Class #1 Flashcards by Raeanne Boles

Define Self Concept

The sum of one’s belief about oneself, which develops over time

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Does self concept fluctuate over time?

yes

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What is self concept challenged by?

Challenged by new situations/experiences

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What are some components that influence self concept? (5)

1) Body Image

2) Cognitive Beliefs

3) Emotional Development

4) Early Attachment

5) Seld Awareness

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What can self concept influence?

Can influence the therapeutic relationship

Can influence the healing process

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Define Self Awareness

Being cognizant of one’s own beliefs, thoughts, motivations, biases, and physical and emotional limitations and the impact that these components may have on others

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What influences a person’s sense of self concept?

Self awareness

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What is one way to develop self awareness?

One way to develop self awareness is through regular and/or on going self reflection

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Define Self Esteem

Attitudes about oneself; emotional appraisal of one’s worth

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What factors influence self-concept and/or self-esteem?

Discouragement and failure
Encouragement and Success
Sense of Control
Confidence
Sense of Belonging
Poverty
Religion
Culture
Media

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What are the 8 stages of personality development and their ego strength?

Trust vs. Mistrust (infant) –> Hope

Autonomy vs. Self Doubt (toddler) –> will power

Initiative vs. Guilt (early childhood) –> Purpose

Industry vs. Inferiority (school age) –> competence

Identity vs. Identity Diffusion (teen age) –> Fidelity

Intimacy vs. Isolation (young adult) –> Love

Generatively vs. Stagnation (mature adult) –> Caring

Ego Integrity vs. Ego Despair (late adult) –> Wisdom

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What are the base layers of Bronfenbrenner’s Ecological Systems Approach?

1) Lifespan (on the bottom)

2) Chronosystem
- Historical time
- Changes (personal, social)

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What are the 4 components of Bronfenbrenner’s Ecological Systems Approach?

1) Microsystem

2) Mesosystem

3) Exosystem

4) Macrosystem

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What is the microsystem in regard to Bronfenbrenner’s Ecological Systems?

Family
School
Neighbourhood
Peers

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What is the mesosystem in regard to Bronfenbrenner’s Ecological Systems?

Interaction of systems

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What is the exosystem in regard to Bronfenbrenner’s Ecological Systems?

Religion
Media
Education
Medicine
Community

What is the macrosystem in regard to Bronfenbrenner’s Ecological Systems?

Culture
Politics
Economy
Social Conditions

What is the difference between Eriksons and Bronfenbrenner’s ecological systems?

Erickson has a more internal philosophy regarding self concept compared to the other where Bronfenbrenner’s is an external environmental approach to self concept

What is self identity?

The integration of social and occupational roles and affiliations and self-attributed personality traits, attitudes, and beliefs about political ideology, religion, gender and sexuality

What does self identity influence?

Influence goal-directed behavior and interpersonal relationships

Develops and changes over the lifespan

What is worldview?

The way a group of people see their world, their physical symbolic space, and their place in the world
Worldviews are influences by culture, self-concept, and context
Can differ widely between individuals, or societal groups

Why do you need to understand worldview?

To understand worldview you need to understand who you are first

Is healthcare a collective or individual approach?

Collective approach

What are the priorities in the North American (Western) worldview?

Prizes Individualism
Individuals are expected to leave home at adulthood and establish their own nuclear family
Individuals are expected to advance themselves financially, academically, and socially

What are the priorities in Collective Societies worldviews?

- Prize familial, community, and/or land-based connections - Expect to live together in multi-generational households - Seek to promote the advancement of the whole family or community, even at the expense of the self

Application in Nursing: Diverse Clientele

Differences in self-concepts, worldviews, and health related perspectives or actions Lead to different health care choices/actions

Application in Nursing: Response to Illness

Changes or challenges previous self-concept and self-identity Alterations to body or appearance Loss of Function or ability Dependence on others

Application in Nursing: Therapeutic Relationships

1) Therapeutic use of self 2) Need to know your "self" 3) Need to understand how you relate to "others"

What is therapeutic use of self?

How you use your unique personality and way of being in relationship with your client and their family

What does it mean to "need to know your self"?

Be yourself (self-awareness) Be authentic/genuine

What does it mean to "need to understand how you relate to others?"

Seek to Understand Cultural Humility

What is reflective practice?

Thinking about and learning from past experience Have been doing this your whole life, whether consciously or not - Avoid things that did not work - Repeat things that did

When self reflecting, what are some things you should reflect about that went wrong?

Mistakes Missed actions/omissions Negative interaction Negative Feedback

When self reflecting, what are some things you should reflect about that went well?

Successes Education or New Learning/Information Positive Feedback Personal Progress

What are the 6 components of Gibbs Reflective Cycle?

1) Description (What happened?) 2) Feelings (What were you thinking and feeling?) 3) Evaluation (What was good and bad about the experience?) 4) Analysis (What else can you make of the situation?) 5) Conclusion (What else could you have done?) 6) Action Plan (If it rose again what would you do?)

What 3 things should the nursing student do during their practice encounter?

1) I Notice 2) I Respond 3) I Interpret

What are the 3 stages of reflection?

1) What Happened? (What emotions did you experience during the event?) 2) Why does it matter? (Why did it happen? Could you have done things differently?) 3) What next? (Most important stage of the process!) - How will you change your practice as a result?

What is the value of self reflection?

You are consciously aware of your experiences You can direct/decide your growth from your experiences You create new patterns of thought You practice will continually improve You can reflect on other people’s experiences as well -- learn from others