That is really great work you should like you would make an amazing leader in the VA nursing system. I am glad you had those opportunities, some of us can only make changes in our local systems and attempt to promote outside the local facility, due to schedules, but based on who you are boarded by makes a difference. If the board you are sent to has no idea the type of position you are doing, key words are basically all they can go by. I know nurses who work hard, take manager positions, change, and create policies, with no luck. It is not possible for all nurses to travel or afford travel to conferences, travel budgets have been slashed for most. I personally say I already go above and beyond what is expected, compared to many that I work with, I see so many nurses try to create changes and policies, but many of our managers lack true leadership skills. After 8 years leadership, policy development, and education is only viewed as a threat. I am supervised by Associate level Nurse 1 and 2's. Education is highly discouraged, and work volume due to low morale and high turn over prevents many from going above and beyond. It is different for each of us on on our career path. I pray I can find a place my education, experience, and passion is valued and needed in order to better serve the deserving veterans.