25% OFF! NSNA and Delmar, Cengage Learning have formed a partnership that brings you the best in learning resources. NSNA members receive a 25% discount many products, including NCLEXRN® Review Online with CAT Logic. This unique exam preparation tool provides content review, practice subject area tests and full-length mock exams that simulate Computerized Adaptive Testing (CAT logic) used in the actual NCLEX-RN® examination. Works great on iPads and other tablets! To see a short video demo, head to www.nsna.me/nclex-demo. www.nsna.me/nsna-delmar Motel 6 10% OFF NSNA members a 10% discount at any of the 1,100+ pet-friendly Motel 6 locations in the U.S. and Canada. www.nsna.me/nsna-motel6 Red Roof Inn 15% OFF Red Roof Inn has over 350 hotels across 41 states in the U.S. Take advantage of accommodations like free Wi-Fi, HBO, ESPN, CNN, and pets stay free! www.nsna.me/nsna-redroof Wyndham Hotel Brands 20% OFF NSNA members can save on rooms at nearly 7,000 participating hotels worldwide. NSNA members receive 20% off the “Best Available Rate” at participating locations. Be sure to mention Corporate Code #1000007739 when reserving. www.nsna.me/nsna-wyndham
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Professional Liability Insurance AS LOW AS $35/YR
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School and Office Supplies UP TO 80% OFF
Nurses Service Organization (NSO) is the official NSNA-endorsed provider of professional liability insurance for nursing students. NSO offers students malpractice protection coverage up to $1 Million per occurrence up to $6 million annually, for only $35 a year!* *Rates may vary by state
NSNA has partnered with Office Depot® to bring you a FREE national discount program featuring: savings of up to 80% off preferred products; 15% off retail web pricing for 3,000 commonly used products; 93,000 products discounted below retail price; and next-day delivery with FREE shipping on orders over $50 (excludes furniture orders).
www.nsna.me/nsna-nso
www.nsna.me/nsna-officedepot
Visa® Platinum Rewards Card EARN/REDEEM POINTS
Uniform, Shoe and Accessories 10% OFF
The new custom National Student Nurses Association Visa® Platinum Rewards card gives you so many ways to earn points and so many ways to redeem them, it will quickly become your favorite way to pay. Earn points for purchases, balance transfers and interest payments. You’ll even earn extra bonus points (up to x points per $) at hundreds of merchants.
Let Life Uniform dress you for success as a nursing student and beyond. We are the one-stop shop for all your apparel and accessory needs at a 10% discount. We provide the top brands, most popular scrub styles and colors, plus stethoscopes and accessories for students. Choose to shop at one of the store locations nationwide or online!
www.nsna.me/nsna-visa
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Professional Portfolio FREE!
Professional Development ACADEMIC CREDIT
Representing your professional healthcare experience goes far beyond a simple résumé. HealthStream’s Professional Portfolio allows you to demonstrate competency and professional development by displaying education, papers, case logs, memberships, and more.
NSNA members have an opportunity to maximize their leadership potential thus enhance their career development through NSNA’s Leadership U®. NSNA members have access to a model that earns recognition—and in some cases academic credit—for participation in NSNA activities.
www.nsna.me/nsna-healthstream
www.nsnaleadershipu.org
Online Shopping Mall Earn Cash Back Azigo is an online shopping mall where NSNA members can earn cash back by shopping at your favorite stores. You will always have the peace of mind that you aren’t missing out on a sale, because you have your own personal stream of offers. And to top it off, Azigo allows you to stay organized by creating your own collections of brands you prefer. www.azigo.com/aa-nsna
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N E W S : National
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Undergraduate Research Training Program Would you like to: Conduct research rather than just reading about it? Study important topics in health and evidence-based practice? Prepare for graduate school in nursing or another health research field? Contribute your perspective and experience to a team of health researchers? Spend your summer earning academic credit and money while learning important research skills? If you answered yes to these questions, Project L/EARN might be for you! The program is an intensive, hands-on summer research training internship for undergraduate students from groups that have been previously under-represented in graduate schools and health research. Ten interns are selected annually from colleges and universities nationwide to participate in a ten-week residential internship at Rutgers University. During the summer, they obtain research skills and “hands-on” experience in health research through a combination of coursework on statistics, research methods, research writing, ethics and health topics and an individual research project under the guidance of a distinguished faculty mentor. Many continue to conduct research during the academic year with their summer mentor or a faculty researcher at their home institution. Past interns have come from a variety of majors, including nursing, psychology, sociology, public health, economics, political science, pharmacy, biology, statistics, urban studies, and public policy. Faculty mentors represent a diverse array of disciplines, including nursing, public health, social work, health psychology, medical sociology, medical anthropology, and health economics; all head vigorous research programs. Each intern will be matched with a faculty mentor whose work is most closely aligned with his or her particular interests, skills, and background. The internships provide students with a $4,150 stipend, tuition, and room and board for the duration of the ten-week program so that they can “learn while they earn.” Students also receive 3 academic credits for the program. The program will operate from Tuesday, May 27 through Friday, Aug. 1, 2014 on the New Brunswick campus of Rutgers, the State University of New Jersey. Applications are now available, and are due Monday, February 10, 2014. (Continued on page 70 2)
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NOMINATING AND ELECTIONS COMMITTEE By DiMee Zeoli, NEC Eastern Area Representative
Running from the Floor at Convention Happy New Year! Although the opportunity to run as a pre-slated candidate is over, more future leaders will answer the call by running from the floor this April! Running from the floor is when a candidate decides to run for national office after the deadline for pre-slating has passed. Some of these potential candidates decide to run prior to Convention (and either missed the pre-slate deadline, or made the decision after the deadline but before Convention). Some of these potential candidates decide to run while they are at the Convention. Now is the time to contact NSNA and your Nominating and Elections Committee (NEC) members to request an application and information on running for 2014-2015 national office. The decision to run for office on the national level may feel daunting, but please understand that you will be supported by a strong committee ready to help you along the way! During this time, it’s nice to know that candidates have some options available, just in case they miss the pre-slate deadline. While there are many advantages for those who made the pre-slate deadline (such as being able to campaign before you get to Convention), you can still run from the floor! Whether you decide to run from the floor before you even get to Convention, or you make the decision to run once you’re in Nashville, you must be aware that you cannot campaign until you are placed on the slate during the House of Delegates meeting at Annual Convention. However, you should use the weeks leading up to Convention to prepare yourself (such as picking a theme, finding a campaign manager, choosing your professional attire, taking a 5 x 7 headshot, brainstorming giveaway materials, etc). Preparing yourself to run from the floor helps ensure a seamless process of getting your name on the slate. After the opening meeting of the House of Delegates, nominations are closed for all positions with two or more slated candidates. Many student nurses come to Convention and find themselves impressed with and inspired by the passion of the students and student leaders they meet onsite. It requires a lot of work in a short period of time, but many candidates (including myself) have been elected after deciding to run after arriving at Convention!
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The first step to running for the national office is to become familiar with all the resources on the Elected Officials/How to Run for National Office page of the NSNA website, including the roles and responsibilities of the various offices. It is important to read through the Digest of Information for the 2014 NSNA Candidates, Campaign Rules and Regulations, and the 2014 Candidate Schedules. If you have any questions during this process, make sure to contact your NEC representative so that we may assist you during this important step. After selecting an office, you will need to gather the support of your dean or director. The intention of this letter of support is to inform your school of the added time and responsibility associated with holding a NSNA leadership position. I suggest asking your school chapter advisor to be your advocate in this matter. Some of the time commitments are listed in the application packet, including a calendar of events for the 2014-2015 Board of Directors and NEC members. Next, think about selecting your campaign manager. Choose a person that will be ready to act as your voice during times when you are not available. And you will have a full schedule! Your campaign manager should have the same goals and high level of ethics. Be sure you both sign the Campaign Regulations/Ethics Statement. Finishing up the application requires updating your résumé and writing a few statements on why you should be elected. Bring a copy of your résumé with you or a thumb drive so that you can easily print one out. If your paperwork is submitted to the NSNA office by March 21, you will receive a Candidate’s Packet in the mail. Again, if you run from the floor, you cannot campaign until after you are nominated from the floor and are officially placed on the slate. However, deciding to run for NSNA Office and submitting your application before you arrive at the Convention ensures that you have time to construct campaign slogans and posters to decorate your booth in Campaign Headquarters. No matter how you design your campaign, please remember that candidates may only campaign once they are officially slated. This is important! Candidates may be nominated from the floor of the House of Delegates on Wednesday, April 9 for any position; and on Friday, April 11 for any position with less than two slated candidates. A credentialed delegate must nominate you from the floor after your application packet has been submitted and verified. For more information, please contact your NEC representatives and/or request the application packet by writing to nsna@nsna.org. Good luck from all of us on the Nominating and Elections Committee! G
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2014 Annual Convention Preview - A115 www.nsna.org
NSNA’s 62nd Annual Convention will be held at the Gaylord Opryland Resort & Convention Center, in Nashville, Tennessee, April 9-13, 2014! The NSNA Annual Convention features a variety of exciting learning experiences and networking opportunities, including: focus sessions and plenary sessions covering several cutting-edge topics; the annual meeting of the NSNA House of Delegates; a host of exciting exhibits; a spectacular Opening Ceremony and Keynote Address; fun times at the First Night Party; the NCLEX-RN® Mini Review; faculty workshops, and more. There is something for everyone! NSNA is thrilled about returning to our host, the Gaylord Opryland Resort and Convention Center. In soaring atriums under glass, there are nine sprawling acres of lush gardens, cascading waterfalls, and a winding river. Located just 10 miles from downtown Nashville and 7 miles from the Nashville International Airport, Gaylord Opryland offers state-of-the-art meeting and exhibit space within the Gaylord Opryland USA Entertainment Complex. This impressive resort features 10 restaurants and a food court, more than a dozen specialty shops, a complete fitness center and extensive business center. There’s no need to worry about weather or transportation once you get there! Located in “Middle Tennessee,” Nashville is an ideal destination for music fans, history buffs, sports enthusiasts, and those craving some good old southern hospitality. The mild temperatures in March and April range from 70°F (day) to 47°F (night). Please join us at the 2014 NSNA Annual Convention and make lifelong memories. Leadership opportunities, networking and endless educational opportunities await you. Step forward and become one of our Strong Voices and Big Dreams that will Influence the Future of Healthcare! Opening Awards Ceremony and Keynote Speaker Wednesday, April 9, 2014, 5:30pm - 7:30pm The Opening Ceremony includes the Keynote Address, recognition of exceptional scholarship winners, presentation of awards including NSNA Honorary Donnelly membership, and greetings from Rebecca Patton, MS, RN, CNOR, FAAN, Past ANA President and NSNA National Consultant and Dr. Marsha Howell Adams, President, National League for Nursing. The 62nd Annual Convention Keynote Speaker is Dr. Gloria Ferraro Donnelly, Dean and Professor, College of Nursing and Health Professions at Drexel University in Philadelphia, PA. KEYNOTE TITLE: What’s Your Hunch? Ideas that Changed Nursing and Health Care This presentation is about thinking differently, detecting patterns and innovating from the weeds of healthcare – it is about the hunches of future nurses! Keynote Speaker Sponsor: Nurses Service Organization, Hatboro, PA
First Night Party—COUNTRY WESTERN JAMBOREE! Prepare yourself for an action packed, jingle-jangle, foot stomp’n extravaganza! Dust off those boots, strap on that flashy belt buckle, slip into your favorite jeans, and you will be ready to dance to music of all genres, sing the best karaoke songs, and laugh with new friends. Light refreshments and photo opportunities set the stage for the perfect ending to the first day of Annual Convention! Sponsors: Nurses Service Organization, Hatboro, PA American Nurses Association, Silver Spring, MD NCLEX-RN® Mini Review Prepare yourself for the most important exam you will take: the State Licensure Exam! Wednesday, 8am - 11:45am, Thursday, 7am - 9am, Friday, 7am - 8:45am. In just 7.5 hours you will be well on your Miller way to test success! Scheduled so that all students can attend, you will learn about selected topics that are on the exam. Speaker: Judith Miller, MS, RN, President of Nursing Tutorial and Consulting Services, Henniker, NH Sponsor: Delmar Cengage Learning, Clifton Park, NY Plenary Sessions Interprofessional Patient-Centered Care: RNs Rally the Team Thursday, April 10, 2014, 9:00am - 10:30am This presentation examines the value and role of Speakman Interprofessional education and practice in preparing the student nurse for the role of member and leader of Interprofessional patient-centered care team-based models. Speaker: Elizabeth Speakman, EdD, RN, CDE, ANEF, Associate Professor and Co-Director Jefferson Interprofessional Education Center, Thomas Jefferson University, Philadelphia, PA Sponsor: Oncology Nursing Society, Pittsburgh, PA
Gaylord Photo courtesy of Gaylord Opryland Resort and Convention Center Nashville photos © 2014, Nashville Convention & Visitors Bureau
