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?

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

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

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

How does finding meaning contribute to preventing burnout in nursing?

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

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

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

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

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

List two physical activities recommended for renewing energy.

Dancing and walking/running. Signup and view all the answers

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

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

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

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

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

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

What role does play and humor have in personal renewal?

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

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

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

Suggest one strategy for renewing mental energy.

Journaling or listening to music. Signup and view all the answers

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

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

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

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

Define resilience in the context of nursing.

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

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

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

How does humor contribute to a nurse's resilience?

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

What role does reflective practice play in nursing resilience?

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

Explain the importance of assertive communication for nurses.

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

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

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

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

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

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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Description

This quiz explores Chapter 30 of the American Nurses Association's Code of Ethics, focusing on the importance of self-care and resilience among nurses. Key aspects include maintaining a healthy lifestyle, nurturing relationships, and the ethical responsibility nurses have in their own well-being. Concepts of resilience and mindful practices are also discussed.