LECTURES IN PROFESSIONAL

ADJUSTMENTS
DR.MILA B. PUNZALAN, RN,MAN
Academic Instructor
Lectures in Professional
Adjustments
 PROFESSION
 An occupation or calling requiring advanced
training and experience in some specific or
specialized body of knowledge which provides
service to society in that special field

Nursing is an occupation requiring a unique body

of knowledge and skills and which serves society
 PROFESSIONAL NURSE
 Is a person who has completed a
basic nursing education and is
licensed in his/her country or state to
practice professional nursing
 QUALIFICATIONS AND ABILITIES OF A
PROFESSIONAL NURSE
A. Professional preparation
The professional nurse must:
1. Have a license to practice nursing in the country
2. Have a Bachelor of Science in Nursing degree
3. Be physically and mentally fit
 QUALIFICATIONS AND ABILITIES OF A
PROFESSIONAL NURSE
B. Personal qualities and professional
proficiencies
1. interest and willingness to work and learn with
individual s/groups in a variety of settings
2. A warm personality and concern for people
3. Resourcefulness and creativity as well as well-
balanced emotional condition
4. Capacity and ability to work cooperatively with
others
 QUALIFICATIONS AND ABILITIES OF A
PROFESSIONAL NURSE
B. Personal qualities and professional
proficiencies
5. Initiative to improve self and service
6. Competence in performing work through the use
of the nursing process
7. Skill in decision-making, communicating, and
relating with others and being research-oriented
Active participation in issues confronting nurses
and nursing
 Characteristics of a professional nurse
 Honesty and loyalty
 Discipline and obedience
 Alertness and intelligent observation
 Technical competence
 Adjustability
 Ability to inspire confidence
 Resourcefulness
 Dignity
 Sympathy
 Characteristics of a professional nurse
 Intelligence and common sense
 Patience and sense of humor
 Good physical and mental health
 Gentleness and quietness
 Nursing Roles
 Caregiver
 Clinical decision maker
 Client advocate
 Rehabilitator
 Comforter
 Communicator
 Collaborator
 Teacher
 NURSE
The term NURSE may be briefly described as:
N-oble
U-nderstanding and useful
R-esponsible and resourceful
S-ympathetic
E-fficient
 POSITIVE IMAGE OF A
PROFESSIONAL NURSE
 Self Assessment/ Self Evaluation
 Is a process of looking at oneself in order to assess
aspects that are important to one’s Identity.
 Is a way/ process in which you learn more about
yourself.
 Is a way in which self esteem/confidence can be
enhanced.

 First part of career management process

Self -Awareness
is having a clear perception of
your personality, including
strengths, weaknesses,thoughts,
beliefs, motivation, and
emotions.
Being self aware is knowing:
 What you want in your life
 Your strengths and
weaknesses
 What
motivates you and makes
you happy
 What you want to change about
yourself or about your life
 Your philosophy in life
 Your achievements so far
 How you relate to others
 You need to improve as a person
 Your most important beliefs and
values
 How you see yourself as a person
How to develop Self-Awareness

 Adhering to good
values
 Using self-help books
 Having a life coach
THE JOHARI WINDOW

-Is a simple and useful tool

for illustrating and
improving self awareness,
and mutual understanding
between individuals within a
group.
 The JOHARI WINDOW
 Named after the first
names of it’s inventors
Joseph Luft and Harry
Ingham
JOHARI WINDOW
 The Johari Window is consists of 4 quadrants

1. Open area--
known by the person ('the self')and
known by the group ('others').
2. Blind area-
known about a person by others in
the group, but is unknown by the
person him/herself.
 Cont…

3. Hidden area-
known to ourselves but kept hidden from, and
therefore unknown, to others.
4. Unknown area-
contains information, feelings, latent abilities,
aptitudes, experiences
etc,that are unknown to the person
him/herself and unknown to others in the group.
ROLES AND RESPONSIBILITIES OF
BEGINNING NURSE PRACTITIONER

BENNER’S THEORY
Dr. Patricia Benner introduced the concept
that expert nurses develop skills and
understanding of patient care over time
through a sound educational base as well as
a multitude of experiences.
 The Novice
 Beginner with no experience.
 Taught general rules to help perform tasks.
 Recognized as being task-oriented and focused.
 Rules are: context-free, independent of specific
cases, and applied universally.
 Rule-governed behavior is limited and
inflexible.
NOVICE
 Advanced Beginner
 Demonstrates acceptable
independent performance.
 Has gained prior experience in actual
situations to recognize recurring
meaningful components.
 Principles, based on experiences,
begin to be formulated to guide
actions.
 Click icon to add picture
ADVANCED BEGINNER
 Competent

