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As nursing students, we were challenged to embark on a journey of self-change by using the trans-theoretical model (TTM) of behavioural change (Prochaska & DiClemente, 1982) and critically reflecting on the experience. The aim of this assignment was for us to experience similar challenges as the ones clients may face when addressing a target behaviour while preparing us for the clinical setting as it pertains to course concepts. In order to achieve this, we were asked to choose one health behaviour, create a change agenda, and write two critical reflective journals about this journey. I chose to focus on my anxiety issues since this behaviour has serious effects on several aspects of my life, including my personal, professional, social and school life. Through this paper, I critically explore the stages of change and how it applies to my health behaviour, my feelings, what I have learned so far about the process of change, and what steps I will be taking in order to move forward with my change agenda.
Trans-theoretical Model and Current Behaviour
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Prochaska and DiClemente (1982) identified five distinct and time-related stages of change in the following order: Precontemplation, Contenplation, Preparation, Action, and Maintenance. Using the Change Agenda Worksheet (see Appendix A), I recognized myself as belonging in the Contemplation stage of change. In this stage, people become aware of the need to change a target behaviour, but they have not yet developed a plan of action (Prochaska, 1996). This applied to me, as I was well aware that I needed to address my anxiety but lacked a concrete
This section discusses health psychology and behavioral medicine, making positive life changes, resources for effective life change, controlling stress, behaving, and your good life. Health psychology emphasizes psychology’s role in establishing and maintaining health and preventing and treating illness. It reflects the belief that lifestyle choices, behaviors, and psychological characteristics can play important roles in health. The mind is responsible for much of what happens in the body, it is not the only factor, the body may influence the mind as well. Making positive life changes include health behaviors- practices that have an impact on physical well being. The stages of change model describes the process by which individuals give up bad habits and adopt healthier lifestyles. The model has five stages: precontemplation, contemplation, preparation/ determination, action/ willpower, and
The nursing key challenges chosen for this essay include professionalism, preparation, personal factors, competency factors, patient-centered care and job satisfaction. These nursing challenges will be thoroughly discussed and supported by current evidence-based research and nursing literature. Transition is defined as a process or period of change from one state or condition to another (Oxford, 2016). In relation to nursing students, it is also defined as students transitioning from one program to another (Oxford, 2016). It is important that students have the ability to be competent in a clinical setting.
The nurse who chooses to return to school is secure, is not afraid to face change, and views education as preparation for the future (Altmann, 2011). Nonetheless, returning to school can cause disruption, which may lead to feelings of self-doubt. Developing coping strategies helps to alleviate these concerns. Personally, the decision to continue my nursing education revolves around my job. As an advocate for the mental health population, I want to become a leader who influences the future of mental health services in our region; education will help me achieve these goals.
For many, change is a cause for ignorance. Most of us fear the idea of change. When one is faced to deal with c...
The purpose of this Reflective assignment is to demonstrate how the application of the Registered Nurses standards for practise (2016) can be used in reflective practise. The Registered Nurses standards of Practise (2016) states that RN’s should develop their practise through reflecting on experiences, knowledge, actions, their feelings and beliefs and recognise how these factors shape professional practise(RNSP, 1.2).Reflection allows individuals to look back on their day-to-day situations and how they made us react and feel; what we would change if we had the chance, to create a different outcome; and what we would do next time to enhance the way we conduct ourselves in a professional manner.
This health behavior change helps to target my lifestyle and diet. By implementing at least 30 minutes of physical activity and not resorting to junk food immediately after, will help increase my self-esteem and body image. The theory that I have chosen to apply to my behavior change is the Transtheoretical Model. The theory is based on the constructs of stages of change, process of change, and self-efficacy. The five stages of changes include; pre-contemplation, contemplation, preparation, action and maintenance (Hayden, 2014). Where I am at in the stages of change would be under the contemplation process. The contemplation stage is an individual assessment that looks at the pros and cons of this behavior change. When someone decides to change,
As I reflect on this paper, I realize that it is okay to feel a certain way when going through change. As a matter of fact, I have spoken to one of my peers who will also be applying to the nursing program this upcoming Fall and it turns out that she has also been feeling this way. I am not alone in this like I thought I was. I have realized that whatever is worth it, will not come easy. It is going to be an emotional roller coaster filled with doubts, excitement, success, let downs, but in the end it will definitely be worth it. I will be the nurse that I aspire to be.
