LDMG Mod 4 Professional Identity

Professional identity in nursing

A nurse’s sense of self shaped by the values, norms, and expectations of the nursing profession

What behaviors indicate a strong professional identity?

Thinking, acting, and feeling like a nurse; ethical practice; accountability

How does professional identity develop?

Through clinical experiences, reflection, and role modeling

Role of reflection in professional identity

Helps nurses integrate experiences into professional growth

Meaning of “flourishing” in nursing

Ongoing personal and professional growth

Erikson’s contribution to professional identity

Psychosocial development across the lifespan

Piaget’s contribution to professional identity

Cognitive development influencing decision-making

Kohlberg’s theory relevance

Moral development guiding ethical reasoning

Bandura’s social learning theory

Learning professional behavior by observing role models

Mezirow’s transformational learning

Perspective change through reflection and experience

Crigger & Godfrey’s theory

Professional transformation through ethical practice

One way nurses strengthen professional identity

Accept accountability for lifelong learning

Why self-care is essential to professional identity

Supports ethical practice and resilience

Definition of horizontal/lateral violence

Hostile or aggressive nurse-to-nurse behavior

Is lateral violence usually physical?

No, it is typically psychological or emotional

“Nurses eating their young” refers to

Horizontal/lateral violence

Example of lateral violence during handoff

Eye-rolling, sighing, interruptions

Micro-managing as lateral violence

Excessive control meant to undermine another nurse

Withholding information is considered

A form of sabotage

Social isolation as lateral violence

Excluding someone from communication or teamwork

Difference between unintentional vs intentional acts

Thoughtless vs deliberate harmful behavior

When lateral violence becomes bullying

When behaviors are repeated and patterned

Why healthcare environments foster lateral violence

High stress, competition, oppression

“I went through it, so should you” reflects

Normalization of abuse

Psychological effects on victims

Anxiety, depression, burnout

Physical effects of lateral violence

Sleep disturbances, stress-related symptoms

One effect on nursing units

Decreased morale and job satisfaction

One effect on healthcare institutions

High turnover and lost productivity

Impact of lateral violence on patient safety

Increased errors due to poor communication

How lateral violence undermines patient trust

Patients sense hostility among staff

Primary targets of lateral violence

New nurses, floats, nursing assistants

How lateral violence affects nursing students

Disrupted learning and professional identity formation

Leadership responsibility in lateral violence

Enforce zero-tolerance policies

Why leaders must encourage reporting

To prevent retaliation and ensure safety

Staff responsibility when witnessing bullying

Speak up and report the behavior

Why nurses must break the cycle

To protect future generations of nurses

ANA stance on workplace bullying

Nurses have the right to a safe work environment

Joint Commission 2009 standards require

Codes of conduct and reporting mechanisms

Purpose of a Just Culture

Promote safety through open communication

Ethics definition

Study of morality

Morality definition

Social standards guiding behavior

Relationship between ethics and law

Law is the minimum ethical standard

Legal standards in nursing include

Negligence, malpractice, standards of care

Professional ethics

Values guiding organizational behavior

Bioethics focus

Ethical issues in biology and technology

Clinical ethics focus

Ethical decisions at the bedside

Research ethics focus

Ethical conduct of research

Ethical principle: nonmaleficence

Do no harm

Ethical principle: beneficence

Act in the patient’s best interest

Ethical principle: justice

Fair and equal treatment

Ethical principle: fidelity

Keeping promises and commitments

Ethical principle: respect for persons

Honor autonomy and dignity

Ethics of duty

Doing what is morally right

Ethics of consequence

Greatest good for the greatest number

Ethics of character

Based on lived experience and reflection

Ethics of relationship

Moral obligation within relationships

Ethical decision-making in healthcare

Involves committees and compliance officers

Why ethical decisions are not made alone

To ensure consistency and accountability

Common nursing ethical dilemmas

End-of-life care, restraints, staffing

Moral distress definition

Inability to act according to moral values

One cause of moral distress

Working with incompetent practitioners

Emotional response to moral distress

Guilt, anger, anxiety

Long-term impact of moral distress

Withdrawal and burnout

Best way to reduce moral distress

Ethical support and open communication