The Continuum of Nurse Career Growth
The growth of your career as a nurse can be consciously self-generated, or simply a result of happenstance and alaissez-faireattitude towards professional development. Neither of these options are necessarily bad in and of themselves, but a thoughtfully sculpted career is definitely fodder for a much richer, satisfying, and rewarding trajectory.Whereas employment can often feel like a means to an economic end (ie: survival), there is also the notion that work is an avenue to self-awareness, a sense of personal pride, contribution to community and society, and a more full engagement in life.Work, Fear and StruggleIt is true...
Source: Digital Doorway - March 25, 2019 Category: Nursing Tags: career nurse nurses nursing nursing careers Source Type: blogs

Metacognition: Thinking About Your Thinking About Your Nursing Career
In the world of nursing and non-nursing education, metacognition is a common pedagogical concept for nurse educators to consider when working with students on the path to becoming licensed healthcare professionals. Metacognition is at its most basic the act of thinking about your thinking. Aside from its commonplace setting of education, metacognition can be also considered in terms of how we approach our nursing careers and professional lives. So let's stop and think about our thinking, shall we?Photo by Ricards Zalmezs on UnsplashMetacognition and the Earnest NurseWhen you think about your nursing career, ...
Source: Digital Doorway - February 18, 2019 Category: Nursing Tags: career career development careers healthcare careers nurse nursing nursing careers Source Type: blogs

Six Steps to Being a Better Nurse Communicator
One of the most important non-clinical skills for a nurse to develop is strong powers of communication. Nursing care is built on the foundation of communication -- both patients and colleagues figure largely in a nurse's world, and being able to listen well and speak your truth clearly is absolutely essential both on the job and in your daily life. Photo by Jason Rosewell on UnsplashConversations AboundThe work of a nurse in the clinical space -- whether in home care, dialysis, entrepreneurship, ambulatory nursing, or the assisted living facility -- is informed by communication and conversation. Nursing...
Source: Digital Doorway - January 28, 2019 Category: Nursing Tags: career career development career management careers healthcare healthcare careers nurse nurse careers nurses nursing nursing careers Source Type: blogs

Nurses, Parachutes, Stools, and the Career You Truly Want
Being a nurse is a wonderful career and avocation. In the course of attempting to build an amenable lifestyle and workstyle, things can get confusing, but there are plenty of resources for the earnest nursing professional who wants support in taking their career to the next level.Photo by Lindsay Henwood on UnsplashWhat Color is Your Parachute? In 1970, author and career guru Richard Nelson Bolles self-published the seminal book,What Color is Your Parachute. In 1972, it was published by Ten Speed Press and has been consistently revised ever since and is now available in 22 languages.In the new edition u...
Source: Digital Doorway - January 16, 2019 Category: Nursing Tags: career career development career management careers healthcare careers job search jobs nurse nurse careers nurses nursing nursing careers Source Type: blogs

So You Want to be a Nurse?
Deciding to become a nurse and enter the worlds of nursing, medicine, and healthcare is a courageous act. If you want to be a nurse, doing your due diligence and truly understanding what healthcare and nursing are all about is definitely a smart preliminary strategy. Once you learn more, this momentous career decision may set you on the road to becoming a highly valued nursing professional.Add captionThe Allure of NursingNursing holds a certain allure in our society -- after all, nurses are ranked as the most trusted professionals in the United States year after year in the Gallup poll. This well-deserved esteem that the g...
Source: Digital Doorway - January 7, 2019 Category: Nursing Tags: career careers healthcare healthcare careers nurse nurse careers nurses nursing nursing careers nursing students Source Type: blogs

Be Yourself, Nurses -- Everyone Else Is Taken
Owning and stepping into your own genius as a nurse is important; and genius is, of course, relative for all nurses. At times, we can lose heart and feel that we just can't become the person or professional we thought we could be; however, seeking our own individual path is paramount when it comes to creating a career that feels tailor-made just for us, and not just a path someone else said was the best one to follow. Whether you feel like an impostor or your career has grown stale, there's nothing you can be other than yourself; and if you're trying terribly hard to be just like someone else (or do what others tell y...
Source: Digital Doorway - December 30, 2018 Category: Nursing Tags: career career development career management careers nurse nurse career nurses nursing nursing careers Source Type: blogs