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Leadership: Reflections on Lessons Learned Serving as the ANA President Friday, April 11, 2014, 9:15am - 11:00am Karen Daley, PhD, MPH, RN, FAAN, shares valuable lessons learned in her many years as a nurse leader and as she led the transformation of one of the oldest and largest professional nursing organizations in the USA. You will hear Dr. Daley describe how participation in the NSNA serves as the training ground for future leadership in the American Nurses Association. Lessons learned from an encounter early in her career from a needle-stick injury to the rewards and challenges of serving as the president of the American Nurses Association, she will inspire and strengthen your commitment to the nursing profession. Speaker: Karen Daley, PhD, MPH, RN, FAAN, President, American Nurses Association, Silver Spring, MD Sponsor: American Nurses Association, Silver Spring, MD Closing Ceremony and Endnote Address: “Your Voice/Your Dream/ Nursing’s Future” Saturday, April 12, 2014 , 4:30pm - 6:00pm Meet the incoming NSNA Board of Directors and Nominating and Elections Committee and celebrate with the top winners Betts of NSNA’s many program awards. Endnote speaker, Virginia Trotter Betts, MSN, JD, RN, FAAN, challenges you to BE the change nursing needs to achieve the dreams you hold now and those that brought you to the profession of nursing. Leave empowered and recognize the substantial contribution you are about to make. Speaker: Virginia Trotter Betts, MSN, JD, RN, FAAN, Professor, Department of Advanced Practice & Doctoral Studies Program, University of Tennessee Health Science Center, Memphis, TN Sponsor: Association of periOperative Registered Nurses, Denver, CO Pre-Convention Faculty Workshop ACES: Advancing Care Excellence for Seniors Wednesday, April 9, 2014, 8:30am - 4:00pm REGISTRATION INCLUDES: • Full day workshop • Continental Breakfast & Lunch • 6 CEU hours • Admission to an NLN pre-summit workshop • Two follow up webinars • Eligibility for an NLN recognition award Advancing Care Excellence for Seniors (ACES) guides the teaching of nursing students to provide competent, individualized and humanistic care to older adults. This workshop addresses the complexity of decision making about care for the older adult in a variety of home, institutional and community-based settings. Speakers: Laureen Tavolaro-Ryley, MSN, RN, Psychiatric Clinical Nurse Specialist, Associate Professor of Nursing at the Community College of Philadelphia; M. Elaine Tagliareni, EdD, RN, Chief Program Officer at the National League for Nursing, New York; Martha Conrad, MSN, RN, Director of Interprofessional Simulation, College of Health Professions, University of Akron, Akron, OH; and Susan Forneris, PhD, RN, CNE, CCRN, Associate Professor of Nursing, St. Catherine University, St. Paul, MN Sponsors: National Student Nurses Association, Brooklyn, NY; and the National League for Nursing, Washington, DC NSNA Leadership University Consultant/Advisor Certificate Program This is a great opportunity to obtain continuing education credits and validate your role as a state consultant or school advisor. Offered in two sessions totaling 4.25 hours of formal education, It is specifically tailored to enhance the experience and effectiveness of faculty engaged in guiding and assisting chapter leaders to understand NSNA’s shared governance model. Sponsor: National Student Nurses Association, Brooklyn, NY
Faculty Lounge Faculty is invited to relax in the Faculty Lounge, a quiet spot to network and enjoy conversing with colleagues. The schedule can be found on page 00. Faculty/Consultant/Advisors Program Topics to include: Helping Students Leverage their Personality to be a Successful Online Learner Julie McAfooes, MS, RN-BC, CNE, ANEF, Web Development Manager, Chamberlain College of Nursing Sponsor: Chamberlain College of Nursing, Columbus, OH Clinical Decision-Making Challenges: Strategies for Success Loretta Manning, MSN, RN, åGNP, President, ICAN Publishing, Inc., Lydia Zyger, MSN, RN, NEA-BC, Education Consultant, ICAN Publishing Inc., Pensacola, FL Sponsor: Sylvia Rayfield & Associates Inc., ICAN Publishing, Pensacola, FL Student Success Barbara Irwin, MSN, RN, Executive Director of Nursing, Kaplan Nursing Sponsor: Kaplan Nursing, New York, NY Grant Writing 101 - Tips for the Novice Lois S. Marshall, PhD, RN, Nurse Education Consultant, Miami, FL Sponsor: National Student Nurses Association, Brooklyn, NY 50 Shades of Nursing Informatics Dee McGonigle, PhD, RN, CNE, FAAN, ANEF, Director, Virtual Learning Informatics: Professor, Chamberlain College of Nursing Sponsor: Chamberlain College of Nursing, Columbus, OH National Council of State Boards of Nursing Update with Progress Report on Transition into Practice Nancy Spector, PhD, RN, Director of Regulatory Innovations, NCSBN, Chicago, IL Sponsor: NCSBN, Chicago, IL The Nitty Gritty Principles of Balancing Student Rights and Academic Discipline Stephanie Turner, EdD, RN, Assistant Professor, Capstone College of Nursing University of Alabama, Tuscaloosa, AL Getting Yourselves (and Students) Published: A Prescription for Success Speaker Maureen “Shawn” Kennedy, MA, RN, Editor-in-Chief, American Journal of Nursing, New York, NY Sponsor: Wolters Kluwer Health, New York, NY Coaching and Mentoring Nursing Students Speaker: Lois Marshall, PhD, RN, nurse education consultant, author, “Take Charge of Your Nursing Career,” published by Sigma Theta Tau International, Indianapolis, IN Sponsor: National Student Nurses Association, Brooklyn, NY
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Exhibit Hall Exhibitors from healthcare agencies, nursing schools, publishers, NCLEX® review providers, apparel companies, and others are available to meet you in the Exhibit Hall. You’ll hear about career opportunities at health care agencies available for new graduates as well as summer internships. Bring your résumé and plenty of business cards! The Grand Opening is on Thursday, April 10 and is open on Friday and Saturday as well. See schedule on page 8 for Exhibit hours. Career Development Center The Career Development Center is provided to help design your nursing career path. Faculty advisors and consultants will review your résumé and discuss the primary steps for obtaining your first job. Before you arrive make a list of your interests and needs, and analyze your priorities and goals. Take this opportunity to learn and discuss the basic steps for success. Bring a hard copy of your résumé and professional portfolio. Career Development Coordinator: Dr. Lois Marshall, the author of Take Charge of Your Nursing Career: Open the Door to Your Dreams (STTI, 2010) is a career development and management expert. She offers mentorship to students nationally on issues related to their career from new graduate through mid-career. Student Pre-Convention Workshop American Red Cross Disaster Certification Wednesday, April 9, 8:00am - 10:00am, and repeated 10:30am - 12:30pm, and 1:00pm - 3:00pm NSNA is collaborating with the American Red Cross (ARC) to offer disaster training. Pre-register for this exciting opportunity to learn how to provide health care services in disaster shelters. Participants will be certified in the American Red Cross “Disaster Health and Sheltering” course designed for pre-licensure nursing students and will receive a course certificate. Students will gain knowledge and skills to volunteer at disaster shelters in their communities. Convention registration is required, but there is no additional fee for this program. Information on how to register for this program will be sent to all those who register for the convention. To enroll go to www.disasterhealthandsheltering.org. Enrollment is limited. Focus Sessions On Thursday, Friday, and Saturday a variety of one-hour focus sessions covering a broad range of topics related to personal and professional growth will be presented. There are over 20 sessions to choose from. Attend as many as your schedule allows. Focus Session topics will include the importance of nursing research, oncology, leadership, career progression, distance education, nursing informatics, learning pharmacology easily, managing liability risks, nurse licensure compact, forensic nursing, improving your memory, occupational and environmental health when caring for children, nephrology and more. Terrance Keenan Nursing Leadership Lecture Prevention in Practice: Lessons from the Field The Foundation of the NSNA is pleased to announce the 13th Annual Terrance Keenan Nursing Leadership Lecture sponsored by the RWJ Executive Nurse Fellows Program Leadership Legacy Fund. This fund was established by members of the 1998 inaugural cohort of the RWJ Executive Nurse Fellows Program, a national leadership program supported by the Robert Wood Johnson Foundation. Join Dean Niederhauser as she discusses her career and lessons learned working towards improving the health of children and families through
prevention activities. This talk will focus on how nurses can make a difference in the health and well-being of children and families through health promotion and disease prevention interventions. Niederhauser Speaker: Victoria Niederhauser DrPH, RN, Dean and Professor, College of Nursing, University of Tennessee, Knoxville, TN Dr. Niederhauser is a Robert Wood Johnson Executive Nurse Fellow , completing the 3 year fellowship program for nurses in executive leadership roles in 2011. She currently is on the executive Advisory board of the Beryl Institute; is a board member of the RWJ Executive Nurse Fellows Alumni Association; and is Chair of the Board of Directors for the Tennessee Action Coalition. Sponsors: RWJ Executive Fellows Program Leadership Legacy Fund, Foundation of the National Student Nurses Association, Brooklyn, NY Association Activity Seminars Wednesday, Noon - 1:00pm and 1:15pm - 2:15pm Involvement in NSNA can bring many professional rewards now and in the future. Members of the NSNA Board of Directors will present seminars on the following program areas: community health disaster preparedness; membership recruitment; convention planning; image of nursing; bylaws and policies; role of association secretary; financial management and fundraising; Breakthrough to Nursing Projects; global nursing; and legislation/education activities. In addition, NSNA President Jesse Kennedy will host a School Presidents Forum. Students from the same chapter may wish to attend different seminars and then share the information to strengthen their association. Poster Session and Project Showcase NSNA Chapters are invited to share school and state projects and display posters for the following program areas: Breakthrough to Nursing, global/international nursing projects; Community Health, Legislation/ Education, NSNA Leadership U, newsletters, and Image of Nursing. Develop a poster and submit it for the Project Showcase. Joint faculty and student submissions are welcomed. Download form from www. nsna.org, or call NSNA for more information (718) 210-0705. Blood Drive • Friday, April 11, 8:00am - 4:00pm Give back to the community and help save lives by giving blood! There is a constant need for regular blood supply. Blood donations by healthy people ensure that safe blood will be available whenever and wherever it is needed. The Blood Drive will be run by the American Red Cross of Nashville, TN. Bone Marrow Donor Registry · Friday, April 11, 8:00am - 4:00pm A simple swab of the cheek can change someone’s life! Simply complete a consent form and swab the inside of your cheek to collect cells for tissue typing. Every person who joins the registry gives patients hope. The registry will be run by DKMS, New York, NY. Convention Bag and Lanyard Sponsor: Los Angeles, CA Convention photos © 2014, NSNA by Harry Butler, Nashville
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Student Activity Tables School and state constituents may sell fundraising items to benefit their chapter only in the Student Activity Area. Due to convention center fees, there is a fee of $25 for a half-table. Participants must share tables. Tables are assigned at the NSNA Convention Office on a first-come, first-served basis. For NSNA’s policies related to fundraising at convention, visit www.nsna.org and click on “Publications/Guidelines for Planning: Fundraising.” House of Delegates Hundreds of state and school delegates convene in the House of Delegates to vote on resolutions and elect the 2014-2015 Board of Directors and Nominating and Elections Committee. Schools with ten or more members by the February 12, 2014 deadline are eligible to apply for constituency status, entitling them to delegate representation. For more information about the House of Delegates and to see how many members are at your school, visit www.nsna.org, and click on Membership/Reports. Delegates wishing to be seated in the Opening House of Delegates meeting on Wednesday, April 9, must be credentialed by 12:30pm. See Schedule for Delegate Credentialing hours. House of Delegates refreshment break sponsored by: American Nurses Association, Silver Spring, MD Run for Office Running for office is an exciting opportunity to participate in leadership and decision-making at the national level. If you are a school or state NSNA chapter leader and meet the qualifications to serve in a national elected office, please contact the NSNA Nominating and Elections Committee for details. Go to www.nsna.org and click on “Elected Officials,” or send an email to nsna@nsna.org. NSNA Leadership University Treasurer Certificate Workshop Tuesday, April 8, 1:00pm - 5:00pm The role of association treasurer is important to the fiscal health of the organization. The workshop covers financial reporting, planning an operating budget, establishing a reserve fund, bank reconciliation, internal controls and IRS filing requirements. Take an open-book exam at the end of the workshop and earn a Leadership University Certificate for competency. Treasurers, association and chapter leaders, advisors and consultants are urged to attend. Presented by Christine Shuffield, NSNA Secretary/Treasurer; Chair, Finance Committee.
Foundation of the NSNA Events At NSNA’s 62nd Annual Convention students and faculty can get involved in these various events and support the undergraduate scholarship program.
Opening Ceremony—Wednesday, April 9 Join the NSNA Board of Directors and the President of the NSNA Foundation to recognize scholarship sponsors and recipients. Music City Annual Live Auction—Friday, April 11 Donate an item for the auction and join the bidding wars to raise funds for the Mary Ann Tuft Scholarship Fund. Donated items must have a minimum value of $30 and be brought to the Convention Office no later than noon on Thursday, April 10. Contributions are tax deductible. For details contact: Lauren Sperle at (718) 210-0705 Ext. 111 or nsna@nsna.org, Attn: Lauren. Forever Nursing 5K Run/1K Walk—April 12 “Run For a Cause” On Saturday morning, you can help raise funds for the Forever Nursing Capital Campaign by running or walking in the Forever Nursing Annual Fun Run. Organize a school or state chapter team and help us promote health and wellness while raising funds for a worthy cause. A separate pre-registration for this event will be available on the NSNA web site at www.nsna.org. Annual Leadership Challenge—Saturday, April 12 Be ready for the Annual Leadership Challenge. Your school or state chapter will want to participate and make a pledge at the exciting event that takes place during the House of Delegates break. All events raise funds for undergraduate nursing student scholarships. For information on any of these events, contact Jasmine Melendez at (718) 210-0705 Ext. 118, Fax (718) 797-1186 or email at nsna@nsna.org, Attn: Jasmine.
Transportation Information for NSNA’s 62nd Annual Convention! NSNA has arranged discounted airfares with Delta Airlines for Annual Convention attendees traveling to and from Nashville, Tennessee between the dates of April 5, 2014 thru April 16, 2014. Reservations and ticketing is available via www. delta.com. When booking online, select Meeting Event Code and enter the Meeting ID: NMGHN in the box provided on the Search Flight page. By phone contact Delta at 1-800-328-1111 and use authorization number NMGHN.
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ANNOUNCING…THE NEW AND IMPROVED
NSNA CAREER CENTER! The NSNA Career Center webpages have been revised and reorganized to assist you throughout your career planning journey. Plan your career path. Review your options to pursue various nursing specialties, certifications, and post-graduation education. What happens after graduation? Prepare for NCLEX, build up your resume/professional portfolio, find your first position in nursing. Visit now at: www.nsna.org/CareerCenter.aspx Be sure to check the new Career Center frequently for new features and updates, including information regarding the upcoming Career Development Center during the 62nd Annual Convention, April 9-13, 2014 in Nashville, TN.