 Typically a nurse with 2-3years

experience on the job in the same area
or in similar day-to-day situations.
 More aware of long-term goals.
 Gains perspective from planning own
actions based on conscious, abstract,
and analytical thinking and helps to
achieve greater efficiency and
organization.
COMPETENT NURSE
 Proficient
 Perceives and understands situations
as a whole rather than a series of
tasks
 More holistic understanding improves
decision-making
 Learns from experiences what to
expect in certain situations and how
to modify plans
PROFICIENT
 Expert
 No longer relies on principles, rules,
or guidelines to connect situations
and determine actions.
 Much more background of experience;
 Has intuitive grasp of clinical
situations;
 Performance is now fluid , flexible,
and highly-proficient.
EXPERT
NURSE PRACTITIONERS
 Nurse practitioners
 are advanced practice
registered nurses who have
received special courses and
training. She is skilled at
making nursing assessments
performing P. E., counseling,
teaching and treating minor
and self- limiting illness
 Taking detailed medical histories
and performing complete physical
exams.
 Providing diagnoses and
recommending treatment plans.
 Treating common medical
conditions ,illnesses, and injuries.
 Prescribing limited medications.
 Counseling patients and families
CAREER PLANNING
CAREER PLANNING
 CAREER PLANNING
 The career planning and development
process provides a guide to help you to
achieve your dreams and to create new
possibilities as you build your nursing career.

 Career is what we choose as our profession,

our path, or our life’s work.
 You chose your path when you accepted
admission into your nursing program, and
your nursing career began the day you
attended your school of nursing orientation .
Beginning a Job search
Start by choosing ONE
goal you want to
accomplish. It should
be
S-M-A-R-T:
Specific,
Measurable,
Attainable,
Realistic and
Timely.
 BEGINNING A JOB SEARCH

 Requires focused effort

 Requires preparation
 May take time
 Dependent on overall market and local conditions
 Establish clinical area of interest and long-term
goals
 7 steps to accomplish job search goal
1. Let go
2. Assess your job search strengths
3. Acknowledge your job search weaknesses
4. Manage around your weaknesses
5. Visualize job search success
6. Create and complete daily success rituals
7. Start and stay the course until you succeed
 SOURCES OF JOB LEADS
 Employment Development Department
 Civil Service Announcements
 Trade Associations & Trade Publications
 Union…Friends,
 Relatives& Neighbors
 Teachers, Religious Advisors, Insurance Agents,
Creditors, Bankers
 Radio, T.V., Newspapers &Magazine Stories of New or
Expanding Companies
 Communications Media
 job Bulletin Board
 SOURCES OF JOB LEADS
 Newspaper Advertisements
 Local Newspaper
 Friends
 Canvassing
 School Placement Services
 Bulletin boards,
 employment telephone lines
 Job fairs
 Electronic media, Internet
› Search engines
› Job boards
› Agency and corporate sites
› Media sites
Developing a resume
What’s the difference between a
resume and a CV?
The terms resume and curriculum vitae/CV
are often used interchangeably, but usually a
resume is the summary document that
employers are seeking, and a CV is a more
detailed document often used where extensive
professional experience is required
 Resume

 A resume is a brief summary of your background,

training, and experience as well as your
qualifications for a position.
 A resume:
› Gets the employer’s interest
› Identifies critical areas such as education, work
experience, and special qualifications
› Is tailored to the employer’s needs
Creates a favorable first impression
about you and your abilities
Communicates that you are someone
who is a good fit for the position
Is visually appealing
Is generally no longer than one to two
pages
Your resume should be a concise
document of your relevant education,
skills and experiences, and should
target the specific position you are
applying for or the organization you
are sending it to.
How long should a resume be?

 Depending on how much experience

(paid or unpaid) an applicant has
 A new graduate’s resume would usually be
around 3-4 pages.
 Applicant has to aim to find a balance
between being concise and giving enough
information to promote self effectively .
 Resume-writing tips
RESUME TIP 2
 Remember to show highlights
from your course. Think about key
RESUME TIP 1 assignments, individual or group
 Only include relevant projects, presentations, grades –
contact information anything that demonstrates that
you have the professional and
 it’s not necessary to include personal qualities and skills the
your date employer is looking for.
 Everyone else applying for nursing
of birth, marital status, etc.
positions will have a nursing
 Make sure you have a qualification. What makes you
professional email address stand out from everyone else?
–
 you may need to set one up
specifically for your job
search correspondence.
 RESUME TIP 3
Your practices are
important –
they are a core part of your
nursing-related experience.
So make sure you highlight
your skills demonstrated/
gained, responsibilities and
achievements on
practices.
RESUME TIP 4
It doesn’t matter if your experience is
paid or unpaid
– it has all helped you to develop your
professional
skills. Think about using a heading
such as
Professional Experience or Career-
related
Experience to include any voluntary
work, practicum
placements, work experience or paid
work related to
your degree. Make sure you can
articulate the
professional skills you’ve developed
and
demonstrated in these roles.
RESUME TIP 5
Don’t underestimate the value
of
“non degree-related
employment”.
You will have gained valuable
skills
that are transferable to more
professional roles, so use this
opportunity to promote
yourself to
your future employer.
RESUME TIP 6
Make sure you keep your references
informed of the positions you are
applying for, so that they are
prepared for when an employer
contacts them to find out more
about you. It’s a good idea to send
them an updated resume and copies
of your application letter, responses
to selection criteria, etc, whenever
you apply for a position.
 Elements of a resume

 Identifying information/heading
 Career objective
 Employment data/professional experience
 Other relevant experiences
 Formal education and specialized training
 Professional organizations and memberships held
 Awards and honors
 References
 Additional Information:
It is not necessary to list such personal data as:
 height
 Weight
 Age
 marital status
 health status

Do include:
Languages: If your knowledge of a foreign language is
important for a particular position, use a separate section
and indicate your level of expertise, e.g. "fluent in" or
"working knowledge of".

