Running head: PERSONAL DEVELOPMENT PLAN 1
Personal Development Plan
PERSONAL DEVELOPMENT PLAN 2
Most people in some way or another have been touched by the nursing profession. One might
wonder what guides the practice of the nursing profession. In accordance with the American
Nurse Association (ANA) Nursing Scope and Standard of Practice, nurses must ascribe to 10
Standards of Professional Performance. These professional performance standards are outlined in
relation to my practice.
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Personal Development Plan
“The Standards of Professional Performance describe a competent level of behavior in
the professional role, including activities related to ethics, education, evidence-based practice
and research, quality of practice, communication, leadership, collaboration, profession practice
evaluation, resource utilization and environmental health” (American Nurse Association, 2010
p.10). Nurses are accountable to continuously evaluate their performance in relation to the
Nursing Scope and Standard of Practice. Through a review of the American Nurses Association
(ANA) Professional Performance Standard, I have delineated the importance of these standards
in relation to my current professional practice behaviors.
ANA Standards of Professional Performance vs. Current Professional Behaviors
Standard 7: Ethics
My values and morals make it easy to subscribe to all elements of the ANA nursing code
of ethics while advocating, or managing the care, of my patients. The acuity of a nursing unit,
and or a patient compounded by everyday distractions and outside influences may infringe on
yournursing care and decision making. As a nurse we advocate for the best interest of the patient,
and to do the right thing. The ANA states “we assist the consumer in self-determination and
informed consent and to deliver care that preserves and protects healthcare consumer’s
autonomy, dignity, rights, values, and beliefs” (ANA, 2010 p.47).
In the preoperative setting, a nurse assesses the patient’s knowledge of the surgical procedure,
and anesthesia to be administered. It is only after this information has been conveyed, that the
consent can be signed and witnessed.
Standard 8: Education
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I value education as evidenced by my degrees: Diploma RN, Bachelors of Science in
Healthcare Administration, Master in Management, and now returning for Bachelors of Science
in Nursing (BSN). By the ANA standard a nurse “seeks formal and independent learning
experiences to develop and maintain clinical and professional skills and knowledge” (ANA,
2010, p.49). Through this formal education, I will gain a more in-depth knowledge of my nursing
practice as a profession.
Standard 9: Evidence-Based Practice and Research
Today I have a greater appreciation for the impact that research and evidence-based
practice has in the management of patient care. I was able to identify Hildegard Peplau’s theory
of interpersonal relationships as the guide to my professional practice. Peplau’s theory states the
“implication for nursing practice is directed toward promoting favorable changes in patients,
which is accomplished through a nurse-patient relationship” (Kearney- Nunnery 2010, p.72).
Nurse-patient relationships are the vehicle in which trust is established so the needs of the patient
can be identified and managed by the nurse.
Today I am a member of an interdisciplinary team, whose focus is to minimize the
number of surgical outpatients that have to return to the hospital within 24 hours for
postoperative urinary retention. Through research and evidence-based practices, the goal is to
provide guidelines that will minimize a patient’s return due to postoperative urinary retention.
Standard10: Quality of Practice
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As a Perianesthesia manager, I am involved in many quality initiatives. Frequently, I am
requested to investigate delays in surgery. More often than not, these are the results of inefficient
preoperative processes. A most recent practice change involved patients that require a type and
screen prior to surgery. A recent upgrade in laboratory equipment has led to a greater capacity to
detect antibodies in the blood. However, the upgrade has led to longer processing turnaround
time. Through an interdisciplinary team, surgical procedures that require type and screens were
identified. Today, these patients have their lab work drawn up to 72 hours prior to surgery. If lab
work is not drawn, the patient must arrive to the hospital three hours prior to surgery to process
In November 2011, the Perianesthesia nursing departments will implement a pain policy
with specific documentation criteria. An audit tool has been developed to validate that the nurse
has documented pain assessment, intervention, and outcome.
Standard 11: Communication
Communication is the most important aspect of healthcare, and yet the most mismanaged.
One of the nursing standards states “maintain communication with other providers to minimize
risks associated with transfers and transition in care delivery” (ANA, 2010, p 54). Failure to
convey pertinent information during the transfer of patient care from one healthcare provider to
the next is a form of miscommunication that can result in errors. Institutions are challenged to
develop more stringent process to improve the communication during this transfer of care. “The
process of transferring responsibility for care is referred to as the handoff, with the term signout
used to refer to the act of transmitting information about the patient” (AHRQ, n.d., para. 2). In
the surgical services department the second revision of the hand off process is underway. The
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surgical services internal processes and that of the recipient healthcare provider have barriers that
need to be overcome.
Standard 12: Leadership
Beaumont Hospital’s strategic goal is to be in the 75th percentile for patient satisfaction
scores. It is my responsibility to communicate this vision and provide a road map to reach this
objective. The results are reviewed in detail at a monthly staff meeting for recognition in
addition to suggestions for improvements. This collaborative effort has led to the development of
standardized discharge instructions developed by the nursing staff. This did not prove to be
successful in improving our scores as related to discharge instructions. The team is currently
working to provide this information in a preoperative setting as a proactive approach.
