Lecture 6

Question 1

Professionalism

Answer 1

The conduct, aims or qualities that characterize or mark a profession or a professional person

Question 2

Pro, Identity

Answer 2

The set of attributes, beliefs, values, motives and experiences by which they define themselves in their professional lives

Question 3

Importance of Professionalism 7

Answer 3

• sticking to standards
• accountability
• client centered care
• maintaining confidentiality
• boundaries
• communication and interpersonal skills
• self awareness

Question 4

Self-Concept:

Answer 4

Personal understanding of our perceived capabilities and attributes; self awareness; self-esteem

info and beliefs that nurses have about their roles, values and behaviours

Question 5

Professional Nursing identity

Answer 5

Way we think about our selves

Influenced by perceived image of a group by society

overall identity of position in society, interaction with others and interpretations of experiences

Sense of self(Presentation, concept) from role

Question 6

Self presentation

Answer 6

The way we present ourselves to others

Question 7

Personal and Pro identity

Answer 7

Formed in early childhood to adulthood

informed by personal and sociocultural factors

Erikson’s psychosocial theory of development considers external factors
(eight stages - psychological maturation)

Question 8

Challenges

Answer 8

Vocational (work), religious, political, gender, professional

-complex demands of self-autonomy

Socialization

-access/rules new social language

Question 9

Mindfulness

Answer 9

-Focused attention, openness to new interpretations, critical reflection, and tolerance of ambiguity
(oneself, others and environment)

• Capacity to identify and respond to complex circumstances can increase student resilience (attn to care)
• Belief of making a difference

Question 10

Focusing on hierarchy =
RESILIENCE =
(mindfulness)

Answer 10

= unprofessional identity and poor interprofessional relationships

= way to address burnout and apathy

Question 11

Pathway to Professional identity for nurses 5

Answer 11

• Initiation: old values, knowledge and obedience
• Academics: identity construction and deconstruction; new knowledge about (pro values, history, health care system, ethics, skills, role models)
• Clinical experience: key to creating sense of belongs (can feel undervalued, removed from norms)
• Transition to practice: Disconnect btw expectation and reality upon grad; learning curve
• Evolution of identity in health care system: constantly changing based on context

Question 12

Professional Values (10)

then linked to: 6

Answer 12

integrity, trust, respect, concern, responsibility, duty to care, personal growth, team work, professional manner, initiative

• internalize and adopt
• linked to delivery of safe, competent, and quality patient care, work satisfaction, retention, and professional development

Question 13

Factors that develop values in nursing 3

Answer 13

beliefs, positive worldview, cooperative work attitude

Question 14

Contributing factors (personal to pro values?) 3

and role of faculty

Answer 14

past experiences in health care, personal ethics and morals, educational experiences and activities

• role to create and implement meaningful experiences aimed at enhancing foundational personal values
• reflective exercise can link personal to pro values (biases)

Question 15

Domains of nursing

Answer 15

Direct care
education
research
policy
administration

Question 16

Health care professional in Canada 4

Answer 16

Recognize importance of critical social theory power/knowledge/voice

Recognize and value diversity

Support professional values in classroom, lab, clinical

Provide safe environments for discussions and dialogue

Question 17

Awareness

Answer 17

Making the invisible visible.

need to develop an awareness: in our own comfort zones, we are often unaware of our own worldview and culture.

Question 18

Awareness how? 6

Answer 18

Reflect or think about your own practice.

Share ideas and perspectives.

develop knowledge patterns through reflection on experience.

Observe and ask questions.

Test out new and old ideas.

Participate in continuous education for life long learning.

Question 19

Socioethical Nurse

Answer 19

Social patterns relating to class, gender, culture, and status are of importance to all individuals- incorporating these patterns

=

safe

Question 20

Respect (4)

Answer 20

Recognize your own culture and the impact on others;

Increase awareness of your own cultural biases;

Increase awareness of cultures different and similar to your own;

Recognize and reduce defensiveness about your own culture;

Question 21

Evolving Profession

Answer 21

health care is dynamic

implementing change can be resisted

Question 22

Lewins Change Theory

Answer 22

Positive forces for change (driving forces) vs Restraining Forces (obstacles to change)

Middle = present state = desired state

Include front line staff in all steps = trust and transparency

sustained effort from all/ ownership to change

Question 23

Unfreeze (change theory)

3(needed to overcome change and = group conformity)

Answer 23

finding ways to release old patterns

Three ways: Increasing driving forces, decreases restraining forces, or combo of the two

Question 24

Steps of change theory

Answer 24

Change and freezing it Freeze

Question 25

Self Reflective practice

Answer 25

combine theory and practice

Difference processes and depth to achieve.
Reflexivity – evidence based, aware of socio-economic influence

Use ways of knowing

Question 26

Ways of knowing

Answer 26

Empirical
Aesthetical
Personal
Ethical
Socio-economical

Question 27

Conditions to self reflection 5

Answer 27

No end to self-learning and application to practice

Willingness to learn

Motivation to change

Open mindedness

Courage to Act

Question 28

Benefits to self reflection 5

Answer 28

• embrace reality and avoid burn out
• transform learning
• promote healthy relationships
• heartful and soulful practice
• promote healing

Question 29

Disparities between what is taught and actuality of practice can lead to:

Answer 29

Disillusionment
Poor retention
Losses to health care system