Navigating Your Nursing Career Journey Enhance your career planning with a special student issue of Nursing Notes by the Johnson & Johnson Campaign for Nursing’s Future! This special edition of Nursing Notes, created in conjunction with NSNA, offers resources for student nurses, including advice on scholarship applications, resumés, interviews and more. If you are a student nurse, we hope that you find this issue helpful to advancing your chosen career. If you are a nurse, educator or other healthcare professional, we encourage you to forward this message to any nursing students you know! Read this special issue at: www.discovernursing.com/content/special-student-issue-navigating-your-nursing-journey
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Résumé or Curriculum Vitae? Why You Need Both By Diane J. Mancino, EdD, RN, CAE, FAAN Every senior nursing student is faced with writing a résumé in preparation for job applications. However, every nursing student should also be starting a curriculum vitae—a record of one’s professional life’s course or path. Keeping a record of every aspect of a nursing career is easiest when it is started as a student. Although there are web sites that offer convenient methods to keep track of one’s professional development such as the HealthStream Professional Portfolio™ (see www.nsna.me/nsna-healthstream), a personal curriculum vitae (CV) is an essential document for every registered nurse to maintain throughout their career. A résumé is a summary—usually one or two pages—that highlights the background and skills for a particular employment setting. It may be easily adjusted and revised to emphasize the qualifications required for a specific position you are seeking. A CV may start out as only a few pages and develop into multiple pages as one’s career evolves. A CV basically captures everything a RN does during her/his nursing career. The following is a simple format that can be utilized to establish a CV. Always start with the most recent activities. It should be easily printed on 8 1/2 x 11 paper. Use only one type face throughout and bold or underlined type for headings. Name and contact information RN Licensure (state[s] you are licensed in and year of licensure) Employment History: name of employer, city/state, dates (month/year) employed, title of position(s) held, sentence or two describing your responsibilities in broad terms. Example: 6/2003 – 8/2005 ABC Hospital, Mytown, NY, Certified Nursing Assistant, medicalsurgical unit. Education History: dates attended, name of school, city/state, degree earned and year degree earned, Example: 2005 - 2010 ABC University College of Nursing, Mytown, NY, Bachelor’s Degree in Nursing 2010 Certifications: start date and expiration (renewal) date/title of certification, specialty, issuing organization, Example: 2010-2015 RN-BC, Community Health Nursing, American Nurses Credentialing Center, Silver Spring, MD
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Professional Organizations: voluntary associations that you currently membership in. Example: 6/2009 – present, American Nurses Association. Professional Activities and Community Service: include time frame (month/year), name of organization; positions held (i.e., president, vice president, committee member, committee chair) Example: 6/2008 – 4/2009, National Student Nurses’ Association, Resolutions Committee, member. Publications: name of author (you), title of article, journal or book article is published in, volume and number if applicable, date of publication, and publisher. Example: Mancino, Diane, “Inaction is Not an Option,” Dean’s Notes, Vol. 33: 2. November/ December 2011, A J Jannetti, Publisher. Awards and Honors: name of award/honor, name of organization issuing the honor/award and year received. Example: Sigma Theta Tau International, inducted 2009. Presentations: title of presentation, name of organization, date, location. Example: Ensuring the Future of Nursing Leadership, National League for Nursing Education Summit, September 2009, Philadelphia, PA. Continuing Education: name of organization/company, date and city/state. Example: American Society of Association Executives, Annual Conference, August 2010, St. Louis, MO. International Meetings Attended: host organization, year, and location Example: American Association for the History of Nursing (2010 London) (Continued on page 26 2)
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Sample Formatting Mary J. Smith, RN-BC 112 Holm Drive, Apartment #2 • Chatwick, NY 11107 • (777) 678-1234 (mobile) maryjsmith@hahoo.net Registered Professional Nurse: New York (2009) 2009 – present
Employment History ABC Home Care Agency, Chatwick, NY, staff nurse EDUCATION History
2010 – present DEF University, Yourtown, NY, Masters in Community Health Nursing, Expected date of graduation 5/2012 2005 – 2009 ABC University College of Nursing, Mytown, NY, Bachelor’s Degree in Nursing, 5/2010 CERTIFICATIONS 2010-2015
RN-BC, Community Health Nursing, American Nurses Credential Center, Silver Spring, MD PROFESSIONAL ORGANIZATIONS
6/2009 – present American Nurses Association 9/2005 – 8/2009 National Student Nurses’ Association PROFESSIONAL ACTIVITIES and community service 10/2010 – present Congress on Nursing Practice and Economics, American Nurses Association 6/2008 – 4/2009 National Student Nurses’ Association, Resolutions Committee, member. Publications Smith, Mary J, “Patient Centered Community Health Nursing,” Journal of Community Health Nursing, Vol. 33: 2. December 2011, p 200-204. awards and honors • Community Health Nurse of the Year, ABC Home Care, 2011 • Sigma Theta Tau International, inducted 2009 presentations “Role of the Registered Nurse in Home Care,” Careers in Nursing Panel, National Student Nurses’ Association Annual MidYear Career Planning Conference, November 2011, Memphis, TN. continuing education American Public Health Association, Annual Conference, September 10 – 15, 2011, St. Louis, MO. international meetings attended International Association for Home Nursing, September 5-10, 2010, London, England
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Online Resources Online Resources HealthStream Professional Portfolio™ (free online portfolio for NSNA members) www.nsna.me/nsna-healthstream Résumé vs CV, My Resume.org http://www.myresume.org/curriculum-vitae-cv/resume-cv-curriculum-vitae/ Info Career Trends, Vita vs. Resume: Get Unstuck through Knowing the Difference http://lisjobs.com/career_trends/?p=107 University of Missouri Grad School Career Services, Résumé vs. Curriculum Vitae http://bit.ly/1n1TQbt
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The Art and Science of the Interview By Lois S. Marshall
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Once you have put your career search into motion by getting licensed, sending out résumés, filling out applications, and networking, often the next step on your journey is the interview with a prospective employer. For many new graduates, the anticipation of an interview can be stressful. The interview should, instead, be viewed as chance to “put your best foot forward,” and provide an opportunity for the prospective employer(s) to see you—the professional nurse—and the value you can bring to their organization. It is always important to remember that you are interviewing the employer(s) as much as they are interviewing you. You are both aiming to meet a mutual goal of finding the “best fit” for the demands and needs of the position you are interested in. Be Prepared To present yourself in the best manner and provide evidence to the prospective employer that they should hire you, preparation is key to your successful interview. You need to do your “homework” and research the agency you are applying to. This shows the interviewer that you are not only interested in the position, but also in being engaged in the agency’s mission. Use
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all of your resources (e.g., contacts within the agency, research on internet, faculty) to explore information about the patient population served. Look for: types of units; nurse-patient ratio; type of nursing system; general information about reputation, accreditation status, organizational structure, etc; and typical starting salary and benefits. And of course, you want to find out which positions are available. Prospective employers want to have a sense from you that you have some in depth information about their organization and where you might fit in as a new graduate. Types of Interviews There are currently three basic types of interviews that you may be asked to participate in during your position search: face-to-face, group, and behavioral. Face-to-face Interviews These interviews, conducted by human resource individuals and/or nurse recruiters, usually serve as an initial interview. Not all agencies will have this type of interview, but those that do are often selecting candidates to go on to the next phase of interviews. Thus, while this first interview may seem to be more basic and possibly not with a nurse, don’t overlook the importance of making a great first impression on the first interview. It can make a significant difference in being considered for the position you desire. General interview questions that may be asked of you might include the following: • Why did you choose the profession of nursing for your career? • Describe your best experience as a student nurse and why. • What are your strengths and weaknesses? • How do you work with others on a team? Give some examples. • Describe some attributes of a new graduate nurse that you think you possess. Give some examples. • What makes you the ideal candidate for this position? Group Interview You may encounter this type of interview, in which there may be several interviewers, including nurse managers from units with available positions. They are eager to learn about you to determine your fit with their unit. These types of interviews may also include individuals from nursing administration or patient care nurses from the units, depending on the structure the agency has set up for interviewing new graduates and other prospective nurse employees. Questions and/or focus areas that a nurse manager or panel of nurses might ask during the interview process include: • Scenarios where you problem solve, prioritize, delegate appropriately; • Questions that focus on specific patient population or patient care more generally; • Questions about shift preference or scheduling flexibility; and • Questions where you describe the differences between practice while in school and taking a position as new RN. Behavioral Interview This type of interviewing process has become much more prevalent in nursing and healthcare (Continued on page 70 2)
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The Nurse Licensure Compact: What New Grads Need to Know By Jim Puente and Haley Streibich
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What is the NLC? It is important for nursing students and recent graduates to understand the Nurse Licensure Compact (NLC) and how it is distinguished from a single-state license issued by a board of nursing (BON). Currently comprised of 24 member state BONs, the NLC allows a nurse (RN and LPN/VN) to possess a multistate license that permits practice in both their home state and other compact states. Unless the nurse is under discipline or restriction, a compact license permits practice (physically and telephonically/electronically) across state lines in all NLC states. The NLC especially benefits those working across state lines or practicing telehealth. The NLC enhances mobility for nurses and bypasses the cumbersome and expensive process of applying for multiple licenses from individual state boards. How Can I Get a Compact License? Eligibility for a multistate license depends on your primary state of residence (PSOR). This is the state in which you hold a driver’s license, are registered to vote, and file federal income tax. Since many students obtain degrees in a state other than the primary state of residence, it is important to reference the licensure requirements for your home state rather than the state in which you are attending college. That is, of course, unless your PSOR is the same as the state in which you are attending college. Often, nursing schools will focus on the licensure requirements for the state in which the program is located, but each state board is different. If your PSOR is a compact state, lucky you! You will likely be eligible for a multistate license after applying for initial licensure by examination, receiving authorization to test (ATT) in that state, passing the NCLEX and meeting the state licensure requirements. Applying for a compact license does not require completing an additional application for licensure—the license issued by your home state is valid among all 24 compact states. As long as the PSOR does not change, a nurse can practice in all compact states on an active compact license in good standing issued by the home state. Outside of the compact, you still must apply for a single-state license with the appropriate state board of nursing in order to practice in that state.
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A nurse whose primary state of residence is a non-compact state is not eligible for a multistate license; when applying for licensure in a compact state, the nurse will be issued a singlestate license (valid only in the state of issuance). If this nurse were to relocate and establish residency in the compact state (a signed Declaration of Primary State of Residence form is required) and apply for license by endorsement, a compact license may be issued and the single-state license from the previous state of residence would remain active as long as maintained. A nurse must follow the nurse practice act (rules and regulations) of each state of practice (visit www.ncsbn.org/4319.htm to find your state’s nurse practice act). Applying For Licensure Pending Job Offer Pending or post-graduation, it is possible that you haven’t found your first nursing position and are uncertain as to which state to apply for licensure. You may feel tempted to apply for licensure in several states, although your initial application for license by exam should be to one state only. Especially if your PSOR is a compact state, it is recommended to apply for licensure in only one state – you can apply for licensure by endorsement in another state at a later time and be issued a temporary license in the meantime. As a resident of a compact state, you may only hold one compact license but you may hold as many non-compact state licenses as needed. As a resident of a non-compact state, you may hold as many licenses as needed from compact or non-compact states, as all will be single state licenses. (Continued on page 73 2)
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Finding a Nurse Practitioner Preceptor By Joan Masters
Many undergraduate students are considering a career as a nurse practitioner (NP). You might be as well. It is not too early to think about how you will find preceptors. As a faculty member in a program with a family nurse practitioner (FNP) track, and as a member of the state nurse practitionernurse midwife professional association, I receive a steady stream of requests from NP students seeking preceptors. From student inquires, it is clear that many students are desperate to find preceptors (Krall, 2013). So, how can you plan the search for a preceptor?
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Focus on the Needs of the Preceptor What can you bring to the precepting experience? Of approximately 80 requests for preceptors I have received in the last three years, only three addressed the needs of potential preceptors by describing what they could bring to the experience. Some students even disparaged potential preceptors, telling them they needed to remember what it was like to be a student and that it was time to give back. Would you criticize someone and then expect a favor from that person? You have unique assets that you should identify and promote. What knowledge and skills do you have? Are you bilingual? Are you skilled in working with special populations, particularly the more challenging ones (e.g., people with dual diagnoses)? What about your personal traits? Do you meticulously set priorities and meet deadlines? Are you mostly punctual or tardy? Are you committed to the profession? How can others detect your enthusiasm (e.g., showing an interest in involvement with professional nursing organizations)? Before asking a busy NP about precepting, focus first on what you can offer. Since so few people do this, doing so will set you apart. Look Before You Leap Investigate what clinical placement assistance an NP program offers as one of your selection criteria when you investigate graduate programs. Online programs have advantages, but clinical placement assistance may not be one of them, so take that into consideration. In a survey of new NP student graduates, only 20 percent of students in online programs received assistance in finding preceptors; however, 55 percent of those in traditional programs did (Rollet, 2010). Although many schools give students a list of NPs and physicians who have precepted in the past, this is not the same as being assigned to a preceptor. And if the list is not current, it may be unusable. During the application process, ask schools how students get preceptors. Read the internet postings and make use of social media outlets. Finding a preceptor can be a nerve-wracking and time-consuming experience that can pull you away from your studies (“Shortage,” 2012; “Why is it,” 2012). A school that requires you to find your own preceptor may not be your best option if you don’t already have NP and physician contacts who you know would be willing to precept you. Plan Ahead Waiting until you are in or about to begin an NP clinical rotation is too late to be thinking about a placement. As a former NP student, and as a current NP faculty member, I encourage students to make contacts by joining the state professional organization and participating in it. Few actually do. Their reasons? “I have to work.” “Maybe later.” “I am too busy right now.” “I can’t afford it.” (Note: students often get discounted membership. NSNA members receive special rates for many - see www.nsna.me/nsnapartnership) This is unfortunate because networking is the key to positive results. To be a successful professional, you must be known and respected by many people; the process should begin when you are an undergraduate. When networking, reputation is everything. If you plan to continue working as a registered nurse while in graduate school then you need to save the maximum amount of paid time off to use during clinicals (in case you have to temporarily relocate). It should go without saying that you need to save as much money as you can for the same reason. (Continued on page 76 2)
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The Joy in Caring
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for “Grand Patients” By Melissa Palka
Searching for a rewarding career path in nursing? Undecided about what fits you? I have a proposition for you: geriatric nursing. Don’t grimace and turn the page. Allow yourself to consider why geriatric nursing is so rewarding and why I believe you may have a natural inclination to enjoy providing care for this special population. Colleagues often ask what draws me to work in geriatrics, implying that it is somehow undesirable or a specialty that warrants praise for my so-called sacrifice. After all, doesn’t it seem like my work entails less than “glamorous” duties, including incontinence care, long lists of prescription medications, and time-consuming coordination between caregivers, providers, and community resources to efficiently meet patient needs? On the contrary, the past five years of my experience as a geriatric nurse practitioner (GNP) have been incredibly fulfilling. The satisfaction I experience from taking care of older adults is an addictive exhilaration. What is it about these “grand patients” I adore so much? Experiencing the Grandeur My experiences may not be similar to yours, but perhaps my story can give you a different perspective. My love for geriatric nursing began at a community living facility as a food server,
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which was the only position available for an energetic 14-year-old eager to earn money. As time went on, I found going to work was less about earning an income and more about enjoying the experience. This is how I coined the term “grand patient” — there is something special about caring for older adults. The facility’s residents had warm embraces, a natural ability to make me smile, and an endless supply of stories with valuable life lessons. I left this facility as a nursing assistant filled with the ambition to pursue higher education in nursing. As I went through nursing school, I found myself most at ease when assigned to older patients. This comfort was undoubtedly influenced by my nursing assistant experience at the living facility. Because of this, I believe that if healthcare professionals and student nurses have the opportunity to interact with older adults for an extended period of time (through adopt-a-grandparent programs, rotations through outpatient geriatric clinics, etc.), they may also recognize the grandeur of serving this population. After earning a BSN, I began searching for my ideal nursing position. It began by simply asking a professor what she would recommend to a young ambitious (and anxious) new graduate. I was fortunate to get a position in acute medical oncology at a large academic medical facility. Again, I found myself gravitating towards the older patients. Perhaps their comforting presence or sense of humor (“Are you old enough to be a nurse?”) was what I needed as a scared and stressed-out novice. This is where I recognized a pattern in my work experiences. I enjoy geriatric nursing! Eager to learn more, I entered the geriatric nurse practitioner program. I loved it! You know you’re in the right place when you can get through an endless reading assignment without feeling like it was a painfully tedious task. After completion of a master’s degree, I fell in love with a man in uniform and entered the transient military life. Service to our country has always trumped my desires to cultivate my professional career. As I sit here, recently separated (again) from the work I love because home is where the country needs us, the eternal optimist within me embraces the challenges this lifestyle has given me to expand my clinical skills in new settings. I began as a new GNP in the role of an urgent care provider at a large community internal medicine clinic. This academic medical center provided a stimulating and supportive learning environment where I polished my acute care skills. When the army called for change of duty, I found employment at a federal facility providing primary care to frail older adults. I thought of this as an opportunity to develop skills in chronic disease management. The work was gratifying for me. I believed in “bringing the clinic” to this population. For the safety of all, we did not want most of these patients driving to the clinic to receive their medical care. The work was especially challenging. Fulfilling and Joyful Work Working in geriatric nursing involves consideration of a number of complex needs that surely keep any clinician on their toes, including: lengthy lists of problems or ailments; pharmacology lessons (if a medication has a side effect, the patient is most likely to experience it); tailoring medication regimens; helping preserve patients’ sense of dignity and independence; triaging acute concerns; improving home safety; gently discussing elderly driving safety; and working to keep patients in the least restrictive environment. These are just a few examples and I am often driven to clinical references as resources. I find there is a daily lesson to be learned! (Continued on page 77 2)
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How Can You Bear NOT Working There? By Sherrie Dornberger “How can you bear working in Long-Term Care?” I have faced this question my entire career, having worked in long-term care ever since I was in nursing school. Once I begun working with the elderly, I never wanted to stop. They could teach me things that no one else could. And working with them does not feel like work. It was more of a learning process, with me also learning about life from them. I started as a Certified Nursing Assistant (CAN) while in nursing school and after graduation I worked as a charge nurse, then Assistant Director of nursing, and then the Director of Nurses. Long-term care now is not what long-term care was ten years ago. In today’s longterm care facilities, we are more like a fast moving surgical unit. The long-term care continuum consists of all levels of care, including: hospice, rehab, skilled, assisted living, head trauma, vent, etc. We are caring for those medical-surgical patients from ten years ago. Patients who were once in skilled-care units are now being cared for as “residents” in assisted living, hospices, and many other types of facilities.