...nagement behaviors. Individuals can move through a series of stages of readiness in the change of a healthy behavior or managing stress. If you cope with change, you'll be valued as a person to yourself and to others.
This paper explores the personal philosophy I have as a nursing student and what I intend to convey throughout my nursing career. A philosophy is “an analysis of the grounds and concepts expressing fundamental beliefs (Merriam-Webster’s online dictionary, n.d.). Before entering into any profession it is important to evaluate your personal philosophy about the profession, as it pertains to values and principles in which believe in to guide your practice. The field of nursing is more than treating a physiological ailment, but it involves providing quality care for the individualized needs of each patient, hence being client centered. My philosophy of nursing integrates the importance of knowledge base practice of medicine, combined with addressing holistic needs of the patient and family, including the physical, psychological, cognitive, emotional, spiritual and social care (Scottish Intercollegiate Guidelines Network, 2010). Additionally, a vital aspect of nursing is effective interpersonal relationships with other healthcare professionals to promote quality patient care. Moreover, my philosophy includes the importance the client-nurse relationship to aid in health promotion to prevent illness and increase the level of health of clients.
Rosen, C. S. (2000). Is the sequencing of change processes by stage consistent across health problems? A meta-analysis. Health Psychology, 19(6), 593-604.
The Immunity to Change Map is an examination of our current actions, thoughts or behaviors that prevent us from developing into a better version of ourselves. This process is not a simple exercise in divulging our behavioral aspirations. The ITC map is an in-depth methodology that highlights several aspects of understanding the issues behind an individual’s lack of success in reaching developmental goals. Once the improvement goal has been established, it is important to identify the counterproductive behaviors that work against the goal. The next step is an acknowledgement of the related personal stresses or issues, called a “worry box.” The worry box are the related fears that keep us from moving forward. Defining the “hidden competing commitments” is next in the process. Kegan and Laskow Lahey (2009) explain hidden competing commitments as items that that aid in our self p...
Clinical confidence, and independence are two components of nursing practice such that cannot be perfected through classroom education, self-study or by reading the evidence based literature. Throughout my nursing education, I have struggled with as many of clinical instructors have put it “being too hard on myself”. Morrell & Ridgway (2014) highlight how students’ perception of a lack of knowledge often contributes to ongoing anxiety. My tendency of being highly critical of my abilities, and having a consistent sense of anxiety associated with practicing independently has been an ongoing challenge for me. Reflecting upon how I have coped with the challenges of developing, and maintaining clinical confidence is
The human becoming theory posits quality of life from each person's own perspective as the goal of nursing practice. It is a human science theory that views individuals as an open, unitary and free-willed beings that co-creates their health and interact with their environments. The human becoming theory views nursing as a basic science with a unique knowledge base. Parse defined unitary as the indivisible, unpredictable and ever-changing part of human that makes choices while living a paradoxical pattern of becoming in mutual process with the universe (Parse, 2004). Health is living one’s own chosen values; it is the quality of life experienced and described by the person and it cannot be given, guarded, manipulated, judged or diagnosed. It is a process of becoming that is unfolding and cannot be prescribed or described by societal norms but by the individual living t...
The case study focused on a nursing student named Jane, who described how she “absorbed her patient’s emotional trauma like a sponge” (Rees, 2012, pg. 321). Through reflective practice, Jane claimed she was able to “deal with the emotional challenges such as fear she frequently felt in practice” (Rees, 2012, pg. 321). Dr Rees findings established how reflection can help nurses manage their emotions, in order to help the individual gain strength to overcome emotions brought about by the practice of nursing. Clearly reflective practice assists a nurse in being a success throughout their
Reflection is an essential component in the development of professional competencies and critical thinking skills in nursing practice. Reflection in the context of nursing, has been described as a way of exploring an experience in order to look for the prospect of other explanations and alternative methods to doing things. It is through reflection that one can evaluate and identify their strengths and weaknesses to encourage both personal and professional growth and development. In this paper, I will be discussing how student nurses learn and develop from reflection, the emotional response and self-awareness as a nurse, and the appropriate way to reflect as a nurse.