10 Strategies for Feeding the Nurse's Inner Life
In managing their careers and busy lives, nurses can be very focused on the " outer " aspects of life and work: family, chores, shopping, resumes, job-hunting, pursuing education, social media, etc. But how do we keep the nurse's inner life fed and watered? Let's explore 10 strategies for cultivating that inner life and nurturing happiness, wellness, and personal/professional balance as 21st-century nurses with very full lives and careers to grow.(Note: please see this blog post's companion podcast,episode 186 of The Nurse Keith Show, for further exploration of this topic.)Photo by Atolu Bamwo on Nappy.coFinding ...
Source: Digital Doorway - December 24, 2018 Category: Nursing Tags: career career development career management careers healthcare careers nurse nurse careers nurses nursing nursing careers Source Type: blogs

Nurse Specialist or Nurse Generalist?
Nurse specialists and nurse generalists are both common within the nursing profession and  21st-century healthcare, and both serve important purposes in patient care as well as non-clinical settings. What does it mean to choose to be a specialist or generalist? What are the repercussions for your nursing career? And how can one accomplish both?Note: pleaseclick here to listen to this blog post's companion podcast episode.Photo by wang dongxu on Unsplash.comNurse Specialists MatterIn both medicine and nursing, generalists and specialists both serve many important purposes. Choosing which one to be can be difficult but ...
Source: Digital Doorway - December 10, 2018 Category: Nursing Tags: careers healthcare careers nurse nurse career nurse careers nurses nursing nursing careers Source Type: blogs

5 Actions for Overcoming Nursing Career Attention Deficit Disorder
In the midst of a fast-paced, 21st-century life, it's possible for a hard-working nurse to experience what I call Nursing Career Attention Deficit Disorder (NCADD). In this context, the nurse in question loses sight of her goals and dreams, instead becoming scattered and distracted by life's myriad responsibilities and demands; she's pulled in multiple directions and feels like she's running around like a chicken with her head cut off. Can NCADD be turned around? Can our distracted minds be tamed in the interest of developing a more satisfying nursing career?Photo by chuttersnap on UnsplashAn Understandable ...
Source: Digital Doorway - November 26, 2018 Category: Nursing Tags: career career development career management careers healthcare careers nurse nurse careers nurses nursing nursing careers Source Type: blogs

What's On Your Nursing Career Runway?
Your nursing career can feel like a busy airport, a marathon, a bus terminal, a rickshaw ride, or a taxi careering the wrong way down a one-way street. If your nursing career is an airport, and you're readying your plane on the runway in order to take flight, what's on your runway and who's behind the controls?Photo by Josue Isai Ramos Figueroa on UnsplashWho's in the Cockpit? In terms of your nursing career airplane that's ready for take off, who's in the pilot seat? Who's the co-pilot, and who are the flight attendants?Is your inner career co-pilot a critical mother or overbearing father? Are you...
Source: Digital Doorway - November 11, 2018 Category: Nursing Tags: career healthcare healthcare careers nurse nurse careers nurses nursing nursing careers Source Type: blogs

Nurses, Nursing, and the Nature of Suffering
In the course of many nurses'healthcare careers, witnessing the illness, suffering, and death of others is commonplace. From dialysis and med-surg to home health and the ICU, nurses create therapeutic relationships with patients and their families, providing spiritual and emotional comfort, compassion, and expert skilled care based on many decades of nursing science and evidence-based interventions.Aside from witnessing the challenges faced by others, nurses are themselves human beings with their own life experiences, victories, and suffering. How a nurse navigates their own personal suffering plays a role in determining h...
Source: Digital Doorway - November 4, 2018 Category: Nursing Tags: healthcare nurse nurses nursing Source Type: blogs

Are You Feeling Spooked by Nursing?
Are you feeling spooked by your nursing career? It's Halloween week, and it seems natural to examine our careers for skeletons in the closet, ghosts that haunt us, and old stories that just don't fit anymore. Are you ready to dive in and see what we can see?Photo by NeONBRAND on Unsplash The Ghosts That Haunt YouAre there ghosts that haunt your nursing career? Are there patients, colleagues, errors, or miscalculations that still populate a painful place in your mind and heart? Are there things from the past that cause you emotional, psychological, or spiritual pain?Sometimes we need to let go of the pas...
Source: Digital Doorway - October 29, 2018 Category: Nursing Tags: nurse nurses nursing nursing careers nursing identity Source Type: blogs