“Long-term care now is not what long-term care was ten years ago.”
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Transitional Care Nurse—a transitional care nurse follows a resident to and from an acute care facility, making sure that the long-term care facility is fully prepared (with necessary equipment and products) to properly care for a resident upon their return to the skilled-care facility. Minimum Data Set (MDS) Coordinator—all residents are required to have an assessment started upon admission. It is a comprehensive assessment that reviews the entire person: diagnosis, number and types of medications, how much food they eat, weight (including ongoing fluctuations), etc. This information is uploaded to the state and to the Centers for Medicare & Medicaid Services (CMS). This assessment determines the resident’s care costs covered by Medicare. Charge Nurse—the charge nurse is accountable for the leadership/ management of a wing or floor. The charge nurse manages all of the assignments and typically confirms staffing coverage and supply orders for the unit. They also supervise licensed practical nurses (LPNs) and CNAs. Staff Development Nurse—a staff development nurse oversees all state/federal required training of staff for the entire facility. In addition to conducting the training/education, the staff development nurse also brings in other professionals (e.g., medical director, consultant, pharmacist, pharmaceutical representative) to conduct training for the facility. Assistant Director of Nursing (ADON)—the ADON goes on call when the Director is not present. They are often responsible for staff flu vaccines, audits, and Quality Assurance Professional Improvement (QAPI) research, which helps raise the quality and level of care of the residents and the ability of the staff to care for them. (More on QAPI is available at www.cms.hhs.gov.) The ADON may also oversee the infection prevention program. This position is typically different from facility to facility. Smaller facilities may not have an ADON while some larger facilities may have two to four ADONs. Director of Nursing (DON)—the Director is responsible for all care given and received in the facility. They are on call, and depending on facility protocol, they may be called when there is a fall, death, or unusual occurrence. In smaller facilities they may also be responsible for wounds, pain management, the Minimum Data Set (MDS), staff training and so on. In smaller facilities, the Director of Nursing may feel like they are alone (i.e., without any peers), and often find great value being involved in associations. The association fills the role of colleague and mentor for this nurse, who may want advice, guidance and camaraderie to help continue progressing as the best nurse they can be. (Continued on page 78 2)
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Students Reflections on Undertaking Nursing Research By Thelesha Gray, Jessica Leandre, Valerie Miller, Kripa Patel and Katie Sanchez ©Thinkstock
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Healthcare in the United States is a dynamic system that requires highly skilled and knowledgeable practitioners. The field of nursing is no exception to these demands and, as such, nurses and nursing students are continuously seeking opportunities to strengthen their body of knowledge and advance the profession of nursing. Keeping this core professional value in mind, five nursing students from the Frances M. McLaughlin Division of Nursing at Bloomfield College, in Bloomfield, New Jersey, embarked on a mission to conduct one of the first collaborative research projects between faculty and students at their nursing program. The research study began in response to the need for an increase in the number of gerontology nurses to meet the demands of the growing older adult population. Under the guidance of nursing faculty, Dr. Marianne Flood, nursing students Thelesha Gray, Jessica Leandre, Valerie Miller, Kripa Patel and Katie Sanchez examined “Students’ attitudes towards working with older adults.” As part of the research study, the students designed and implemented changes to the nursing curriculum to include gerontology nursing content, and partnered with a “friendly visitor program called “Neighbor to Neighbor” with Bloomfield Township in Bloomfield, New Jersey to match nursing students with older adult residents. Both of these interventions aimed to improve students’ attitudes over time towards working with older adults in their professional career choices. The idea of conducting field research stirred up feelings of excitement and nervousness for all the students involved in the project. Research seemed like a grand and remote endeavor at this point during our junior year. Due to the fact that active research is usually reserved for graduate level education, we felt overwhelmed as this was not an experience we expected at this stage of our academic careers. Participating in undergraduate research is a unique opportunity. Not only were we able to collect research data, but we also made significant contributions to the planning and implementation of the study. As stated by one of the research assistants, “What was especially important to me was the autonomy we were given to conduct the study.” This experience has enhanced our analytical and critical thinking skills—all of which are important aspects in delivering optimal patient care. To further emphasize this point, the research assistants all agreed that they learned how to effectively collaborate with team members and apply skills in research. “Research as we knew it was based on theory. It was something we learned by taking a nursing course. However, with this experience we were able to apply that knowledge and see an investigation in action. Going out into the field and collecting data made the work much more real and practical. Although research can be an exciting venture, it is often a difficult task for the newcomer. Implementing a study after completing just one semester of nursing research theory was challenging. Some difficult aspects of the experience were conducting the comprehensive literature review, writing and submitting an Institutional Review Board (IRB) proposal, and communicating among researchers. Despite having conducted literature reviews in the past, this particular study posed a challenge due to the plethora of published material on the topic and determining its relevance to our research study. Additionally, writing an IRB proposal for the very first time demanded attention to detail, organization, and time management skills to meet predetermined deadlines. (Continued on page 79 2)
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Become a Nurse Scientist, Help Chart the Future of Health Care By the National Institute of Nursing Research
Proper hygiene is an important factor in preventing the spread of disease, Florence Nightingale hypothesized in the 1860s. In doing so, she was conducting the first nursing research and influencing the delivery of health care. For years, nursing research advanced by the same path—mainly through observation—but over time the field has evolved. Today nurse scientists conduct clinical and basic research and make discoveries that translate to better health for people across the country and the globe. With the right education, training, and experience, you too can be a nurse scientist and help chart the future of health care.
NINR Director Dr. Patricia Grady offers advice to “As a nurse scientist, you never run out of questions to aspiring nurse scientists. ask or ideas to explore,” says Dr. Patricia Grady, PhD, RN, FAAN, director of the National Institute of Nursing Research (NINR). “Your career can extend beyond the clinical area and into academic administration, teaching and mentoring, and translating the science for clinical practice and health care policy.” How Do I Learn More About Nursing Science? If you think you might be interested in a career in nursing science, NINR’s website at www.ninr.nih.gov is an excellent place to start learning more about the field. NINR is part of the National Institutes of Health (NIH) and its mission is to promote and improve the health of individuals and families. On the website, you’ll also discover current NINR research priorities, extramural and intramural training opportunities, and information about NINR-supported basic, clinical, and translational science, which enables nurse scientists to make major contributions to build the scientific foundation for clinical practice, prevent disease and disability, and manage and eliminate symptoms. You may wish to start by browsing the NINR Strategic Plan: Bringing Science to Life and the NINR History Book, both available at http://1.usa.gov/Leap7z.
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What Qualifications Do I Need To Be A Nurse Scientist? While a PhD will help prepare you to be a principal investigator (lead scientist with primary responsibility for a research project), an advanced degree is not always needed to get involved in nursing science. You can get started through mentorships, participating in research projects within your department, and taking advantage of available training opportunities. “NINR is very proud of its efforts to train the next generation of nurse scientists and I encourage you to consider applying for research opportunities when you have completed your baccalaureate degrees,” says Dr. Grady. “If you do go on for a either a four-year or “fast track” PhD program in nursing, support is available extramurally through our T32 or F31 programs. If you are interested in working with one of our intramural investigators you can apply for a post-baccalaureate intramural research training award. Once you are enrolled in a PhD program you would be eligible for additional training opportunities here at NIH such as the Graduate Partnerships Program.” For more information about T32, F31 and other extramural training fellowship grants and career development awards, visit http://1.usa.gov/1eA09hN. What Opportunities Are Available For College, Graduate Students, And Recent Grads? Whether you are a college student, recent graduate, or earning your master’s degree, NINR offers training opportunities for you. “I urge students to visit our website and learn more Trainees work in lab during NINR’s Fatigue/Sleep about our hands-on reMethodologies Boot Camp, part of the NINR Sympsearch training programs tom Research Methodologies Series. on the NIH campus,” says Dr. Grady. “These opportunities offer a rich array of educational, career, and networking opportunities for aspiring nurse scientists.” No matter what your degree level, you may want to start with NINR’s free, user-friendly online course titled “Developing Nurse Scientists,” which provides general research training for nurse scientists who are in the early stages of their career development. (Continued on page 42 2)
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(Continued from page 31) Through the completion of four self-paced modules, you can learn practical skills and strategies necessary for preparation as a principal investigator and the development of a successful program of research. The course is available at: • http://www.ninr.nih.gov/online-developing-nurse-scientists. Students enrolled in college, graduate or professional school can intern at NINR through the NIH Summer Internship Program. This program offers an opportunity for a full-time biomedical experience on the NIH campus. In addition to working in a lab alongside an NINR scientist, you can participate in scientific and career development workshops. More about the program is available at: • https://www.training.nih.gov/trainees/summer_interns. The Minority Faculty Student Partnership program provides biotechnology training to minority students and faculty members, from Historically Black Colleges and Universities (HBCUs), Hispanic Serving Institutions (HSIs) and Indian Tribal Colleges or Universities (ITCUs). Through lecture and hands-on laboratory training, participants learn about specialized areas of biotechnology and become more competitive when applying to programs of higher education or gaining support for research opportunities. To learn more, visit http://www.biotrac.com/pages/mfsp.html. If you’ve recently graduated, you might be interested in the NIH Academy Fellows Program. NINR participates with this fellowship, which allows recent college graduates to be engaged in a biomedical investigation with an emphasis on health disparities while working side by side with leading scientists in the world. Visit https://www.training.nih.gov/nih_academy_fellows_program for more about the curriculum and how to apply. NINR also collaborates with the NIH Technical Intramural Research Fellowship Program, which is designed to train individuals with bachelor and masters’ degrees as support professionals capable of performing the advanced techniques in research laboratories. You’ll have the opportunity to master the latest and most advanced techniques for basic and/or applied research working in an environment devoted exclusively to biomedical research. For more information, visit: • https://www.training.nih.gov/programs/tech_irta. Graduate students—along with faculty and clinicians—can also attend this summer’s NINR Big Data Methodologies Boot Camp, part of the NINR Symptom Research Methodologies Series. The one-week intensive research training course provides a foundation in methodologies for using Big Data in research. You can find more information at www.ninr.nih.gov/bootcamp.
