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Professionalism Nurse managers must set examples of professionalism, which include academic preparation, roles and function, and increasing autonomy. The ANA’s classic “Nursing’s Social Policy Statement” (ANA, 2011) provides significant ideals for all nurses, specifically autonomy, self-regulation, and accountability. Nurses are guided by a humanistic philosophy that includes the highest regard for self-determination, independence, and choice in decision making, whether for staff or for patients. The policy statement can be used by the nurse manager as a framework for a broader understanding of nursing’s connection with society and nursing’s accountability to those who receive nursing care that facilitates “health and healing” in a caring relationship. For example, a nurse manager’s professional philosophy should include the patient’s rights. These rights have traditionally identified such basic elements as human dignity, integrity, honesty, confidentiality, privacy, and informed consent. Nurse manager professionalism. Exercise 4-5 Nurse Mary Garrison has been a nurse in the intensive care unit (ICU) for the last 10 years and she is extremely clinically proficient. Today she is caring for Mrs. Gonzalez, a young mother of three who is recovering from injuries sustained in a motor vehicle accident. Mrs. Gonzalez is worried about being in the hospital so long without seeing her children and wants to be able to see them, although they are very young and not typically allowed in the ICU. Mrs. Gonzalez asks the nurse if they can visit. Nurse Garrison is very busy handling her patient load and consulting with others who come to her for questions. She tells Mrs. Gonzalez that it is against the unit’s and hospital’s rules to have children in the ICU who are under the age of 12 years and exits the bedside. Mrs. Gonzalez begins to cry because she knows her family is worried about her and she knows the children have been crying for her at home. Nurse Gordon gives report to the next 12-hour shift and reports that Mrs. Gonzalez is trying to go against hospital policy and that the department needs to be united in adhering to rules. How would you handle this situation? Was the behavior that Nurse Gordon exhibited professional or family-centered behavior? What would be a good solution for Mrs. Gonzalez and her family? How would you demonstrate professionalism in this example? Professionalism is all-encompassing and reflects the manager’s professional philosophy as to how he or she interacts with personnel, other disciplines, patients, and families. Professional nurses are ethically and legally accountable to the standards of practice and the accompanying nursing actions delegated to others. Conveying high standards, holding others accountable, and shaping the future of nursing are inherent behaviors in the role of a manager. The nurse manager is the closest link with the direct care staff. That individual sets the tone, creates a positive work environment, and manages within this context while serving as a professional role model in the development of future managers and leaders. Nurse managers must lead by example because they are highly influential when staff members decide to stay or leave. Finally, the nurse manager is critical to the success and quality outcomes of any healthcare unit or operation.