You are self-aware enough to know that it is time for a change, but which change, and how should you make the decision? What decision did you make and why?

You have been a staff nurse for the 3 years since your graduation from nursing school. Your original career plan was to work 3 years on a general medical unit and then transfer to the emergency room. However, because of a recent downturn in the economy there have not been any recent openings in your hospital’s emergency room. You have, however, been offered a charge nurse position on the medical unit. You wonder if you should relocate and seek employment at a big university hospital even if it means staying on a general medical surgical unit. You are self-aware enough to know that it is time for a change, but which change, and how should you make the decision? What decision did you make and why?

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