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Explore your other NINR training options at www.ninr.nih.gov/training. There may also be training programs, fellowships available at your school of nursing or institution and through professional, public and private organizations that support nursing research, such as the Robert Wood Johnson Foundation’s Nurse Faculty Scholars program (http://www.nursefacultyscholars.org/). Why Is A Mentor Important For Aspiring Nurse Scientists? Whether you want to discover your research interests, find appropriate training and education, develop a research project, or determine next steps for your career, a mentor may be able to help. “We encourage students interested in nursing science to find a mentor who is already involved in research and volunteer to help him or her,” said Dr. Grady.” You can learn a great deal from a mentor and discover if research really is for you.” A good mentor will help you define your research goals, and then support you in your quest to achieve them. He or she can share knowledge, provide encouragement, and inspire you. In addition to promoting your research, your mentor may help you to develop your career goals and build a scientific network. To choose a mentor, Dr. Grady says, “Identify the experts in the area of your interest at your school of nursing or in your area. Ask yourself what you want in a mentor and communicate those goals to potential mentors. Your mentor can be indispensable, so it is important to make an informed decision.” For more information about mentorship, including tips for making contact and how to get to most out of your mentoring relationship, visit: • http://www.training.nih.gov/mentoring_guidelines. “Becoming a nurse scientist takes flexibility, persistence and hard work, but most of the nurses who really want to become nurse scientists are ultimately successful,” says Dr. Grady. “As you move forward with your education and careers, I encourage you to explore nursing science. It is an exciting career path that provides limitless opportunities to build the evidence-base for clinical practice, education and health care policy.” NINR supports basic and clinical research that develops the knowledge to build the scientific foundation for clinical practice, prevent disease and disability, manage and eliminate symptoms caused by illness, and enhance end-of-life and palliative care. For more information about NINR, visit the website at http://www.ninr.nih.gov. G
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Nursing Images ©Thinkstock
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2014 Career Planning Guide • Nursing Specialties Nursing is a career that offers a rich field of opportunities. Use this section as a resource/reference. There are many more specialties than what is included here, but we encourage you to check out the organizations listed with each specialty for indepth descriptions and more information on certifications and advanced education opportunities. Note that for the specialty certifications listed, an unrestricted RN license is a pre-requisite for sitting for the exams. Follow the links for detailed information. Compiled using information and resources from www.allnurses.com, www. nursingschools.net, www.ehow.com, and www.discovernursing.org, in addition to the professional organizations listed with their specialties and NSNA’s own resources. Ambulatory Care Nurse Air and Transport Nurse Chief Nurse Officer Clinical Nurse Leader Clinical Nurse Specialist Correctional Facility Nurse Critical Care Nurse Dermatology Nurse Developmental Disability Nurse Diabetes Nurse Emergency Nurse Forensic Nurse Genetics Nurse Gastroenterology Nurse Hematology Nurse HIV/AIDS Care Nurse Holistic Nurse Hospice Nurse Infection Disease Nurse Informatics Nurse Infusion Nurse Labor and Delivery Nurse Managed Care Nurse Military Nurse Missionary Nurse
Neonatal Intensive Care Nurse Nephrology Nurse Nurse Anesthetist Nurse Attorney Nurse Educator Nurse Executive Nurse Manager Nurse Midwife Nurse Practitioner Nurse Researcher Occupational Health Nurse Oncology Nurse Parish Nurse Pediatric Nurse Perioperative (Surgical) Nurse Plastic Surgery Nurse Psychiatric Nurse Public Health Nurse Rehabilitation Nurse School Nurse Transcultural Nurse Substance Abuse Nurse Urologic Nurse Wound and Ostomy Nurse
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NURSING SPECIALITIES KEY: n Education required n Certifications required n Experience needed n Certification credential n Possible employment n Professional Organization n Reference/Resources
Ambulatory Care Nurse A specialty often dealing with outpatients and practiced out of varying venues, including health clinics, physicians’ offices, urgent care centers, and even patient homes. Nurses are generally responsible for directing and managing a patient’s overall treatment and also dealing with tele-health consultations. n RN, BSN, or ASN n Ambulatory Care Nursing Certificate n 2 years as a full-time RN; for certification (optional but preferred): 2,000 hours clinical practice in ambulatory care and/or tele-health nursing within the last 3 years; 30 hrs of CE in ambulatory care and/or tele-health nursing in the last 3 years. n RN-BC n Physicians’ offices, urgent care centers, health clinics, n American Academy of Ambulatory Care Nursing (www.aaacn.org) n Resources: www.nsna.me/1joeNjo Air and Transport Nurse A fast-paced environment that requires experienced nurses to make critical care decisions quickly, under often-chaotic circumstances, and requires knowledge of a diverse range of clients and corresponding age-appropriate trauma and emergency care. n BSN, or ASN n Certified Transport Registered Nurse or Certified Flight Registered Nurse certifications n 2 years recommended, but not required n CTRN or CFRN with recommended certifications: Paramedic certification, BLS, ACLS, NRP, TNCC, PALS n Hospitals, disaster teams, private companies, airlines, or the military n Air and Surface Transport Nurses Association (http://astna.org) n Resources: www.nsna.me/1aMIoy3
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NURSING SPECIALITIES KEY: n Education required n Certifications required n Experience needed n Certification credential n Possible employment n Professional Organization n Reference/Resources
Chief Nursing Officer – see “Nurse Executive” Clinical Nurse Leader – see “Nurse Executive” Clinical Nurse Specialist A Clinical Nurse Specialist (CNS) is an advanced practice nurse with expertise in diagnosis and treatment in a specialized area of nursing practice. The CNS focuses on improved patient outcomes and nursing care in three areas: patients, nursing personnel management, and healthcare system. n BSN and MSN (or PhD) n Certified Nurse Specialist (CNS) certification exam n 500 supervised clinical hours (during advanced practice education) n Varies (See http://bit.ly/KZu7Uu) n Acute care settings; also outpatient facilities and home care systems) n National Association of Clinical Nurse Specialists (www.nacns.org) n Resources: www.nsna.me/1e0YPtm Correctional Facility Nurse A challenging field that allows nurses to practice independently or as part of a team dedicated to assessing and treating inmates in the nation’s detention systems. Requires particular adherence to strict safety regulations. n LPN or LVN n Certified Corrections Nurse (CCN) (Not required, but helpful.) n 1 year in correction facility in current position n CCN n Jails, prisons, juvenile detention centers n American Correction Association (www.aca.org/hpis) n Resources: www.nsna.me/1egUVY6
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NURSING SPECIALITIES KEY: n Education required n Certifications required n Experience needed n Certification credential n Possible employment n Professional Organization n Reference/Resources
Critical Care Nurse Work involves practice in intense environments where critically-ill patients require complex interventions and continuous care. Providers can further specialize in adult, pediatric or neonatal care. n BSN and MSN n Certification for Adult, Pediatric and Neonatal Critical Care Nurses n Two eligibility requirements options as per AACN: n Option 1: 1,750 hours as RN or APRN in direct bedside care of acutely and/or critically ill patients during the previous two years, with 875 of those hours accrued in the most recent year preceding application. Option 2: Practice as an RN or APRN for at least five years with a minimum of 2,000 hours in direct bedside care of acutely and/or critically ill patients, with 144 of those hours accrued in the most recent year preceding application. CCRN n Hospital ICUs, emergency rooms, managed care organizations, nursing schools, outpatient surgery centers n American Association of Critical-Care Nurses (www.aacn.org) n Resources: www.nsna.me/1jqttyu Dermatology Nurse Involves screening for skin cancer, treatment of skin conditions/diseases, biopsies, research, and dermatological surgery (including plastic surgery). n LPN, ASN or BSN n Dermatology Certification Examination n 2 years (2,000 hours) n DNC n Private physician’s or plastic surgeon’s office, hospital burn unit n Dermatology Nurses’ Association (www.dnanurse.org) n Resources: www.nsna.me/LMcGre
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NURSING SPECIALITIES KEY: n Education required n Certifications required n Experience needed n Certification credential n Possible employment n Professional Organization n Reference/Resources Developmental Disability Nurse These nurses provide care, education, and treatment for individuals that have a range of emotional, physical and mental disabilities — like Down’s syndrome, cerebral palsy, and fetal alcohol syndrome, among others — either from birth or by accident. n LPN, ASN, or BSN n Certification in Developmental Disabilities Nursing n 4,000 hours as a developmental disabilities RN, LPN, or LVN within the immediate previous 60 months (five years). n CDDN n Hospitals, long-term acute care hospitals and chronic care facilities, children’s rehab centers n Developmental Disabilities Nursing Association (www.ddna.org) n Resources: www.nsna.me/1hnFsJ7
Diabetes Nurse Caring for patients with diabetes involves monitoring blood sugar/medication as well as managing behavior and mental health issues. Requires strong communication skills to teach proper lifestyle choices and share information between patients, families, physicians and insurance companies. n MSN n Advanced Diabetes Management Certification n 500 hours in diabetes setting n BC-ADM n Hospitals, physician’s offices, schools n American Association of Diabetes Educators (www.diabeteseducator.org) n Resources: www.nsna.me/1fgDxqf
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NURSING SPECIALITIES KEY: n Education required n Certifications required n Experience needed n Certification credential n Possible employment n Professional Organization n Reference/Resources Emergency Nurse A fast-paced career that requires thorough and quick health evaluations of patients who run the age gamut and often require immediate interventions but stay in an ED on a shortterm basis. n ASN or BSN n Certified Emergency Nurse and Certified Pediatric Emergency Nurse credentials n 2 years recommended in the emergency department for CEN but not required; 1,000 hours in pediatric emergency nursing practice CPEN n CEN, CPEN n Hospital emergency department, free-standing EDs, urgent care centers, helicopters, and ambulances n Emergency Nurses Association (www.ena.org) n Resources: www.nsna.me/1f9GrgG Forensic Nurse Aid investigations into deaths, sexual crimes, and abuse/assault situations. Involves collection of evidence, knowledge of the criminal justice system and an affinity for detail-oriented skills. n ASN or BSN n No general certification. Alternative: Advanced Forensic Nursing-Board Certification (via portfolio). Also: Sexual Assault Nurse Examiner (SANE) - see http://bit.ly/MhQXIq n 2,000 practice hours and 30 continuing education hours in specialty area within 3 years n Alternative: AFN-BC n Emergency rooms, psychiatric/correctional facilities, law enforcement/medical examiner offices, courts of law n International Association of Forensic Nurses (www.iafn.org) n Resources: www.nsna.me/1e1aF6K Additional Career Planning Guide Resource: “Forensic Nursing: A New Challenge” By Angela Amar and Natalie McClain (Vol 58, No 1 – January 2011). Read at www.nsna.me/imp-v58n1-fn
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NURSING SPECIALITIES KEY: n Education required n Certifications required n Experience needed n Certification credential n Possible employment n Professional Organization n Reference/Resources Genetics Nurse Perform analyses, risk assessments, and management for patients with genetic diseases — including Alzheimer’s, Parkinson’s, cancer, heart disease and others — or others wishing to evaluate genetic factors in reproduction and overall health. n ASN or BSN n Genetics Clinical Nurse certification n 5 years as a clinical genetics nurse and 50 cases logged within five years; 4 written case studies in accordance with ISONG standards; 45 contact hours of genetics content within 3 years n GCN n Hospitals, fertility clinics, specialty genetics clinics, research centers, biotech and genetic industries n International Society of Nurses in Genetics (www.isong.org) n Resources: www.nsna.me/1dyVkUG Gastroenterology Nurse Also known as endoscopy nursing, it involves educating patients on GI diseases and care, assisting in endoscopies, colonoscopies and other GI and esophageal track procedures. n Gastroenterology Specialty Nurse (ACLS certification required if administering moderate sedation) n ASN or BSN n 2 years as full-time RN or part-time equivalent of 4,000, within past 5 years in gastroenterology n CGRN n Hospitals, outpatient clinics/offices n Society of Gastroenterology Nurses and Associates (www.sgna.org) n Resources: www.nsna.me/1at9Kvh
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NURSING SPECIALITIES KEY: n Education required n Certifications required n Experience needed n Certification credential n Possible employment n Professional Organization n Reference/Resources
Hematology Nurse Involves treating patients with blood disorders and can include working in blood research, chemotherapy, blood transfusions, blood tests, and the patient education involved in all procedures. n ASN or BSN n Oncology Certification and Certified Pediatric Hematology Oncology n For Oncology Certification: one year as an RN within 3 years of application; 1,000 hours of oncology nursing practice, within 2.5 years of application; 10 accredited CNE contact hours in oncology. For Pediatric Hematology Oncology certification: 1 year as an RN within 3 years of application; 1,000 hours of pediatric oncology or hematology nursing practice within 2.5 years of application; 10 CNE contact hours in pediatric hematology or oncology n OCN and CPHON n Hospitals, physicians’ offices, hospice centers, radiation centers n Association of Pediatric Hematology Nursing (www.aphon.org) n Resources: www.nsna.me/1irf4lo HIV/AIDS Care Nurse Involves caring for patients with HIV/AIDS, which includes treatment, medication management, and education about managing general health, safe sex, and the dangers of sharing needles. n ASN or BSN n HIV/AIDS Nursing Certification n 2 years in HIV/AIDS clinical practice, education, or research recommended, but not required n ACRN n Hospitals, outpatient care clinics, physicians’ offices n Association of Nurses in AIDS Care (www.nursesinaidscare.org) n Resources: www.nsna.me/1dyYXdx
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NURSING SPECIALITIES KEY: n Education required n Certifications required n Experience needed n Certification credential n Possible employment n Professional Organization n Reference/Resources Holistic Nurse Also known as Complementary Health Nurse. Using alternative medicine (including, but not limited to, acupuncture, aromatherapy, hypnosis, hydrotherapy, Chinese/Eastern medicine, massage, etc.)—with or without traditional Western medicine—to focus on treating the whole person, including mental, spiritual, emotional and physical health. n ASN or BSN n Holistic Nurse-Board Certification (and Advanced Holistic Nurse-Board Certified); acupuncture/massage require separate certifications in your state n 1 year (full-time)—or 2,000 hours over 5 years (part-time)—with 48 continuing education hours within 2 years. n HN-BC; AHN-BC n Integrated care, birthing centers, home care n American Holistic Nurses Association (www.ahna.org) n Resources: www.nsna.me/1aZjYOF Additional Career Planning Guide Resource: “Holistic Nursing: A Way of Being, a Way of Living, a Way of Practice” By Lucia Thornton (Vol 55, No 1 – January 2008). Read at www.nsna.me/imp-v55n1-hn Hospice Nurse Care for dying patients through pain management and educational/emotional support to patients and their families. Because hospice patients have terminal illness, the hospice nurse aids them in living out the rest of their days with dignity, and as comfortably as possible. n RN, ASN, or BSN n Hospice and Palliative Licensed Nurse certification exam n 2 years in related field n CHPN n Hospice care facilities, home care n Hospice and Palliative Nurses Association (www.hpna.org) n Resources: www.nsna.me/1mMcvaU Additional Career Planning Guide Resource: “Hospice Nursing: A Final Gift” By Stephanie Mayercik (Vol 55, No 1 – January 2008). Read at www.nsna.me/imp-v55n1-hn2
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NURSING SPECIALITIES KEY: n Education required n Certifications required n Experience needed n Certification credential n Possible employment n Professional Organization n Reference/Resources Infectious Disease Nurse Involves analysis of disease and their transmission, particularly at a time of prevalent “super bugs.” Many nurses in this area have bachelors or master’s degrees, given the level of analytical and management work that can be involved. n ASN or BSN n Infection Control Certification n 2 years of relevant full-time experience in infection prevention and control recommended, not required n CIC n Hospitals, outpatient care clinics, research, community outreach/education n Association for Professionals in Infection Control and Epidemiology (apic.org) n Resources: www.nsna.me/1hnRVMX Informatics Nurse Also known as Nurse Informatics Specialists and Nurse Informaticist. Manage healthcare data through information systems by integrating medical technology into clinical settings. Informaticists are skilled in computer science, information technology and nursing science. n BSN (or RN with Baccalaureate in relevant field) n Informatics Nurse certification n 2 years full-time as a registered nurse and 30 hours of continuing education within 3 years n RN-BC n Hospitals, research facilities n American Nursing Informatics Association (www.ania.org) n Resources: www.nsna.me/1f55iQr Additional Imprint Resource: “Preparing to Work in an Informatics-Based World” by Cathleen M. Shultz (Vol 56, No 3 – April/May 2009). Read at www.nsna.me/imp-v56n3-in
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NURSING SPECIALITIES KEY: n Education required n Certifications required n Experience needed n Certification credential n Possible employment n Professional Organization n Reference/Resources Infusion Nurse Treat patients with medication/fluids by injection or IV. n ASN or BSN n Certified Registered Nurse Infusion exam n 1,600 hours in related field n CRNI n Hospitals, long-term care facilities, home health n Infusion Nursing Society (www.ins1.org) n Resources: www.nsna.me/1jzGENE Labor and Delivery Nurse On the front lines of bringing new people into the world, these nurses care for mothers and their babies through the labor process and childbirth. They monitor the mother and child — both pre- and post-labor — and assist in the birth as well as in breastfeeding and caring for both postpartum. n ASN or BSN n Inpatient-Obstetric Nursing Certification n 24 months in specialty as a registered nurse; employment in the specialty within the last 24 months n RNC-OB n Hospitals, physicians’ clinics n The Association of Women’s Health, Obstetric and Neonatal Nurses (www.awhonn.org) n Resources: www.nsna.me/19QP27Y