10 Steps to Nurse Entrepreneurship
I recently attended the 2018 annual conference of theNational Nurses in Business Association(NNBA) and I was reminded that many nursing professionals would like to be business owners but aren't sure how to get started. That lack of business acumen is both prevalent and understandable.While I'm not specifically a business coach for nurses, my career coaching practice and experience as a nurse entrepreneur has taught me a thing or two about getting a business up and running.Photo by rawpixel on UnsplashWhat Does A Business Do? Before we get to my top tips for launching your nurse-run business, let's talk ...
Source: Digital Doorway - October 22, 2018 Category: Nursing Tags: entrepreneurship National Nurses in Business Association NNBA nurse entrepreneurs nurse entrepreneurship nursing Source Type: blogs

Nursing Jobs, Cost of Living, & Where to Hang Your Hat
In my work as a career coach for nurses and healthcare professionals, I frequently witness those who work in nursing struggling with decisions related to finding work and the relative cost of living in terms of where they live or where they might move.Making decisions about your workstyle and lifestyle can be fraught with anxiety and concern about the future -- let's unpack that conundrum.Photo by Joey Csunyo on UnsplashWorkstyle and LifestyleFiguring out where to live and work can be a difficult choice. On the one hand, you want to earn up to your potential and receive the highest possible wage according to...
Source: Digital Doorway - October 1, 2018 Category: Nursing Tags: advanced practice nurses career career development career management careers healthcare careers job search nurse careers nurse practitioners nursing nursing careers Source Type: blogs

Day Shift vs. Night Shift: A Consistent Nursing Dilemma
As a career coach for nurses, I receive a lot of questions and complaints about nursing careers, and one of the most contentious and confusing issues for many nurses is whether to work days or nights. Perhaps you, dear Reader, have experienced such confusion yourself.Days vs. nights is an old nursing puzzle that so many nurses face:Do I work nights and get the differential while ruining my social life, or do I work days and run my tail off when the residents, surgeons, NPs, and doctors are on hand all day to send me running with new orders and admissions?When I was decided to go to nursing school, my wife was very supporti...
Source: Digital Doorway - September 24, 2018 Category: Nursing Tags: career career development career management healthcare careers nurse nurse career nurse careers nurses nursing nursing careers Source Type: blogs

Nurse, Throw Your Hat Over the Wall
In your nursing career, have you ever wanted to get something done but never had the gumption to make the commitment and just do it? Well, there's an old Irish proverb that says, "When you come upon a wall, throw your hat over it and then go and get your hat. "In the context of your nursing career, I like to think of this saying in terms of you putting some skin in the game and making a commitment to do what needs to be done, no matter what obstacles may appear to be in your way. What are you avoiding? What are you waiting for? Is there a deep end you just need to dive into?The Deep EndMany of us have a history o...
Source: Digital Doorway - September 17, 2018 Category: Nursing Tags: career career development career management careers healthcare careers nurse nurses nursing nursing careers Source Type: blogs

Are You a Nurse Job Hopper?
Nurses leave jobs for innumerable reasons, and sometimes circumstances cause those of us in healthcare and nursing to only stay at a string of positions for relatively short periods. Job-hopping has generally been frowned upon in human resources circles, but generational changes and new attitudes about work and careers are slowly altering the landscape. However, job-hopping continues to have its ups and downs, and being a nurse job-hopper still comes with significant career liability.Photo by Gary Bendig on UnsplashThe StatsAccording to the Bureau of Labor Statistics, the average time employees remain in any...
Source: Digital Doorway - September 10, 2018 Category: Nursing Tags: career career development career management healthcare careers nurse nurse career nurse careers nurses nursing nursing careers Source Type: blogs

Six Reasons to Love Millennial Nurses
The Millennial generation (those born between approximately 1980 and 2000) are the new majority in the 21st-century workforce (see thisPew research study identifying this cohort as 35% of the overall workforce), and Millennial nurses are on their way to dominating the nursing profession.As one generation wanes and the other rises, power changes hands, and this is happening at this very moment as Generation X and the Baby Boomers reach retirement age and leave the workforce in droves.Every generation is disparaged and criticized by the generations that came before, and Millennials are no exception. However, I hypothesi...
Source: Digital Doorway - September 3, 2018 Category: Nursing Tags: healthcare medicine nurse nurses nursing Source Type: blogs

Your Nursing Career and The Skill of Writing
When we think of the skills that make a nurse a nurse, writing is not the first one that may come to mind. PICC lines, wound care, ventilators, IVs, and physical assessment are the kinds of things we think of, but the power of the pen, as it were, is definitely not in the running (except, of course, for basic nursing documentation). However, I'll posit that writing is a skill that can serve your nursing career in both mundane and powerful ways throughout the years. What's your level of skill as a writer, and do you want to improve?Photo by Thought Catalog on UnsplashCareer Development 101In terms of career d...
Source: Digital Doorway - August 27, 2018 Category: Nursing Tags: career career development careers healthcare careers nurse nurse careers nurses nursing nursing careers Source Type: blogs

