lecture 7: strengths

strengths of mindset: mindfulness, humility, open-mindedness, non-judgemental attitudes

strengths of knowledge and knowing: curiosity + self reflection

strengths of relationships

strengths of advocacy: courage + self-efficacy

Skills required to connect with patients and maintain caring relationships.

Paying attention to what one is doing, what one is feeling. Being fully present.

- knowing what one knows and doesn't know

- acknowledging mistakes, limitations, gaps in knowledge

- appreciation for another persons contribution

actively seek out diff ideas, open to diff opinions

show tolerance for another person's beliefs, values, perspective

Leads to a deeper understanding of

situation.

Ask open –ended questions.

Try to discover “why” behavior is happening.

Examine critically one’s own thoughts, emotions, and actions.

Respect and trust.Empathy.Compassion and loving kindness. Ø Emotional Intelligence

Daniel Goleman (1995) defined emotional intelligence as a set of abilities.

Ability to:

Ø  motivate oneself

Ø  persevere in the presence of frustrations

Ø  control impulses and delay gratification

Ø  regulate one’s emotions

Ø  manage distress

Ø  have empathy for others

Ø  to possess hope

standing up to one's beliefs

taking risks

Person’s belief that she can perform a behaviour that will produce a desired outcome. “I can do it”.

Determinant of whether a person attains her desired goals.

a systematic way of thinking about our actions and responses that contributes to a transformed perspective or the reframing of a given situation or problem that determines future actions and responses.

need to be aware of their own strengths, vulnerabilities and weaknesses

need to be aware of how their behaviours affect ppl

self awareness helps nurses understand why they behave certain ways

self awareness is an important element in growth and development of being a professional

reflection on action: going over in ur mind an event that happened; what went well, what didn't, coming up with more effective actions for the future

reflection in action: examining ur behaviour + behaviour of others as the event is occurring

anticipatory reflection: before event takes place - involves planning of event and reviewing possible scenarios

description: what happened? (context: who, what, when)

feelings/thoughts: what were you thinking/feeling? (I.e. self awareness)

evaluation: what went well and what didn't? (consider judgments)

analysis: what sense can u make out of situation? (break down)conclusion: what else could you have done? (what have you learnt)

action plan: if it arose again what would you do?

leads to greater self awareness

contributes to flexibility of thinking

greater satisfaction

every situation becomes opportunity to learn

be open minded

be curious

have sense of inquiry

open to changing perspective

willing to challenge assumptions

not be defensive

biological: what in our body is working well? (I.e., moving, talking, breathing, seeing)

psychological

social

wisdom + spiritual

emotional

character

creative

relational + nurturing

educational

cognitive

work related + provider

use of resources

survival skill

developing entities

can be developed through learning

coexist with weaknesses

related to goals

defined by context + circumstance

multi-dimensional

can be depleted and replenished

are transferable

are personal constructions

resiliency

- ability to adapt effectively in face of threats to development

- ability to withstand, rebound, and recover

to be resilient you need to possess strengths

by dealing with challenges, ppl discover their strengths; they develop new skills and in turn become more resilient

when ppl have large reserve of strengths, they are better equipped to adapt to challenges

spiralling process

exploring + getting to know

- assess for weaknesses

- focus on uncovering strengths

- create conditions for collaborative partnership

- establish trust

- explore health problems

- explore pt beliefs to health problem

what have you tried so far?

how are the Sx affecting your life?

how long has this been an issue?

what are you most worried about?

what would you like to see happen?

nurse role: guides, listens, clarifies, understands

pt role: provide info, clarify

nurse expertise: health situation, Tx regimes

pt expertise: their situation, their meaning, past coping, strengths/weaknesses

1: continuously look for strengths

2: get in touch with ur 1st impressions

3: sensing, recognizing, noticing strengths

4: becoming attuned

5: ask ppl directly abt their strengths

6: complete genogram + ecomap

7: offer commendation

8: ask abt strengths developed through past challenges

Nurse needs to have a strengths-based “mindset”, they need to be listening for, observing for, and be attuned to patient's qualities/capacities that could be considered strengths.

Even before the nurse meets the patient, they may begin to form an impression of the patient, based on reports, notes, knowledge of a disease process or diagnosis, etc

As the patient/family express their concerns and explain their story, the nurse listens and makes note of their strengths/capacities/qualities, as well as how they’ve coped with past challenges, transitions and tragedies.

the 3 forces that govern human development:

Regulation + self-regulation – How are they responding emotionally and physiologically to their circumstances/ situations?

Attachment + relationships – How do they seek out, develop and maintain relationships with other people?

Coping – Do they have strategies and strengths to overcome this illness or present health challenge?

The nurse has to listen for and discover strengths that are within each unique individual/family.

Requires some effort and commitment from the nurse.

Observe, notice and sense a patient’s patterns of responding, search for clues and evidence of strengths.

Some pt may be able to answer directly, others might need clarification:

What do you think you do well?

What do you think is working (in your body, relationships, other

aspects of your life)?

What resources are available to you and your family?

What do friends or others tell you about what you do well?

What makes your family unique or special?

Tell me about a time you felt proud of yourself/your family?

A genogram is a visual representation of the members in a family and the nature and patterns of their relationship.

An ecomap is a tool that depicts a person’s social network, including friendships, extended family, neighbours, work, health care system, religious or community affiliations, etc

Commendation is when you provide positive feedback regarding a behavior or strength

Observing for, and listening to the person’s response to commendation:

What does their body language indicate?

What is their verbal response?

What is the fit between the person’s body language and their verbal response?

Commending patients can give you insight into how a person feels about himself, his abilities and his strengths.

Can ask a pt directly about how they successfully responded to and overcame past challenges.

Questions might include:§ Tell me about another difficult situation you dealt with in the past? § What helped you get through the situation?

Part of the nurse’s assessment includes noting if the pt developed and grew as a result of past challenges. Were they transformed? Did they remain unchanged, regress or struggle to meet the challenges?

zeroing in

nurse must step back in order to gain perspective. Work with the pt to identify goals and then prioritize them.

Clarify with the pt what they would like to see happen.

Decide together which goals are most important and most achievable

Create conditions to help the pt manage their problem.

Ø Must consider the person’s readiness to learn.

Ø Identify strengths that person may be lacking to reach one’s goals.

nurse role: help identify + prioritize goal

pt role: identify goals + prioritize them

working out

Involves putting the plan into action

Involves making time with patients to take stock of where things are, what progress has been made, what has been learned, and what is sill left to do.