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Showing posts with label Nursing Theory. Show all posts
Showing posts with label Nursing Theory. Show all posts

Thursday, September 23, 2010

Erikson's Theory of Psychosocial Development

Psychosocial Development in Infancy and Early Childhood

By , About.com Guide


What is Psychosocial Development?

Erik Erikson’s theory of psychosocial development is one of the best-known theories of personality in psychology. Much like Sigmund Freud, Erikson believed that personality develops in a series of stages. Unlike Freud’s theory of psychosexual stages, Erikson’s theory describes the impact of social experience across the whole lifespan.

One of the main elements of Erikson’s psychosocial stage theory is the develoment of ego identity.1 Ego identity is the conscious sense of self that we develop through social interaction. According to Erikson, our ego identity is constantly changing due to new experience and information we acquire in our daily interactions with others. In addition to ego identity, Erikson also believed that a sense of competence also motivates behaviors and actions. Each stage in Erikson’s theory is concerned with becoming competent in an area of life. If the stage is handled well, the person will feel a sense of mastery, which he sometimes referred to as ego strength or ego quality. If the stage is managed poorly, the person will emerge with a sense of inadequacy.

In each stage, Erikson believed people experience a conflict that serves as a turning point in development. In Erikson’s view, these conflicts are centered on either developing a psychological quality or failing to develop that quality. During these times, the potential for personal growth is high, but so is the potential for failure.

Psychosocial Stage 1 - Trust vs. Mistrust

  • The first stage of Erikson’s theory of psychosocial development occurs between birth and one year of age and is the most fundamental stage in life.

  • Because an infant is utterly dependent, the development of trust is based on the dependability and quality of the child’s caregivers.

  • If a child successfully develops trust, he or she will feel safe and secure in the world. Caregivers who are inconsistent, emotionally unavailable, or rejecting contribute to feelings of mistrust in the children they care for. Failure to develop trust will result in fear and a belief that the world is inconsistent and unpredictable.

Psychosocial Stage 2 - Autonomy vs. Shame and Doubt

  • The second stage of Erikson's theory of psychosocial development takes place during early childhood and is focused on children developing a greater sense of personal control.

  • Like Freud, Erikson believed that toilet training was a vital part of this process. However, Erikson's reasoning was quite different then that of Freud's. Erikson believe that learning to control one’s body functions leads to a feeling of control and a sense of independence.

  • Other important events include gaining more control over food choices, toy preferences, and clothing selection.

  • Children who successfully complete this stage feel secure and confident, while those who do not are left with a sense of inadequacy and self-doubt.

Psychosocial Stage 3 - Initiative vs. Guilt
  • During the preschool years, children begin to assert their power and control over the world through directing play and other social interaction.

  • Children who are successful at this stage feel capable and able to lead others. Those who fail to acquire these skills are left with a sense of guilt, self-doubt and lack of initiative.

Psychosocial Stage 4 - Industry vs. Inferiority

  • This stage covers the early school years from approximately age 5 to 11.

  • Through social interactions, children begin to develop a sense of pride in their accomplishments and abilities.

  • Children who are encouraged and commended by parents and teachers develop a feeling of competence and belief in their skills. Those who receive little or no encouragement from parents, teachers, or peers will doubt their ability to be successful.

Psychosocial Stage 5 - Identity vs. Confusion

  • During adolescence, children are exploring their independence and developing a sense of self.

  • Those who receive proper encouragement and reinforcement through personal exploration will emerge from this stage with a strong sense of self and a feeling of independence and control. Those who remain unsure of their beliefs and desires will insecure and confused about themselves and the future.

Psychosocial Stage 6 - Intimacy vs. Isolation
  • This stage covers the period of early adulthood when people are exploring personal relationships.

  • Erikson believed it was vital that people develop close, committed relationships with other people. Those who are successful at this step will develop relationships that are committed and secure.

  • Remember that each step builds on skills learned in previous steps. Erikson believed that a strong sense of personal identity was important to developing intimate relationships. Studies have demonstrated that those with a poor sense of self tend to have less committed relationships and are more likely to suffer emotional isolation, loneliness, and depression.

Psychosocial Stage 7 - Generativity vs. Stagnation

  • During adulthood, we continue to build our lives, focusing on our career and family.

  • Those who are successful during this phase will feel that they are contributing to the world by being active in their home and community. Those who fail to attain this skill will feel unproductive and uninvolved in the world.

Psychosocial Stage 8 - Integrity vs. Despair

  • This phase occurs during old age and is focused on reflecting back on life.

  • Those who are unsuccessful during this phase will feel that their life has been wasted and will experience many regrets. The individual will be left with feelings of bitterness and despair.

  • Those who feel proud of their accomplishments will feel a sense of integrity. Successfully completing this phase means looking back with few regrets and a general feeling of satisfaction. These individuals will attain wisdom, even when confronting death.

Source :
http://psychology.about.com

Monday, September 13, 2010

History of Nursing Models

History of Nursing Models

There is no specific date and place nursing theory took place. The evolution of nursing is not a new process, it has been in occurrence since the most basic of medical interventions started to be practiced. Within the western model of nursing there is a clear progression of nursing from mothers, to nuns, to doctor "assistants", to finally being recognized as a separate, complementary role in the medical team. Presently nurses have more autonomy than ever, and on going theory development and an exploration of professional borders are essential for the continued growth of the professional.

Major Nursing Theorists :

* Helen Erickson
* Virginia Henderson
* Imogene King
* Madeleine Leininger
* Betty Neuman
* Dorothea Orem
* Ida Jean Orlando (Pelletier)
* Hildegard Peplau
* Rosemarie Rizzo-Parse
* Isabel Hampton Robb
* Martha E. Rogers
* Callista Roy
* Katharine Kolcaba
* Katie Eriksson
* Dr. Jean Watson
* Paterson & Zderad
* Boykin & Schoenhofer

According to nursing history the most famous of all nurses is Florence Nightingale. Nightingale never actually devised a nursing theory science but was recognized with same by others who considered her personal works and communications into a theoretical framework such as her well-known value of nursing which is Bedside Care Nursing.

en.wikipedia.org

Dorothea Orem's Theory

Saturday, September 4, 2010

Nursing Theory

Nursing theory is the term given to the body of knowledge that is used to support nursing practice. In their professional education nurses will study a range of interconnected subjects which can be applied to the practice setting. This knowledge may be derived from experiential learning, from formal sources such as nursing research or from non-nursing sources. To speak of nursing theory is often difficult. Nursing is many things to many people. Most universally agreed upon is that Nursing is a science involving people, environment and process fueled by a vision of transcendence in the context of healthcare. It is interesting to note that 90% of all Nursing theories have been generated in the last 20 years. Many schools encourage students to formulate personal philosophies or mid-range theories of Nursing as part of their curriculum. Some might argue that this multiplicity of theory is detrimental to the practice and undermines common vision. Others would say that the nature of the young science is sufficiently far reaching to require such tactics to elicit true consensus.

Nursing models are conceptual models, constructed of theories and concepts. They are used to help nurses assess, plan, and implement patient care by providing a framework within which to work. They also help nurses achieve uniformity and seamless care.

en.wikipedia.org