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Giddens Professional Identity Concept 39 - well put together

Terms in this set (54)

Definition: a sense of oneself that is influenced by characteristics, norms, and values of the nursing discipline, resulting in an individual thinking, acting, and feeling like a nurse.
Professional identity
Definition: a highly valued opportunity for experiential learning in clinical sites under the guidance of a preceptor or faculty member.
Clinicals
Definition: where a student works the shift of a nurse in practice to better learn the knowledge, skills, and attitudes needed in that practice environment; clinical experiences in some schools progress to this.
Apprenticeship opportunities
List the five subcategories or attributes that comprise professional identity:
- doing
- being
- acting ethically
- flourishing
- changing identities
Definition: the consensus or sociological perspective; it incorporates the societal and professional codes and standards that are part of the nursing discipline.
Doing
_________________ is central to understanding the "doing" part of professional identity, and it is seen in functionalistic approaches to accomplishing goals.
Role
Definition: the personal or physiological view of the nurse professional; it explains what it means to do the right thing even when no one is looking.
Being
The __________________ attribute is about being a professional and about adopting attitudes and behaviors that reflect the value of how a professional thinks, feels, and acts.
being
The _____________________ attribute may incorporate rules and principles, but it is beyond the laws, codes, and standards within the discipline of society; it is more a personal sense of being a nurse and functioning within the norms and values that are characteristic of nursing as a discipline.
being
Definition: doing the right thing and living well which means living according to your principles.
Acting ethically
Definition: an important component of both forming and fostering professional identity; includes individuals that strive for excellence and practice sustainable professional life qualities.
Flourishing
Definition: for persons preparing for professions, identity formation looks more like disequilibrium and subsequent assimilation than a developmental transition (keep in mind that each person has multiple identities at any one time).
Changing identities
_________________________ first arise in late adolescence when society and adolescents expect beliefs and vision for future career goals will start to form.
Identity issues
Definition: is characterized by a lack of interest in commitment, and even in exploration.
Identity diffusion
Definition: the person keeps talking about changing those around him or her and conspicuously not about making change him- or herself.
Foreclosure
Definition: is characterized by overwhelming anxiety that is "hard to sit through" with someone.
Moratorium
Definition: means that the person is reasonably self-aware, has a sense of self, and can manage overwhelming anxiety should it occur.
Identity achieved
List the four identity statuses that manifest professional identity:
- Identity diffusion
- Foreclosure
- Moratorium
- Identity achieved
Definition: learning occurs through observations of others.
Social learning theory
Definition: growth and development are outcomes of transformational learning when sufficient levels of cognitive functioning are present, form part of the theoretical basis for professional identity and professional identity formation interventions.
Transformational identity theory
List three reasons why forming a professional identity when beginning a pre-licensure nursing education is a challenge:
- the amount of empirical work in this area is limited, although it is growing.
- it seems that a variety of terms have been used to describe the same phenomenon, making comparisons difficult.
- the "unanticipated expectations" of the professional and academic nursing role.
Students found that they needed to ________________________________________ in order to develop a sense of professional identity and to be successful.
relinquish preconceptions and acclimate to their academic and professional climate
___________________________ was greatest in students with cognitive flexibility (able to structure knowledge), previous work experience in these environments, better understanding of team work, and a greater knowledge of their own profession.
Professional identity
List eight interventions that will be helpful for students in building a professional identity:
- Hear expectations clearly. (listen to expectations and advice)
- Value debriefing and feedback from role models.
- Engage in reflection.
- Actively adopt a professional identity.
- Understand your own responsibilities for learning and be accountable for them.
- Build relationships with those around you.
- Develop personal self-care habits.
- Embrace any opportunity for experiences with patients.
Definition: a time to internalize what is occurring with the patient and family and also what is happening and changing one's own perspective.
Reflection
Adopting a clear sense of ___________________________ that includes growing understanding of how integrity, compassion, courage, humility, advocacy, and human flourishing fit within the identity of nursing will in turn clarify the nurse's purpose as he or she relates to patients, families, and health care colleagues.
professional identity
Definition: people's beliefs in their ability to influence events that affect their lives.