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NURSING SPECIALITIES KEY: n Education required n Certifications required n Experience needed n Certification credential n Possible employment n Professional Organization n Reference/Resources Managed Care Nurse Navigate government-funded healthcare, like Medicaid and Medicare, for patients and their families and educate them on preventive health care. Liaise between patients and care providers, and insurance companies. n ASN or BSN n Certification in Managed Care Nursing n Must meet minimum level of knowledge of: Managed Care Overview, Health Care Economics, Health Care Management and Patient Issues. n CMCN n Hospitals, insurance companies, telephone triage centers n American Association of Managed Care Nurses (www.aamcn.org) n Resources: www.nsna.me/1mMcEOx Military Nurse With specialized training, care for military personnel. Whether overseas or at home, duties are typical of other nurses as they administer medication, treat wounds, set up triage, etc. n RN, ASN or BSN (BSN preferred, sometimes required) n No certification. Completion of training program after enlisting in a branch of the Armed Forces. n Military bases, war zones, naval ships n Army Nurse Corps Association (www.e-anca.org); Navy Nurse Corps Association (www.nnca.org); Society of Air Force Nurses (www.safn.org) n Resources: www.nsna.me/1eZyauY Additional Career Planning Guide Resources: “U.S. Army Nurse Corps” by Larisa C. Mendez (Vol 54, No 1 – January 2007) Read at www.nsna.me/imp-v54n1-anc “Navy Nursing” by Mark Calogero (Vol 60, No 1 – January 2013) Read at www.nsna.me/imp-v60n1-nn
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NURSING SPECIALITIES KEY: n Education required n Certifications required n Experience needed n Certification credential n Possible employment n Professional Organization n Reference/Resources Missionary Nurse Provide healthcare and spiritual care in other countries. Set up clinics in under-served areas, educate patients on self-care and often participate in humanitarian work. n RN, ASN or BSN n No certification. Some missionary nurses pursue seminary/religious training and/or foreign language education. n N/A n Foreign/third-world nations n No general association. Various organizations such as Mennonite Nurses Association, Global Ministries of Missionary Nurses, and Nurses for Africa n Resources: www.nsna.me/LclTcn Additional Career Planning Guide Resources: “A Closer Look at Mission Nursing” by Connie Herron and Jane Dannhausen (Vol 59, No 1 – January 2012) Read at www.nsna.me/imp-v59n1-mn Neonatal Intensive Care Nurse They monitor, treat, and care for babies that are usually born prematurely. NICU infants are often hooked to equipment that monitors their vital signs, as well as IVs and even feeding tubes and ventilators. NICU nurses are also patient advocates and educators. n ASN or BSN n RNC Certification for Neonatal Intensive Care Nursing n 24 months as NICU nurse (within the last 24 months) — 2,000 hours, which can include direct patient care, education, administration or research. n RNC-NIC n NICUs in hospitals n National Association of Neonatal Care Nurses (www.nann.org) n Resources: www.nsna.me/1jFxHjm
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NURSING SPECIALITIES KEY: n Education required n Certifications required n Experience needed n Certification credential n Possible employment n Professional Organization n Reference/Resources Nephrology Nurse Assists patients with kidney diseases or disorders, including dialysis, management of the disease and any subsequent rehabilitation. n ASN or BSN n Nephrology Nursing Certification n 2 years experience in nephrology nursing and 30 contact CE hours n CNN n Acute/critical care in hospitals, nephrology/dialysis clinics, transplant units and home care n American Nephrology Nurses’ Association (www.annanurse.org) n Resources: www.nsna.me/1c7Py0M Nurse Anesthetist Provide anesthesia and related care to surgery patients as well as during childbirth and therapeutic/diagnostic procedures. n BSN and MSN n National Certification Exam through National Board on Certification & Recertification of Nurse Anesthetists n 1 year in acute care (ICU or ER) n CRNA n Hospitals, outpatient facilities, physicians’ offices n American Association of Nurse Anesthetists (www.aana.com) n Resources: www.nsna.me/Miyqfi Additional Career Planning Guide Resources: “Certified Registered Nurse Anesthetist at a Glance” (Vol 58, No 1 – January 2011) Read at www.nsna.me/imp-v58n1-crna
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NURSING SPECIALITIES KEY: n Education required n Certifications required n Experience needed n Certification credential n Possible employment n Professional Organization n Reference/Resources Nurse Attorney Represent healthcare professionals in court (malpractice suits, insurance-related consulting), serve as expert witness in legal cases, or advocate/lobby for nursing organizations to effect change in healthcare policies. n BSN and JD (Juris Doctor) n No nursing certification exam. Law School Admissions Test (LSAT) required to enter law school. n No minimum experience required. Several years experience as registered nurse recommended. n N/A n Law firms, hospitals, health insurance companies n American Association of Nurse Attorneys (www.taana.org) n Resources: www.nsna.me/1iBW8QS Additional Career Planning Guide Resources: “A Career as a Nurse Attorney or Legal Nurse” by Vickie L. Milazzo (Vol 54, No 1 – January 2007). Read at www.nsna.me/imp-v54n1-na Nurse Educator Educate and mentor nursing students. Participate in research, conduct peer reviews and write grant proposals. n BSN and MSN, or PhD/DNP/EdD (PhD may be required for tenure) n Certified Nurse Educator Examination n No required minimum. Advanced experience in a clinical specialty is recommended. n CNE n Colleges, universities, hospitals, continuing education n National League for Nursing (www.nln.org) n Resources: www.nsna.me/L0sIx3 Additional Career Planning Guide Resources: “A A Closer Look at Nurse Educators” by Susan Wheaton (Vol 59, No 1 – January 2012) Read at www.nsna.me/imp-v59n1-ne
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NURSING SPECIALITIES KEY: n Education required n Certifications required n Experience needed n Certification credential n Possible employment n Professional Organization n Reference/Resources Nurse Executive Direct and manage nursing units in hospitals and other healthcare facilities — they are responsible for budgets, training of staff, and directly affect the policies of their organizations. n BSN; MSN or MBA encouraged n Nurse Executive Certification n A BSN or higher in nursing; mid-level administrative position or higher, or a faculty position teaching graduate nursing administration classes, or running nursing management or executive position full-time for at least 24 months within 5 years. n CENP n Hospitals, healthcare facilities, nursing homes n American Organization of Nurse Executives (www.aone.org) n Resources: www.nsna.me/1c7Qi61 Additional Career Planning Guide Resources: “Is Being a Chief Nursing Officer in Your Future?” By Rich Hader (Vol 56, No 1 – January 2009). Read at www.nsna.me/imp-v56n1-cno “Is the Clinical Nurse Leader Role for You?” By R. Rosseter (Vol 57, No 1 – January 2010). Read at www.nsna.me/imp-v57n1-cnl Nurse Manager Manage nurses, recruitment and retention of the nursing staff. Conduct job evaluations, administrative work, and manage medical records, budgets and disciplinary actions. n BSN; MSN or MBA encouraged n Nurse management certification exam n Experience working in clinical management recommended n CNE n Hospitals, ambulatory care centers, long-term care centers n American Organization of Nurse Executives (www.aone.org) n Resources: www.nsna.me/1dHZFoG
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NURSING SPECIALITIES KEY: n Education required n Certifications required n Experience needed n Certification credential n Possible employment n Professional Organization n Reference/Resources Nurse Midwife Care for women with low-risk pregnancies, from prenatal care to labor and delivery. Provide postpartum are and counseling. n RN, ASN, or BSN (BSN encouraged) n Nurse midwife certification exam n 2-4 years in related field n CNM n Hospitals, outpatient facilities, patient homes n American College of Nurse-Midwives (www.midwife.org) n Resources: www.nsna.me/1fh1aPr Nurse Practitioner Provide primary and specialty care under a physician. Numerous specialties available to pursue. n BSN and MSN n Registered Nurse Practitioner Board Certification exam in your specialty area n Several years of experience as Nurse Practitioners (varies depending on specialty) n CRNP (also varies depending on specialty – see http://bit.ly/MlEJOY) n Hospitals, physician’s office, self-run nurse practitioner practice n American Association of Nurse Practitioners (www.aanp.org) n Resources: www.nsna.me/M5qsp0 Additional Career Planning Guide Resources: “The Primary Care Providers of the Future” By R. Zakhari (Vol 58, No 1 – January 2011) Read at www.nsna.me/imp-v58n1-np
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NURSING SPECIALITIES KEY: n Education required n Certifications required n Experience needed n Certification credential n Possible employment n Professional Organization n Reference/Resources Nurse Researcher Improve health care services and the field of nursing through research by constructing and implementing studies (includes drafting grant proposals to conduct studies), collecting data and reporting on findings. n BSN and MSN, or Phd (PhD often required n Research organizations, labs, universities n National Institute of Nursing Research (www.ninr.nih.gov) n Resources: www.nsna.me/1f3c4Yn Additional Career Planning Guide Resources: “Have You Considered a Career as a Researcher & Scholar in Nursing” By Amber Brown and Carol A. Fetters Andersen (Vol 53, No 1 – January 2006) Read at www.nsna.me/imp-v53n1-nr
Occupational Health Nurse Care for employees by managing occupational and nonoccupational illness/injury. Work with employers to develop customized health and safety programs. n BSN n Occupational Health Nurse certification exam n 3,000 hours of experience in occupational health n COHN n Public health clinics, private practices, schools n American Association of Occupational Health Nurses (www.aaohn.org) n Resources: www.nsna.me/1eboIFa Additional Career Planning Guide Resources: “The World of Occupational Health Nursing” By E. Lukes and P. Moore (Vol 57, No 1 – January 2010) Read at: www.nsna.me/imp-v57n1-ohn
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NURSING SPECIALITIES KEY: n Education required n Certifications required n Experience needed n Certification credential n Possible employment n Professional Organization n Reference/Resources Oncology Nurse A challenging and rewarding specialty wherein nurses assess and treat patients dealing with cancer. They administer medication, chemotherapy, and other treatments, and educate patients and family on the complexities of treatment and daily care. n BSN n Oncology Nursing Certification n 1 year as an RN within the last 3 years of application; 1,000 hours of oncology nursing practice within the last 30 months; 10 CE contact hours within last 3 years n OCN n Hospitals, outpatient clinics, Chemotherapeutic units, home care n Oncology Nursing Society (www.ons.org) n Resources: www.nsna.me/1eGjjFw
Parish Nurse Provide care for patients within your own faith communities, with the same duties and responsibilities as most other nurses. Requires firm understanding of your chosen faith while balancing medicine and religion. n RN, ASN or BSN n Clinics, churches, hospitals n Varies – see http://bit.ly/1lhCZFS n Resources: www.nsna.me/1bt9dUL Additional Career Planning Guide Resources: “What is Parish Nursing?” By Carol Lueders Bolwerk (Vol 56, No 1 – January 2009) Read at: www.nsna.me/imp-v56n1-pn
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NURSING SPECIALITIES KEY: n Education required n Certifications required n Experience needed n Certification credential n Possible employment n Professional Organization n Reference/Resources
Pediatric Nurse Involves working with children, from infancy to young adulthood, assessing developmental milestones, educating family on care, nutrition and immunizations, and dealing with prevention as well as diseases n ASN or BSN n Certified Pediatric Nurse n 1,800 documented hours of pediatric clinical practice n CPN n Hospitals, physicians’ offices, private practice n Society of Pediatric Nurses (www.pedsnurses.org); and National Association Of Pediatric Nurse Practitioners (www.napnap.org) n Resources: www.nsna.me/1cZVvbM Perioperative (Surgical) Nurse Provide surgery care by assessing patients before, monitoring patients during and providing recover care after surgical procedures. Work in teams with surgeons anesthesiologists. n BSN n Certified Nurse Operating Room (CNOR) certification exam n Recommended experience in critical care and ER and continuing education in related fields n CNOR n Hospitals, physicians’ offices, ambulatory surgical unites n Association of periOperative Nurses (www.aorn.org) n Resources: www.nsna.me/1lhHhgl Additional Career Planning Guide Resources: “Q&A with a PeriOperative Nurse” By Karleen Samartan (Vol 53, No 1 – January 2006) Read at: www.nsna.me/imp-v53n1-pon
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NURSING SPECIALITIES KEY: n Education required n Certifications required n Experience needed n Certification credential n Possible employment n Professional Organization n Reference/Resources
Plastic Surgery Nurse Care for cosmetic surgery patients by prepping for procedures, assisting surgeon during procedures, and providing recovery care in addition to educating patient on procedure and recovery. n RN, ASN, or BSN n Plastic Surgery Nursing Certification board exam n 2 years in surgical nursing, half of which in plastic surgery n CPSN n Hospitals, physicians’ offices n American Society of Plastic Surgical Nurses (www.aspsn.org) n Resources: www.nsna.me/1e2YGWe Psychiatric Nurse Also called mental health nursing, this career path deals with patients dealing with mental illness, including schizophrenia, bi-polar disorder, depression, among other issues. The subspecialties are varied, including substance abuse, child or adult or geriatric mental health treatment. n ASN or BSN n Psychiatric-Mental Health Nurse Certification n 2,000 hours in clinical practice as a psychiatric-mental nurse within last 3 years; 30 CE hours in psychiatric-mental health nursing within last 3 years n RN-BC n Hospitals, mental health clinics, correctional institutions, private practice n American Psychiatric Nurses Association (www.apna.org) n Resources: www.nsna.me/1jFEoSq
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NURSING SPECIALITIES KEY: n Education required n Certifications required n Experience needed n Certification credential n Possible employment n Professional Organization n Reference/Resources Public Health Nurse Essentially all nurses work in public health but a public health nurse specifically works in the area of communities surrounding the health care facility, sometimes with specific populations (such as those below the poverty line). Involves immunizations, STD screening, blood pressure testing, and obesity. n RN, ASN, or BSN n N/A – applications for the ANCC Community/Public Health Nursing certification exam ended on 12/31/2013. This certification is being replaced with a portfolio process for specialty certification. Visit www.nursecredentialing.org for updates. n PHCNS-BC or APHN-BC (renewals only, see above) n Community clinics, schools, outpatient clinics n Quad Council Of Public Health Nursing Organizations (www.quadcouncilphn.org) n Resources: www.nsna.me/1jYj8Yj Additional Career Planning Guide Resources: “Public Health Nursing: Keeping America Healthy” By the Quad Council (Vol 53, No 1 – January 2006). Read at www.nsna.me/imp-v53n1-phn “Promoting Health of Populations” By M. Hoke and M. Panzini-Rosenthal (Vol 59, No 1 – January 2012). Read at www.nsna.me/imp-v59n1-phn Rehabilitation Nurse Care for patients with long-term disabilities and other illnesses. Work with patients and their families to develop recovery plans as well as short-term and long-term goals. n RN, ASN, or BSN (BSN recommended) n Rehabilitation nurse certification n 2 years in rehabilitation nursing (or 1 year, with another year of advanced study) n CRRN n Rehabilitation/long-term acute care facilities n Association of Rehabilitation Nurses (www.rehabnurse.org) n Resources: www.nsna.me/1iEiEbZ
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NURSING SPECIALITIES KEY: n Education required n Certifications required n Experience needed n Certification credential n Possible employment n Professional Organization n Reference/Resources School Nurse Performing the same duties as other nurses, care for students and faculty by taking vital signs, recording symptoms, administering basic medical aid, and educating students about health care. n RN, ASN, or BSN (BSN recommended) n School Nurse certification exam n 1,000 hours (minimum) in clinical practice within last 3 years (4,000 hours recommended) n NCSN n Elementary, middle and high schools; colleges and universities n National Association of School Nurses (www.nasn.org) n Resources: http://nsna.me/1lhYsyr Additional Career Planning Guide Resources: “Your Future in School Nursing” By L. Jannone (Vol 59, No 1 – January 2012) Read at www.nsna.me/imp-v59n1-sn “Just a School Nurse” by Jenna Sanders (Vol 60, No 1 – January 2013) Read at www.nsna.me/imp-v60n1-sn Transcultural Nurse Provide culturally sensitive care to patients in foreign countries or at home—serving as a bridge between various cultural groups—through basic nursing care, communication, education. n RN, ASN, or BSN n Transcultural Nurse certification exam n 2400 hours of transcultural nursing practice n CTN-B; CTN-A (basic and advanced) n Hospitals, clinics, outpatient facilities n Transcultural Nursing Society (www.tcns.org) n Resources: www.nsna.me/L3YXLG Additional Career Planning Guide Resources: “Transcultural Nursing: A Presentable and Unpresentable Experience in Cambodia” By S. Favazza (Vol 59, No 1 – January 2012). Read at www.nsna.me/imp-v59n1-tn
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NURSING SPECIALITIES KEY: n Education required n Certifications required n Experience needed n Certification credential n Possible employment n Professional Organization n Reference/Resources Substance Abuse Nurse Both a mental and physical disorder, substance abuse requires that nurses treat and educate patients with drugs, alcohol and other substance addictions. n ASN or BSN n Certified Addictions Registered Nurse n 2,000 hours of addictions-related nursing experience and 30 CE hours n CARN n Hospital psychiatric units, inpatient or outpatient treatment/rehabilitation centers; mental health clinics n International Nurses Society on Addictions (www.intnsa.org) n Resources: www.nsna.me/1eW3d9r
Urologic Nurse Care for patients with urinary diseases by treating kidney stones, perform urinary health exams, and administer medication. n RN, ASN or BSN n Certified Exam through Certification Board for Urologic Nurses and Associates n 800 clinical practice hours of providing patient care to urologic patients n CURN n Hospitals, outpatient clinics, physician’s offices n Society of Urologic Nurses and Associates (www.suna.org) n Resources: www.nsna.me/1dJwFNq
