I aspire to function as a family nurse practitioner (FNP) at a family practice primary care clinic. Specifically, I will serve in a federally qualified health center (FQHC). According to Hamric and Taylor’s seven identified phases of development1, I will progress from orientation to frustration, implementation, and integration, as well as possibly frozen, reorganization, and complacent phases in my role development. During orientation, I may feel especially optimistic about my new role and potential impact in improving the health of my patients. Most of my attention in this stage will be dedicated to mastering my skills in history taking, conducting astute physical examinations, making accurate diagnoses, and formulating guideline-based treatment plans.
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This may better equip me to perceive my experiences as normal and to develop effective coping skills. Given my personal tendency towards perfectionism, I will need to balance my own high self-expectations with more realistic expectations of myself as a new NP. I know I will experience feelings of inadequacy and question my own potential, but I will mitigate these feelings with proactively seeking support from supervisors and mentors. In the implementation phase, I anticipate reorganizing my workflow with continued feedback from my supervisors and collaborating providers. At performance evaluations, I will reflect on my own progress in meeting organizational goals as well my personal professional goals, especially my clinical competency and ability to handle larger volumes of patients safely. As I develop competency and self-confidence, I will undergo the integration phase, broadening my professional
This may better equip me to perceive my experiences as normal and to develop effective coping skills. Given my personal tendency towards perfectionism, I will need to balance my own high self-expectations with more realistic expectations of myself as a new NP. I know I will experience feelings of inadequacy and question my own potential, but I will mitigate these feelings with proactively seeking support from supervisors and mentors. In the implementation phase, I anticipate reorganizing my workflow with continued feedback from my supervisors and collaborating providers. At performance evaluations, I will reflect on my own progress in meeting organizational goals as well my personal professional goals, especially my clinical competency and ability to handle larger volumes of patients safely. As I develop competency and self-confidence, I will undergo the integration phase, broadening my professional