Nursing Ethics Chapter 30: Self-Care & Resilience

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Questions and Answers

What are two key strategies a resilient nurse should practice to enhance their well-being?

Practicing forgiveness and letting go of stress.

Describe the mindset typically experienced during the Shock Phase of reality shock.

There is anger, frustration, disappointment, and a negative life view.

What are the three competencies proposed by Guterman for achieving life balance?

Creating Success, Finding Meaning, and Renewal.

What does the Recovery Phase of reality shock entail for a new graduate nurse?

<p>It involves recognizing different perspectives and regaining a sense of humor.</p> Signup and view all the answers

What are the potential behaviors observed in the Resolution Phase of reality shock?

<p>Job changes, returning to school, quitting nursing, or experiencing burnout.</p> Signup and view all the answers

How does finding meaning contribute to preventing burnout in nursing?

<p>Finding meaning helps nurses control their attitudes toward life's challenges, reducing feelings of burnout.</p> Signup and view all the answers

What is the significance of renewal in maintaining personal wellness for nurses?

<p>Renewal is necessary to sustain personal wellness and nurture interpersonal relationships.</p> Signup and view all the answers

List two tips for new graduates to help with their orientation process.

<p>Inquire about orientation length and do thorough homework on the organization's philosophy.</p> Signup and view all the answers

List two physical activities recommended for renewing energy.

<p>Dancing and walking/running.</p> Signup and view all the answers

What is the purpose of the NURSES mnemonic in the context of reality shock?

<p>It serves as a guide for new graduates to seek help and utilize resources effectively.</p> Signup and view all the answers

Why is it important for new graduates to avoid being defensive when testing their skills?

<p>It helps to build positive relationships and foster collaboration with colleagues.</p> Signup and view all the answers

Why is it important for nurses to take care of themselves?

<p>It is important to care for themselves in order to be present for their patients.</p> Signup and view all the answers

What role does play and humor have in personal renewal?

<p>Play and humor add joy and help shift mood, contributing to energy renewal.</p> Signup and view all the answers

What should new nurses focus on to establish their competence in the workplace?

<p>Gaining a reputation for skill competence and strong interpersonal relationships.</p> Signup and view all the answers

Suggest one strategy for renewing mental energy.

<p>Journaling or listening to music.</p> Signup and view all the answers

What is the idea of 'Living Legacy' in the context of nursing?

<p>It emphasizes being fully present for patients while managing personal wellness.</p> Signup and view all the answers

What does the American Nurses Association's Code of Ethics 2015 mandate for nurses regarding self-care?

<p>It mandates that nurses should engage in practices such as eating a healthy diet, exercising, getting sufficient rest, and maintaining personal relationships.</p> Signup and view all the answers

Define resilience in the context of nursing.

<p>Resilience in nursing refers to the ability to adapt to adversity, trauma, and stress, essentially 'bouncing back' from challenging experiences.</p> Signup and view all the answers

List two practices that can enhance a nurse's resilience.

<p>Mindful practices and establishing support systems are two effective resilience-enhancing practices.</p> Signup and view all the answers

How does humor contribute to a nurse's resilience?

<p>Humor helps nurses keep perspective and prevents them from taking themselves too seriously.</p> Signup and view all the answers

What role does reflective practice play in nursing resilience?

<p>Reflective practice allows nurses to learn from their experiences and continuously improve their skills and professionalism.</p> Signup and view all the answers

Explain the importance of assertive communication for nurses.

<p>Assertive communication is crucial for nurses to set boundaries and establish their professional identity.</p> Signup and view all the answers

What are some ways in which nurses can find meaning in their work?

<p>Nurses can find meaning through new skills, connecting with clients, and cultivating compassion and gratitude.</p> Signup and view all the answers

Mention one method of self-care that nurses are encouraged to practice.

<p>One method of self-care is practicing relaxation techniques, such as yoga or breath work.</p> Signup and view all the answers

Flashcards

Resilient Nurse

A nurse who can adapt to and bounce back from stressful or challenging situations in their professional and personal life.

Mindful Practices

Being present in the moment without judgment, understanding your own strengths and weaknesses.

Authenticity

Being true to yourself, using your strengths, and being open to learning.

Reframing

Finding the lesson in a problem, changing negative thoughts to positive ones.

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Humor

Using humor to keep perspective and not take yourself too seriously.

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Support Systems

Having people you trust to turn to for help and support.

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Collaboration

Working together with other healthcare professionals for better patient care.

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Self-Care

Taking care of your physical, mental, and emotional well-being to prevent burnout.

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Reality Shock

The feeling of disillusionment and stress that new graduates experience when transitioning from the academic setting to the real world of nursing.

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Honeymoon Phase

The initial phase of reality shock where the new graduate is enthusiastic and excited about their new role.

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Shock Phase

The phase where the new graduate realizes that nursing is not as they expected and experiences frustration, anger, and disappointment.

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Recovery Phase

The phase where the new graduate begins to adjust to their new role and develops a more realistic perspective.

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Resolution Phase

The phase where the new graduate has resolved the conflict between their academic expectations and real-world nursing experiences.

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NURSES Mnemonic

A mnemonic device used to remember transition strategies for new graduates: Never fail to ask for help, Use available facility resources, Reenergize with professional associations, Stay in contact with friends, Evaluate your own growth realistically, Stay focused on your goals.

