Class #1 Flashcards
Define Self Concept
The sum of one’s belief about oneself, which develops over time
Does self concept fluctuate over time?
yes
What is self concept challenged by?
Challenged by new situations/experiences
What are some components that influence self concept? (5)
1) Body Image
2) Cognitive Beliefs
3) Emotional Development
4) Early Attachment
5) Seld Awareness
What can self concept influence?
Can influence the therapeutic relationship
Can influence the healing process
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
What influences a person’s sense of self concept?
Self awareness
What is one way to develop self awareness?
One way to develop self awareness is through regular and/or on going self reflection
Define Self Esteem
Attitudes about oneself; emotional appraisal of one’s worth
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
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
What are the base layers of Bronfenbrenner’s Ecological Systems Approach?
1) Lifespan (on the bottom)
2) Chronosystem
- Historical time
- Changes (personal, social)
What are the 4 components of Bronfenbrenner’s Ecological Systems Approach?
1) Microsystem
2) Mesosystem
3) Exosystem
4) Macrosystem
What is the microsystem in regard to Bronfenbrenner’s Ecological Systems?
- Family
- School
- Neighbourhood
- Peers
What is the mesosystem in regard to Bronfenbrenner’s Ecological Systems?
Interaction of systems
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
