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Documente Cultură
Melanie C. Maltese
February 8, 2020
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As a family nurse practitioner, my goal is to elevate the health of individuals and the
community by practicing preventative health care. I want to teach patients of all ages how to care
for themselves using a holistic approach that would have a positive impact on long term health
outcomes. I love my work as a registered nurse but find it challenging to promote health in the
acute care setting where patients typically present with multiple chronic illnesses and frequently
return with the same unresolved health issues. In a clinic or wellness center, I would have the
opportunity to educate and motivate patients to understand how dietary and lifestyle choices
contribute to their health and wellbeing. This approach benefits the individual and family
members and reduces emergency room and hospital admissions. I believe I will make a
awareness of how I must grow and evolve in order to achieve my goal. This
leader, by assessing my leadership style, strengths and weaknesses, and formulating leadership
goals. I will assess the importance of practicing ethically, practicing self-care, and lifelong
learning. This plan will be a reminder to me of what is important and what I must do to practice
To grow as a leader, one must first understand what type of leadership style they possess, I found
I am being honest with myself, I see myself as a transactional leader even within my family. I am
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always trying to motivate my children with a reward and the challenge I face as the text clearly
states, once the reward is removed the interest of helping the organization or in my case with my
children, the interest in helping mom goes away (Roussel, Thomas & Harris, 2020).
and eagerness to learn and acquire new skills, and my passion for teaching and mentoring. My
medical/staff relationships, all of which are keeping me from evolving into a transformational
leader. I believe my strengths are essential for an effective leader and that my weaknesses are not
character flaws that will prevent me from achieving my goals but rather are rooted in a lack of
leadership skills and knowledge. As a part-time nurse, my leadership involvement has been
minimal, and my priority was raising my children, but as they are both in grade school, I now
have the opportunity to challenge myself and become involved with my organization. I know I
have the ability to be a good leader, but I do need to educate myself and find opportunities to
explore such leadership, this MSN program will foster that growth. Upon completion of my
MSN, I will be at a place where my career takes priority. I want to gain work experience, life
experience in an outpatient setting. Learn what I love about being an NP and what frustrates me
and use all that knowledge to accomplish my end goal of practicing preventative medicine,
where the focus is not treating the sick but preventing it.
Standard #7 of Nursing Scope and Practices requires that nurses practice ethically (ANA,
2015). Justice, beneficence, nonmaleficence, accountability, and fidelity are all guiding ethical
principles and these principles are intertwined into all aspects of nursing. Throughout my career,
I have held treating my patients and coworkers ethically in high regard and I will continue to as I
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advance my career. I will practice ethically by treating all my patients fairly no matter my
personal bias. My bias is that I see obesity and a preventable condition that is at the root of many
chronic illnesses. In my practice of preventative medicine, obesity will be the most difficult
obstacle and I will strive to be just and not allow biases or stigmas to drive my care because they
can further negatively impact the health of the individual. “Weight stigma is known to negatively
maladaptive eating behaviors (e.g., binge eating and increased food consumption), physical
activity, weight status (e.g., increased weight gain and less loss), and physiological stress
responses” (Stanton & Smith, 2017, p.496). I will justly care for all my patients while
recognizing the autonomy of my patients and accepting that each one is unique and have their
own opinions, values, and beliefs. I will give my patients the facts and skills to holistically
promote wellness and disease prevention but also know that they ultimately will make their own
decisions.
SMART Goals
these SMART goals I will not lead with power but instead empower others to creatively and
collaboratively work for goals that benefit both themselves and the organization (Roussel, et al.,
2020).
Goal #1
interdisciplinary committee at St. Luke’s and attend at least two meetings in 2020. Being an RN
at a Magnet hospital, I should be encouraged to participate and share my voice in decisions that
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improve the outcomes of the hospital and our patients. This participation will provide me the
opportunity to grow as a leader by collaborating with physicians and other medical professionals,
better understand the healthcare system and contribute to a positive change. I measure my
outcome I meet with my department supervisor and the head of the committee twice a year to
Goal #2
The ability to be mindful is directly connected and required for emotional intelligence. I will
practice self-guided meditation for 10 minutes a day to better help me understand my own
emotions, recognize the emotions of others and increase the ability to govern and control my
emotions. Emotional intelligence and mindfulness are valuable characteristics for effective
leaders and I will strive to improve these. I have assessed my mindfulness using the Mindful
maas/), the average score for undergraduates is 3.85 while Zen meditators score 4.38 (Miller,
meditation I will measure my progress and take the assessment again and will improve by at least
.03 points. To hold myself accountable by discussing with a peer my baseline mindfulness, my
Goal #3
I will increase my community involvement and networking abilities by attending at least one
nurse practitioner or primary care seminar each year and exchanging contacts with at least two
professionals who can potentially help me develop professionally. These seminars will provide
me the opportunity to learn about current issues in my field and in my community while putting
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me in contact with innovative and successful professionals. To measure the outcome will email
each contact within one week of the seminar to discuss professional collaboration and write
follow-up emails every three months in order to develop and maintain a professional network.