Words as a Barometer of Your Nursing Career
At no matter what point you find yourself in your nursing career, the words you use are powerful. How you talk to your patients and colleagues says a lot about you, and how you talk about your career, your work, and your life says even more. And we also need to consider how you talk to yourself. Are you choosing words that are empowering, positive, and indicative of your passion, expertise, and professionalism? Or are you stuck in a negative and defeatist loop?We all have bad days, and we also need to be careful when we're at risk of falling into negative language traps that paint us into corners filled with bad feelings, ...
Source: Digital Doorway - August 20, 2018 Category: Nursing Tags: career career development careers healthcare careers nurse nurse career nurse careers nurses nursing nursing careers resumes Source Type: blogs

Your Nursing Job: The Same Old Bed of Nails or a Comfortable Old Shoe?
Some of us have nursing jobs that are feel like a bed of nails, and some of us nurses have jobs that feel like comfortable old shoes. Have you ever fallen into either of these categories in terms of your work experience as a nurse? I posit that either one can be detrimental to your career in the long run.The Old Shoe Nursing JobIf you've been working at a decent enough nursing job for a number of years, it can begin to feel like an old worn shoe: comfortable, fraying at the edges, and perhaps less supportive than it used to be.Photo by Christian Ro ßwag on UnsplashPerhaps you've had a work experience t...
Source: Digital Doorway - August 13, 2018 Category: Nursing Tags: career career development career management careers healthcare healthcare careers job search nurse nurse career nurse careers nurses nursing nursing careers Source Type: blogs

Defining Nursing Career Success on Your Own Terms
Every nurse and healthcare professional has the opportunity to define success in their own way. However, how many of us allow our nursing careers to be defined by someone else. How can we seize control of our careers and define success on our own terms?Photo by Jamie Street on UnsplashBeyond a Cookie Cutter CareerAt this time in your life, your definition of success may mean earning your Masters in Nursing by the time you're 35 and your PhD or DNP by the time you're 45. For one of your nurse colleagues, success may mean getting a BSN and finding a job that will pay the bills and put a child through college. ...
Source: Digital Doorway - August 6, 2018 Category: Nursing Tags: career career development career management careers healthcare careers nurse nurse career nurse careers nurses nursing nursing careers Source Type: blogs

Making the Case For Your Nursing Expertise
In nursing job interviews and other high-stakes career-related interactions, it's your responsibility to make the case for why you're an amazing nurse and the perfect fit for a particular position or healthcare organization. How do you make the case for who you are and what you bring to the table?Own Your Personal BrandThe first thing to understand is that you represent your own personal brand. In that context, when you're in the nursing and healthcare job markets, you're standing up and proclaiming the power and worth of your brand.Every nurse or healthcare professional has a brand whether they know it or not, and the sav...
Source: Digital Doorway - July 30, 2018 Category: Nursing Tags: career career development career management healthcare careers nurse nurse careers nurses nursing nursing careers Source Type: blogs

When Nurses Receive Their Due
Most nurses will readily admit that they didn't choose nursing because of the astronomically high paychecks. Sure, nursing can be a relatively remunerative career, but there are plenty of other professions that are significantly more financially rewarding (and free of some of the challenges that nurses face on a daily basis). So, what if nurses were paid a whole lot more in exchange for saving ---and otherwise improving---the lives of a grateful public?Photo by Thought Catalog on UnsplashMultimillion Dollar PlayersWe all know that entertainers and athletes make a lot of money, whether it's deserved or not. N...
Source: Digital Doorway - July 23, 2018 Category: Nursing Tags: healthcare nurse nurses nursing Source Type: blogs

Nurse, What's Your Personal or Professional " Everest " ?
(Source: Digital Doorway)
Source: Digital Doorway - July 16, 2018 Category: Nursing Tags: career career development career management careers healthcare careers nurse nurse careers nurses nursing nursing careers Source Type: blogs

