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Reflection and self awareness in nursing
Reflection and self awareness in nursing
Strengths and limitations of resilience theory
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This essay will discuss the quality of resilience, it critical elements, and its effects; assessing its effectiveness in promoting reasonable and sincere responses to psychological and physical trauma. The first section of this essay will inspect and define the concept of resilience, showing its place in the realm of general health care while maintaining its individuality as a characteristic of personal psychological well being. The following section will dictate the risk and protective factors both innate and imposed that encourage or prevent a resilient character arising as a result of physical or psychological trauma. The final section of this essay will explain the components of resilience that influence health care workers and patients, …show more content…
Through the appropriate educating of healthcare professionals in preventative and coping measures towards stress, communication is improved as well as worker self-awareness, allowing for increased patient care and safety (Pipe et al., 2011). This is often achieved through workplace seminars and/or general employee availability to workplace counsellors, promoting risk awareness and planning and preparation (Castleden, McKee, Murray, & Leonardi, 2011), allowing for the self-management of psychological health in events of shock and trauma. Training in resilience also promotes problem solving and persistence through encouraged self-reflection (Chen & 陳季員, 2011), characteristics crucial in the support of patient health. By self-reflecting, healthcare can recognise and solve psychological factors that may be inhibiting their work and/or their balance of their life outside of work. One example could be a nurse that has recently had a family member diagnosed with cancer, and as a result they had been neglecting regular clinical observations with one of their chemotherapy patients. Through the utilisation of resilient problem solving, the nurse is able to ask to swap patients with a co-worker, until they feel capable to professionally interact with the patient. Resilient responses, however , are not entirely fixed in consistency; they are often dictated by environment and resources (e.g. family members available, general physical health) and as a result of this subjective processing, responses will vary between patients (Southwick, 2011). This individual maintenance of resilience as a personal quality further justifies healthcare workers trained in effective coping mechanisms in order to provide an unbiased environment for unrestricted, unique, positive psychological responses. Overall, the
“I think there are things that we can do to build resilience in each other,” by Sheryl Sandberg a American technology executive. The topic of resilience is also in the book “The Pact”. The two main doctors with the most resilience are Sam and Rameck. How they both have resilience is that they both are able to bounce back from their hard times and become successful. The Pact is a story of three men Sam, George, and Rameck who persevere through life. The nonfiction book, The Pact, by Davis, et al, proves that resilience is made up of social support, altruism, and facing fear, and between the two doctors, Sam and Rameck, one shows more grit and resilience than the other.
This paper will also talk about the importance of self –care and what I would do, or things I could do to mitigate those biases and difficult reactions to clients and people that I am working with in a treatment team so that I am fully aware and not distracted by my personal reactions, to a case.
The focus of this model is for leadership to empower staff members with opportunities, information, support, and resources to facilitate engaged relationships that, in the long run, will facilitate staff in empowering patients by providing opportunities, support, information, and resources to reflect on their well-being. Opportunities being referred to in this model are training opportunities; training trauma-informed care. The model also requires that information be provided to increase understanding that behaviours such as self-harm in patients, can be as a result of a neurobiological response to trauma. In this way, the model follows patient centred care since it looks at the patients’ needs for effective treatment. Information about patient preferences is utilized to come up with a comprehensive list of physical, emotional, and cognitive responses to stress. The list focuses on triggers that can cause stress, calming activities and past experiences with restraint and seclusion. This follows quality improvement competency since patient data analysis enables the staff to come up with a better way to treat them. The model also emphasizes on teamwork by enhancing support. The theme of support refers to a collaboration between the staff and the leadership. Collaboration is achieved in schedule meeting and during shifts. There’s also the need for availability of patient’s
To complete this concept analysis, the concept was defined and a literature search was performed. For the purposes of the paper, role stress was the concept and it was defined as “any physical or psychological strain experienced by an individual, who needs greater abilities or resources than available, in order to perform the role which has revealed disparity to the expected role currently being practiced, through an appraisal” (Riahi, 2011, pg. 1). 725). These tools are not great for primary prevention needs (Riahi, 2011). Model Case A model case is an example that uses the concept and combines all the defining attributes of that concept and presented in the literature is the case of Nurse Sarah and nurse Joe.