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Inquire about orientation length

When interviewing for a job, ask specifically about the length of the orientation program provided for new graduates.

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Do your homework

Before accepting a job, research the organization's philosophy, mission statement, and history.

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Generative Balancing

A model for achieving life balance focusing on three key competencies: Creating Success, Finding Meaning, and Renewal.

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Creating Success

The competency of setting goals and envisioning the desired outcome.

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Finding Meaning

The competency of finding purpose and significance in life, especially important for nurses to prevent burnout.

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Renewal

The competency of recharging energy and maintaining personal well-being, crucial for sustaining healthy relationships.

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Belonging to People

A key factor in finding meaning in life, connecting with others and feeling part of a community.

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Accepting Pain as a Part of Life

An essential element of finding meaning, recognizing that challenges are inevitable and learning from them.

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Making a Difference

A crucial aspect of finding meaning, leaving a positive impact on others and knowing your actions matter.

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Living Legacy

The concept of leaving a lasting impact on others through meaningful contributions and actions.

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Study Notes

Chapter 30: Continuing the Commitment to the Journey

  • The American Nurses Association's Code of Ethics (2015) emphasizes self-care for nurses.
  • Nurses should prioritize a healthy diet.
  • Regular exercise is important for well-being.
  • Sufficient rest is important to maintain physical health.
  • Maintaining strong family and personal relationships is crucial.
  • Engaging in leisure and recreational activities promotes a balanced lifestyle.
  • Addressing spiritual and religious needs is essential for holistic well-being.

Putting it all Together (Self-Care)

  • Nurses should be aware that caring for themselves is an ethical responsibility, not selfish.
  • Making time for self, family, and friends is not selfish.

What is a Resilient Nurse?

  • Resilience is a process of adapting to adversity, trauma, and stress in professional and personal life.
  • Resilience is "bouncing back" from challenges.

Practices of the Resilient Nurse (Mindful Practices)

  • Being present in the moment without judgment.
  • Supporting critical thinking.
  • Authenticity (being true to yourself).
  • An openness to learning and growing.
  • Reframing challenges to find lessons.
  • Cognitive restructuring of negative beliefs.
  • Acknowledging the human condition.

Practices of the Resilient Nurse (Using Humor)

  • Using humor to maintain perspective.
  • Avoid taking yourself too seriously.
  • Support systems for emotional support such as professional team.
  • Seeking safe, competent, compassionate healthcare.

Practices of the Resilient Nurse (Practice Self-Care)

  • Relaxation techniques.
  • Imagery.
  • Yoga
  • Breath work.
  • Adequate sleep.
  • Managing chronic illnesses.
  • Finding meaning in work.
  • Connecting with clients, family, and colleagues to gain empathy and appreciation.

Practices of the Resilient Nurse (Reflective Practice)

  • Learning from personal experiences.
  • Assertive communication to set professional boundaries.
  • Toughening up to bear witness to suffering.
  • Listening empathetically.
  • Seeking positive perspectives.

Practices of the Resilient Nurse (Practice Forgiveness and Nonjudgment)

  • Forgiveness of self and others.
  • Taking a break to recharge.
  • Prioritizing personal needs like sleep, good meals, and walks.
  • Start the next day with a new perspective.
  • Wondering about challenges instead of worrying.

Reality Shock: The Transition From Student to Graduate

  • Phases of reality shock include a Honeymoon Phase (enthusiasm, excitement, energy) and a Shock Phase (realizing that nursing isn't as expected, frustration, fatigue critical thoughts).
  • A recovery phase may follow (realization that there are multiple perspectives in the work situation; developing a sense of humor).
  • A resolution phase may occur (reconciling with conflicts between subcultures of school and work; handling values and expectations).
  • Tingle (2001) suggests strategies: NURSES (Never fail to ask for help!, Use available facility resources!, Reenergize with professional associations!, Stay in contact with friends!, Evaluate your own growth realistically!, Stay focused on your goals!).
  • New graduates should inquire about orientation length, research organizations, assess organizational values, gain skills and interpersonal relations, and seek support.
  • Expect challenges, being defensive is avoid and acknowledge the stress experienced by others while empathizing with them.
  • Maintain personal reflections through journaling.

Three Competencies for Achieving Life Balance

  • Generative balancing is a model (Guterman, 1994) for achieving life balance.
  • Creating success (goals, vision).
  • Finding meaning (prevent burnout by recognizing that events are not controllable).
  • Renewal (necessary for well-being, relationships, and adding a positive dynamic).

“Living Legacy”

  • Nursing is about patient care; therefore, nurses must care for themselves.
  • Self-care is essential for effective patient care.
  • Set realistic expectations and avoid trying to meet impossible standards.

“Living Legacy” Responses From Expert Nurses

  • Communication is important for new graduates.
  • Experiences can often teach valuable lessons.
  • Wisdom gained from experience is valuable.

Strategies for Renewing Energy

  • Physical activity (find something you enjoy).
  • Mind renewal (music, movies, books, art, play).
  • Spiritual renewal (reading inspirational material, contemplate, silence).

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Chapter 30: Continuing the Commitment to the Journey PDF

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