APRNs and 21st-Century American Healthcare
Advanced Practice Registered Nurses (APRNs) are an increasingly important fixture within the 21st-century American healthcare system and nursing profession. Full practice authority is a central key to APRNs ’ ability to fulfill the needs of the American public, and it’s time for such authority to be granted nationwide.My APRN StoryIn my own experience as a nurse, Advanced Practice Registered Nurses have figured largely. In the early years of my nursing career in Western Massachusetts, I was lucky enough to work with several teams of gifted nurse practitioners. These particular NPs were blessed to work alongside...
Source: Digital Doorway - July 9, 2018 Category: Nursing Tags: APRN APRNs family nurse practitioners healthcare healthcare careers healthcare delivery healthcare policy nurse practice nurses nursing Source Type: blogs

Should I Quit This Darn Nursing Job?
Have you ever wondered when it's time to quit your nursing job and move on? Are you stuck in a job, uncertain where to go next as a nurse? Or do you just need a change of scenery? It's all about timing, self-care, finances, lifestyle and workstyle, career development, and other factors that impact how long you stay and when (and why) you go.Photo by Bernard Hermant on UnsplashReady to Move On or Not? Making the choice to move on from a nursing job you've had for a while is not always an easy choice. There are multiple reasons to move on, just as there may be a myriad of reasons to hang in there.What has...
Source: Digital Doorway - July 2, 2018 Category: Nursing Tags: career career development career management healthcare careers nurse nurse careers nurses nursing nursing careers Source Type: blogs

Nurses: Come Out of the Woodwork
Although Nurses Week is long over, the public face of nursing still needs a regular shot in the arm so that the public knows what nurses actually do. As nurses, do we describe our work in a way that gets the point across? Does the public know that we're more than the media makes us out to be?Photo by Dmitry Ratushny on UnsplashA few years ago, I reviewed the documentary, "The American Nurse" on this blog, andthat post (and our interview with the filmmakers onRNFM Radio) affirmed that this film contributes greatly to broadening the view of who nurses are and what they do. From birthing to home care,...
Source: Digital Doorway - June 25, 2018 Category: Nursing Tags: healthcare healthcare delivery nurse nurses nursing nursing identity Source Type: blogs

The Tapestry of Nurse Collaboration
Collaboration among nurses and other healthcare professionals is central to the delivery of patient care. According to Merriam Webster's online dictionary, collaborate is defined "to work jointly with others or together especially in an intellectual endeavor " . This particular definition is perfect for our purposes where the work of nurses is concerned.Collaboration and cooperation are a hallmark of human society. While many of us humans don't exactly play nice, many human endeavors couldn't possibly happen without collaboration.Could a skyscraper be built if the carpenters, plumbers, and welders didn'...
Source: Digital Doorway - June 18, 2018 Category: Nursing Tags: nurse nurse collaboration nurse-doctor relations nurse-nurse relationships nurse-patient relationships nurses nursing Source Type: blogs

Non-Traditional Nursing Careers: Where There Is No Box
Ask just about anyone what a nurse does and where a nurse works, and the general response is, "Oh, she works in a hospital. " Apropos of that statement, when I tell someone I'm a nurse, they generally say, "So, do you work at the hospital? " I have nothing against hospital nursing, but there's more to our profession than meets the eye, and many of us are waking up to the multiplicity of non-traditional opportunities just waiting to be grasped by the savvy nurse.Non-traditional nursing careers are multifaceted, and in this new century many nurses are realizing that they can leverage their skills in myria...
Source: Digital Doorway - June 11, 2018 Category: Nursing Tags: business nursing career nurse nurse entrepreneurs nurse entrepreneurship nurse identity nurse professionalism nurses Source Type: blogs

Nurses, the Best Selfie is Internal
At a time in history when " selfies " are dominant in the depiction of our lives (and the potential measurement of our worth), the most important selfie for a nurse to take is on the inside, not the outside.Selfies are part of our 21st-century culture, and there's no denying their popularity. In essence, it's our way of presenting a self-portrait to the world just like Van Gogh or Rembrandt would, except we can  effortlessly make dozens per day that can potentially be seen by hundreds or thousands of people. We can instantly photos of ourselves having dinner with friends, walking on the beach with our dog, o...
Source: Digital Doorway - June 4, 2018 Category: Nursing Tags: career nurse nurses nursing self development Source Type: blogs