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NURSING SPECIALITIES KEY: n Education required n Certifications required n Experience needed n Certification credential n Possible employment n Professional Organization n Reference/Resources Wound and Ostomy Nurse Often referred to as wound, ostomy, and continence (WOC) nurse. Specialize in wound care, including chronic bed sores, ulcers, abscesses, etc. as well as from feeding tube sites and surgical openings. n BSN n Wound, Ostomy, or Continence (WOC) certification exam n Completions of accredited WOC nursing program, or 1500 hours experience in Experiential Pathway program n Varies – see http://bit.ly/1btwpCf n Hospitals, nursing homes n Wound, Ostomy and Continence Nurses Society (www.wocn.org) n Resources: www.nsna.me/1ec5aRk Additional Career Planning Guide Resources: “A Career in WOC Nursing” By C. Berke and B. Dale (Vol 57, No 1 – January 2010) Read at www.nsna.me/imp-v57n1-woc
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N E W S : National (Continued from page 10) To be eligible, you must: Have at least one year of undergraduate education remaining after summer 2014; Have taken at least one college-level statistics or research methods course by the time the summer program begins; Be a U.S. citizen or permanent U.S. resident; And be a member of at least one of the groups specified as under-represented in graduate education, such as, but not limited to those from racial/ethnic minority groups (African-American, Latino, Native American, and Pacific Islanders), economically disadvantaged backgrounds, and first generation college attenders. Be able to attend all program activities in New Jersey from May 27 through Aug. 1, 2014. To find out more about Project L/EARN, see our web site www.ihhcpar.rutgers.edu/projectlearn. Or contact plearn-info@ifh.rutgers.edu with your questions or to set up a time to talk by phone about your interest in the program. G
The Art and Science of the Interview
(Continued from page 29)
in the last five to ten years. Most new graduates who are being interviewed can expect to have this type of interview or at least components of it. The premise of a behavioral interview is that past behavior is the best indicator of future behavior. Thus, the interview will focus on behaviors you have exhibited in your past that can be translated to how you will behave in your future, including in your career. When posed with behavioral questions, you should focus on answering them by citing specific instances and/or behaviors that you have exhibited. The interviewer will be attempt to determine if such behaviors are consistent with the those that are required/expected. Make sure to disclose: the specific behavior; the situation when it occurred; how it was demonstrated; any hindrances and/or challenges experienced; the outcome of the behavior/action that you took; and a summary of what you learned from this situation. It is important to note that you can use examples both from your personal and professional experiences (without naming individuals or agencies). Examples of questions asked during a behavioral interview might include some of the following: • Describe a time when you have gotten in over your head on a project. How did you handle this? • Give an example of when you’ve experienced conflict and how you resolved the issue. • Give an example of when you went above and beyond was what expected. (Continued on page 71 2)
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• Give an example of when your actions were successful. • Give an example of when you anticipated a problem and how you influenced a change in direction. • Give an example of when you have failed and how you handled that failure. • How would you handle a situation where you observe a co-worker stealing drugs? What do you base your actions on? • How would you handle a disrespectful physician or other healthcare provider? • How would you handle a family member who is displeased with the care you are providing? • Give an example of the most challenging patient you had under your care. When answering behavioral type questions during an interview, be concise, succinct, and honest in your responses. Make sure that you give enough detail about the situation you are describing, but don’t embellish what behaviors you exhibited. You won’t want to end up at a loss for words during the interview so make sure you prepare by practicing such questions with classmates, colleagues, mentors, etc. While it is important to be prepared, you should not sound over rehearsed. Avoid giving the interviewer any memorized responses. This can cause problems for you if you get lost in your response and then have to start over. Out of Bounds Questions When being interviewed for any career position, there are certain questions that should not be asked of you. If you are asked any of these questions, you should inform the interviewer in a professional manner that it is not appropriate for you to be asked such a question and ask the interviewer to move on with the interview. If you become uncomfortable or the interviewer pressures you to answer the question, excuse yourself from the interview and then report this immediately to the head of the department or the administration in the agency. These “out of bounds” types of questions include: • What is your marital status? • What is your age? • What is your sexual orientation? • What is your religious affiliation? • Do you have any chronic medical conditions or disabilities? The Interview You Conduct Remember, that interviewing is a two way process. Part of the process of applying for a career position is to interview the “agency” to determine if they are the best place for you to be employed, whether as a new graduate or a professional nurse with experience. You want to come prepared with your own questions and ask them of the interviewer. It is appropriate to bring them with you in some format, written or on a personal digital device, and to write down answers as they are being given to you. • Questions that you might want to ask of the interviewer include the following: • What is skill mix on unit(s)? (Continued on page 72 2)
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(Continued from page 71) • What is retention/turnover rate of nurses on unit(s)? • What does orientation entail? - Length? - Preceptors? - Feedback/Guidance? • How does scheduling work? - Can shifts be changed and how? • Are there continuing education opportunities? • Is there a clinical ladder evaluation process? The Day of the Interview On the day of the interview, be sure to dress appropriately, in business attire. Remember that when you “dress for success” you put forth an appearance that you are serious about the interview and your nursing career. Be 15 minutes early to the interview. You might want to even drive to the place of the interview the day before at the same time to be sure you know about traffic and any other factors that might impact your ability to be timely. Make sure you bring copies of your resume, your portfolio (if you have one), copies of transcripts if they have asked for them, and references/letters of references that you can leave with the interviewer. Lastly, be yourself. Breathe, think, and show the interviewer why you are the best candidate for the position. Everyone will be somewhat nervous; don’t let that hinder your abilities to show the interviewer who you are. Once the interview has been completed, don’t forget to follow up with a letter, thanking the interviewer for their time. A thank you letter can go a long way in getting you that position you want as it shows your professionalism and commitment to the process. Attaining your first career position can be both an exciting and stressful time. Each nurse wants to find a place of employment where they fit in and where they can transition from nursing school to professional practice. Part of the process of finding that first position is being asked to come for an interview. The interview may take different forms, have different types of expectations and questions, and be conducted by different personnel. In the end, from your perspective, preparation is key both in knowing what you might be asked and in practicing how to answer such questions. G Lois S. Marshall, PhD, RN, principal of Lois S. Marshall Consulting, has been a nurse educator for 30 years. She is a mentor for new nursing school graduates through mid-career nurses in the areas of career advancement and career decision-making. Dr. Marshall also coordinates the NSNA Career Development Center during the NSNA Annual Convention and NSNA MidYear Conference.
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The Nurse Licensure Compact: What New Grads Need to Know (Continued from page 31) Requirements when Moving When a nurse moves from a compact state to a non-compact state, the compact license is changed to a single-state license. Notify the compact state board of nursing that you are no longer a resident of the state so that your status will get updated in the national database. The nurse must apply for licensure by endorsement in the new state of residence, in order to practice there. When a nurse moves from a non-compact state to a compact state, the nurse must apply for licensure by endorsement in the new state of residence. It’s recommended to start the application process prior to the move. A new compact license will not be issued until you provide a signed Declaration of Primary State of Residence form (which is a part of the application packet), any proof of residence which may be required and meet all licensing requirements. When permanently relocating to another compact state, apply for licensure by endorsement and complete the Declaration of Primary State of Residence form for the new home state. Notify the former compact state board of nursing that you are no longer a resident. You can practice on your former license for up to 90 days. The 90 days starts when you become a resident in the new state. However, states are in the process of implementing this amended rule which changes the 30 days to 90 days. Your state may either permit 30 or 90 days depending on the current rule status. Check the table at www.ncsbn.org/nlc to confirm current status. The number of days is based on the rule in effect in the new state. A nurse on a visa from another country applying for a license in a compact state may declare either the country of origin or the compact state as the primary state of residence. If an international location is declared the primary state of residence, the applicant is limited to a single-state license. Common Misconceptions Occasionally, an employer will tell a nurse that he or she must obtain a license for the state in which he or she has accepted a temporary position (or is commuting to from another compact state). If the nurse possesses a compact license and is working in another compact state, there is no need to apply for a separate license in the remote state where the job is located – this is redundant, because the home state compact license is valid in both states. If the nurse changes residency for a new position, he or she must apply for Licensure by Endorsement with the new state and has 30 or 90 days (depending on the state) during which he or she can practice on the previous home state’s license. (Continued on page 74 2)
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A new grad is not required to apply for the first license (license by exam) in the state where the nursing program is located. Rather, if the new grad will be residing and working in a compact state, then that is the state to apply for licensure by exam and ATT (see example 1 below). If the new grad will be residing in a non-compact state, then apply for license by exam and ATT in the state of employment (see example 2). Examples 1) Mary went to school in New York (a non-compact state) but after graduation will move back to her home of Wisconsin (a compact state) and will work in Wisconsin. She should apply for license by exam and ATT with Wisconsin Board of Nursing. 2) Jill is in a nursing program in Missouri (a compact state) but after graduation will relocate to and start a job in Kansas (a non-compact state). She should apply for license by exam and ATT with Kansas Board of Nursing. 3) Chris attends school in Missouri (a compact state) and following graduation will reside in Kansas (a non-compact state) but will remain working in Missouri. Since he needs privileges to work in Missouri that is the state where he will apply for license by exam and ATT. Although Missouri is a compact state, he will receive a single state license rather than a compact license because he is a resident of a non-compact state. 4) Tom is completing a nursing program in Washington DC. He’ll go back home to Salt Lake City (in a compact state) to be near family. His job involves providing health education over the phone to patients in Utah, Colorado, Arizona and New Mexico. So, he needs practice privileges in all of these states but since his PSOR is Utah (a compact state) and the states of Colorado, Arizona and New Mexico are all also compact states; his Utah compact license is all he needs. He will apply for license by exam and ATT with Utah Board of Nursing. G
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Helpful Links FAQs: https://www.ncsbn.org/2002.htm Licensure by Examination: https://www.ncsbn.org/NLCA_licensure_process.pdf Licensure by Endorsement: https://www.ncsbn.org/NLCA_endorsement_process.pdf NLC Contact: NurseCompact@ncsbn.org NCLEX: https://www.ncsbn.org/nclex.htm NCLEX Contacts: https://www.ncsbn.org/1206.htm 30/90 day rule: https://www.ncsbn.org/30-90_days_Implementation_Table_072313(2).pdf NLC Explained (video): https://www.ncsbn.org/3501.htm Jim Puente, MS, is Director of the Nurse Licensure Compact (NLC) at the National Council of State Boards of Nursing. As Director of the NLC, he administers all aspects of the NLC, including the development of implementation strategies for regulatory compliance and the implementation of systematic processes for the monitoring of compliance with compact statutes, rules and policies. He earned a Master of Science in Public Service Management from DePaul University. Haley Streibich, BA, is currently the Coordinator for the Nurse Licensure Compact (NLC) at National Council of State Boards of Nursing. She earned a Bachelor of Arts in Politics and History from Mount Holyoke College
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Finding a Nurse Practitioner Preceptor (Continued from page 33)
Cast a Broad Net Be open in your search. Yes, you may have a specific idea of what you want, such as: a pediatric placement; in a practice specializing in asthma; five miles from home; on Tuesdays, from 9:00 am – 2:00 pm. Getting exactly what you want is unlikely. Flexibility will improve your chances of getting a placement. Be a minimalist; set as few requirements as you possibly can (i.e., be open to commuting distance, type of practice, days/times, and NP vs physician). Yes, there are specific program requirements and these should drive your preceptor search. Get the Right Kind of Experience NPs may be hesitant to precept students who are changing fields (e.g., a student moving from a medical-surgical unit as an RN or NP to a psychiatric unit because they “always liked psych” or vice-versa). Teaching advanced practice content is challenging, let alone teaching fundamentals content with advanced practice curriculum. If you want to change your clinical specialty, get experience in that area first. It does not have to be decades, but it does need to be something significant. Doing so will make your transition that much more enjoyable and successful. A career as a nurse practitioner is very rewarding; do not let the preceptorship hurdle slow you down. By starting to plan now you will assure your success later. G References Krall, L. M. (2013, February 13). The trouble with finding a preceptor. The Clinical Advisor. Retrieved from http://bit.ly/1cACQrs Shortage of nurse practitioner preceptors (2012, January 12). Retrieved from http://bit.ly/Mm4hLr Why is it so hard to find a preceptor? (2012, July 17). Retrieved from http://bit.ly/1loEdiG Rollet, J. (2010, April 22). Is there an NP preceptor shortage? Retrieved from http://bit.ly/MBpPo8 Joan C. Masters, EdD, MBA, APRN, PMHNP-BC, is an associate professor of nursing at Bellarmine University in Louisville, KY where she teaches undergraduate and family nurse practitioner students. She is active in psychiatric nursing and nurse practitioner organizations and also works as a nurse practitioner at a community mental health center.
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The Joy in Caring FOR “GRAND PATIENTS” (Continued from page 37)
There is much to be gained from interacting with these “ Grand Patients”. They are great teachers of rewarding life lessons that can nourish the soul. I’ve gained many insights from my patients. For example, “the ‘golden years’ are often not very golden” and “accepting mortality is a natural part of the aging process.” Of course, there is a sense of loss felt with the death of a patient. Any patient. However, it is heartwarming and satisfying to guide a patient and their family through this inevitable end of life experience. Quality is more important than quantity. As a wet behind the ears nurse, I was eager to simply follow clinical guidelines. But now I have learned to appreciate simplicity. “Less is more” is my mantra when coordinating care in our highly aggressive medical culture—less medication, less invasive procedures, and less traveling out of the home setting. I now focus on home safety, caregiver teaching and compassion, more communication about end-of-life goals, and more quality living. Others can similarly experience this love of work. For my fellow geriatrics healthcare workers, I applaud your commitment and efforts in this challenging yet rewarding field of practice. To those starting their professional career or looking for a new beginning, I challenge you to consider geriatrics. There is a spirit of love and respect for “grand patients” that lives within all of us. Go find that spirit within yourself and experience the joy! G
A Clinical Case for Consideration Mr. W is a 79 year-old male with uncontrolled type II diabetes, end stage renal disease (dialysis 3x week), aortic valve replacement, spinal stenosis, among multiple co-morbidities. He lives with his wife and two school-aged grandchildren. One day he calls for assistance with treatment for “the flu.” He complains of generalized malaise, fever, chills, congestion, cough, and muscle aches. He states the grandchildren were sick with similar symptoms. He asks if he can receive a prescription for the cough. Given his co-morbidities and the lack of diagnostic equipment in the home, it is recommended that he seek urgent care evaluation in a facility. He declines, saying he lacks transportation and traveling is a burden. He begs for medicine for “the flu.” You have the option to overnight a prescription to this homebound patient. What would you do? This is what I did when the above actually happened: the provider within me wanted to treat him empirically, but my gut instinct told me he needed a thorough evaluation. I dug my heels in and insisted he seek urgent evaluation. The outcome was admission to the hospital for bacteremia, endocarditis (vegetation on the prosthetic valve), and osteomyelitis (back pain). Reflecting on it later, it was a humbling experience. It seemed a slam-dunk classic case of influenza and I certainly didn’t want to burden the patient. However, a clinical geriatric nursing pearl was reinforced: geriatric patients do not present with classic symptoms or syndromes. If you are looking for a challenge, geriatric nursing is thrilling.
