This assignment discusses the importance of resilience in nursing and how it can be developed. It explores the impact of resilience on providing high-quality care and overcoming challenges. The author shares personal experiences and reflections on building resilience in the nursing profession.
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Running head: RESILIENCE IN NURSING RESILIENCE IN NURSING Name of the student: Name of the university: Author note:
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1 RESILIENCE IN NURSING Introduction: Adversities are common unpleasant parts of life. Resilience is the ineffable quality, which knocks down the lives of individuals but at the same time allows them to come back being stronger than before (Thomas and Revell 2016). It is important for every individual in the present generation to find their ways to rise from the ashes rather than letting the failures and difficulties overcome them and drain their energies and affect their self-respect (McGowan et al. 2016). This attribute is considered to be one of the essential skills required for providing high quality nursing care that has positive impacts on the health conditions of the patient. This assignment would be a reflective one describing how I understood the importance of resilience and developed it over time.Moreover, Gibbs reflection cycle would be used for developing the reflective journal that will also shed light on the importance of this aspect of nursing on human care services. Description: During the initial days of my university, I had faced huge number of obstacles. I was not beingabletoadjustmyselfwiththeotherclassmatesandevenwiththenewlearning environment. Because of this, my grades were falling apart in the initial examinations and projects. This made others criticize my knowledge and skills stating that I would never be able to become a nurse. They stated that I could never gain knowledge and confidence required by professionals who provide care service to patients in times of their ailments. Such criticisms started affecting me and they reached to such an extent in course of time that I decided to leave pursuing my dreams of becoming a nurse leader in life. However, it was during such critical times, my parents had a detailed discussion with me, and they made me understand that failures are inevitable parts of life. Not being able to overcome such failures and withdrawing oneself
2 RESILIENCE IN NURSING from the motive is the real failure. Their strong words helped me look towards the better sides of failures and I developed a strong will to overcome all failures and proceed in life without feeling down. With the help and advice of my family members and well-wishers, I overcame all hurdles. My grades developed in course of time because of the attribute of resilience. Even during the time of my placements, I failed to meet the nursing standards in a number of incidents. I realized that I do not have enough clinical and non-pharmacological knowledge required to care for patients. These made me upset and disappointed and I started thinking that such gaps my affect the health of patients. Similarly, I lost my motivation and thought of withdrawing. I remembered the struggles that went on during the earlier part of my university years and how my resilience helped me overcome it. I got motivated and encouraged. I thought of not losing hope. Gradually, my confidence started to increase during the placement and made me learn many new insights into nursing. This helped me regain back my trust on my own skills and I became prepared to face the real world of healthcare again. Feelings: In the initial days of the university, I used to feel demotivated. I used to often get upset with myself as I could not successfully complete my assignments or meet up the requirements of the project like that of my classmates. I got frustrated when I saw that other classmates had successfully adjusted to the new learning environment and were handling the pressures well. These negative feelings gradually made me lose my confidence making me develop a feeling of withdrawing from all. Similar had been the cases when I was attending the placements. Repeated failures in meeting the quality standards and required treatment procedures for the patients made me feel not only upset and hopeless about myself but also guilty or not being able to ensure satisfaction of the patients. However, the strong words that were told to me by my parents had
3 RESILIENCE IN NURSING been my biggest strength and companion throughout the years that had helped me feel confident and overcome various struggles in lives. Evaluation: The bad part of the experiences was that it had initially affected my internal motivation and destroyed my self-confidence and self-esteem. I had gone through various difficult struggles to overcome the phase. However, these experiences have more positive aspects than that of negative aspects. These experiences taught me the importance of resilience. It is important for every individual not to concentrate on the failures but more on the ways of overcoming the failures, learning from the failures and then emerging out as more evolved individuals (Reyes et al. 2015). In the present days of competitive world, every professional irrespective of the industry he works, has to go through several struggles that might affect self-confidence, morale and will power. Succumbing to the pressure might lead to overall loss of the individual, as he can never reach the zenith of success that he had aspired in life (Rushton et al. 2017). In such situation, the attribute of resilience help an individual to overcome all such struggles. Thomas and Russelin (2018) are of the opinion that every healthcare provider has to face a number of stress as well as difficult situations while they provide care for patients. This puts the healthcare professionals at an increased risk of anxiety, depression, burnout and even stress-related illness. From this paper, it have been found that nurses especially are more prone to both psychological and physical disorders as nursing profession comes with high pressure situations and unique forms of stress. Lekan et al. (2018) had stated that resilience training and coping mechanisms are exceptionallyessentialformanagementofwork-lifebalancemainlyforthosewhoare responsible for delivering medical care. This is because their care is directly associated with the health quality and safety of the patients who had come to seek for their assistance. Hence, the
