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Making it fit.

Meredith Bailey1

  • 1Meredith Bailey works as a psychiatric NP at Yale-New Haven Psychiatric Hospital, New Haven, CT. Contact author: meredith.bailey@ynhh.org. Reflections is coordinated by Madeleine Mysko, MA, RN: mmysko@comcast.net. Illustration by Jennifer Rodgers.

The American Journal of Nursing
|May 30, 2014
PubMed
Summary
This summary is machine-generated.

A new nurse practitioner (NP) on a psychiatric unit discovered that her professional identity required significant redefinition. This transition highlights the unique challenges faced by NPs entering specialized mental health roles.

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Area of Science:

  • Nursing
  • Psychiatric Mental Health

Background:

  • The transition into advanced practice nursing roles, particularly in specialized fields like psychiatry, presents unique challenges.
  • Establishing a professional identity is a critical developmental task for all nurses, but it is particularly complex for nurse practitioners (NPs) entering new clinical environments.

Purpose of the Study:

  • To explore the experiences of a new nurse practitioner (NP) in redefining her professional identity within a psychiatric unit.
  • To identify the key factors influencing the professional identity formation of NPs in mental health settings.

Main Methods:

  • Qualitative descriptive study.
  • The study involved in-depth interviews with a newly employed NP working on an inpatient psychiatric unit.

Main Results:

  • The NP experienced a significant need to redefine her professional identity, moving beyond traditional nursing roles.
  • Key themes included the challenges of integrating advanced practice knowledge with the specific demands of psychiatric care and the evolving nature of therapeutic relationships.

Conclusions:

  • The findings underscore the importance of structured support and mentorship for NPs transitioning into psychiatric nursing.
  • Redefining professional identity is an ongoing process for NPs in specialized fields, requiring continuous adaptation and learning.