Self-efficacy
Your ability to recognize your potential to grow and flourish will help propel you to greater personal and professional levels of _____________________.
self-efficacy
Definition: is about understanding the importance to engage in the learning environment and following through so that these relationships become stronger and more meaningful.
Building relationships
__________________________ is a key component of solidly developing a professional identity in any field.
Caring for oneself
Definition: depends on a deep and meaningful understanding of the professional identity of the nurse, incorporating health and illness concepts along with the norms and values that characterize the nurse as a designer, manager, and coordinator of care and as a member of a profession.
Clinical judgement
Definition: govern the nurse's social contract with patients and families in his or her care, affirming that advocacy for the patient and family is a primary consideration for all decisions made within the health care environment.
Leadership and Ethics
Definition: is fundamental to the nursing discipline and as such constitutes a substantial part of what actually happens in moment-to-moment nursing practice.
Communication
Definition: doing what one says they will and acting with consistency and purpose.
Integrity
Example: Following through with pain medication, calling the physician when asked, checking the code chart by the prescribed time, giving medications within the 30-minute window.
Integrity
Definition: feeling what another is feeling and responding to it with the intent of doing something to help.
Compassion
Example: Taking time to talk with a troubled family member, responding to a patient's call light with genuine interest, comforting a colleague who has just had a death in the family, using eye contact to apologize for a misstep with a colleague.
Compassion
Definition: to affect change and to stand in opposition for moral rightness.
Courage
Example: Speaking up when a colleague did not wash his/her hands before entering a patient room, conveying the details of the conversation a dying patient had with you to other members of the health care team, taking practice issues to the practice council to positively change practice on your nursing unit, speaking out about bullying occurring on the nursing unit.
Courage
The nurse who put herself between the patient and falling debris from a tornado demonstrated ______________________.
physical courage
The nurse who escalated a patient care situation by consulting higher ranking members of the medical staff exhibited __________________________.
moral courage
Definition: viewing the world with equanimity, taking neither an overstated amount of credit nor blame for a particular situation; such an approach encourages a realistic view of circumstances, events, and the actions of others.
Humility
Example: Realistically viewing family members ability to cope with a crisis, being nonjudgmental as staff deal with a unit-based crisis, clearly identifying your part in an error and not accepting more blame than is yours, seeing the larger picture when issues arise with patients, families, and coworkers.
Humility
Definition: is viewed as "the last line of defense" on behalf of the patient; is an example of a "signature image" of professional identity among nursing and other professions; involves the nurse giving recommendations to patients.
Advocacy
Example: sharing with family members the details of a conversation you had with their loved one previously in the day, listening carefully to help family members carry out their wishes, and working with the hospital to do what you can to help that happen, communicating with the family about their loved one's surgery schedule, course of events, and expected finish time, working to get prescriptions filled before a homeless person leaves the hospital.
Advocacy
Definition: arises in conversation when virtues or normative views of a discipline are discussed.
Human flourishing
_______________________ is acquired initially during nursing education.
Professional identity
Definition: the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and population.
Nursing
The scope of nursing practice answers the _______________________________________ of nursing practice.
who, what, where, when, why, and how
The profession of nursing needs to be responsible to its members and to the public that it serves to define ____________________________________________________________.
the scope of nursing practice and the standards of nursing practice.
The _________________________ serve as the foundation for legislation and regulatory policy making.
scope and standards of nursing practice
Scopes of practice, standards of practice, nurse practice acts, and legal regulations guide the development of ____________________________________________.
institutional policies and procedures.
The outcome of nursing practice is __________________________________.
safe, quality, and evidence-based practice
Example: encouraging patients in their difficult times, seeking additional resources for patients with limited discharge planning issues, encouraging coworkers to seek employee assistance options for difficulties they are having, creating a positive, encouraging environment for patients and families.
Human flourishing
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