Resilience currently a hot topic in many disciplines. Resilience is the ability to adapt or recover quickly during times of stress. Emergency room (ER) nurses deal with extremely busy, constantly changing and unpredictable work environments. Exposure to death, trauma, violence, and overcrowding contribute to the stressful environment. Resilience allows ER nurses to cope with a high stress work environment. ER nurses deal with intense situations that are physically and emotionally taxing. The occupational stress (OS) experienced by ER nurses often leads to burnout (BO) or posttraumatic stress disorder (PTSD). Resilience protects ER nurses from burnout and posttraumatic stress disorder. OS contributes to the high turnover rate for emergency
In less stressful environment, nurses able to incorporate caring relationship, improve interactions between patient and a nurse, and develop understanding of the other person’s perspective (Nicely, K, Sloane, D., Aiden, L., 2012).
“Vulnerability is at the core, the heart, the center, of meaningful human experiences” (Brown, 2014). Vulnerability can be regarded as a constant human experience that can be affected by physical, social and psychological dimensions (Scanlon & Lee, 2006; Malone, 2000) Deconstructing the concept of vulnerability and how it relates to client care is imperative for nurses due to their dynamic role in health care (Gjengedal et al.2013). In this paper I will provide a theoretical overview of the nursing concept vulnerability. I will explore how a thorough understanding of vulnerability informs the nursing concept of vulnerability and informs the nursing practice and the nursing profession. I will identify the gaps in the nursing
Nurses want to give complete and quality care, but are unable to, due to the constant needs of their workload and inadequate staffing. They have to prioritize their patients needs based on the most critical treatments first. Then whatever time is left, they fill in what treatments they can. Some reasons that nursing treatments are missed include: too few staff, time required for the nursing intervention, poor use of existing staff resources and ineffective delegation.” (Kalisch, 2006) Many nurses become emotionally stressed and unsatisfied with their jobs. (Halm et al., 2005; Kalisch,
In the health care environment, the concept of resilience is shown through the ability of a health care worker to deal with the many stressors that their profession
Critical incidents are snapshots of something that happens to a patient, their family or nurse. It may be something positive, or it could be a situation where someone has suffered in some way (Rich & Parker 2001). Reflection and analysis of critical incidents is widely regarded as a valuable learning tool for nurses. The practice requires us to explore our actions and feelings and examine evidence-based literature, thus bridging the gap between theory and practice (Bailey 1995). It also affords us the opportunity of changing our way of thinking or practicing, for when we reflect on an incident we can learn valuable lessons from what did and did not work. In this way we develop self-awareness and skills in critical thinking and problem solving (Rich & Parker 2001). Critical incidents ???
...lnerable to further risks; however, a person’s resilience can affect how they cope with being put in a vulnerable position (Edward, 2013). Furthermore, the ability of the nurse to provide excellent person centred care, using suitable interpersonal skills while showing compassion, can have a major impact on recovery (Dewar, Pullin and Tocheris, 2011).
Miller, C. (2011). An integrated approach to worker self-management and health outcomes: chronic conditions, evidence-based practice, and health coaching. AAOHN Journal: Official Journal Of The American Association Of Occupational Health Nurses,59(11), 491-501. doi:10.3928/08910162-20111025-02
The purpose of this paper is to review the theory of self-regulation and how it can be applied to practice in health care settings to improve patient outcomes. According to Johnson (1997), more than 25 years of research has influenced the development of the self-regulation theory, which is about coping with healthcare experiences. Health problems have shifted from acute to chronic where it has been identified that personal behaviors are linked to over half of societies chronic health problems (Ryan & Sawin, 2009). As the modern nurse strives to provide specialized care and improve patient outcomes, the utilization of nursing theory continues to gain importance. This theory explains how patients use specific types of information to cope with health care events thus providing a rational for selecting information that can be expected to benefit patients. The concept of self-regulation has been a part of nursing practice in a circumlocutory fashion for years. It has been most commonly referred to as self-management creating considerable ambiguity and overlapping of definitions for that term and self-regulation (SR). For the purpose of this paper these terms will imply that people follow self-set goals introduced by their health care provider.
Zander, M., Hutton, A., & King, L. (2013). Exploring resilience in pediatric oncology nursing staff. Collegian., 20(1), 17-25. doi: http://dx.doi.org.proxy.library.ohiou.edu/10.1016/j.colegn.2012.02.002
The role of nurses is constantly evolving. As a result, nurses need to develop resilience in their professional lives to respond to the competing demands of the service environment, quality and standard improvement of the client’s care, service update and demographic changes. Nurses be expected to continue their professional development to keep up and prove their decision-making competence to practice (NMC, 2004). Nurses are to keep up their commitment to learning for the purpose of nurturing their professional value and interpersonal skills, improving their leadership, management skills and team working to prove competence in decision-making, promoting the highest standard and best quality safe standard of care. With the commitment to fulfil