Perceptions of a Professional Nurse
Nurses' portrayal in the media significantly impacts public assumptions of the profession. These assumptions are evidenced by stereotypes that fail to acknowledge the profession's complexity. Media depiction presents nurses as subordinate staff to physicians with the scope of the field as a caregiver (Godsey et al, 2020). This representation fails to demonstrate nurses' critical thinking and significance in patient safety and autonomy (Godsey et al., 2020).

Personal Experience
Public experience with nurses contrasts with the media's portrayal. I have been fortunate to not have many experiences with nurses, aside from assessments for acute health conditions or screenings/tests at clinics. However, I have witnessed the impact nurses have on patient care through observing the interactions between my grandmother and her nurses after a skiing accident. Approximately 10 years ago my grandmother fell downhill skiing resulting in a broken femur that required surgical intervention to place a rod and sets of screws. The physical toll of the accident and recovery was evident. It required a collaborative effort between physicians, her surgeon, the OR nurses, pre/post-op nurses, physiotherapists and other health professionals
behind the scenes. It was fascinating to see the collaboration of care. However, the real magic happened when my grandmother's nurses realized the emotional toll and fear of the unknown this accident caused her and their ability to heal her emotionally. My grandmother, before retirement, was a physical education teacher and to the day of the accident loved being outdoors hunting, water skiing, rollerblading, and hiking, the accident risked the identity she had with physical activity. Her nurses identified the fear and individualized their care approach. She needed the hard facts, no sugar coating, and realistic expectations of surgery and recovery at her age but also a team that believed that she would be water skiing again. She did just that. Her nurses went beyond providing standard post-op care and provided the guidance, supportive conversations and care expectations that allowed her to recover to her previous quality of life. Watching their interactions solidified the impact nurses have on their patients.

Professional Nursing Characteristics
The Registered Nurses Association of Ontario (2007) identifies the characteristics of professional nursing as, knowledge, spirit of inquiry, accountability, autonomy, advocacy, innovation, collaboration and ethics. These characteristics are essential for nurses to deliver high levels of patient care. To support the paper's identification of her nurse's professionalism I collaborated with my grandmother in identifying her nurse's actions to support their professional characteristics. My grandmother's nurses demonstrated knowledge by using evidence-based practices by having a repositioning schedule in place to prevent pressure ulcers as she was immobile after surgery and having her participate in passive ROM exercises to promote blood flow and prevent muscle atrophy once cleared for movement. I remember my grandmother grumbling that she did not need assistance with the "easy" exercises. The nurses displayed the spirit of knowledge and accountability as they took on the responsibility of identifying my grandmother's unique emotional needs and following her individualized care plan. My grandmother mentioned that her nurses identified when they felt changes in her care plan i.e. medication and/or dosage adjustments were needed thus representing their autonomy in her care. My grandmother hated sitting for bed all long periods, she did not enjoy watching TV. and certainly was not keen on relaxing or sleeping. The nurses identified the anxiousness her immobility created and were innovated to provide her crosswords, books and cards to keep her mentally occupied. We were in the United States and did not have
the comforts of home. They also advocated for her by requesting the surgeon to re-explain the procedure and answer questions. She was nervous regarding her ability to partake in physical activity, post-op rehabilitation and when she could travel back home to New Brunswick. From an outside perspective, her care was effective which would indicate there was professional collaboration between all the health professionals involved in her care. My grandmother agreed that her care was competent, she felt her safety was of high importance to her nurses, her information was confidential as I was not given privileged information indicating that her care was ethical.
Godsey, J. A., Houghton, D. M., & Hayes, T. (n.d.). Registered nurse perceptions of factors contributing
to the inconsistent brand image of the nursing profession. Nursing Outlook.
https://pmc.ncbi.nlm.nih.gov/articles/PMC7398865/
Registered Nurse's Association of Ontario. (2007). Professionalism in nursing.
https://rnao.ca/bpg/guidelines/professionalism-nursing