After studying this chapter, the reader will be able to: 1. Use the interview process to evaluate potential employment opportunities. 2. Prepare an effective résumé and nursing portfolio. 3. Compare and contrast various professional nursing employment opportunities. Additional resources are available online at: http://evolve.elsevier.com/Cherry/ “For 2 years I’ve struggled to meet deadlines for term papers, nursing care plans, and examinations,” sighed Leslie. “Now that graduation is almost here, I’m scared that I don’t know enough to be a ‘real nurse.’ And I’m confused about where to begin and what kind of nursing position I should seek. This first job seems so important.” Questions to Consider while Reading this Chapter 1. How should the new graduate in the scenario decide where to apply for that first position? 2. What kinds of questions should the applicant ask about a prospective position? 3. How can the applicant demonstrate knowledge, skills, and experience to the recruiter? Finding the right practice environment is essential to long-term success and job satisfaction. The American Association of Colleges of Nursing (AACN) developed a white paper titled Hallmarks of the Professional Practice Environment, which can be accessed at http://www.aacn.nche.edu/publications/hallmarks.pdfBased on this paper, a brochure for nursing school graduates was developed, titled “What Every Nursing Student Should Know When Seeking Employment.” This brochure identifies eight key characteristics or hallmarks of the professional practice setting and suggests that applicants ask the following questions about the employer they are considering. Does the potential employer: • Manifest a philosophy of clinical care emphasizing quality, safety, interdisciplinary collaboration, continuity of care, and professional accountability? • Recognize the value of nurses’ expertise on clinical care quality and patient outcomes? • Promote executive-level nursing leadership? • Empower nurses’ participation in clinical decision making and organization of clinical care systems? • Demonstrate professional development support for nurses? • Maintain clinical advancement programs based on education, certification, and advanced preparation? • Create collaborative relationships among members of the health care team? • Use technologic advances in clinical care and information systems? Box 27-1 provides other statistics and information to request from a potential employer. The numbers of hospitals seeking and receiving Magnet hospital credentialing are growing, and where these work environments are available, the nurse may wish to consider these organizations. Generally, hospitals with Magnet status have demonstrated excellence in areas such as low RN turnover rates, adherence to standards of nursing care as defined by the American Nurses Association (ANA), and mechanisms in place for staff participation in decision making. A recent study by Kelly and colleagues (2011) found that Magnet hospitals had a more positive nurse work environment and outcomes, were more likely to have specialty certified nurses, and a higher percentage of baccalaureate prepared nurses. The American Nurses Credentialing Center (ANCC) lists all Magnet hospitals on its website at www.nursingworld.org/ancc/magnet/getall.cfm. Appropriate job choice is critically important and can be costly to the new graduate. Accordingly, an ineffective hiring decision can also be expensive for the employer. Some estimate the cost of recruiting, placing, and orienting a new nurse to be from two to two and one half times the average RN salary—but the costs are more than financial (Donna Herrin-Griffith, personal communication, 2012). Critical to effective selection is high-level nurse leader competency in resource management processes and attention to creation of an effective healthful practice environment. A great decision on the part of the new graduate and the nurse leader will have better outcomes for the individual nurse in areas of job satisfaction and retention and overall organizational outcomes, employee engagement and retention, and patient outcomes. The Internet offers links to actual jobs and information on career planning. Most hospital and large health care systems maintain websites to post their employment needs and invite applications online. The Internet is a cost-effective recruiting method, and larger health care systems expect early communications to take place by fax and e-mail. Applicants who use this method to follow-up on a job posting should pay particular attention to the application and résumé that is sent electronically, making sure there are no errors before submitting materials online. If there is no response to Internet inquiries within a week, applicants should follow up with a telephone call. Examples of Internet sites that are helpful in exploring job opportunities, writing résumés, and preparing for employment interviews are included in Box 27-2. The cover letter (Box 27-3) is a chance to sell oneself and make the recruiter look forward to meeting an attractive candidate. A convincing cover letter will show how this candidate is different and convey to the recruiter why he or she is the best fit for the position. The letter should also address why this institution is the applicant’s first choice. • Paragraph 1 should be a statement of purpose that tells the recruiter what kind of position is being sought, the writer’s expected date of graduation, state licensing status, and the date the writer will be ready to begin work. • Paragraph 2 should emphasize the writer’s suitability. The implied message should be “I’m just the person for the job” without going into all the details that will be included in the résumé. A sentence should describe past work or educational experiences that relate to the agency’s particular needs and philosophy. The more homework the nurse has done in learning about the institution, the more convinced the recruiter will be. Finally, refer to the enclosed résumé. • Paragraph 3 should request an interview appointment and give a range of dates of availability. It is a good idea for the writer to promise a telephone call “next week” or “soon” to schedule a meeting time and provide a telephone number where the writer can be reached, if the number is different from the permanent telephone number listed on the résumé. • The letter can end with a “written handshake,” such as, “I look forward to meeting with you to discuss available nursing positions in your institution”—a cautiously optimistic note. • The letter closes with “Sincerely,” and after four lines of space for a signature, the writer’s name is typed. A line is skipped, and “Enclosure” is typed on the left margin to indicate that a résumé is enclosed. A résumé is a short account of one’s career or professional life (Box 27-4). The résumé is different from a curriculum vitae (CV), which is a chronologic account of one’s entire educational and professional work experience, usually required by academic institutions for educator positions. The résumé is the most appropriate format for the new graduate and will complement the cover letter by filling in important details about educational and work experiences. An effective résumé should compress education and employment history into an attractive, easy-to-read one-page summary. A wealth of valuable information can be communicated simply and straightforwardly by saying more with less. The key is writing concisely. For example, “BSN with high honors” speaks for itself. Citing exact grade point average or “dean’s list” standing adds little. Succinct ways to convey a message will be found by experimenting with phrases and word choices. Avoid pompous language and use of the passive voice. Instead use active verbs, such as improved, established, trained, administered, prepared, wrote, and evaluated. Pepper the résumé with such words, and it will read easily.
Job Search
Finding Your Match
Exploring Options
Knowing Oneself
Networking
Written Introductions
How to Write a Cover Letter
How to Prepare a Résumé