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4 RESILIENCE IN NURSING incidences that I have gone through had helped me in developing an understanding of the importance of resilience not only in professionals but also in lives. Analysis: Resilience can be described as the ability of individuals in recovering as well as recuperating quickly from difficult as well challenging situations. Shin et al. (2017) is of the opinion that this quality is different stress management as the focus of resilience is understanding that stress is bound to happen and therefore it should be treated as normal part of the day. Stress management of the other hand typically requires a breakdown of the situation for resolving stress. Rushton et al. (2017) had opined that in cases of nursing professionals, it is important for them in bouncing back with that of resilience as this remains associated with better patient care as well as patient health outcomes. It has been found that with the help of attribute of resilience, nurses would be more alert and they would stay positive with chances of their practicing with clearer communication in comparison to cases where they are more anxious and stressed out (Lopez et al. 2018). Therefore, experts advise that when nurses practice resilience effectively, it becomes helpful for the nurses in rising through the ranks in their professional growth and career at the same time of liking their occupation and being successful in exercising good judgments. Thomas (2016) has stated that when nurses increase their resilience, they are seen to feel energized, motivated, as well as capable of taking on more responsibilities. It had been found through experimental studies that those who possess the attribute of resilience would have a higher sense of self-awareness as well as persistence. They are also seen to harbor the energy in sustaining their mind as well as their body in comparison to those participants who had no
5 RESILIENCE IN NURSING attributes of resilience. Delgado et al. (2017) also supports the mentioned facts and they had stated that resilience also helps in developing emotionally intelligent people. This is because it needs the qualities of emotional flexibility, as well as a positive outlook, adaptability and becoming successful in reaching out to others for developing open communications. Sanders (2015) had described the various ways for building resilience by the nurses. For this, the nurses require taking and staying in control of their heart, mind, and body during the entire time of their day. They also need to be love and accept their own selves as the person they are and understand successfully what they need to be in place of utilizing tactics as well as certain behaviors for working on their resiliency skill. The American Psychological Association had been of the opinion that a number of factors that can help the healthcare professionals in supporting the attribute of resilience. These are “maintaining good and positive relationships and accepting that there are certain circumstances, which are out of one’s control. Some of the other factors are sustaining optimism as well as having hopeful outlook for the future and even keeping a long-term perspective” (Foster 2016). Conclusion: Due to several incidences I have gone through in the preliminary years of my university as well as in the placements, I had understood the importance of an individual to possess the attribute of resilience in their lives. Being resilient is about being able to withstand different levels of setbacks, personal tragedies and even frustrations (Cusack et al. 2016). During the time of crisis, a resilient healthcare professional would be able to cope with different events calmly with patience, grace, hope and acceptance. On the other hand, a less resilient professional might respond to the situation with anger, frustration, fear as well as impatience and witness themselves
6 RESILIENCE IN NURSING as victims (Li et al. 2015). Researchers are of the opinion that seven important areas help an individual to become resilient. These include taking care of the basic needs, confidence, and emotional stability, speaking the truth, developing insight and having faith (Reyes et al. 2015). I had tried to harbor each of the areas with expertise and these in course of time had not only helped them to become resilient but had also helped me to ensure balance of mental, physical as well as emotional stability. Therefore, in the future times, when I would be facing difficult and critical situations in both personal and professional lives, my attribute of resilience would be helpful for me to overcome such situations. It would help me to handle critical and strenuous events in the nursing profession and overcome them to provide uninterrupted quality care to patients ensuring their satisfaction. Action plan: Through the different evidence-based studies that I have collected and with the advice of the mentors, I have realized that, seven important aspects when mastered would help me to develop resilience in nursing profession successfully. Practicing beginner’s mind: this help nursing professionals in staying focused in the moment and help in paying attention to the situation at hand. Researchers are of the opinion that if the nurses act on assumptions, feeling that they already are aware of what is going to happen in future, chances are that there would be shutting them off from any new possibilities (Reyes et al. 2015). Letting go: this habit suggests not quitting but promoting freeing oneself from negative emotions and feelings so that she can work in the moment. I need to develop this aspect so that I am not affected by difficult situation
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7 RESILIENCE IN NURSING Being kind and compassionate: this skill would help me by encouraging my positive behaviors and feelings amongst each other, also helping in uplifting my mood in high- pressure situation Practicing gratitude: researchers are of the opinion that nurses as well as the other healthcare providers can always appreciate their health, secure jobs and expertise that can help in making crucial and positive differences in the lives of the patients each day (Cusack et al. 2016). By practicing the skill of thankfulness, I can expand my mind, witness more abundances and opportunities and thereby staying optimistic. Staying authentic: it has been found that when professionals are honest and accept themselves as the individuals they are, they are seen to become more purposeful in their choices.Authenticitywouldalsobereflectedintheworkplace,ashealthcare professionals will be able to develop honest as well as trustworthy relationships with their patients. This would in turn help my patients to trust me as their care providers and this would increase their cooperation in the treatment. Staying committed: I have understood that showing dedication to what I do and hence going through with it with the help of the attributes of that of persistence as well as patience can help the me in completing my workload and ultimately increasing my belief in myself Trusting oneself: nursing professionals have great intuitions that they use for patient care. Bytrustingthegutfeelingaswellasembracingfaith,individualsdeveloptheir confidence and thereby they can become more resilient and at the same time resourceful gaining the knowledge that they are capable of
8 RESILIENCE IN NURSING With the above-mentioned skills, I would master the attribute of resilience and would ensure providing the best care to patient without getting stressed and anxious of any uncertain events that take place any day of my practice.