New Grad Nurse Confidence: Stoking the Flame
Graduating from nursing school and becoming a new nurse is a remarkable accomplishment that can generate excitement, fear and loathing, anxiety, joy, and all manner of both positive and negative emotions.With new nurses abandoning their nursing careers within the first 1-3 years at alarming rates, the nursing profession itself needs to wake up and smell the coffee regarding how crucial it is to support, nurture, and grow our new nurses into seasoned and confident professionals.New grads need to pass the NCLEX, of course, and when that hurdle is accomplished, landing and starting a first nursing job is the order of the day....
Source: Digital Doorway - May 28, 2018 Category: Nursing Tags: career career development healthcare nurse nurse career nurse careers nurses nursing nursing careers Source Type: blogs

Build a Firewall Against Negative Nurse Syndrome
As nurses, we see the good, the bad, and the ugly of life, society, and humanity. In the course of our nursing careers, we can encounter belligerent patients, impatient families, nurse bullies, arrogant surgeons, uncaring managers, and generally miserable nurse peers. So how do we stay positive amidst such negativity? How do we protect ourselves against those who would prefer to drag us down with them -- including other nurses?Photo by Makhmutova Dina on UnsplashNegative Nurse SyndromeNegative Nurse Syndrome (NNS) is a widespread condition that infects a large number of nurses and nursing students. No matter...
Source: Digital Doorway - May 22, 2018 Category: Nursing Tags: career career development career management careers healthcare careers nurse nurse careers nurses nursing nursing careers Source Type: blogs

Your Nursing Career: Attention and Intention
As a career coach for nurses, I frequently hear from nurses who feel they've been ignoring their own nursing career development for far too long and they're ready to give it the attention it deserves. Do you regularly give your nursing career focused intention and attention? If not, how can you begin?Photo by Olloweb Solutions on UnsplashEnergy Flows Where Attention GoesIt's kind of a cliche to say that energy flows where attention goes, but sometimes cliches are undeniably true and simply overused to the point where they lose some of their power and meaning.If you spend your working hours focused on how dys...
Source: Digital Doorway - May 14, 2018 Category: Nursing Tags: career career development career management careers healthcare careers nurse nurse career nurses nursing nursing careers Source Type: blogs

Change, Personal Agency, and Wellness -- Celebrating Nurses Week 2018
As Nurses Week begins, what does the idea of nurses and nursing conjure for the majority of people when they think about nurses? Obviously, the public trusts us immensely (the Gallup Poll confirms that every year), so there's a lot behind who we nurses are and why we're so special.Photo by Aditya Romansa on UnsplashThe Heroism of NursingClinical nursing may be largely task-based, but I'll add that it's very much touch-based. From the care of premature newborns to the midwifery of the dying in hospice, nurses'ability to physically touch their patients is central to both nursing identity, nursing practice, and...
Source: Digital Doorway - May 7, 2018 Category: Nursing Tags: career healthcare National Nurses Week nursing nursing careers Source Type: blogs

Nurses Take DC 2018: Nurses' Voices Matter
This articlefrom January 2018 on AllNurses lays it all out, and Bethexplains moreover on her website, NurseCode, including what actions you can take to support the movement by lobby for the legislation that we believe is most promising.California is the only state in the U.S. that has legislatively mandated ratios, and reports from that state are demonstrating that it's working. Although far from perfect, California nurses'experience seems to show us that having a mandated limit on the number of patients a nurse can care for on various units allows nurses to do their jobs more efficiently and safely.Unfortunately, the Amer...
Source: Digital Doorway - April 30, 2018 Category: Nursing Tags: healthcare nurse nurses nursing Source Type: blogs

Your Nursing Career's Differential Diagnosis
In medicine, nursing, and healthcare, a differential diagnosis refers to the process of differentiating between two or more conditions sharing similar signs and symptoms. In the context of your nursing career, this process can be equally elucidating. Is there a careful career examination in your future? If so, what would your differential diagnosis be?Photo by rawpixel.com on UnsplashIt All Begins With AssessmentWhether you're examining a patient or dissecting the state of your own nursing career, you always begin with an assessment. The gathering of data is the first step in the nursing process, of course, ...
Source: Digital Doorway - April 16, 2018 Category: Nursing Tags: career career development careers healthcare careers nurse nurse career nurse careers nurses nursing nursing careers Source Type: blogs

Nurses: Moving at the Speed of Trust
Seeking a career in nursing could be characterized as an exercise in trust. We nurses willingly endure a grueling educational experience; place ourselves in the hands of nursing professors and professional nurse preceptors; and otherwise trust that the blood, sweat, tears, and expense of pursuing our goal is worthwhile. In essence, we move at the speed of trust as we enter the universe of a nursing career.Photo by Alternate Skate on UnsplashTrusting OurselvesThe first act of trust intrinsic to our nursing journey is trust in the self. Even while our peers, colleagues, friends, or family may caution us agains...
Source: Digital Doorway - April 9, 2018 Category: Nursing Tags: career career development career management careers healthcare healthcare careers nurse nurse careers nurses nursing nursing careers Source Type: blogs