.
Travel: The same rule applies; if it is important for a particular
position use a separate section or combine the information with your
language section.

Special Skills: List such skills as computer programming ability.

Special Interests or Hobbies: Items listed here can be used to help

break the ice in an interview. Only include items in which you have a
serious interest; this is not a filler section.

Citizenship: If you are a foreign national and have your Permanent

Resident Visa, be sure to indicate this. Otherwise, omit your
citizenship unless you wish to return to your native country.
Where space permits, a statement to the effect that your references and any samples of your
work are available upon request.
 Types of Resumes:

Chronological Resume:
 Lists jobs in reverse chronological order
 Advantages:
› Most common type of resume
› Good for those with a steady work history, or new
graduates without a significant employment history
› Easier to write
 Chronological resume
 Disadvantages:
› Can highlight gaps in employment
› Harder to spot special qualifications, skills, and talents
› When career-switching, may not easily illustrate the
fit between careers
› If returning to work after several years’ absence, does
not readily show applicable experiences
 Functional Resume:
 Puts greater emphasis on skills and qualifications than
on chronology
 Advantages:
› Good tool to use to deemphasize job titles, or issues
with consistent employment
› Can be used for people who have multiple careers or
who want to dramatically change their career focus
› Emphasizes skills and abilities rather than progressive
job responsibilities
 Disadvantages:
› Less familiar to employers
› Harder to write
 Combination Resume:
 Lists skills and experience first
 employment history is listed next
 highlights the skills you have that are
relevant to the job you are applying for
 also provide the chronological work history
that employers prefer.
Resume With Profile:
 includes a summary of an applicant’s skills,
experiences and goals as they relate to a specific
job.

Targeted Resume:
 customized so that it specifically highlights the
experience and skills you have that are relevant
to the job you are applying for.
 It definitely takes more work to write a
targeted resume than to just click to apply with
your existing resume.
Mini Resume:

contains a brief summary of your career

highlights qualifications.
can be used for networking purposes or
shared upon request from a prospective
employer or reference writer who may
want an overview of your
accomplishments, rather than a full length
resume.
Non-traditional Resume:

a web-based version of your resume

that may include:
 photos
Graphics
Images
graphs and other visuals
Writing a cover letter
It is said that the cover letter is an
opportunity for you to tell the
recruiters why you're the perfect
person for the job, and that it's also
the place for you to show them you
have good communication skills.
Steps in writing a cover letter
 A cover letter
 typically accompanies each resume you
send out.
 may make the difference between obtaining a
job interview and having your resume
ignored.
…..so it makes good sense to devote the
necessary time and effort to writing effective
cover letters.
 Cover letter format

 It should follow the basic format

of a typical business letter and
should address three general issues
including:
 why you are writing
 what you have to offer
 how you will follow up.
 What to include in a cover letter

 When writing a cover letter, there is

specific information that needs to be included.
 A cover letter will include a:
 contact section
 a salutation
 information on why you are qualified for the
job
 a closing, and
 signature.
When writing a cover letter:
THINK OF THIS:
 Perfection matters when
writing cover letters.
 Every cover letter you
write should be customized
for the job you are applying
for, clear and concise,
grammatically correct, and
error-free
 Cover letters

A cover letter is comprised of several

parts:
 contact information
 a salutation
 the body of the cover letter
 an appropriate closing
Cover letter salutations
When you're writing a cover letter or sending an
email message to apply for a job it's important to
include an appropriate salutation at the beginning
of the cover letter or message.
Cover letter closings
When you're writing a cover letter or sending an
email message to apply for a job it's important to
close your letter in a professional manner.
 The cover letter
 The cover letter is a one-page letter that has the
purpose of getting the prospective employer to
become interested enough to read the resume.
 It presents highlights and a summary of the
critical points found on the resume.
 Whenever possible, address it to a specific
person.
 The cover letter
 In the first paragraph, state who you are, what
position you are applying for, how you found out
about the position, and why you are interested in
working at this particular place.
 The second paragraph should summarize your
qualifications for the position you are seeking.
 In the last paragraph, repeat your interest in the job
and request for an interview.
7 Steps To Writing A Cover Letter

1. Address the cover letter directly to the hiring

manager or recruiter. If this person's name isn't in
the job listing, take the extra effort to call or email
the company and find out.
2. Don't reiterate your resume. The purpose of
having a cover letter is to zero in on why you should
be the one considered for the position. Otherwise,
there's no point in having one.
3. It's a professional document, so don't go too
over-the-top. Figuring out ways to be creative
may be difficult, but don't go overboard out of
desperation.
4. Make sure the reader knows you've done your
research. Convey that you understand the
company and its goals, and explain how you'd
help it reach those goals.
5. Always close your cover letter with an action
statement. Tell the reader what you're planning
on doing next — for example, calling in a week
or two to follow up
6. Keep your letter no longer than one
page. Your cover letter is an introduction
to yourself. It's supposed to show that
you have strong communication skills.
Be brief and concise.
7. Show the recruiter that you'd be a
good match based on your skills.
Sample cover letter
Do’s and don’ts in writing a cover letter

