Working for a broken system or work the broken system?

Lately, I've been thinking about what is my nursing career end goal. What do I want to accomplish in this broken system? Last year, I decided to go back to school and pursue Doctor of Nursing Practice (DNP). It has always been a goal of mine to become a family nurse practitioner (FNP) since I was a pre-nursing student. 

Having studied public health, I have always believed that prevention care is most important in medicine. As a FNP, I would work in a primary care setting to provide preventive care and promote health. I would see patients from birth to dying, follow up and manage chronic illnesses, treat common diseases and refer  them to specialities when necessary. However, more than being a provider, NPs are leaders in nursing and are presume leadership roles and contribute in system change.

I often feel apprehensive about my ability to make any changes in the system. How do I contribute in a productive and systematic way? Do I have the leadership potential? When I envision leaders, I imagine someone who is president of some professional organization, someone who is vocal and active in making health policy changes and someone who has great influence in the community and nursing community. 

Taking on this new role excites and scares me at the same time. Becoming a DNP, to me, is more than just diagnose and treating diseases. It is about what am I going to do about the broken system?  I know I wouldn't be satisfied with just being a NP, because working in a broken system without taking control would probably make me burn out. 

To manage my imposter syndrome and insecurities about my ability, I need to stay engaged. Stay engage with work, with life, the community and friends. No matter where I end up, being in-tune with what I want in my job and participate in any way I can would help me shift my mindset. I will never know how these accomplishments may lead to something bigger than I had imagined. Even if my contribution is in a small scale, it is still something I put in effort to improve the system. I need to be willing to work the broken system so it is just a little less broken.