Nurse Innovators and Trailblazers: An Embarrassment of Riches
I recently spoke with a nurse career coaching client who's thoughtfully searching for what she should do next with her nursing career in order to more fully reach her potential as a healthcare professional. As I've previously discussed on both this blog andmy podcast, the sky's the limit in terms of what nurses are capable of, even though nursing schools (and by extension many of your nursing colleagues) will lead you to believe that acute care is the only place where " real " nurses choose to make their professional nest.Photo by Riccardo Annandale on UnsplashSeeing the PossibilitiesWhen I speak w...
Source: Digital Doorway - April 2, 2018 Category: Nursing Tags: consulting entrepreneurship National Nurses in Business Association nurse entrepreneurs nurse entrepreneurship nursing Source Type: blogs

Nurse Bullies: A Plague On Our House
Sadly, there appears to be a desperate need for a continued conversation about bullying within the nursing profession. One would hope that the dawning of the 21st century would have seen a decline in such old school behaviors, but there are obviously those among us who haven't yet learned the lesson that collaboration and cooperation are the true keys to success.When bullying occurs between colleagues who are more or less within the same level of the professional hierarchy, it is also referred to as " horizontal violence " or " lateral violence " . For example, one nurse bullying another is considered l...
Source: Digital Doorway - March 26, 2018 Category: Nursing Tags: bullying nurse nurse bullying nurse-nurse relationships nurses nursing Source Type: blogs

A Shot of Nursing Self-Esteem
Do you hold yourself and your nursing skills in high esteem? Do you internalize and embody your value as a nurse? If not, it's high time that you did.Most of us have voices in our heads that attempt to derail our self esteem or throw us off our game. Those voices may harken back to a parent, grandparent, teacher, or other individual who devalued us or threw a wrench into our self-worth.As nurses, there are plenty of signs that we're valued by society, the Gallup poll being one such measure of how the public trusts and honors us. However, nurses are also demeaned in media, treated as sex objects, and frequently portrayed as...
Source: Digital Doorway - March 19, 2018 Category: Nursing Tags: nurse nurses nursing Source Type: blogs

Escape Velocity
There are many of us who desire change during the course of our nursing careers, but change can be hard to manifest for a variety of reasons: boredom, ennui, limiting beliefs, lack of imagination, low self-esteem, difficult life circumstances, finances, burnout, or perhaps a rut so deep that we can't dig ourselves out.In order to break free of the earth's gravitational field, a rocket must reach 25,020 miles per hour. Is your needed escape velocity equally daunting? If you were to gain the momentum needed to make a change, what is the escape velocity you would need to actually make it happen?My Lonely, Embittered PlanetWhe...
Source: Digital Doorway - March 12, 2018 Category: Nursing Tags: career career development career management careers nurse nurse career nurse careers nurses nursing nursing careers Source Type: blogs

A Soft Landing for New Nurses
In speaking with large numbers of new nurses over the years, I consistently hear that novice nurses are not often given the guidance, nurturing, and mentoring that they truly need to move from surviving to thriving in their new nursing careers. New nurses need a " soft landing " as they enter the field, and it's up to us seasoned nurses to make sure they get it.Photo by Alex Lehner on UnsplashIf you're a nurse, take yourself back to when you were new to the profession. What was it like when you began your first job? Did you feel properly prepared? Were you scared to death? Did you feel like an impo...
Source: Digital Doorway - March 5, 2018 Category: Nursing Tags: career career development healthcare careers new nurses nurse career nurse careers nurse wellness nursing nursing careers Source Type: blogs

A Message to the Nurse's Future Self
So nurse, it's twenty years in the future, and you have two more decades of nursing under your belt. You've cared for thousands of patients, held thousands of hands, and looked into thousands of pairs of eyes. What do you remember, and what do your patients recall? What stands out for you? How does your career compare to your expectations, dreams and aspirations? How would you like that 20 years to live in your mind and heart? You can create it now.Patients RememberNurse, what do your patients remember about you? First, they probably don't remember your name, and that's almost a certainty. Maybe a special one or two will r...
Source: Digital Doorway - February 26, 2018 Category: Nursing Tags: career career development career management careers healthcare careers nurse nurse careers nurses nursing Source Type: blogs

