Professional Behaviors Flashcards
A state of being obligated, emotionally impelled.
Commitment
Strength of person’s relationship to - sense of belonging to an organization.
Organizational commitment
4 Factors of Professional Commitment
1- Belief - accept profession’s code, role, goals, values…
2- Willingness to exert personal effort for profession
3- Strong desire to maintain membership in profession
4- Pattern of behaviors congruent w/ nurses professional code of ethics.
Types of Commitment (3)
- Continuance
- Affective
- Normative
Affective Commitment
-Identifies with and involves themselves with profession
Normative Commitment
Feelings of obligation to continue in profession.
Continuance Commitment
- Aware of costs associated with leaving profession.
- Develops when consequences of leaving profession are seen as reasons to stay.
5 Stages of Commitment
1- Exploratory 2- Testing 3- Passionate 4- Quiet & Bored 5- Integrated
Stage where person explores positive aspects of profession. Excited.
(1st) Exploratory Stage
Stage where person discovers negative aspects of profession.
-Starts assessing willingness & ability to deal with negative elements.
(2nd) Testing
Stage of commitment which begins as person synthesizes both positive & negative elements from first two stages.
- Willing to commit to profession & contribute to well-being.
- Students who become involved.
(3rd) Passionate
Stage where person settles into humdrum routine - become more comfortable.
(4th) Quiet & Bored
Stage where person integrates both positive & negative elements of profession into more flexible, complex & enduring form of commitment.
-Act on commitment as matter of habit.
(5th/Final) Integrated
Inconsistency between academic world and the world of work.
Reality Shock
When does reality shock occur.
When novice nurses realize that they are not prepared for the work environment.
4 Phases of Reality shock:
- Honeymoon
- Shock or rejection
- Recovery
- Resolution
Phase that often occurs during orientation when everything in work world is as the graduate imagines.
Honeymoon Phase
Phase where new nurse encounters:
- conflict, differing way of performing skills, lack of security of an expert as a resource.
- nurse may feel fear, react by forming shell.
Shock (rejection) phase
Phase where novice nurse begins to understand the culture, experiences less anxiety… healing begins
Recovery Phase
Phase where nurse adjusts to new environment, work expectations are easily met…
Resolution Phase
Native Runaway Rutter Burned Out Compassion fatigue Loner New nurse on block
Inappropriate approaches to dealing with shock phase:
Adopts ways of least resistance and mimics other nurses
Native
Real world is too difficult, leaves profession or returns to school w/ goal to teach nursing.
Runaway
Considers nursing just a job - shows up for the paycheck.
On the job retirees
Rutter
Bottles conflict, fatigued, depressed, angry
Looks chronically constipated.
More intelligent hard workers have this more often.
Burned out
decline in compassion from exposure to events of traumatized patients.
- can become biased & unfriendly
- make inappropriate comments.
Compassion fatigue
adopts attitude to “just do job & keep mouth shut”.
Loner
Changes jobs frequently & is always the new nurse.
new nurse on block.
How many stages in from novice to expert
5
Stage ?
- Nurses with few clinical experiences
- Skills are learned by rote
- Occurs when nursing education is completed
Stage 1
Stage ?
- Able to perform adequately
- Make some judgement calls on basis of experience
- occurs on entry to workforce
Stage 2
Stage ?
- Competent nurses
- Able to foresee long-range goals
- Mastering skills
Stage 3
Stage ?
- Proficient nurses
- Views situations as whole rather than parts
- Develop effective solutions
Stage 4
Stage ?
- Expert nurses
- Intuition & decision making are instantaneous
Stage 5
Special needs of novice nurses:
__________: lack of comfort w/ interpersonal skills
Interpersonal skills
Special needs of novice nurses:
______: Doubt in ability to perform skills without supervision.
Clinical skills
Special needs of novice nurses:
_____________: feeling disorganized.
Organization skills
Special needs of novice nurses:
________________: uncertainty w/ delegation
delegation skills
5 Strategies to Ease Transition
1- Mentors & Role Models 2- Preceptorships 3- Self-Mentoring 4- Residency Programs 5- Preprofessional and professional organizations
Assessing clients, planning therapeutic interventions, coordinating & evaluating care.
Care provider
Teaching health promotion and health maintenance.
Educator and counselor
Promoting what is best for the client; protecting the client’s rights.
Advocate
Identifying client & health care delivery problems.
Assess motivation & capacity to change
-leading change process
Change agent
Improve health status and potential of individuals, families and communitites.
- manage multiple resource in health facility
- Educate citizens & legislators
Leader and manager
Leading or participating in nursing research
Researcher
- Coordinate practice relationships among several health care disciplines.
- use successful health care team models.
Coordinator of interprofessional team
2 Hospital Opportunities for Nurses
- Infection Control Nurse
- Quality Management Nurse
Nontraditional Roles in Nursing
- role of the community health nurse in helping patients remain in homes.
- Can administer chemo, radiography, telemetry, uterine monitoring, dobutamine.
Home Care Nurse
Nontraditional Roles in Nursing
- minimum of masters degree
- competent in clinical practice
- Expectation of teaching, scholarship, service to community
Nurse Educator
Nontraditional Roles in Nursing
- Masters degree generalist
- oversees care of distinct group of patients in any setting
- provides direct pt. care in complex situations
- evaluates pt. outcomes
- puts EB into practice
Clinical Nurse Leader
Nontraditional Roles in Nursing
- Assess & manage nursing & medical problems.
- Emphasis on prevention & health promotion.
Advanced Practice Nursing (APN)
APN
-possess clinical expertise in defined area of nursing practice
clinical nurse specialist
APN
-Provides anesthesia and anesthesia-related care on request, assignment or by referral.
Certified registered nurse anesthetist
APN
-manages womens health care, focus on pregnancy, childbirth, postpartum
Certified nurse-midwife
-Unites the leadership perspective or professional nursing w/ various aspects of business and health administration.
Nurse Administrator / Executive
APN
- Expert in advanced nursing practice who has an earned clinically focused doctorate in nursing.
- variety of specialty areas
Doctor of Nursing Practice (DNP)
