image and power in nursing n 491:22 class 2 january 13, 2010 judith anne shaw, ph.d., r.n

Image and Power in Nursing

N 491:22 Class 2

January 13, 2010

Judith Anne Shaw, Ph.D., R.N.

Overview of Class 2

Image of Nursing

Self-Image

Image Building

Power in Nursing

IMAGE

Two Views of Nursing

Internal Image

External Image

Two Views of Nursing

Internal Image

1. how nurses seethemselves as individuals

2. how nurses envision

the profession

External Image

1. views presented to

impress potential students, legislators, the public...

Changing the Image of

Nurses & Nursing

What have been the past efforts of changing the image of nurses and nursing ...?

Past Strategies for Change

The focus has generally been on changing the nursing profession.

Has this strategy for change been effective?

Hint #1...

To change a large group requires a concrete plan that is effective over time

Hint #2...

The basic image of the nursing profession has already been established

Your answer is,

‘no’,

changing the image of the nursing profession has not been sufficiently effective

A More Efficient Strategy of Change

Changing the self-image of the individual nurse

Self Image Model for the Nursing Profession

A B C D

Thoughts & Self-Image Actions & Image ofBeliefs of of the Performance Nursingthe Nurse Nurse & Achievement

Profession of the Nurse

(A) The Nurse’s Thoughts & Beliefs leads to (B) Self-Image of the Nurse

A B C D

Thoughts & Self-Image Actions & Image of

Beliefs of of the Performance Nursing

the Nurse Nurse & Achievement Profession

of the Nurse

(B) Self-Image leads to (C) the Nurse’s Actions, Performance & Achievements

A B C D

Thoughts & Self-Image Actions & Image of

Beliefs of of the Performance Nursing

the Nurse Nurse & Achievement Profession

of the Nurse

(C) Nurse’s Actions, Performance & Achievements lead to(D) Image of Nursing Profession

A B C D

Thoughts & Self-Image Actions & Image of

Beliefs of of the Performance Nursing

the Nurse Nurse & Achievement Profession

of the Nurse

Direct Linkage (bi-directional)(B) Self-Image of the Nurse &(D) Image of the Professional

A B C D

Thoughts & Self-Image Actions & Image of

Beliefs of of the Performance Nursing

the Nurse Nurse & Achievement Profession

of the Nurse

Will nurses want to improve their self-image?

Definitions of Terms

Self-image or self-concept: set of beliefs and mental picture you hold about yourself.

Self-esteem: how much you like or approve of your self-concept.

Ideal self-concept: the mental picture of the person you believe you should be.

Self-Concept, Ideal Self-Concept & Self-Esteem

Individual’sSelf-Concept(Self-Image)

DifferenceBetween Individual'sIdeal Self-Concept Self-

Esteem& Self-Concept

Individual’sIdeal Self-Concept(Self-Image)

High Self Esteem

Difference between Individual’s

Ideal Self-Concept & Self-EsteemSelf-Concept

Low Self-Esteem

Difference between Individual’sIdeal Self-Concept Self-Esteem& Self-Concept

Image Building

Image Building

a processknowing oneselfbeing positive about one’s self

image, leading to a better chance of increasing one’s self-esteem & enjoying a meaningful, happy life

(Hugh Prather)

Image Building

Remember-

“… no one can make you feel inferior without your consent…”

(Eleanor Roosevelt)

Do you think that nurses ... nursing has image problems?

‘Can Do’ Attitude

what can the nurse do to change self- image?

what can the nurse do to change the image of the profession?

We always act like the person we believe ourselves to be

Everything we do is consistent with our self-image/self-concept

Do you believe...

… if you think it, you can attain it?

Consider

if any idea enters your mind, you literally have the ability to accomplish it.

The only factors that stand between you and your goals are perseverance, hard work, and a willingness to take risks.

Chinese proverb:

I hear … and I forget

I see … and I remember

I do … and I understand

Success:

Doing the best we can with what we have.

Success is in the doing not getting--- in the trying not the

triumph Wynn Davis

ExperienceHeredityEnvironment

Thoughts,Beliefs Self-Image Actions

Performance

Gender SocializationReference Groups

Self-Image & Achievement

Self-Image Ability to PerformanceTake Total AchievementResponsibility

(Tracey, 1993)

Positive Self-Image

Internal imaging

Ask yourself...

What does internal imaging and assuming total responsibility mean to you?

How do you develop a positive self-image, despite past experiences?

One Conceptualization of SUCCESS

80 % one’s thoughts or attitudes

10-15% aptitude

5-10% luck and hard work/self

INCREDIBLE NEWS

90% of your potential is not only

untapped and unused, but also undiscovered.

(Tim Hansel, 1985)

Steps to Professional Development

1. Make decision to take total responsibility

2. Define a professional goal that you will accomplish within the next year

3. Make a professional self-assessment

Steps to Professional Development

4. Develop and write incremental goals towards one year goals

5 Program your mind to accomplish established goals and objectives

The Image of the Nursing Profession

…is based on the individual nurse.

Image of Nursing: The Media

What is your interpretation of the portrayal of nurses in the TV series:

Grey’ Anatomy

ER

House

Image of Nurses:the Internet

What is your interpretation of the portrayal of nurses on the

internet?

The Nurse Creating a New Image

Value nursing and image it daily

Take yourself seriously and dress the part

The Nurse Creating a New Image

Recognize the value of caring, health promotion, health teaching, and illness care

Believe in yourself and your colleagues

(Andrews)

CHALLENGE

Provide a 30-second ‘elevator’ speech: Your role as a professional nurse.

CHALLENGE

Communicate how you have made a difference for patients in your care.

The Image of the Nursing Profession

…is based on YOU as the individual nurse.