My long term plan recently changed and, who knows, may change again, but here is where it is right now (I am a second career nurse with ~1.5 years of acute care experience, just accepted into an FNP program to start this Fall):
Year 1-2: continue to gain clinical experience in acute care. Start FNP program. Start volunteering at least once or twice/month in a free clinic. Pick up some per diem work in a different area of Nursing (e.g. psych or home care) to explore and see what that is like.
Year 3 - focus on finishing/graduating/boards for FNP (while working at least part-time)
Year 4-6 get a job as FNP, learn the ropes of primary care
Year 7- 19 continue in primary care, helping people live healthier lives. Focus on under-served populations. Travel with medical missions, such as DWB. Incorporate evidence based integrative therapies into my work (such as mindfulness, movement, aromatherapy etc).
Year 20+ (I will be just past 65 then) - teach? Become a "wise woman" of the community ("What, that hurts? Go eat that plant!" kind of thing:)). Be a mentor. Write smth?
Beyond year 7 is just a rough draft vision, a dream. Details TBD:)