DO: DON’T:
 Limit your cover letter to  Share personal
one page information in a cover
 Print your cover letter on letter
resume paper  Include your salary range
 Have others proofread in your cover letter
your letter  Include negative
information
 Developing an electronic resume

1.Start with a plain, simple resume you can edit into

the various formats you'll need
2. Eliminate phrases that are not essential
3. Prepare keywords (nouns and phrases that
highlight technical and professional skills)that
reflect your expertise and experience
4. Omit personal pronouns and articles
5. Use a simple font like Courier or Times New
Roman
6. Avoid columns and tabs and other spacing
adjustments
7. Also avoid bold, italics, script, graphics,
borders and underlining
8. Use asterisks rather than bullets, they will
scan better
 Developing an Electronic Resume
 Sending a resume via e-mail requires special considerations.
 Type the resume using word processing software, then save it
in one of three formats:
› ASCII plain text (.txt)
› rich-text (.rft)
› hypertext (.html)
 These formats make it easier to e-mail and read, but they
do not allow for extensive formatting within the resume.
 Use keywords when sending an electronic resume, because
recruiters search resume databases using keywords
 Tracking Job Leads

 Organization
is important
component of job-searching.

 Track applications and responses.

 Dressing for a Successful
Interview
 Dress professionally.
 Makeup, perfume, and jewelry
should be minimal.
 Turn off all cell phones and pagers.
 Dressing for a Successful
Interview
 Research the medical facility or individual you are
interviewing with and try to dress in accordance with the
norms of the organization.
 Know what you are getting yourself into and dress
accordingly.
 An interview for a nursing position is not the time to
demonstrate quirkiness or other nonconformist traits. Try to
tone down anything that may be considered immature or
bizarre. Nursing is a position in which one must portray the
image of a trusted professional at all times.
 Take out any piercings that are beyond your earlobes and try
to dress to cover any tattoos.
If you want to appear professional and competent, dress
professionally.
Remember that nurses are supposed to be neat and clean
at all times while working, so you want to convey this to
the interviewer even though you aren't working for the
organization yet. If you appear sloppy or dirty then you're not
demonstrating the image of an ideal nurse.