9 RESILIENCE IN NURSING References: Cusack, L., Smith, M., Hegney, D., Rees, C.S., Breen, L.J., Witt, R.R., Rogers, C., Williams, A., Cross, W. and Cheung, K., 2016. Exploring environmental factors in nursing workplaces that promotepsychologicalresilience:constructingaunifiedtheoreticalmodel.Frontiersin psychology,7, p.600. Delgado, C., Upton, D., Ranse, K., Furness, T. and Foster, K., 2017. Nurses’ resilience and the emotional labour of nursing work: An integrative review of empirical literature.International journal of nursing studies,70, pp.71-88. Foster, S., 2016. Promoting resilience in nursing.British Journal of Nursing,25(20), pp.1155- 1155. Lekan, D.A., Ward, T.D. and Elliott, A.A., 2018. Resilience in baccalaureate nursing students: An exploration.Journal of psychosocial nursing and mental health services,56(7), pp.46-55. Li, Y., Cao, F., Cao, D. and Liu, J., 2015. Nursing students’ post‐traumatic growth, emotional intelligenceandpsychologicalresilience.Journalofpsychiatricandmentalhealth nursing,22(5), pp.326-332. Lopez,V.,Yobas,P.,Chow,Y.L.andShorey,S.,2018.Doesbuildingresiliencein undergraduate nursing students happen through clinical placements? A qualitative study.Nurse education today,67, pp.1-5. McGowan, J.E. and Murray, K., 2016. Exploring resilience in nursing and midwifery students: a literature review.Journal of advanced nursing,72(10), pp.2272-2283.
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10 RESILIENCE IN NURSING Reyes, A.T., Andrusyszyn, M.A., Iwasiw, C., Forchuk, C. and Babenko-Mould, Y., 2015. Resilience in nursing education: an integrative review.Journal of Nursing Education,54(8), pp.438-444. Reyes, A.T., Andrusyszyn, M.A., Iwasiw, C., Forchuk, C. and Babenko‐Mould, Y., 2015. Nursing students' understanding and enactment of resilience: a grounded theory study.Journal of advanced nursing,71(11), pp.2622-2633. Rushton, C.H., Schoonover-Shoffner, K. and Kennedy, M.S., 2017. A collaborative state of the scienceinitiative:transformingmoraldistressintomoralresilienceinnursing.AJNThe American Journal of Nursing,117(2), pp.S2-S6. Rushton,C.H.,Schoonover-Shoffner,K.andKennedy,M.S.,2017.Executivesummary: transforming moral distress into moral resilience in nursing.Journal of Christian Nursing,34(2), pp.82-86. Sanders,E.D.,2015.Nursingresilience:anursingopportunity.Nursingadministration quarterly,39(2), pp.132-136. Shin, E.S., An, M., Choi, M.L., Lee, A.K., Jeon, E.A., Jeoung, Y.M., Seo, M.W., Kim, H.K., Hwang, J.H., Choi, O.J. and Kim, S.H., 2017. Factors Influencing Quality of Nursing Service among Clinical Nurses: Focused on Resilience and Nursing Organizational Culture.Journal of Korean Clinical Nursing Research,23(3), pp.302-311. Thomas, L.J. and Asselin, M., 2018. Promoting resilience among nursing students in clinical education.Nurse education in practice,28, pp.231-234.
11 RESILIENCE IN NURSING Thomas,L.J.andRevell,S.H.,2016.Resilienceinnursingstudents:Anintegrative review.Nurse education today,36, pp.457-462. Thomas, L.J., 2016. The Impact of Resilience on Nursing Students: An Integrative Review.