I currently practice to the highest level of education and competency for a registered nurse by
receiving my BSN and I have become an expert in my field by becoming a certified nurse in
competencies as an APRN will expand as will my role in leadership. I will make the foundation
of my practice one of evidence-based practice, providing my patients with safe, quality care that
is patient-centered. I will have a voice and be engaged in policy and health delivery systems. I
will focus on the recommendations that the IOM has put forth, to practice to the full extent of my
education and training and to become a full partner in redesigning the future of healthcare (IOM,
2011). And finally, I have the responsibility to continue the advancement of leadership skills by
Life-Long Learning
professional performance, “The registered nurse seeks knowledge and competence that reflects
current nurse practice and promotes futuristic thinking” (ANA, 2015, p. 5). Continuing education
is essential to develop professionally and remain licensed, I will seek out valuable educational
opportunities that will better serve my practice and my patients. Research has found that
continuing professional development increases the skill mix and it broadens the healthcare team,
providing the opportunity to collaborate with others and provide a better quality of care (Lemma,
I will attend professional conferences, I have attended the Idaho Perinatal Winter Conference
several times and every time I am blown away by the wealth of knowledge I have acquired, the
amount of work and research that is being done by some of the brightest minds in the industry. I
will specifically seek out conferences that focus on primary care, preventative medicine, and
holistic approaches, these conferences will give me the opportunity to network and collaborate
with other healthcare professionals and fellow nurse practitioners. At these conferences, I will
learn about current research that is being done and how I can apply evidence-based research into
that supports lifelong learning and the personal and professional value continuing education
achieves. Keeping this in mind will allow me to overcome obstacles that may slow or prevent
As a nurse practitioner practicing preventative medicine is crucial that I lead by example for my
patients. Provision 5.2 of the Code of Ethics for Nurses states “Nurses should model the same
health maintenance and health promotion measures that they teach and research, obtain health
care when needed, and avoid taking unnecessary risks to health or safety in the course of their
professional and personal activities (ANA, 2015, p. 19).” Self care is not only vital for personal
health but it is also critical for enhancing leadership, promoting resiliency and retaining staff.
Incorporating yoga and meditation into my practice will show my patients the importance and
dedication I have to holistic health promotion and it will provide my staff with the resiliency and
Nurse Practitioners. Being a member of AANP will give me the voice to advocate for my
profession and expand the role of nurse practitioners., thereby improving the health of our
country (AANP, https://www.aanp.org). Membership to the AANP will also promote lifelong
learning, with access to nurse practitioner journals and continuing education courses. I am also
very interested in becoming involved with the Alliance of Nurses for Healthy Environments,
their mission statement resonates with me, it states “Promoting healthy people and healthy
environments by education and leading the nursing profession, advancing research, incorporating
evidence-based practice, and influencing policy” (Alliance of Nurses for Healthy Environments,
2019). This is also a goal of Healthy People 2020, promote health for all through a healthy
environment (Healthy People 2020, 2020). I will become a more well-rounded practitioner and
person by becoming involved in professional organizations that incorporate ideals that I feel
The IOM advocates that “advanced practice registered nurses (APRNS) should practice to
the fullest extent of their education and training” (IOM, 2011, s8), but there are a multitude of
barriers that are preventing this from happening for many nurse practitioners. With the
education, skills, training, and leadership I will acquire from completing my MSN and becoming
a family nurse practitioner, I will make it my mission to decrease these barriers. By being an
active member of the AANP, will advocate for policy change and fight to make healthcare more
accessible by decreasing the restrictions that 2/3 of states have on the scope of practice of
APRNs (Hain, D. & Fleck, L. M., 2014). I will assert myself as a leader and contributor when
working in interdisciplinary teams and promote collaboration with physicians and other members
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of the healthcare team so that the gifts and knowledge of all team members contribute to best
practices and better patient outcomes (Hain, D. & Fleck, L. M., 2014). Finally, I will do my part
to mitigate the effects of the nursing shortage and the shortage of primary care providers by
mentoring and precepting future professionals. I will strive to make a difference in healthcare
and in my practice of preventative medicine by providing better care, promoting better health
References
American Nurses Association. (2015). Code of Ethics for Nurses with Interpretive Statements.
American Nurses Association. (2015). Nursing: Scope and Standards of Practice. (3rd Ed.).
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Hain, D., & Fleck, L. M. (2014). Barriers to NP Practice that Impact Healthcare
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Institute of Medicine (IOM). (2011). The future of nursing: Leading the change, advancing
Lemma, F., McLaren, S., Boudioni, M., & Woods, L. P. (2007). Training experiences,
educational priorities and career plans of primary care staff. Education for Primary
Miller, K. (2019, August 28). The Mindful Attention Awareness Scale. Retrieved from
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Roussel, L., Thomas, P.L., & Harris, J.L. (Eds.). (2020). Management and Leadership for Nurse
Stanton, M. V., & Smith, J. A. (2017). Law, Stigma, and Meaning: Implications for Obesity and
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