Beyond anything you wear to the interview, wear a

confident smile and good posture. Nursing can be a stressful
occupation, so it's important to demonstrate to the interviewer
that you can handle the stress of an interview with poise.
 Answering interview questions
 Do a self-assessment, and reflect on some
questions that you may be asked.
 Have responses for common questions; e.g., “Tell
us about yourself” and “Why did you decide to
become a nurse?”
 Know what clinical areas you are and are not
interested in.
 Find out about the organization.
 Highlight your strengths.
 Rehearse with another person, if possible.
 Preparing for an interview
1. Make an appointment either by mail or telephone
2. Be at the place at the appointed time
3. Know something about the institution so that you can answer
questions intelligently
4. Be at your best
5. Knock before you enter
6. Bring credentials such as registration card, TIN, and the like
7. Ask questions about the job
8. Thank the interviewer for giving you some time
9. Give yourself time to think about the position
10. If the prospective employer does not answer, a follow-up
letter may be written stating your interest in the position
 Resigning from a nursing position
 A resignation letter should never leave a bad
impression on the reader.
 Much of the stress comes from what to put in the
letter but in cases of resignation letters, the less
said, the better – particularly if you are leaving
on less than stellar terms.
 The letter must be on paper, unless your
particular place or work has an email or website
system for this type of communication. You may
follow-up with email, but your actual letter must
be on paper.
what to put in the letter of
resignation:
 You only put what you need and you remain
professional.
 A resignation letter is not the place to write about
how incompetent you think your coworkers are,
how awful you feel the management is, or what
a nasty place you work in.
 No matter what the circumstances, you must
remain professional.
Sample of a Good Resignation Letter
[Date]
[Recipient - use formal title and address]
Dear Dr. [Name]:
As we have discussed, I am submitting my resignation
from [Clinic/Hospital name]. My last day of
employment will be [two weeks from the date of the
letter], but I will gladly stay on until [three weeks
from the date of the letter] to help you find and train
a replacement.
Please allow me to once again thank you for the warm
and welcoming work environment as well as the
professional growth my employment at
[Clinic/Hospital name] afforded me.
Sincerely,
[Name/Credentials]
cc: [Name], HR Department
 Writing a letter of resignation
1. Give the date of resignation
2. State the reason for resigning
3. Express gratitude for kindness and consideration
given during the period of employment
4. Attach clearance for money, work, and property
responsibilities
 Emerging opportunities
 Nontraditional emerging opportunities
For nurses who remain in traditional settings,
opportunities exist to receive certification in
specialized areas.
 Certification is the process by which a
nongovernmental agency or association certifies
that an individual licensed to practice a
profession has met certain predetermined
standards specified by that profession for
practice.
 Fields of specialization
 Neonatal  Renal
 Pediatric  Critical care
 Adult medical/surgical  Emergency room
 Women's health  Clinical nurse specialist
 Obstetrics/gynecology  Nurse practitioner
 Psychiatry  Nurse anesthetist
 Dermatology
 Nurse midwife
 Case management
 Nursing informatics
 Representative for
Traveling Nurse Pharmaceutical Company,
 Requires a license for Home Care, or Nursing Agency
 Affords the nurse a
each state in which he perspective on corporate and
or she will practice the workings of the business
 Should ensure that world
 Often involves salary
contract says exactly enhancements or perks
what the assignment  Allows for a certain level of
will be regarding independence
 May present difficulties in
expectations of the
meeting sales quotas,
institution and agency providing for customers, or
surviving the ups and downs
of the business world
 Case Manager
This new delivery of care method includes
providing and coordinating care across the continuum
of prevention, wellness, acute care, rehabilitation,
long-term, hospice, and respite care.
The nurse case manager should have at least a
baccalaureate degree and expert clinical skills; should
possess knowledge of the health care system, health
care finances, and legal issues; and should be an
effective communicator.
Nurse Entrepreneur
 Many nurses are  Disadvantages:
becoming entrepreneurs › Competition
in a variety of › Volatility
consultative, educational, › Lack of provided
and technical areas. benefits
 Advantages: › Must learn to develop
› Independence and follow a business
› Job satisfaction plan
› Flexibility
› Choice
 Advanced Practice/Expanded Role Emerging
Opportunities
 In advanced practice nursing, the nurse may:
› Assess patients, synthesize and analyze data, and
understand and apply nursing principles at an
advanced level
› Provide expert guidance and teaching
› Work effectively with patients, families, and other
members of the health care team
› Manage patient's physical and psychosocial
health-illness status
› Use research skills
› Analyze multiple sources of data, identify alternative
possibilities as to the nature of a health care problem,
and select appropriate treatment
› Make independent decisions in solving complex
patient care problems
› Perform acts of diagnosis and prescribe therapeutic
measures consistent with the area of practice
› Recognize limits of knowledge and experience, plan
for situations beyond expertise, and consult with or
refer patients to other health care providers as
appropriate
 Advanced Practice Nursing: Types of Expanded
Roles
 Wound, ostomy, continence nurse specialist
› Clinical expert in managing patients with ostomies,
alterations in skin integrity, and wounds
 Flight nurse
› Provides care to infants, children, and adult patients
while performing a variety of therapeutic
interventions requiring independent decisions; also
provides education to outlying communities and
serves as a volunteer in emergency situations
 Advanced Practice Nursing: Types of Expanded
Roles
 Nurse anesthetist: certified registered nurse
anesthetist (CRNA)
› Takes care of the patient’s anesthesia needs
before, during, and after surgery and other
procedures, either alone or in conjunction with
other health care professionals
 Certified nurse midwife (CNM)
› Delivers newborns; also provides health
education, including teaching of self-care skills
and preparation for childbirth and childrearing
 Advanced Practice Nursing: Types of Expanded
Roles
 Clinical nurse specialist (CNS)
› A registered nurse with an advanced nursing degree,
master’s degree, or doctorate who is an expert in a
specialized area of clinical practice
 Nurse practitioner (NP)
› An advanced practice nurse who has education
beyond the bachelor’s degree in a clinical specialty
area strongly focused on primary care, though some
subspecialties are hospital-based
 Clinical nurse specialist/nurse practitioner
(CNS/NP)
› Combines qualities of both specialties
When your work life and personal life are out
of balance, your stress level is likely to soar.

Balancing professional and personal needs

 Balancing personal and professional needs

 Health can be defined as a “state of complete

physical, social, and mental well-being, and
not merely the absence of disease or infirmity.
. . . It is a positive concept emphasizing social
and personal resources as well as physical
capabilities
 Physical Health

 Physical health encompasses nutrition,

exercise, a balanced amount of rest, health
preventive behaviors, and health screening
behaviors.
 Nutrition involves eating the right foods in the
right amounts at the right time.
 Benefits of Exercise
 Improves cardiovascular function
 Boosts the immune response to disease
 Improves flexibility and endurance and
decreases fat deposition
 Can make you feel better mentally
 Provides a diversion from work and an outlet
for stress
 Practical Exercise Suggestions

 Find a type of exercise you can enjoy.

 Start slowly and build gradually.
 Establish a manageable goal.
 Find the time of day that is right for you
 Sleep
 Sleep is an important component of health.
 Lack of sleep can have both short- and long-term
effects.
 Signs of sleep deprivation:
› Falling asleep at work
› Difficulty getting out of bed
› Irritability and difficulty with concentration
 Intellectual Health
 Intellectual health refers to those activities that
maintain intellectual curiosity.
 Intellectual acuity improves the ability to process
information, make decisions, and develop new
ideas.
 Exercise the mind through activities such as
reading
 Personal Financial Planning

 Financial planning can give you a sense of

control and security.
 Plan your finances by:
› Estimating your annual salary
› Considering the percentage of salary you
can place in savings
› Defining your financial goals
 Emotional Health
 Emotional health is the ability to recognize,
understand, and manage one’s feelings so as to
maintain a balance between one’s emotional and
thought processes.
 Anger is a common emotion, but can be
destructive when not managed properly. Ways to
cope with anger:
› Try to listen without instinctively reacting.
› Analyze the situation objectively.
› Respond without anger and work toward a resolution.
 Humor—laughter has emotional and even
physical benefits. Ways to make yourself
laugh:
› Surround yourself with people who can
joke about life.
› Read humorous books, watch funny
television programs or movies.
› Treat others at work to a little laughter.
 Stress Management
 There are numerous techniques for
managing and relieving stress.
 Some stress management/reduction
techniques can be practiced alone; some
are practiced with others.
 Stress management