Common Questions About Nurse Entrepreneurship
Nurse entrepreneurship is exploding in the 21st century, and many nurses ask me for advice about nursing-based business. So, let's dig into some of the most common questions that nurses have about potentially launching a business or entrepreneurial endeavor.Photo by Josefa nDiaz on Unsplash.comWhat's a Business?One of the main tenets of business hasn't changed since the days of cave people, and that's this: business is about people being willing to pay you for your solution to the problem that they're having.In the case of a caveman or cavewoman, let's visualize a caveman who knows how to sharpen a bone to a very fine poin...
Source: Digital Doorway - February 19, 2018 Category: Nursing Tags: business career career management entrepreneurship National Nurses in Business Association nurse careers nurse entrepreneurs nursing nursing careers Source Type: blogs

Nursing Trends and the ANA, Part 2 of 2
One of the premier nursing organizations gathering information about nurses is theAmerican Nurses Association (ANA). Inmy previous post, we delved into the results of a 2017 ANA survey based on responses from approximately 6,000 nurses. Today we're going to dive back in for part 2 of our 2-part series.The second partof the ANA's survey involving 6,000 nurses focused on self-care, incivility, and how their employers support them in the workplace. These are issues that are written about constantly, yet here is data that gives us a snapshot -- somewhat representative, but certainly not scientifically so -- of how nurses are f...
Source: Digital Doorway - February 12, 2018 Category: Nursing Tags: careers healthcare careers nurse nurse career nurse careers nurses nursing nursing careers Source Type: blogs

Nursing Trends and the ANA -- Part 1 of 2
In the November and December 2017 issues ofAmerican Nurse Today, theANA revealed the results ofa survey of almost 6,000 nurses. This nursing survey explored the state of the profession in relation to trends in nursing salaries, the makeup of the nurse clinician workforce, and workplace culture and environment. Let's explore some of what they found -- we'll explore more in next week's blog post.The ANA frequently utilizes significant data to analyze our profession, so diving into their findings can be quite elucidating.  If you're not a member of the American Nurses Association (ANA) and don't have a login to their web...
Source: Digital Doorway - February 5, 2018 Category: Nursing Tags: career careers nurse nurses nursing nursing careers Source Type: blogs

Nursing Trends -- Part 1 of 2
In the November and December 2017 issues ofAmerican Nurse Today, theANA revealed the results ofa survey of almost 6,000 nurses. This nursing survey explored the state of the profession in relation to trends in nursing salaries, the makeup of the nurse clinician workforce, and workplace culture and environment. Let's explore some of what they found -- we'll explore more in next week's blog post.The ANA frequently utilizes significant data to analyze our profession, so diving into their findings can be quite elucidating.  If you're not a member of the American Nurses Association (ANA) and don't have a login to their web...
Source: Digital Doorway - February 5, 2018 Category: Nursing Tags: career careers nurse nurses nursing nursing careers Source Type: blogs

Hispanic Nurses On Fire
I recently spent an incredibly inspiring and powerful weekend with 100 Latino nurse leaders who gathered in San Antonio, Texas for the inauguralNational Association of Hispanic Nurses Leadership Institute. This spirited group of forward thinking nurses of all ages clearly demonstrates that unity, organizing, critical thinking, and planning for the future are part and parcel of enlightened 21st-century nurse leadership.The National Association of Hispanic Nurses is the premier nursing organization focused on growing Latino nurse leaders and uniting the many cultures and people within the Hispanic nursing community throughou...
Source: Digital Doorway - January 30, 2018 Category: Nursing Tags: careers healthcare healthcare careers nurse nurse career nurse careers nurses nursing nursing careers Source Type: blogs

Letting Your Nursing Career Magic Out of the Hat
Nurses, do you need some magic to get your nursing career back on track? Career development for nurses isn't rocket science, but manifesting some magic and joy for the betterment of your career is certainly possible if you want it. Is it time to let the rabbit out of the hat?Have You Lost the Magic?If your nursing career feels like it's lost some of its magic and mojo, don't despair -- there's plenty you can do to make things right again.Sometimes, our careers feel lackluster because our current area of practice or specialty no longer feels like a good fit -- after all, we change personally over time, and our professional ...
Source: Digital Doorway - January 22, 2018 Category: Nursing Tags: branding career career development career management careers healthcare healthcare careers nurse nurse career nurse careers nurses nursing nursing careers personal branding Source Type: blogs