The first-semester nursing student expresses concern that staff actions in the clinical setting do not reflect the same standards being taught in nursing classes. Which stage of Davis's model does this represent?
1. Initial innocence
2. Labeled recognition of incongruity
3. Role simulation
4. Provisional internalization
Correct Answer: 2
Students come into nursing with an idea of what they believe nursing to be. This describes Davis's stage of initial innocence. When the student begins to see that nursing is different from the presupposed view and that practice does not always match theory, the student has moved into labeled recognition of incongruity. In role simulation, the student begins to "act the part" of the nurse, even though true assimilation of the values has not occurred. Provisional internalization occurs when the student begins to vacillate between commitment to his or her former image of nursing and performance of new behaviors attached to the professional image. The last stage is stable internalization, when the student's behavior reflects the educationally and professionally approved model.
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