Negative
thinking can
cause a person
to make
incorrect
judgments, so it
is important to
avoid it.
 Professional Health
 Professional health is expressed through an
individual’s satisfaction with his or her career
choice and the perception that there is continual
opportunity for growth.
 Ways to maintain professional health:
› Develop a career plan.
› Seek a network or mentor within your work area.
› Join a professional organization.
› Continue education in your field.
› Read and stay abreast of changes/opportunities in
your field
 Social Health
 Social health is the ability to interact with and
relate to other people in a mutually satisfactory
manner.
 Impact of Social Relationships
 Positive social relationships can have a positive
effect on other aspects of health. Similarly,
negative social relationships can have a negative
impact on other health areas.
 Spiritual Health
 The ability to find strength from within, usually
through a connection with a higher being or
power.
 Many studies have indicated that those with
strong spiritual or religious commitment have
better overall health.
 Ways to practice spirituality:
› Reading inspirational material
› Prayer
› Attending religious services
› Involvement with nature
Work-life balance: Tips to reclaim control

 Track your time. Pay attention to your daily tasks,

including work-related and personal activities.
Decide what's necessary and what satisfies you the
most. Cut or delegate activities you don't enjoy or
can't handle — or share your concerns and possible
solutions with your employer or others.
 Take advantage of your options. Ask your
employer about flex hours, a compressed
workweek, job sharing, telecommuting or other
scheduling flexibility. The more control you have
over your hours, the less stressed you're likely to
be.
Learn to say no. Whether it's a co-worker asking you to
spearhead an extra project or your child's teacher asking you to
organize a class party, remember that it's OK to respectfully say
no. When you quit accepting tasks out of guilt or a false sense of
obligation, you'll have more time for the activities that are
meaningful to you.

Leave work at work. With the technology to connect to anyone

at any time from virtually anywhere, there might be no boundary
between work and home — unless you create it. Make a conscious
decision to separate work time from personal time. When you're
with your family, for instance, keep your laptop in your briefcase.
Manage your time. Organize household tasks efficiently, such as running
errands in batches or doing a load of laundry every day, rather than saving it
all for your day off. Put family events on a weekly family calendar and keep a
daily to-do list. Do what needs to be done and let the rest go.

Bolster your support system. At work, join forces with co-workers who
can cover for you — and vice versa — when family conflicts arise. At home,
enlist trusted friends and loved ones to pitch in with child care or household
responsibilities when you need to work overtime or travel.

Nurture yourself. Eat a healthy diet, include physical activity in your daily
routine and get enough sleep. Set aside time each day for an activity that you
enjoy, such as practicing yoga or reading. Better yet, discover activities you
can do with your partner, family or friends — such as hiking, dancing or
taking cooking classes.
 Balancing personal and
professional needs
 Remember, striking a healthy work-life balance
isn't a one-shot deal. Creating work-life balance
is a continuous process as your family, interests
and work life change. Periodically examine your
priorities — and make changes, if necessary —
to make sure you're keeping on track.
NURSING ASSOCIATIONS
Accredited Professional
Organizations
 Philippine Nurses Association (PNA)

 As early as 1917, a group of Filipino nurses had

already felt the need to organize themselves.
 But the idea to form an association was realized only
in 1922 when the representatives of different nursing
groups and schools met at the nurses’ dormitory of
the Philippine General Hospital.
 Presided over by Ms. Anastacia Giron, the meeting
resulted to the organization of the Filipino Nurses
Association (FNA).
 Ms. Francisca Delgado was elected first president of
the Association.
Philippine Nurses Association (PNA)

 The FNA which was

renamed Philippine Nurses
Association (PNA) in 1962
continues to uphold its
vision to uplift the ideals
and spirit of the nursing
profession in the country
and to win for the
profession the respect and
recognition of the
international community
 List of accredited professional organizations

The National League of Philippine

Government Nurses (NLPGN)

 Is a duly incorporated organization of professional

nurses employed by the government of the
Philippines

 Founded in 1961 by Annie Sand and several chief

nurses of government hospitals in Metro Manila
Association of Nursing Service Administrators
of the Philippines, Inc, (ANSAP)

The
 organization, composed of
nursing service directors, chief
nurses, and other supervising
nurses, was formed in 1967

ANSAP members
 are the ones
who maintain the efficiency and
effectiveness of all nurses in the
many hospitals and health care
institutions in the country.
 Association of Deans of Philippine Colleges of
Nursing
 is a non-stock, non-
profit organization with
the Deans of different
Colleges of Nursing as
members and is a duly-
recognized specialty
organization of the
Philippine Nurses
Association (PNA).
 Military Nurses Association of the Philippines
(MNAP)

 Military Nurses Association of the Philippines

(MNAP) is a duly-recognized specialty
organization of the Philippine Nurses Association
(PNA).
 The current President is Col. Alma Bella P.
Ancheta, NC (Ret.)
 NURSING SPECIALTY ORGANIZATIONS

 Association of Deans of Philippine Colleges of

Nursing, Inc. (ADPCN, Inc.)
 Association of Diabetes Nurse Educators of
the Philippines, Inc. (ADNEP)
 Association of Nursing Service Administrators
of the Philippines (ANSAP)
 Association of Private Duty Nurse
Practitioners Philippines, Inc. (APDNP)
 NURSING SPECIALTY ORGANIZATIONS

 Critical Care Nurses Association of the Philippines, Inc.