“Develops communication and conflict resolution skills” (ANA, 2010, p55) is reflected
in the nursing standards. In my management position I am continually seeking out new
communication skill sets to address uncomfortable and difficult dialogue. These conversations
can include doctors, nurses, patients and family members, human resource and legal.
Standard 13: Collaboration
Effective relationships and work environment prosper when employees adhere to a
standard for interacting with each other. One disruptive employee consumes an enormous
amount of time and resources to counter the ill effects. Because of this negative impact,
organizations have developed a code of business conduct. In an effort to bring awareness to the
forefront, the surgical service department requires all employees review and acknowledge their
commitment to upholding the code of conduct. I have experienced unacceptable behavior
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exhibited by staff, physicians, patients and their families. Depending on the severity of the
behavior, my response can involve a corrective conversation or a disciplinary action.
Standard 14: Professional Practice Evaluation
As a manager, supervising 100 employees, I am accountable to provide feedback on
yearly performance. Employees are expected to provide a self evaluation as well as evaluating a
peer. This evaluation is inclusive of 8 performance standards: Job Responsibility/Productivity,
Job Skills/Competencies, Reliability, Personal/ Professional, Partnerships, Beaumont Standards,
Employee Engagement and Efficient Use of Resources. This formal process covers the minimum
organizational requirements but falls well short of employee’s need for regular day to day
feedback. The informal process is where employees receive both positive and negative feedback
throughout the year. I often provide this feedback while performing my rounds and during staff
Standard 15: Resource Utilization
Throughout my career, I have always been an advocate for resources to enhance the
nursing practice (ANA, 2010 p.60). Some examples include the procurement of new recliners,
bariatric scale, temporal thermometers and isolation carts. Through a detailed staffing analysis,
in a time when human resources are being reduced, I was able to secure two additional nurses.
This required three separate presentations to the finance and staffing board prior to the
acquisition of these positions.
Standard 16: Environmental Health
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The nursing standard states: “Promote a practice environment that reduces
environmental health risks for workers and healthcare consumers” (ANA, 2010, p 61). As the
patient vacates their room, it is cleaned and disinfected prior to the admission of the next patient.
A standardized protocol is followed which utilizes approved infection controlled cleaning
products and cleaning techniques. In tandem with this process, all staff must wash hands before
and after contact with a patient. Signs have been placed in all patient care areas encouraging the
patients and their families to inquire if the healthcare personnel have washed their hands. In
addition, a trained secret hand washing observer collects data on the staff adherence to the
policy. Sharing the outcome of this information at staff meetings has heightened awareness and
improved hand washing practice of the employees.
My career goal is to maintain my current management position in the Perianesthesia area
at Royal Oak Beaumont. A strategic goal for Royal Oak Beaumont is to obtain redesignation
status for Magnet. This will require a commitment for continuing education not only for me but
for nurses. My plan is to continue my personal and professional lifelong learning objective by
obtaining two certification recognized by the American Society of Perianesthesia (ASPAN).
These certification are: Certified Posts Anesthesia Nurse (CPAN) and Certified Ambulatory
Perianesthesia nurse(CAPA) (ASPAN, 2010, p.5). My goal is to complete these certifications by
May 2014. This is a self study certification, therefore I will need to obtain test date and they plan
my studies accordingly. It is through my achievements that I can lead others to take this same
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In the next ten years I want to establish myself as a more effective leader. This will
require me to continue to improve on and build a healthy relationship within my healthcare team.
It will mean taking pride in what I own and define expectations and department visions that meet
the organization strategic goals. I need to coach and mentor employees for future leadership
roles, possibly mine. My stretch goal is to retire by December 2021. During my years of
retirement I plan to volunteer in some capacity in a healthcare setting.
My goal is to obtain a BSN by December 2012 as defined by my employer’s timeframe. I
hope to gain a better appreciation for the research and theory that has defined and continues to
redefine the framework of the nursing practice and profession. Trying to balance the whirlwind
of day to day events and the pressures of the academic requirements can be demanding.
Therefore, I keep the following quote next to my computer to keep focused and successful “a
positive attitude will allow you to enjoy the academic journey, not simply endure it” (Kearney-
Nunnery, 2010, p.20).
Agency for HealthCare Research and Quality [AHRQ].(n.d). Handoff and signout. Retrieved
from Agency for Healthcare Research and Quality Patient Safety Net
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[AHRQ PS Net] http://www.psnet.ahrq.gov/primer.aspx?primerID=9
American Nurses Association [ANA]. (2010). Nursing scope and standard of
practice (2nd ed.). Silver Springs, MD: Nursebooks.org
American Society of PeriAnesthesia Nurses [ASPAN]. (2008-2010). Standards of
Perianesthesia nursing practice.Cherry Hill, NJ: American Society of
Kearney- Nunnery, R.K. (2008). Advancing your career: Concepts of professional nursing.
Philadelphia: F. A. Davis and Company.