Chapter 3: A Theoretical Perspective Flashcards

1
Q

CRITICAL POINTS FOR SOCIALIZATION INTO ROLE

A

The point of immersion into the student role

Anticipatory socialization to the profession

Transition to the RN role or to the APRN role

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2
Q

THEORETICAL PERSPECTIVES ON ROLE

A

Structural-functionalist theory

Symbolic-interactionist theory

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3
Q

THE STRUCTURAL-FUNCTIONALIST

A

Roles more or less are fixed by the culture

Formation of the role is deductive

Opportunities to alter patterns of social interaction are limited

Situations are always resolved to fill a social need

Individuals subordinate their wills to social order

Social forces validate role and its functions

The society provides consensual validation

Government often codifies norms

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4
Q

EXAMPLE: DIVISION OF LABOR

A

The complex society demands differentiation of function

Specialization of functions

Continual readjustment and restructuring

Technologists, technicians, associates, and assistants are created to share in a domain of the work

Comply or become irrelevant

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5
Q

THE SYMBOLIC-INTERACTIONIST

A

A more individualistic perspective

Formation of role identity is inductive

Cues are interpreted and selectively chosen as relevant to the individual

Symbols are essential to the process

Symbols must be social and hold common meaning

Minimum constraint by the social structure

Role is a creative adaptation to the social environment

Role results from the reciprocal interaction of individuals

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6
Q

ROLE FORMATION

A

ideally a product of both theories

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7
Q

role development

A

reference groups

the process of socialization

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8
Q

reference groups

A

Normative groups

Comparison groups

Audience groups

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9
Q

SOCIALIZATION

A

Learning the values, attitudes, knowledge, and skills that enable the behavior prescribed for a specific social position or role

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10
Q

ENHANCED ROLE EXECUTION: HARMONY IN ROLE DEFINITIONS

A

Public definition
Professional definition
Legal definition
Institutional definition

EACH INVOLVE DIFFERENT REFERENCE GROUPS, VALUES, ATTITUDES, AND BEHAVIORS

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11
Q

THE PROCESS OF SOCIALIZATION

A

Continual and cumulative

Evolves through role-taking and role-making

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12
Q

ROLE-TAKING

A

Grounded in empathic communication

Unidirectional

Accurate “read” enables actor to modify behavior to achieve desired response

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13
Q

CUES OF INFLEXIBILITY

A

Highly precise and detailed job descriptions

Management by memorandum

Guarded interdisciplinary boundaries that hamper smooth operation

A hierarchy that is an obstacle to work

Cumbersome and inconsistent policies, procedures, and documentation

Absence of staff nurse autonomy

Organizational relationships designed for supervision, as opposed to reporting

Absence of inventiveness and creativity

Verbalized discontent from staff but no effort to change

High turnover rate among employees

No support for attitudes, values, and behaviors that are without precedent

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14
Q

CHANGE DURING ROLE-TAKING

A

Accommodation (first-order change), change in behaviors but not the core values or attitudes

Assimilation (second-order change), permanent attitude shifts that cause new behaviors

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15
Q

ROLE-MAKING

A

Bidirectional and interactive

Both actors present behaviors that are interpreted reciprocally to create and modify their roles

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16
Q

METHODS TO HONE THE SKILL OF READING ROLE PARTNERS

A

Broad social experience

Rehearsal of the role anticipated

Recentness of role experiences

Attentiveness to role behaviors

Good memory skills

17
Q

MOVEMENT FROM ROLE OR IN ROLE

A

Break from previous roles

Minimize previous advantage

Break previous peer relationships

Previous peer relationships become friendships

Establish a new peer group

Clarify new responsibilities that accompany changed status

Consider the values, attitudes, knowledge, and skills that will contribute to success

Movement to the new role prescription (accommodation)

Provide role rehearsal opportunities

Consider a mentor

Identify support systems among role partners

Assimilate role behaviors

Be aware of change in self-concept

Recognize the rites of passage as more than symbolic

Create opportunities for success

Treat failure as a learning experience

18
Q

ROLE (SKILL) ACQUISITION

A

Novice

Advanced beginner

Competent

Proficient

Expert

19
Q

STRESS AND STRAIN DEFINED

A

Role stress is primarily located in the social structure, external to the individual. It may or may not generate role strain.

Role strain is the feeling of frustration and anxiety internal to the individual.

20
Q

ETIOLOGY OF STRESS AND STRAIN

A

Most commonly due to:

Incomplete anticipatory socialization

A rapidly restructuring health-care system

Required continual minor or major role modifications for the APRN

21
Q

CLASSIFYING STRESS AND STRAIN

A

Role ambiguity

Role conflict

Role incongruity

Role overload

Role underload

Role overqualification

Role underqualification (role incompetence)

Role transition

Role supplementation (anticipatory socialization )

22
Q

REALITY SHOCK

A

A phenomenon experienced by new graduates (RN or APRN) establishing their roles in the midst of bureaucratic-professional conflict

23
Q

PROCESS OF RESOCIALIZATION: STUDENT TO GRADUATE, RN TO APN

A

Skills and routine mastery

Social integration

Moral outrage

Conflict resolution

24
Q

MANAGING ROLE STRAIN

A

Learn to use distance therapeutically

Decide who owns a problem

Examine the quality of the peer support you give and get

Invest in upgrading yourself

Consciously alternate routine tasks and those requiring physical exertion with complex and stressful activities

Learn to trust your instincts

Sometimes think in terms of what could be the worst consequence, then anything less is a bonus

Identify one person willing to serve as your objective sounding board

Make contact with your feelings about situations

Create options for yourself