Melissa Palka, MSN, RN, AGPCNP-BC, is an Adult-Gerontology Primary Care Nurse Practitioner. She is an army wife with three small children and currently resides in Fort Leavenworth, Kansas.
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How Can You Bear NOT Working There? (Continued from page 37) Certifications Most of these positions have certification programs associated with them. For instance, the National Association of Directors of Nursing Administration (NADONA) in Long-Term Care currently has certification programs for Director of Nursing, Assistant Director of Nursing, Licensed Practical Nurse, Assisted Living Nurse and Diabetes Nurse. The Association for Professionals in Infection Control and Epidemiology (APIC) has a certification available for Infection control or prevention. The American Association of Nurse Assessment Coordination (AANAC) has a certification for the MDS coordinator. Most of these specialty organizations also have annual conferences, webinars, journals and scholarships. Throughout my career, when people questioned my line of work, I would think, “How can you bear NOT to work in long-term care?” In this setting, we not only build relationships with the older adults committed to our care, but also their families, grandchildren and even their pets back home. No one truly knows the life of a long-term care nurse, except for another long-term care nurse. Consider a future in this field. Once you experience it, you will never want to leave! G
The National Association of Directors of Nursing Administration (NADONA) offers 20,000 in scholarship annually. This year, they are awarded during the annual conference—“The Magic of Long-term Care…Success is Not an Illusion!”—on June 7-11, 2014 at the Disneyland Hotel in Anaheim California. The conference includes a Director of Nurses (DON) boot camp and a review class for those interested in sitting for the certification exam. Through partnership with the National Coalition of Certified Dementia Practitioners, a Certified Dementia Practitioner (CDP) class is also provided during the conference. Visit www.nadona.org for scholarship information, or contact mentor@nadona.org for additional information. Certified DONs, as ‘Fellows’ in the Academy of Directors of Nurses, are available to answer questions from those with questions about long-term care.
Sherrie Dornberger, RN, GDCN, CDP, CDONA, FACDONA, is currently the Executive Director of NADONA/LTC, having served NADONA/LTC in many roles and capacities for over 39 years. She is a Certified Dementia Practitioner and also holds a Geriatric Diabetic Certification. As a certified Director of Nursing (DON), she was honored as a Fellow and received DON of the Year from both NADONA and NJADONA. Additionally, she serves on the Board of Directors for the Gloucester County Red Cross chapter. As a student, she was actively involved in NSNA, serving as President of New Jersey Nursing Students, Inc (NJNS), the NJ state student association. She also served on the scholarship committee, resolutions committee and went on to work as NJNS Executive Director.
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Students Reflections on Undertaking Nursing Research
(Continued from page 39) Another challenge posed by this research process was communicating effectively among the research assistants and the primary investigator, along with coordinating meeting dates and times. The biggest reward from this research undertaking was receiving IRB approval after the first submission, thus allowing the research to move into the data collection phase. This achievement exemplified the quality and extent of work that had been done to this point. One of the research assistants commented, “I felt validated for all my hard work.” Analyzing and disseminating preliminary data through presentations alongside nurse researchers at conferences at several venues including the College of St. Elizabeth, the Northeast Regional Honors Conference in Philadelphia, and William Paterson University ushered us into the professional world of evidence-based practice. The research assistants noted that, “It felt great show casing our study and having experienced professionals show interest in our work.” Our original research group of 6 students has expanded to include a research team of 12 students from sophomore, junior and senior class standings who are completing the second phase of our investigation and starting inquiries into new research questions as well. One of the newest questions is, “How do patients feel about being cared for by professional nurses or nursing students who have multiple visible tattoos and piercings?” As novice researchers, witnessing the evolution of our investigation from a small idea to the comprehensive qualitative and quantitative research study that is being conducted today was the most fulfilling aspect of this experience. Conducting original research allows nursing students to stand out among multiple applicants in the ever-increasing competitive job market. Our involvement in research with our professor as a mentor over the past two years highlights our commitment to best practices within the nursing profession. Research can be overwhelming; however, having the support of our professor relieved some of the initial anxieties. The primary investigator, Dr. Marianne Flood, showed enthusiasm that was contagious and bestowed guidance that was unmatched. The students felt that having the support within the research team made the experience more fulfilling. Due to the challenges faced with working as a group, the students were able to relate on a level that allowed them to work more cohesively. Conducting research at the undergraduate level was a challenging but rewarding experience that has diversified our skills and knowledge, while enriching our undergraduate education. Furthermore, conducting and utilizing research is a means to remain current and provide quality patient care. In a team-oriented healthcare environment that warrants the need for collaboration, we have become more proficient in functioning as team members. We have also learned to critique research students from a new perspective. Although conducting research is a demanding process, the results extend beyond personal knowledge to enhance patient care and advance the nursing profession. G
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Career Center List Nursing Positions Available Highlights of NSNA’s Career Center As a service to our members, NSNA presents a listing of direct links to hospitals with nursing positions available to new nursing graduates. These are hospitals that have registered with NSNA and are listed by state. CALIFORNIA UCLA Health System, Southern California www.uclahealthcareers.org/#/careers
MARYLAND University of Maryland Medical Center, Baltimore www.ummc-careers.com/nursing
ILLINOIS Meridian Health Plan, Chicago www.mhplan.com/index.php?page=jobs
OKLAHOMA Saint Francis Health System, Tulsa http://bitly/1euIWHR
INDIANA Ball State University, Muncie www.bsu.edu/hrs/jobpostings
OREGON Legacy Health, Portland www.legacyhealth.org
MARYLAND The Johns Medical Center, Baltimore www.hopkinsmedicine.org/nursing/jobs/
WISCONSIN University of Wisconsin Hospital and Clinics, Madison http://bit.ly/1ksiy8J
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Nursing Organizations
Imprint presents a sampling of the many nursing organizations in which you can participate following graduation. You can join those partnered with NSNA® now as a student. Check out NSNA’s Alliance Partners below, who already provide benefits to nursing student members.
NSNA’s Partners
NSNA members can join the following organizations at special rates. Academy of Neonatal Nursing (ANN) (707) 795-2168 www.academyonline.org The American Assembly for Men in Nursing (AAMN) (205) 956-0146 www.aamn.org American Holistic Nurses Association (AHNA) (928) 526-2196 www.ahna.org American Organization of Nurse Executives (AONE) (312) 422-2800 www.aone.org Association of Pediatric Hematology/ Oncology Nurses (APHON) (847) 375-4724 www.aphon.org Association of periOperative Registered Nurses (AORN) (800) 755-2676 www.aorn.org
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Emergency Nurses Association (ENA) (800) 243-8362 www.ena.org National Association of Neonatal Nurses (800) 451-3795 www.nann.org Oncology Nursing Society (ONS) (866) 257-4ONS www.ons.org
American Nurses Association www.nursingworld.org
The ANA is the only full-service professional organization representing the nation’s 3.1 million registered nurses through its constituent member nurses associations. ANA advances the nursing profession by fostering high standards of nursing practice, promoting the economic and general welfare of nurses in the workplace, projecting a positive and realistic view of nursing, and by lobbying the Congress and regulatory agencies on health care issues affecting nurses and the public.
National League for Nursing (NLN)
The Council for the Advancement of Nursing Science www.nln.org (CANS) (202) 777-1170 The NLN is the nation’s leading nursing education www.nursingscience.org organization, serving nursing faculty and practicing nurses at all levels of education and practice. For more Dermatology Nurses’ Association (DNA) than 100 years, the NLN has been dedicated to the (800) 454-4362 advancement of quality nursing education. www.dnanurse.org
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Academy of Medical-Surgical Nurses www.amsn.org
American Association of Nurse Anesthetists www.aana.com
Academy of Neonatal Nursing www.academyonline.org
American Association of Nurse Attorneys www.taana.org
Air & Surface Transport Nurses Association www.astna.org
American Association of Occupational Health Nurses www.aaohn.org
American Academy of Ambulatory Care Nursing www.aaacn.org American Academy of Nurse Practitioners www.aanp.org American Academy of Nursing www.aannet.org American Assembly for Men in Nursing www.aamn.org American Association for the History of Nursing www.aahn.org American Association of Colleges of Nursing www.aacn.nche.edu American Association of Critical-Care Nurses www.aacn.org American Association of Diabetes Educators www.diabeteseducator.org American Association of Legal Nurse Consultants www.aalnc.org American Association of Managed Care Nurses www.aamcn.org American Association of Neuroscience Nurses www.aann.org
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American Association of Spinal Cord Injury Nurses http://bit.ly/KEcz0h American Board of Nursing Specialties www.nursingcertification.org American Association on Intellectual and Developmental Disabilities www.aaidd.org/ American College of Nurse Midwives www.midwife.org American College of Nurse Practitioners www.acnp.enpnetwork.com American Holistic Nurses Association www.ahna.org American Medical Informatics Association www.amia.org American Nephrology Nurses’ Association www.annanurse.org American Nurses Association www.nursingworld.org American Nursing Informatics Association www.ania.org American Organization of Nurse Executives www.aone.org
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American Psychiatric Nurses Association www.apna.org American Public Health Association www.apha.org American Society for Pain Management Nursing www.aspmn.org American Society of PeriAnesthesia Nurses www.aspan.org Association for Professionals in Infection Control and Epidemiology www.apic.org American Society of Ophthalmic Registered Nurses www.asorn.org American Society of Plastic Surgical Nurses www.aspsn.org Association for Radiologic and Imaging Nursing www.arinursing.org
Commission on Graduates of Foreign Nursing Schools www.cgfns.org Dermatology Nurses’ Association www.dnanurse.org Developmental Disabilities Nurses Association www.ddna.org Emergency Nurses Association www.ena.org Endocrine Nurses Association www.endo-nurses.org Gerontological Advanced Practice Nurses Association www.gapna.org National Association for Home Care and Hospice www.nahc.org Hospice and Palliative Nurses Association www.hpna.org
Association for Vascular Access www.avainfo.org
Infusion Nurses Society www.ins1.org
Association of Camp Nurses www.campnurse.org
International Council of Nurses www.icn.ch
Association of Community Health Nursing Educators International Nurses Society on Addictions www.achne.org www.intnsa.org Association of Nurses in AIDS Care www.nursesinaidscare.org Association of Pediatric Hematology/ Oncology Nurses www.aphon.org Association of periOperative Registered Nurses www.aorn.org Association of Rehabilitation Nurses www.rehabnurse.org Association of Women’s Health, Obstetric and Neonatal Nurses www.awhonn.org Association for Professionals in Infection Control and Epidemiology www.apic.org
International Organization of Multiple Sclerosis Nurses www.iomsn.org International Society of Nurses in Genetics www.isong.org International Society of PsychiatricMental Health Nurses www.ispn-psych.org National Association Directors of Nursing Administration/ Long Term Care www.nadona.org National Association for Home Care and Hospice www.nahc.org National Association of Clinical Nurse Specialists www.nacns.org
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National Association of Hispanic Nurses www.thehispanicnurses.org
National Student Nurses’ Association www.nsna.org
National Association of Neonatal Nurses www.nann.org
North American Nursing Diagnosis Association International www.nanda.org
National Association of Nurse Massage Therapists www.nanmt.org National Association of Nurse Practitioners in Women’s Health www.npwh.org
Nurses Christian Fellowship www.ncf-jcn.org Oncology Nursing Society www.ons.org
National Association of Orthopaedic Nurses www.orthonurse.org
Pediatric Endocrinology Nursing Society www.pens.org
National Association of Pediatric Nurse Practitioners www.napnap.org
Preventive Cardiovascular Nurses Association www.pcna.net
National Association of Physician Nurses www.nationalassociationpa.com National Association of School Nurses www.nasn.org National Black Nurses Association www.nbna.org
Respiratory Nursing Society www.respiratorynursingsociety.org Society for Endocrine Nurses www.endocrinology.org/endocrinenurse/ Society of Gastroenterology Nurses & Associates, Inc. www.sgna.org
Society for Vascular Nursing www.svnnet.org
Society of Otorhinolaryngology and Head-Neck Nurses, Inc. www.sohnnurse.com
National Gerontological Nurses Association www.ngna.org
Society of Pediatric Nurses www.pedsnurses.org
National League for Nursing www.nln.org
Society of Trauma Nurses www.traumanurses.org
National Nurses in Business Association, Inc. www.nnba.net
Society of Urologic Nurses and Associates www.suna.org
National Nursing Staff Development Organization www.nnsdo.org
Space Nursing Society www.spacenursingsociety.net
National Organization for Associate Degree Nursing www.noadn.org National Organization of Nurse Practitioner Faculties www.nonpf.com
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Transcultural Nursing Society www.tcns.org Wound, Ostomy and Continence Nurses Society www.wocn.org
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A D V E R T I S I N G Index AMERICAN PUBLIC UNIVERSITY………………………… BOARD OF CERTIFICATION FOR EMERGENCY NURSING…… JOHNSON & JOHNSON…………………………………… STEVENSON UNIVERSITY………………………………… VANDERBILT…………………………………………… VILLANOVA………………………………………………
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Cover by Anderson Design, Ozark, Missouri.
All published material in IMPRINT® is protected by copyright. n Material, including illustrations and artwork, may not be reprinted without permission from the National Student Nurses’ Association. n NSNA Encourages its readers to submit original articles for publication to IMPRINT but reserves the right to edit for style clarity, and length. n IMPRINT (USPS #899-300, ISSN #0019-3062) is published quarterly by the National Student Nurses’ Association in the months of February/March, April/May, September/October and November/December. The annual Career Planning Guide issue is produced online-only in the month of January. n IMPRINT is indexed in the International Nursing Index. n Three dollars of NSNA dues is for subscription to IMPRINT. Other interested persons may subscribe at $18 annually. Mexico and foreign subscriptions are $30 annually. n The views expressed in IMPRINT are solely those of the authors or persons quoted and do not necessarily reflect the views of NSNA. Statements made by authors are not statements of NSNA policy unless adopted by NSNA resolution. The appearance of advertising in this publication in no way implies endorsement or approval by NSNA of any advertising claims or of the advertiser, its product, or services. NSNA does not attempt to investigate or verify the accuracy of claims made by its advertisers, and NSNA specifically disclaims any liability in connection with advertising appearing herein. © National Student Nurses’ Association, Inc. 2011, 45 Main Street, Suite 606, Brooklyn, NY, 11201. n IMPRINT was formerly published as the NSNA NEWSLETTER. n Periodical postage paid at Brooklyn, NY and additional mailing offices. POSTMASTER: Send address changes to National Student Nurses’ Association, Box 789, Wilmington, OH, 45177.
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