(CCNAPI)
 Enterostomal Therapy Nursing Association of the
Philippines (ETNAP), Inc.
 Gerontology Nurses Association of the Phils. (GNAP)
 Military Nurses Association of the Philippines, Inc.
(MNAP)
 Mother and Child Nurses Association of the Philippines
(MCNAP)
 Nagkakaisang Narses sa Adhikaing Reporma sa
Kalusugan ng Sambayanan (NARS ng Bayan)
 NURSING SPECIALTY ORGANIZATIONS

 Occupational Health Nurses Association of the Philippines

(OHNAP), Inc
 Operating Room Nurses Association of the Philippines,
Inc. (ORNAP)
 Philippine Hospital Infection Control Nurses Association,
Inc. (PHICNA)
 Philippine Nursing Informatics Association (PNIA)
 Philippine Nursing Research Society, Inc. (PNRS)
 Philippine Oncology Nurses Association (PONA)
 Philippine Society of Emergency Care Nurses, Inc.
(PSECN)
 NURSING SPECIALTY ORGANIZATIONS

 Renal Nurses Association of the Philippines

(RENAP)
 Society of Cardiovascular Nurse Practitioners
of the Phils., Inc. (SCNPP)
 Staff Development
 Staff development is the process directed
towards the personal and professional growth
of nurses and other personnel while they are
employed by a health care agency.
 Staff development refers to all training and
education provided by an employers to
improve the occupational and personal
knowledge, skills and attitudes of vested
employees.
 Definition

 Staff development refers to the processes,

programs and activities through which
every organization develops, enhances and
improves the skills, competencies and
overall performance of its employees and
workers.
 Definition

 A process consisting of orientation, in-

service education and continuing education
for the people of promoting the
development of personnel within any
employment setting, consistent with the
goals and responsibilities of the
employment.( ANA)
 Need for staff development
 Social change and scientific advancement
 Advancement in the field of science like medical
science and technology.
 To provide the opportunity for nurses to
continually acquire and implement the
knowledge, skills, attitudes, ideals and valued
essentials for the maintenance of high quality of
nursing care:
› As part of an individual's long-term career growth.
› To add or improve skills needed in the short term
› Being necessary to fill gap in the past performance
› To change or correct long-held attitudes of
employee
› Need to increase the productivity and quality of the
work.
› To motivate employees and to promote employee
loyalty
› Fast growing organizations.
 Goals

 Assist each employee (nurse) to improve

performance in his/her position.
 Assist each employee (nurse) to acquire
personal and professional abilities that
maximize the possibility of career
advancement.
 Objectives

 To increase employee productivity.

 To ensure safe and effective patient care by
nurses.
 To ensure satisfactory job performance by
personnel.
 To orient the personnel to care objectives, job
duties, personnel policies, and agency
regulations.
 To help employees cope with new practice role.
 To help nurses to close the gap between
present abilities and the scientific basis for
nursing practice that is broadening through
research.
 Steps of staff development program:

 Assess the educational needs of all staff members

 Set priority
 Develop general objectives for the staff development
program
 Determine the resources needed to reach the desired
objectives
 Develop a master calendar for an entire year
 Develop and maintain staff development record
system
 Establish files on major educational topics
 Regularly evaluate the staff development program
 Resources

 Public libraries,
 Audiovisual program in addition to many books
and computers, research activities and speakers
to community groups.
 Schools and universities
 Association Health and inter service agency
 Other nursing homes
 Ones own staff
Types of staff development

Induction Job
training orientation

In-service Continuing
education education
 Induction training
 It is a brief, standardised indoctrination to an
agency’s philosophy, purpose, policies and
regulations given to each worker during her or
his first 2 or 3 days of employment in order to
ensure his or her identification with agency’s
philosophy, goals and norms.
 Why the Need for induction
training?
 For Increased retention of newly hire employees,
 For Improved employee morale and Increased
productivity.
 Steps in induction
2.Introduction to the
1.Tour of other employees,
superiors and
facilities subordinates.

3. Description of 4. Departm
organizational
functions. ental visit
5. Orientation to 6.Administratio
 Job orientation
 It is an individualised training programme
intended to acquaint a newly hired employee
with job responsibilities work place, clients and
co-workers.
 The process of creating awareness with an
individual of his/her roles, responsibilities and
relationships in the new work situation.
 Components
 A new employee to his or her job setting so that
he / she is aware of his/ her job responsibility and
expectation.
 Present employee to the job responsibilities of
his/ her expanded/ enriched role.
 The old employees to the policy changes.
Types of orientation

General orientation

Specific orientation
 Importance of orientation programme

 Provides essential, relevant and necessary

information
 Helps employee to gain confidence,
 Lessen the time for the employee to learn
about new situations related to his/her job
setting.
 Helps the new employee to develop a sense of
belonging
 Eliminates :
 Learning by trial and error
 Passing of incorrect information by old employees
and peers.
o Reduces misinterpretation,mistakes confusion and
apprehension
 Help new employee in solving initial problems and
adjust the new situation/environment,
 Acquaints her with personnel services readily
within the institution/community
Content of an orientation programme

The organisation and its environment

Policies, rules and regulation

Personnel

Services

Functions to be undertaken
 In-service education
Definition:-
 In-service education is a planned learning
experience provided by the employing agency for
employees.
 In service education is a planned educational
experience provided in the job setting and closely
identified with services in order to help person
perform more effectively as a person and as a
worker
 Why the Need for in-service education

 Social changes and scientific advancement

 Changes and advancement in the field of service
 Increased the demand of nursing services.
 Consumer demand quality care
 Why the Need for in-service education

 Rapid changes in medical and nursing practice

create a need for in service education. Increase
number of the people seeking health care as the
population enlarges makes it necessary for the
nurses to function at her highest potential as
quickly as possible.
 As health care delivery system become more
complex, the need for continues skill training
also increased
 Aims
 Improvement of client through upgrading the services
rendered with scientific principles.
 To keep in face in changing society to their needs.
 Acquisition of new knowledge
 Improvement of performance
 To develop specific skills required for practice.
 To develop right concept of client care.
 To maintain high standards of nursing
 To observe and bring change in staff members chances
for promotion
 It reduces turnover, absenteeism.
 To discover potentialities, to alert personnel in working
environment.
 Types
 Centralized in-service training- In nursing service
department , one department will held
responsibility for improvement of knowledge,
skills, practice of their nursing staff. They will
devote full time for in-service activities.
 Decentralized in-service education-this is
planned for staff members who work together,
giving care for clients with similar conditions and
share similar goals.
 Combined in-service approach-In this, the higher
nursing authorities and all staff development
occurs in proposed programme of education.
They plan, conduct and evaluate the programme
and further plan their programme basing on the
need arises.
 Steps in in-service education
 Assessment: Pinpoint needs, prioritize needs, set
training objectives, and develop criteria
 Implementation: Climatic check, actual
conduction of training with ongoing monitoring
 Evaluation: Establishment of criteria, pre test to
the participants, post test following completion
of the training or program. Observation on
transfer of learning to the job, follow up studies
for assessment of extent of retention of learning.
 Continuing education
 “Continuing education is all the learning
activities that occur after an individual has
completed his/her basic education.” (COOPER)
 “The education which builds on previous
education.” (SHANON)
 Need for continuing education

 To ensure safe and effective nursing care as

nurses need to keep abreast with interest,
knowledge and technical advances.
 To meet the needs of population.
 To develop the nurses’ by updating their
knowledge and prepare them for specialization.
 For career advancement.
 With the advancement of technology, new role
change takes place and to play those roles,
education is required.
 To acquire special skills.
 Due to shortage of nurses (because their
movement to abroad, more hospital and training
college), more knowledgeable person is required.
 Functions of continuing education
 To meet the health needs and public expectations.
 To develop the practicing abilities of the nurse.
 To recognize gaps in knowledge.
 To test abilities of participants to do formal
academic study.
 To improve the communication between the
participants, faculty, community and health
sector.
 To shape or support university educational
policies and practices.
 To ensure the quality of education.
 To grant the budget for extension studies.
 To maintain the academic standards.
 To provide opportunities for educational growth.
 To maintain the roles as bed side nurses and to
assume more supervisor, administrative, to
specialize and to generalize the practice.
 To provide and prepare faculty who see
continuing nursing education as a personal
responsibility.
 To provide a variety of continuing nursing
education opportunities of high quality to nurses
in both education and service changes.
 Training for specific function
Definition:-
 This is concerned with developing
expert technical or manual skills,
communication and helps the
personnel to perform their functions
effectively.
 Objectives
 To help the nursing personnel to perform
correct methods and procedures with
understanding.
 Establishing standards and quality of
nursing services.
Types of skills

Psychomotor skill

Cognitive skill

Teaching skills

Affective skill

Communication skill

Supervisory skills
 Need for skill training
 Individual nurse needed to have greater freedom
to choose the specific field of nursing in which
she would work.
 Good work to be recognized and reward.
 A venues of advancement and promotion need to
be better development
 Fear of making mistakes
 Potential difficulties in staff development &
training activities
 Lack of time
 Inadequate resources at disposal
 Under-funded training budgets
 Conflicting priorities
 Lack of Clarity about what should be done
 Failure to identify, or accept the need.
 Shortfall in training skill or experience
 Fear that trained employee will leave the organization or
will be poached by competitor.
 Cynical attitude to Staff development-Not directly
measurable. Treated as Cost not investment.
Methods of delivering staff development
programme

Induction

Physical tour of the faculities

Group discussion

Seminar

Hand book and pamphlet

 Job orientation

Orientation

Seminar

Discussion

Hand out or book and pamphlets

In-service education

Orientation

Skill training

Continuing education

Leadership training
Continuing education

Lecture

Demonstration

Seminar

Journal club

Book review

Correspondence course

Formal course

Clinical research
Training for skill

Demonstration

Discussion

Role-play method.